SEARCHCROSS-SECTIONALoncology, public health

cross-sectional·oncology, public health, nutrition, psychiatry, epidemiology·PMC10545643

Post-Cancer Treatment Reflections by Patients Concerning the Provisions and Support Required for a Prehabilitation Programme

World Journal of Surgery · 7 authors, 6 centres

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TL;DR

A cross-sectional online questionnaire of 54 post-treatment cancer patients from the CARE programme in Nottingham captured their opinions on prehabilitation programme design. The majority of respondents expressed strong willingness to have participated in prehabilitation, prioritising physical exercise, counselling for mental health, and personalised nutritional advice.

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This cross-sectional study surveyed 54 cancer patients who had completed the CARE rehabilitation programme in Nottingham using a 26-point online questionnaire about prehabilitation programme design. 81.5% of respondents would have participated in prehabilitation had it been available, with 51.9% ranking physical exercise as the most important component, 74.1% valuing counselling, and 64.8% wanting dietary advice. 57.4% preferred centre-based delivery and 79.6% wanted to learn about prehabilitation from their doctor at diagnosis. A limitation is that only a quarter of those approached responded, introducing possible selection bias toward patients with strong exercise interest. The study provides descriptive patient-preference data rather than clinical outcome evidence.

STUDY TYPE

cross-sectional

SPECIALTY

oncology

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100% · A

ORIGINAL PAPER

PMC10545643

Post-Cancer Treatment Reflections by Patients Concerning the Provisions and Support Required for a Prehabilitation Programme

World Journal of Surgery

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ABSTRACT

Abstract Background Evidence suggests that physical fitness interventions, mental health support and nutritional advice before surgery (prehabilitation) could reduce hospital stay and improve quality of life of patients with cancer. In this study we captured the opinions of a group of patients with cancer undergoing these interventions after treatment to discover what a prehabilitation programme should encompass. Methods Patients from the Cancer and Rehabilitation Exercise (CARE) programme based in Nottingham took part in a 26-point online questionnaire about the design of prehabilitation programmes. Results The questionnaire was completed over a 2-week period in December 2021 by 54 patients from the CARE programme. Their responses were as follows: 44 (81.5%) participants would have participated in prehabilitation had it been available to them and 28 (51.9%) ranked physical exercise as the most important component. Forty (74.1%) participants believed the counselling aspect of prehabilitation would have contributed to a successful outcome and 35 (64.8%) thought dietary advice would have benefitted them before surgery. Thirty-one (57.4%) participants preferred the programme to take place in a fitness centre, rather than at home or hospital and 43 (79.6%) would have liked to have known about prehabilitation from their doctor at the time of diagnosis. Conclusions Patients are interested in prehabilitation to become more physically fit and mentally prepared for surgery. They expressed the need for a focus on physical exercise, counselling to improve mental health and personalised nutritional advice. Tailoring a prehabilitation programme, with input from patients, could contribute to improving patient outcomes following cancer treatments. Supplementary Information The online version contains supplementary material available at 10.1007/s00268-023-07170-7.

CITATION EXPORT

Amrita Kaur Jandu, Arpanun Nitayamekin, Josh Stevenson et al.. Post-Cancer Treatment Reflections by Patients Concerning the Provisions and Support Required for a Prehabilitation Programme. World Journal of Surgery. (2023). https://doi.org/10.1007/s00268-023-07170-7

AUTHORS

7 · 6 CENTRES

Amrita Kaur Jandu, Arpanun Nitayamekin, Josh Stevenson, Martin Beed, Ravinder S Vohra, Vincent G Wilson, Dileep N Lobo

1School of Life Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham, UK
2The Notts County Foundation CARE Programme, Portland Leisure Centre, Nottingham, UK
3Department of Anaesthesia, Nottingham University Hospitals NHS Trust, City Hospital Campus, Nottingham, UK
4Gastrointestinal Surgery, Nottingham Digestive Diseases Centre and National Institute for Health Research Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen’s Medical Centre, Nottingham, NG7 2UH UK
5Trent Oesophago-Gastric Unit, Nottingham University Hospitals NHS Trust, City Hospital Campus, Nottingham, UK
6MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, School of Life Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham, UK