Teo, JYK and Turner, R and Self, M, Effect of exercise prehabilitation on functional status of patients undergoing bowel resection: a systematic review, ANZ Journal of Surgery, 90, (5) pp. 693-701. ISSN 1445-1433 (2020) [Refereed Article]
© 2020 Royal Australasian College of Surgeons
Background:Bowel resections have high morbidity and mortality rates and are becoming increasingly common in Australia. To reduce the burden on patients and the health system, measures for improving patient outcomes after resection must be investigated. One possible method for improving patient outcomes is prehabilitation with exercise. The aim of this systematic review is to determine the effect that exercise prehabilitation has on the functional status of patients undergoing colorectal resection.
Method: Studies examining the effect of exercise prehabilitation on colorectal patients were gathered from online databases, including MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and the Australia New Zealand clinical trial registry. The study design, population, intervention and outcomes were extracted from each study.
Results: This systematic review included six studies involving a total of 415 patients. Three studies were randomized control trials and three were prospective cohort studies. Those that tested participants post-operatively found that the intervention group improved their 6-min walking distance more than the control group. This result was statistically significant in three studies. Similarly, two studies found that self-reported physical activity was significantly greater in the intervention group than in control groups. The rate of complications and length of hospital stay were not significantly different between intervention and control groups in any study.
Conclusion: significantly improves functional capacity and self-reported physical activity but its effect on complication rate was not significant in this review.
|Item Type:||Refereed Article|
|Keywords:||colorectal surgery, exercise, general surgery, prehabilitation|
|Research Division:||Biomedical and Clinical Sciences|
|Research Group:||Clinical sciences|
|Research Field:||Gastroenterology and hepatology|
|Objective Group:||Clinical health|
|Objective Field:||Clinical health not elsewhere classified|
|UTAS Author:||Teo, JYK (Mr Joshua Teo)|
|UTAS Author:||Turner, R (Professor Richard Turner)|
|UTAS Author:||Self, M (Dr Mary Self)|
|Web of Science® Times Cited:||4|
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