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- Title
Preoperative rehabilitation for patients undergoing colorectal cancer surgery: a retrospective cohort study.
- Authors
Watanabe, Tomomi; Momosaki, Ryo; Suzuki, Syoya; Abo, Masahiro
- Abstract
<bold>Purpose: </bold>We investigated the impact of preoperative short-term rehabilitation on activities of daily living among patients with colorectal cancer.<bold>Methods: </bold>This retrospective cohort study utilized a hospital-based database containing Diagnosis Procedure Combination survey data from over 100 participating acute-care hospitals. We extracted data on consecutive inpatients hospitalized with stage 1 and 2 colorectal cancer. We compared characteristics and outcomes between patients who underwent short-term rehabilitation before surgery and those who did not. Primary outcomes measured were Barthel Index decline and number of complications during hospitalization.<bold>Results: </bold>Among of included inpatients (male, 57%; older individuals aged over 65 years, 79%; mean Barthel Index, 93.4), the number of patients who underwent preoperative rehabilitation was 760 (39.3%). Patients in the preoperative rehabilitation group were less likely to have a decline in the Barthel Index compared with the control group (5.9% vs 10.1%, P < 0.001) and after propensity score adjustment using inverse probability weighting (6.3% vs 9.8%, P = 0.024). The preoperative rehabilitation group had fewer complications during hospitalization compared with the control group (P < 0.001) and after inverse probability weighting (P = 0.001).<bold>Conclusion: </bold>Our study showed that preoperative short-term rehabilitation was associated with maintenance and improvement of activities of daily living and fewer complications among patients with stage 1 and 2 colorectal cancer.
- Subjects
JAPAN; COLORECTAL cancer; PROCTOLOGY; ONCOLOGIC surgery; BARTHEL Index; REHABILITATION; GERIATRIC rehabilitation; PREOPERATIVE care; DATABASES; RESEARCH; RESEARCH methodology; ACTIVITIES of daily living; RETROSPECTIVE studies; EVALUATION research; MEDICAL cooperation; TUMOR classification; COMPARATIVE studies; DIGESTIVE organ surgery; RESEARCH funding; PROBABILITY theory; LONGITUDINAL method
- Publication
Supportive Care in Cancer, 2020, Vol 28, Issue 5, p2293
- ISSN
0941-4355
- Publication type
journal article
- DOI
10.1007/s00520-019-05061-z