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癌症康复治疗实践中的现状证据。

Cancer Prehabilitation in Practice: the Current Evidence.

机构信息

University of Massachusetts Chan Medical School, Worcester, MA, USA.

Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Canada.

出版信息

Curr Oncol Rep. 2022 Nov;24(11):1569-1577. doi: 10.1007/s11912-022-01304-1. Epub 2022 Jul 5.

Abstract

PURPOSE OF REVIEW

This article serves to describe recent controversies in cancer prehabilitation including efficacy, dose, cost effectiveness, stakeholder input, and international implementation.

RECENT FINDINGS

Appropriate frequency, type, and timing have yet to be determined, but high intensity exercise is recommended. Costs are favorable when modeled and information on costs of real-world application are forthcoming. Patients are interested in and willing to attend cancer prehabilitation. Cancer prehabilitation research is spreading throughout the world. Cancer prehabilitation includes assessment of a newly diagnosed cancer patient's baseline fitness and targeted interventions to improve their health before surgery, chemotherapy, or radiation. Cancer prehabilitation improves fitness as measured preoperatively and improves outcomes postoperatively.

摘要

目的综述

本文旨在描述癌症预康复的最新争议,包括疗效、剂量、成本效益、利益相关者的投入以及国际实施情况。

最近的发现

目前尚未确定适当的频率、类型和时间,但建议进行高强度运动。通过建模可以得出有利的成本,并且即将获得有关实际应用成本的信息。患者对癌症预康复感兴趣且愿意参加。癌症预康复研究正在全球范围内传播。癌症预康复包括评估新诊断癌症患者的基线健康状况,并在手术、化疗或放疗前进行有针对性的干预以改善其健康状况。癌症预康复可提高术前的健康水平,并改善术后的结果。

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