Summary of best evidence for preoperative prehabilitation for patients with lung cancer combined and chronic obstructive pulmonary disease
10.3760/cma.j.cn211501-20230829-00397
- VernacularTitle:肺癌合并慢性阻塞性肺疾病患者术前预康复最佳证据总结
- Author:
Xiaoyan XU
1
;
Yanjun MAO
;
Xiaoxia YAN
;
Xuee FANG
;
Xinxia MO
Author Information
1. 同济大学医学院，上海 200092
- Keywords:
Lung neoplasms;
Pulmonary disease, chronic obstructive;
prerehabilitation;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2024;40(8):619-626
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search and summarize the best evidence for preoperative prehabilitation in patients with lung cancer complicated by chronic obstructive pulmonary disease and to inform the management of preoperative prehabilitation in patients with lung cancer combined with COPD by clinical providers.Methods:Systematically guideline websites, professional society websites, evidence-based databases, and comprehensive databases were searched for types of literature including clinical decision making, guidelines, expert consensus, evidence summaries, systematic evaluations, Meta-analyses, and randomized controlled trials. The time for the retrieval was from the inception of databases until October 31th, 2023. And the quality of the included literature was evaluated and evidence was extracted, evaluated the quality of the included literature, and extracted evidence.Results:Finally, 18 articles were included, including 8 guidelines, 8 expert consensus, and 2 systematic reviews. Summarized the 30 best evidence in 4 areas of prerehabilitation: need, timing, location, content (including smoking cessation management, respiratory exercise, exercise, nutritional support, and medication management).Conclusions:This study summarizes the best evidence for preoperative prehabilitation in patients with lung cancer combined with chronic obstructive pulmonary disease, and healthcare professionals should be mindful of the need to develop preoperative prehabilitation protocols judiciously, taking into account the specific clinical context during the subsequent translation of the evidence to the clinic.
