Please use this identifier to cite or link to this item: https://hdl.handle.net/11000/31136
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dc.contributor.authorTriguero Cánovas, Daniel-
dc.contributor.authorLópez Rodríguez -Arias, Francisco-
dc.contributor.authorGómez‑Martínez, Manuel-
dc.contributor.authorSánchez-Guillén, Luis-
dc.contributor.authorPeris‑Castelló, Franc-
dc.contributor.authorAlcaide‑Quirós, María José-
dc.contributor.authorMorillas‑Blasco, Pedro-
dc.contributor.authorArroyo, Antonio-
dc.contributor.authorRamírez, José Manuel-
dc.contributor.otherDepartamentos de la UMH::Patología y Cirugíaes_ES
dc.date.accessioned2024-02-06T11:36:54Z-
dc.date.available2024-02-06T11:36:54Z-
dc.date.created2023-11-06-
dc.identifier.citationSupportive Care in Cancer (2023) 31:673es_ES
dc.identifier.issn1433-7339-
dc.identifier.issn0941-4355-
dc.identifier.urihttps://hdl.handle.net/11000/31136-
dc.description.abstractPurpose/background Prehabilitation aims to improve physical condition in the preoperative period and, therefore, decrease the loss of cardiopulmonary capacity postoperatively, with the aim of reducing complications and promoting an early recovery. This study aims to evaluate the impact of home-based prehabilitation on the physical condition of patients treated surgically for colorectal cancer. Methods A prospective and randomized clinical study was conducted on 60 patients during two periods from October 2018 to February 2019 and from September 2019 to September 2020, in a single university hospital. Patients were randomized into two study groups (30 per group): prehabilitation vs. standard care. Changes in physical condition, measured at diagnosis, the day before surgery, and at 6–8 weeks after surgery using the cardiopulmonary exercise testing (CPET) and the 6-minute walk test (6MWT) were evaluated. Results Prehabilitation reduced postoperative complications (17.4% vs. 33.3%, p = 0.22) and hospital stay (5.74 vs. 6.67 days, p = 0.30). 6MWT showed a signifcant improvement in the prehabilitation group (+78.9 m). Six weeks after surgery, prehabilitation showed a signifcant improvement in the 6MWT (+68.9 m vs. −27.2 m, p = 0.01). Signifcant diferences were also observed in the ergospirometry between the diagnosis and postoperative study (+0.79 METs vs. −0.84 METs, p = 0.001). A strong correlation was observed between CPET and 6MWT (0.767 (p < 0.001)). Conclusion Home prehabilitation achieved lower overall postoperative complications than standard care and reached signifcant improvements in 6MWT and CET. A strong correlation was observed between CET and 6MWT, which allows validation of 6MWT as a valid and reliable measure of functional exercise capacity in colorectal patients when other, more specifc and expensive tests are not available.es_ES
dc.formatapplication/pdfes_ES
dc.format.extent9es_ES
dc.language.isoenges_ES
dc.publisherSpringeres_ES
dc.rightsinfo:eu-repo/semantics/clossedAccesses_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectColorectal canceres_ES
dc.subjectPrehabilitationes_ES
dc.subjectHome-basedes_ES
dc.subjectErgospirometry/Cardiopulmonary exercise testinges_ES
dc.subject6-minute walk testes_ES
dc.titleHome‑based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot studyes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.publisherversionhttps://doi.org/10.1007/s00520-023-08140-4es_ES
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