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Li X, Chen Y, Liu S, Zhang M. Applying ICF Framework to Explore the Factors That Influence Quality of Life in Patients After Lung Surgery. Ann Rehabil Med 2024; 48:155-162. [PMID: 38685573 PMCID: PMC11058363 DOI: 10.5535/arm.23109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 02/05/2024] [Accepted: 02/10/2024] [Indexed: 05/02/2024] Open
Abstract
OBJECTIVE To explore the relationship between pulmonary function, physical activity, and health-related quality of life (QoL) in resected lung cancer patients based on the International Classification of Functioning, Disability, and Health (ICF) framework developed by the World Health Organization to describe health and health-related states. METHODS A quantitative study was designed with postoperative lung cancer survivors to assess personal characteristics. We also assessed functional impairment related to the lung using forced vital capacity (FVC) and forced expiratory volume at 1 second (FEV1), activity limitations using maximal oxygen consumption (VO2max), anaerobic threshold (AT) and 6-minute walking distance (6MWD), and participation restriction using the 36-item Short Form Health Survey V1 (SF-36). Data analyses were conducted using the multivariate method and Smart- PLS to examine path coefficient among the measures. RESULTS Forty-one patients were enrolled in this study. FVC and FEV1 were poorly correlated with QoL, and 6MWD, AT, or VO2max were positively associated with QoL. AT or VO2max showed a significant (p<0.01) direct path with SF-36 in the ICF model. Although age and body mass index were not strongly correlated with QoL, these personal factors had a medium to large effect on perceived QoL. CONCLUSION Disability is a complex in patients with lung resection, and physical activity plays an important role in enabling participation. Improving VO2max and AT is needed to improve the QoL of resected lung cancer patients. We should also pay more attention to contextual factors that have a significant impact on social participation.
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Affiliation(s)
- Xinping Li
- The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China
- Department of Physical Medicine and Rehabilitation, Guangdong Geriatric Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China
| | - Yi Chen
- Department of Physical Medicine and Rehabilitation, Shenzhen Children’s Hospital, Shenzhen, China
| | - Shuangchun Liu
- Department of Physical Medicine and Rehabilitation, He Xian Memorial Affiliated Hospital of Southern Medical University, Guangzhou, China
| | - Mingsheng Zhang
- The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China
- Department of Physical Medicine and Rehabilitation, Guangdong Geriatric Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China
- Department of Physical Medicine and Rehabilitation, Gaozhou People’s Hospital, Maoming, China
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Hou W, Zhai L, Yang Y, Gu S, Li C, Yang Y, Zhu Y. Is physical activity effective against cancer-related fatigue in lung cancer patients? An umbrella review of systematic reviews and meta-analyses. Support Care Cancer 2023; 31:161. [PMID: 36781549 DOI: 10.1007/s00520-023-07627-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 02/01/2023] [Indexed: 02/15/2023]
Abstract
OBJECTIVES To discuss the effects of physical activity on cancer-related fatigue (CRF) in lung cancer patients, summarize the types of physical activity in the published reviews, assess the quality of the evidence, and provide suggestions for the clinical selection of exercise intervention. METHODS PubMed, EMBASE, Web of Science, and the Cochrane Database of Systematic Reviews were searched through 8 November 2021 to identify relevant systematic reviews and meta-analyses. We also performed a manual search of the reference lists of included articles as supplements. Two researchers independently performed literature screening, data extraction, and quality assessment. The umbrella review has been registered in the International Prospective Register of Systematic Review (PROSPERO) registry (CRD42021292548). RESULTS From the 13 systematic reviews or meta-analyses identified, 10 physical activity interventions were included. The most mentioned intervention was aerobic combined with resistance exercise; however, no reduction of the symptoms of CRF was observed in lung cancer patients by this exercise intervention. Most of the patients who performed aerobic exercises alone showed improvement in CRF after the intervention. In addition, Tai Chi and breathing exercises have been shown to improve fatigue, but more high-quality research is still needed to support its effectiveness. CONCLUSIONS Aerobic exercise, respiratory muscle training, aerobic combined with balance training, and other exercise interventions have been shown to improve CRF in lung cancer patients. But it should be noted that according to the different treatment methods and disease stages of patients, individualized rehabilitation programs should be developed for patients. Due to the low methodological quality and evidence quality of some systematic reviews and meta-analyses included in this study, more high-quality clinical studies and systematic reviews are still needed for validation in the future. This umbrella review helps to identify effective ways of exercise to improve fatigue in lung cancer patients before dedicated evidence-based medical guidelines are established.
