Remote pre-habilitation in patients with cachexia and resectable gastric cancer: a case series

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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.

作者简介

Tatyana Boldyreva

Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"

编辑信件的主要联系方式.
Email: dikovatatyanasergeevna@gmail.com
ORCID iD: 0000-0003-4174-6637

oncologist

俄罗斯联邦, Moscow

Vladimir 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.)

俄罗斯联邦, Moscow; Novokuznetsk

Galina Derevyashkina

Medsi Group of Companies

Email: editor@omnidoctor.ru
ORCID iD: 0000-0001-8295-8607

ассистент каф. восстановительной медицины и медицинской реабилитации, врач ЛФК

俄罗斯联邦, Moscow

Valeriia Shestakova

Sechenov First Moscow State Medical University (Sechenov University)

Email: editor@omnidoctor.ru

department resident

俄罗斯联邦, Moscow

Alexander Gorshkov

National Medical Research Center for Therapy and Preventive Medicine

Email: Aygorshkov@gmail.com
ORCID iD: 0000-0002-1423-214X

cand. sci. (med.)

俄罗斯联邦, Moscow

Elena 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.)

俄罗斯联邦, Moscow

Elena Procenko

Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"

Email: elena-procenco@mail.ru

oncopsychologist

俄罗斯联邦, Moscow

参考

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