Email this article Remote pre-habilitation in patients with cachexia and resectable gastric cancer: a case series
- Authors: Boldyreva T.S.1, Lyadov V.K.1,2,3, Derevyashkina G.V.4, Shestakova V.A.5, Gorshkov A.Y.6, Zyatenkova E.V.6,7, Procenko E.V.1
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Affiliations:
- Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"
- Russian Medical Academy of Continuous Professional Education
- Novokuznetsk State Institute for the Advanced Training of Doctors – branch of the Russian Medical Academy of Continuous Professional Education
- Medsi Group of Companies
- Sechenov First Moscow State Medical University (Sechenov University)
- National Medical Research Center for Therapy and Preventive Medicine
- Yevdokimov Moscow State University of Medicine and Dentistry
- Issue: Vol 25, No 3 (2023)
- Pages: 290-294
- Section: НУТРИТИВНАЯ ПОДДЕРЖКА В КЛИНИЧЕСКОЙ ОНКОЛОГИИ
- URL: https://journals.rcsi.science/1815-1434/article/view/148891
- DOI: https://doi.org/10.26442/18151434.2023.3.202259
- ID: 148891
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Abstract
Background. The high rate of functional impairment and nutritional deficiency in patients with localized and locally advanced gastric tumors led to the concept of "pre-habilitation". Multimodal pre-habilitation refers to a combination of physical therapy, nutritional support, and psychological counseling during the preparation of patients for antitumor treatment.
Aim. To present the outcomes of patients with cachexia after the program of remote multimodal pre-habilitation before surgical treatment of gastric cancer.
Materials and methods. The outcomes of 10 patients with resectable gastric cancer and cancer cachexia were analyzed. Patients underwent comprehensive preoperative preparation, including nutritional support, physical therapy, and remote psychological counseling.
Results. There was an improvement in functional parameters: an increase in walking speed in 8 patients, an increase in hand grip strength measured by dynamometry in 7 patients, and an increase in exercise tolerance in 2 patients. No early or late postoperative complications were reported.
Conclusion. Multimodal remote pre-habilitation is a promising option for preparing patients with cachexia for surgical treatment of gastric cancer.
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##article.viewOnOriginalSite##About the authors
Tatyana S. Boldyreva
Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"
Author for correspondence.
Email: dikovatatyanasergeevna@gmail.com
ORCID iD: 0000-0003-4174-6637
oncologist
Russian Federation, MoscowVladimir K. Lyadov
Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"; Russian Medical Academy of Continuous Professional Education; Novokuznetsk State Institute for the Advanced Training of Doctors – branch of the Russian Medical Academy of Continuous Professional Education
Email: vlyadov@gmail.com
ORCID iD: 0000-0002-7281-3591
d. sci. (med.)
Russian Federation, Moscow; NovokuznetskGalina V. Derevyashkina
Medsi Group of Companies
Email: editor@omnidoctor.ru
ORCID iD: 0000-0001-8295-8607
ассистент каф. восстановительной медицины и медицинской реабилитации, врач ЛФК
Russian Federation, MoscowValeriia A. Shestakova
Sechenov First Moscow State Medical University (Sechenov University)
Email: editor@omnidoctor.ru
department resident
Russian Federation, MoscowAlexander Yu. Gorshkov
National Medical Research Center for Therapy and Preventive Medicine
Email: Aygorshkov@gmail.com
ORCID iD: 0000-0002-1423-214X
cand. sci. (med.)
Russian Federation, MoscowElena V. Zyatenkova
National Medical Research Center for Therapy and Preventive Medicine; Yevdokimov Moscow State University of Medicine and Dentistry
Email: editor@omnidoctor.ru
ORCID iD: 0000-0002-7775-1393
cand. sci. (med.)
Russian Federation, MoscowElena V. Procenko
Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"
Email: elena-procenco@mail.ru
oncopsychologist
Russian Federation, MoscowReferences
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