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Affiliation(s)
- Weiqian Hou
- The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, 450000, Henan, China
- Academy of Medical Sciences, Zhengzhou University, Zhengzhou, 450000, Henan, China
| | - Liwen Zhai
- The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, 450000, Henan, China
- Academy of Medical Sciences, Zhengzhou University, Zhengzhou, 450000, Henan, China
| | - Yujie Yang
- University of Health and Rehabilitation Sciences, Qingdao, 266000, Shandong, China
| | - Shanshan Gu
- Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada
| | - Conghui Li
- The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, 450000, Henan, China
- Academy of Medical Sciences, Zhengzhou University, Zhengzhou, 450000, Henan, China
| | - Yao Yang
- The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, 450000, Henan, China
- Academy of Medical Sciences, Zhengzhou University, Zhengzhou, 450000, Henan, China
| | - Yi Zhu
- The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, 450000, Henan, China.
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Tan L, Li T, Liang X, Wang C. Exploration on the recovery of lung function by fast track surgery in patients with radical resection of lung cancer. Panminerva Med 2022; 64:592-593. [PMID: 32955178 DOI: 10.23736/s0031-0808.20.04058-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Affiliation(s)
- Lin Tan
- Department of Thoracic Surgery, Qingdao Municipal Hospital, Qingdao, China
| | - Tingtian Li
- Department of Respiratory Medicine, Qingdao Municipal Hospital, Qingdao, China
| | - Xiaomin Liang
- Department of Thoracic Surgery, Qingdao Municipal Hospital, Qingdao, China
| | - Chen Wang
- Department of Intensive Care Medicine, Qingdao Municipal Hospital, Qingdao, China -
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Li TT, Wei Y, Zhou HS, Xiao QX, Wang C, Xiong LL, Ao J, Wang TH, Yuan H. The Difference of Disease Injury and Postoperative Recovery in the Occupational Characteristics of Thoracolumbar Fracture Patients: A Retrospective Study. Orthop Surg 2022; 14:2059-2072. [PMID: 35913219 PMCID: PMC9483088 DOI: 10.1111/os.13403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 06/20/2022] [Accepted: 06/23/2022] [Indexed: 02/05/2023] Open
Abstract
Objectives Understanding the occupational characteristics of patients is not only related to patients' life and health, but also conducive to improving their happiness. However, there were no studies that had been conducted on the relationship between occupation characteristic and postoperative recovery in patients with spinal fractures. The purpose of this study was to explore the relationship between the occupation characteristics of patients with thoracolumbar fracture and the characteristics of disease injury, treatment, and recovery so as to reduce the incidence and improve postoperative rehabilitation. Methods Patients (n = 719) with thoracolumbar fractures were recruited. Patients were grouped according to the characteristic of occupations: unemployed group (n = 299), white‐collar worker group (n = 20), and blue‐collar worker group (n = 400). Data were collected, including the characteristics, injury and treatment information, and the recovery records for 1 year after operation. One‐way ANOVA analysis, χ2 test, and binary logistic regression analysis was used to explore the relationship among these factors. Results Male, high‐falling injuries and single segment injury (mainly T 11, T 12 and L2) were common in patients with thoracolumbar fractures, especially in the blue‐collar worker group (70.8%, 78.3%, and 85.4%). Compared with the unemployed group, the patients in the white‐collar worker group and blue‐collar worker group had a higher proportion of young patients, a higher height and weight, a lesser rate of hypertension or diabetes. One week after injury, 73.4% of patients underwent surgery, with the blue‐collar worker group accounted for the largest proportion. One month after surgery, 77.1% of patients were able to get out of bed, with the white‐collar worker group accounted for the largest proportion. In the postoperative recovery information, patients in the blue‐collar worker group were more likely to have severe low back pain (OR = 2.023, 95% CI: 1.440‐2.284) and pain‐disturbed sleep (OR = 2.287, 95% CI: 1.585‐3.299) than those who in the unemployed group. Conclusions Blue‐collar workers, with a high risk of thoracolumbar fracture, have a higher incidence of low back leg pain and pain‐disturbed sleep in the recovery after thoracolumbar fracture surgery, and this requires more attention.
