Effect of preoperative exercise intervention on lung cancer patients:a re-evaluation of systematic review
10.3969/j.issn.1671-8283.2025.10.012
- VernacularTitle:术前运动训练对肺癌患者干预效果的系统评价再评价
- Author:
Xin JING
1
;
Rong WANG
;
Tianpei GU
;
Liangwen GONG
;
Xiaona DUAN
;
Xinyi GU
Author Information
1. 南京医科大学护理学院,江苏 南京,211166
- Publication Type:Journal Article
- Keywords:
lung cancer;
preoperative exercise;
re-evaluation of systematic reviews;
evidence-based nursing
- From:
Modern Clinical Nursing
2025;24(10):83-91
- CountryChina
- Language:Chinese
-
Abstract:
Objective To re-evaluate the systematic evaluation of effectiveness of preoperative exercise intervention in patients with lung cancer.Methods Literature in systematic reviews and meta-analyses of the effectiveness of preoperative exercise intervention among patients with lung cancer was retrieved from databases of PubMed,EMbase,Cochrane Library,Web of Science,CINAHL,Joanna Briggs Institute of Australia's Centre for Evidence-based Health Care Database(JBI),China National Knowledge Infrastructure(CNKI),Wanfang Data,VIP,and SinoMed from the inception to January 10,2024.Two reviewers independently screened the retrieved literature,extracted data,evaluated methodological quality,and summarised and graded the evidence.Results Eight systematic reviews were included.Methodological quality was rated moderate for one review,low for four,and very low for three.Preferred reporting items for systematic reviews and Meta-analyses was found comprehensive in three reviews,incomplete in four and seriously deficient in one.Seven outcome categories comprising 56 indicators were summarised and graded:nine indicators were of moderate certainty,29 of low certainty,and 18 of very low certainty.Pooled evidence from re-meta-analysis showed that preoperative exercises improved preoperative cardiopulmonary function,reduced the risk of post-operative pulmonary complications(PPCs),and shortened a hospital stay.Conclusion Preoperative exercise can improve patient outcomes after surgery.However,current studies often face methodological limitations,inadequate reporting standards and low-quality evidence.Future research should employ more rigorous designs and higher-quality evidence,including comparisons of different exercise modalities and durations,and provide a basis for developing efficient and optimally timed pre-operative exercise protocols.
