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Preoperative rehabilitation for patients undergoing colorectal cancer surgery: a retrospective cohort study

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Abstract

Purpose

We investigated the impact of preoperative short-term rehabilitation on activities of daily living among patients with colorectal cancer.

Methods

This retrospective cohort study utilized a hospital-based database containing Diagnosis Procedure Combination survey data from over 100 participating acute-care hospitals. We extracted data on consecutive inpatients hospitalized with stage 1 and 2 colorectal cancer. We compared characteristics and outcomes between patients who underwent short-term rehabilitation before surgery and those who did not. Primary outcomes measured were Barthel Index decline and number of complications during hospitalization.

Results

Among of included inpatients (male, 57%; older individuals aged over 65 years, 79%; mean Barthel Index, 93.4), the number of patients who underwent preoperative rehabilitation was 760 (39.3%). Patients in the preoperative rehabilitation group were less likely to have a decline in the Barthel Index compared with the control group (5.9% vs 10.1%, P < 0.001) and after propensity score adjustment using inverse probability weighting (6.3% vs 9.8%, P = 0.024). The preoperative rehabilitation group had fewer complications during hospitalization compared with the control group (P < 0.001) and after inverse probability weighting (P = 0.001).

Conclusion

Our study showed that preoperative short-term rehabilitation was associated with maintenance and improvement of activities of daily living and fewer complications among patients with stage 1 and 2 colorectal cancer.

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Funding

This work was supported by a grant from the Japan Society for the Promotion of Science (grant number: 18K10690).

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Authors and Affiliations

  1. Department of Rehabilitation, Teikyo University School of Medicine University Hospital, Mizonokuchi, Kawasaki, Japan

    Tomomi Watanabe & Syoya Suzuki

  2. Department of Rehabilitation Medicine, Teikyo University School of Medicine University Hospital, Mizonokuchi, 5-1-1 Futako, Takatsu-ku, Kawasaki, Kanagawa, 213-8507, Japan

    Ryo Momosaki

  3. Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan

    Ryo Momosaki & Masahiro Abo

Authors
  1. Tomomi Watanabe
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  2. Ryo Momosaki
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  3. Syoya Suzuki
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Corresponding author

Correspondence to Ryo Momosaki.

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Conflict of interests

The authors declare that they have no conflict of interests.

Ethical approval

Analysis of our database was approved by the Institutional Review Board of our university (registration number: TUIC-COI 17-200). All procedures performed in studies involving human participants were in accordance with the 1964 Helsinki Declaration and its later amendments.

Informed consent

Because of the anonymous nature of the data, the requirement for informed consent and approval was waived.

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Watanabe, T., Momosaki, R., Suzuki, S. et al. Preoperative rehabilitation for patients undergoing colorectal cancer surgery: a retrospective cohort study. Support Care Cancer 28, 2293–2297 (2020). https://doi.org/10.1007/s00520-019-05061-z

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  • DOI: https://doi.org/10.1007/s00520-019-05061-z

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