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Affiliation(s)
- Ting-Ting Li
- Department of Orthopaedic Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China.,Department of Anesthesiology, Institute of Neurological Disease, West China Hospital, Sichuan University, Chengdu, China
| | - Yi Wei
- Gynecology Department, Chengdu Second People's Hospital, Chengdu, China
| | - Hong-Su Zhou
- Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Qiu-Xia Xiao
- Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Chong Wang
- Department of Orthopaedic Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Liu-Lin Xiong
- Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Jun Ao
- Department of Orthopaedic Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Ting-Hua Wang
- Department of Orthopaedic Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China.,Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Zunyi, China.,Institue of Neuroscience, Animal Zoology Department, Kunming Medical University, Kunming, China
| | - Hao Yuan
- Department of Orthopaedic Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China.,Institue of Neuroscience, Animal Zoology Department, Kunming Medical University, Kunming, China
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Fuzhi Y, Dongfang T, Wentao F, Jing W, Yingting W, Nianping M, Wen G, Xiaoyong S. Rapid Recovery of Postoperative Pulmonary Function in Patients With Lung Cancer and Influencing Factors. Front Oncol 2022; 12:927108. [PMID: 35898890 PMCID: PMC9309725 DOI: 10.3389/fonc.2022.927108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Accepted: 06/13/2022] [Indexed: 12/24/2022] Open
Abstract
Among malignant tumors, lung cancer has the highest morbidity and mortality worldwide. Surgery is the first-line treatment for early-stage lung cancers, and has gradually advanced from conventional open-chest surgery to video-assisted thoracic surgery (VATS). Additionally, increasingly smaller surgical incisions and less surgical trauma have resulted in reduced pulmonary function damage. Previous studies have found that the level of pulmonary function loss and recovery is significantly correlated with postoperative complications and the quality of life. Thus, an accurate assessment of the preoperative pulmonary function and effective rehabilitation of postoperative pulmonary function are highly important for patients undergoing lung surgery. In addition, pulmonary function assessment after pulmonary rehabilitation serves as an objective indicator of the postoperative pulmonary rehabilitation status and is crucial to facilitating pulmonary function recovery. Furthermore, a complete preoperative assessment and effective rehabilitation are especially critical in elderly patients with pulmonary tumors, poor basic physiological functions, comorbid lung diseases, and other underlying diseases. In this review, we summarize the clinical significance of pulmonary function assessment in patients undergoing lung cancer surgery, postoperative changes in pulmonary function, effective pulmonary function rehabilitation, and the influencing factors of pulmonary function rehabilitation.
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Xu W, Liu Y, Zeng B, Li X. Association between age, gender, body mass index, and pulmonary function in preoperative patients with lung cancer. THE CLINICAL RESPIRATORY JOURNAL 2022; 16:244-251. [PMID: 35081274 PMCID: PMC9060039 DOI: 10.1111/crj.13476] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Accepted: 12/25/2021] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Many confounding factors such as sex, age, and body mass index (BMI) affect pulmonary function parameters, but there are limited data about the direct and/or indirect effects of small airway function on lung function for differences in confounding factors. OBJECTIVES This study aimed to use structural equation model (SEM) to explain the influence of the confounding factors (age, sex, and BMI) on the relationship between small airway function and lung function in patients with lung cancer. METHODS A cross-sectional observational study was conducted in a single medical center. Subjects were assessed; small airway function was specified by MEF25% and MEF50%; lung function by FVC; pulmonary obstruction by FEV1, FEV1%, and FEV1/FVC; and PEF and PEF% reflected the strength of abdominal muscles. The measurement model was analyzed by confirmatory factor analysis. The SEM was conducted to analyze the structural models of the effects of the confounding factors. RESULTS In the measurement model, variables were fit to their domains, the path linking age and sex to pulmonary obstruction was positive and statistically significant, and the path linking sex to muscle strength was also positive and statistically significant. Muscle strength positively and significantly mediates the path between sex and FVC. As a moderator, BMI increased the effects of small airway function on FVC. CONCLUSION Age and sex were directed to pulmonary obstruction, and muscle strength as a mediator between sex and lung function was novel, and BMI adjusted the effects of small airway function on FVC.
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Affiliation(s)
- Weicheng Xu
- Department of Physical Medicine and Rehabilitation, Guangdong Geriatric InstituteGuangdong Academy of Medical Sciences and Guangdong Provincial People's HospitalGuangzhouChina
| | - Yakang Liu
- Department of Physical Medicine and Rehabilitation, Guangdong Geriatric InstituteGuangdong Academy of Medical Sciences and Guangdong Provincial People's HospitalGuangzhouChina
| | - Bin Zeng
- Department of Physical Medicine and Rehabilitation, Guangdong Geriatric InstituteGuangdong Academy of Medical Sciences and Guangdong Provincial People's HospitalGuangzhouChina
| | - Xinping Li
- Department of Physical Medicine and Rehabilitation, Guangdong Geriatric InstituteGuangdong Academy of Medical Sciences and Guangdong Provincial People's HospitalGuangzhouChina
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Feng K, Lu Y. Clinical analysis of systemic administration combined with microwave ablation in the treatment of lung cancer. Asian J Surg 2021; 45:1107-1112. [PMID: 34509354 DOI: 10.1016/j.asjsur.2021.08.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 08/08/2021] [Accepted: 08/18/2021] [Indexed: 12/24/2022] Open
Abstract
OBJECTIVE To explore the therapeutic effect of systemic administration combined with microwave ablation (MWA) under computed tomography (CT) and fiberoptic bronchoscope for treating lung cancer. METHODS Sixty-six patients with advanced lung cancer admitted to our hospital from February 2019 to February 2020 were collected and divided into control group and experimental group with 33 patients in each group. The control group was treated with systemic administration, and the experimental group was treated with systemic administration combined with MWA under CT and fiberoptic bronchoscope. Overall response rate (ORR), adverse events (AEs) during treatment, and survival analysis were used to evaluate the curative effect of lung cancer treatment in each group. RESULTS MWA under CT and fiberoptic bronchoscope could safely remove the cancerous tissues by point burning without destroying the adjacent normal tissues with high success rate. The ORR of the control group was 24.4%, and that of the experimental group was 63.6%, which was better than the control group. The AEs occurred during treatment in each group were of level 1 or level 2, and no serious life-threatening AEs occurred. Progression-free survival (PFS) time and overall survival (OS) time in the experimental group were both longer than those in the control group. Patients treated with MWA had a lower risk of disease progression and death than those treated with systemic administration alone. CONCLUSION The treatment of lung cancer using systemic administration combined with MWA under CT and fiberoptic bronchoscope is more effective than using systemic administration alone, which can be promoted in clinical treatment.
