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Effect of exercise prehabilitation on functional status of patients undergoing bowel resection: a systematic review

Teo, JYK, Turner, R ORCID: 0000-0002-2276-8999 and Self, M 2020 , 'Effect of exercise prehabilitation on functional status of patients undergoing bowel resection: a systematic review' , ANZ Journal of Surgery, vol. 90, no. 5 , pp. 693-701 , doi: 10.1111/ans.15659.

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Background:Bowel resections have high morbidity and mortality rates and are becomingincreasingly common in Australia. To reduce the burden on patients and the health system,measures for improving patient outcomes after resection must be investigated. One possiblemethod 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 functionalstatus of patients undergoing colorectal resection.Method: Studies examining the effect of exercise prehabilitation on colorectal patientswere gathered from online databases, including MEDLINE, EMBASE, Cochrane CentralRegister of Controlled Trials and the Australia New Zealand clinical trial registry. The studydesign, 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 improvedtheir 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 wassignificantly greater in the intervention group than in control groups. The rate of complications and length of hospital stay were not significantly different between intervention andcontrol groups in any study.Conclusion: significantly improves functional capacity and self-reportedphysical activity but its effect on complication rate was not significant in this review.

Item Type: Article
Authors/Creators:Teo, JYK and Turner, R and Self, M
Keywords: colorectal surgery, exercise, general surgery, prehabilitation
Journal or Publication Title: ANZ Journal of Surgery
Publisher: Blackwell Publishing Asia
ISSN: 1445-1433
DOI / ID Number: 10.1111/ans.15659
Copyright Information:

© 2020 Royal Australasian College of Surgeons

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