Lung Cancer, Surgery
Conditions
Brief summary
Morbidity in the post-operative phase of pulmonary surgery is characterised by impairment due to pain, dyspnoea and loss of exercise tolerance. We demonstrated previously that rehabilitation after thoracotomy is limited due to pain. Since minimal invasive surgery is the new standard in lung cancer, resulting in a reduction of postoperative pain, we believe there are new possibilities for post-operative integrated multidisciplinary rehabilitation in lung cancer.
Interventions
Patients in the intervention group will receive physical therapy, scheduled pain monitoring and coaching by a social worker. The intensity of the rehabilitation training program will be determined separately for each patient by a steepramp and 1-repetition test within 3 weeks post-operative. The intervention group will be trained and educated in 2 sessions of 2 hours per week, for a period of 3 months.
Sponsors
Study design
Intervention model description
RCT
Eligibility
Inclusion criteria
1. Patients undergoing elective, minimal invasive surgery with intention to cure. 2. Age between 18 and 80 years. 3. ECOG 0 - 2 post-surgery.
Exclusion criteria
1. Patients with chronic pain 2. Previous pulmonary surgery 3. Comorbidity limiting rehabilitation 1. Rheumatoid arthritis 2. Severe ischaemic heart disease or myocardial failure; EF ≤ 35 %. 3. Muscle disease 4. Fibromyalgia 5. Neurologic disorders (Parkinson disease, CVA and lesions of the spinal cord) 6. Psychiatric disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life (SF-36) | 12 months | effects of an integrated multidisciplinary rehabilitation program on general quality of life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| SGRQ | 12 months | health-related quality of life |
| VAS | 12 months | post-operative pain |
| WHO-PS | 12 months | performance score |
| 6 minute walking distance | 12 months | exercise tolerance |
| international physical activity questionnaire, iPAQ | 12 months | physical activity |
Countries
Netherlands