Remote pre-habilitation in patients with cachexia and resectable gastric cancer: a case series
- 作者: Boldyreva T.1, Lyadov V.1,2,3, Derevyashkina G.4, Shestakova V.5, Gorshkov A.6, Zyatenkova E.6,7, Procenko E.1
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隶属关系:
- 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
- 期: 卷 25, 编号 3 (2023)
- 页面: 290-294
- 栏目: 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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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, MoscowVladimir 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; NovokuznetskGalina 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, MoscowValeriia Shestakova
Sechenov First Moscow State Medical University (Sechenov University)
Email: editor@omnidoctor.ru
department resident
俄罗斯联邦, MoscowAlexander 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, MoscowElena 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, MoscowElena 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
- Злокачественные новообразования в России в 2021 году (заболеваемость и смертность). Под ред. А.Д. Каприна, В.В. Старинского, А.О. Шахзадовой. М.: МНИОИ им. П.А. Герцена − филиал ФГБУ «НМИЦ радиологии» Минздрава России, 2022 [Zlokachestvennyie novoobrazovaniia v Rossii v 2021 godu (zabolevaiemost' i smertnost'). Pod red. AD Kaprina, VV Starinskogo, AO Shakhzadovoi. Moscow: MNIOI im. PA Gertsena − filial FGBU “NMITS radiologii” Minzdrava Rossii, 2022 (in Russian)].
- Pasquer A, Renaud F, Hec F, et al. Is Centralization Needed for Esophageal and Gastric Cancer Patients With Low Operative Risk?: A Nationwide Study. Ann Surg. 2016;264(5):823-30. doi: 10.1097/SLA.0000000000001768
- Fox KM, Brooks JM, Gandra SR, et al. Estimation of Cachexia among Cancer Patients Based on Four Definitions. J Oncol. 2009;2009:693458. doi: 10.1155/2009/693458
- Fearon K, Strasser F, Anker SD, et al. Definition and classification of cancer cachexia: an international consensus. Lancet Oncol. 2011;12(5):489-95. doi: 10.1016/S1470-2045(10)70218-7
- Chen F, Chi J, Liu Y, et al. Impact of preoperative sarcopenia on postoperative complications and prognosis of gastric cancer resection: A meta-analysis of cohort studies. Arch Gerontol Geriatr. 2022;98:104534. doi: 10.1016/j.archger.2021.104534
- Minnella EM, Carli F. Prehabilitation and functional recovery for colorectal cancer patients. Eur J Surg Oncol. 2018;44(7):919-26.
- Yamamoto K, Nagatsuma Y, Fukuda Y, et al. Effectiveness of a preoperative exercise and nutritional support program for elderly sarcopenic patients with gastric cancer. Gastric Cancer. 2017;20(5):913-8.
- Allen SK, Brown V, White D, et al. Multimodal Prehabilitation During Neoadjuvant Therapy Prior to Esophagogastric Cancer Resection: Effect on Cardiopulmonary Exercise Test Performance, Muscle Mass and Quality of Life – A Pilot Randomized Clinical Trial. Ann Surg Oncol. 2022;29(3):1839-50. doi: 10.1245/s10434-021-11002-0
- Minnella EM, Awasthi R, Loiselle SE, et al. Effect of Exercise and Nutrition Prehabilitation on Functional Capacity in Esophagogastric Cancer Surgery: A Randomized Clinical Trial. JAMA Surg. 2018;153(12):1081-9. doi: 10.1001/jamasurg.2018.1645
- Лядов В.К., Болдырева Т.С. Преабилитация как компонент предоперационной подготовки при раке желудка и пищеводно-желудочного перехода: обзор литературы. Московский хирургический журнал. 2023;1:102-9 [Lyadov VK, Boldyreva TS. Prehabilitation as a component of preparation for gastric and gastro-esophageal junction cancer surgery: a review of literature. Moscow Surgical Journal. 2023;(1):102-9 (in Russian)]. doi: 10.17238/2072-3180-2023-1-102-109