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Affiliation(s)
- Kan Feng
- Department of Thoracic Surgery, The First Hospital of Fuyang Hangzhou, Hangzhou, Zhejiang Province, 3114000, China.
| | - Yong Lu
- Department of Thoracic Surgery, The First Hospital of Fuyang Hangzhou, Hangzhou, Zhejiang Province, 3114000, China
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Ogura R, Iribe S, Suzuki T, Kuroda H, Sugisawa T, Okuni I, Otsuka H, Azuma Y, Iyoda A, Ebihara S. Persistence of the Postoperative Change in the Six-minute Walking Distance of Lung Cancer Patients with Chronic Obstructive Pulmonary Disease. Prog Rehabil Med 2021; 6:20210022. [PMID: 34013089 PMCID: PMC8103386 DOI: 10.2490/prm.20210022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 04/22/2021] [Indexed: 11/22/2022] Open
Abstract
Objectives: The aim of this prospective follow-up study was to investigate the difference before
and after surgery in the six-minute walking distance (6MD) of lung cancer patients with
chronic obstructive pulmonary disease (COPD) and to examine the long-term effect of the
change in 6MD in the early postoperative period. Methods: This was a retrospective analysis of 25 COPD patients who underwent lung cancer surgery
and perioperative rehabilitation in our department. Assessments of 6WD were carried out
preoperatively and at 1, 3, and 6 months postoperatively. The changes in 6MD at 1, 3,
and 6 months postoperatively compared with the preoperative value were designated the
1-month Δ6MD, the 3-month Δ6MD, and the 6-month Δ6MD, and the associations between them
were investigated. Results: The mean 6MD distance was 412.0±27.3 m (95% confidence interval) preoperatively,
369.0±33.8 m at 1 month, 395.6±32.2 m at 3 months, and 400.0±38.2 m at 6 months, with a
significant difference between the preoperative and 1-month values (P<0.01). There
were strong correlations between 1-month and 3-month Δ6MDs (r =0.74,
P<0.0001) and between 1-month and 6-month Δ6MDs (r =0.88,
P<0.0001). Conclusions: In lung cancer patients with COPD, the 1-month Δ6MD was strongly associated with both
the 3-month Δ6MD and the 6-month Δ6MD. These findings suggest that the decrease in
exercise tolerance of patients whose 6MD is low at 1 month postoperatively may be
prolonged, and such patients may therefore be in greater need of postoperative
outpatient rehabilitation.
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Affiliation(s)
- Ryoji Ogura
- Department of Rehabilitation Medicine, Toho University Omori Medical Center, Tokyo, Japan
| | - Shunsuke Iribe
- Department of Rehabilitation Medicine, Toho University Omori Medical Center, Tokyo, Japan
| | - Takahiko Suzuki
- Department of Rehabilitation Medicine, Toho University Omori Medical Center, Tokyo, Japan
| | - Haruka Kuroda
- Department of Rehabilitation Medicine, Toho University Omori Medical Center, Tokyo, Japan
| | - Tatsuki Sugisawa
- Department of Rehabilitation Medicine, Toho University Omori Medical Center, Tokyo, Japan
| | - Ikuko Okuni
- Department of Rehabilitation Medicine, Toho University Omori Medical Center, Tokyo, Japan
| | - Hajime Otsuka
- Department of Chest Surgery, School of Medicine, Faculty of Medicine, Toho University, Tokyo, Japan
| | - Yoko Azuma
- Department of Chest Surgery, School of Medicine, Faculty of Medicine, Toho University, Tokyo, Japan
| | - Akira Iyoda
- Department of Chest Surgery, School of Medicine, Faculty of Medicine, Toho University, Tokyo, Japan
| | - Satoru Ebihara
- Department of Rehabilitation Medicine, Toho University Omori Medical Center, Tokyo, Japan
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