2010 Fiscal Year Final Research Report
Preoperative exercise program utilizing behavior change in patients with esophageal cancer
| Project/Area Number |
20700426
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Single-year Grants |
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| Research Field |
Rehabilitation science/Welfare engineering
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| Research Institution | Kobe University |
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Principal Investigator |
ONO Rei 神戸大学, 保健学研究科, 准教授 (50346243)
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| Project Period (FY) |
2008 – 2010
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| Keywords | 食道がん / 術前運動プログラム / 術後呼吸器合併症 |
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| Research Abstract |
The purpose of this study was to investigate the possible prevention of postoperative pulmonary complications (PPCs) by intensive preoperative rehabilitation utilizing behavior change in esophageal cancer patients who underwent esophagectomy. The subjects included 100 patients (87 males and 13 females with mean age 66.5 ± 8.6 years) who underwent esophagectomy. They were divided into two groups: 63 patients (53 males and 10 females with mean age 67.4 ± 9.0 years) in the preoperative rehabilitation (PR) group and 37 patients (34 males and 3 females with mean age 65.0 ± 7.8 years) in the non-PR (NPR) group. The PR group received sufficient preoperative respiratory rehabilitation for >7 days, and the NPR group insufficiently received preoperative respiratory rehabilitation or none at all. The results of the logistic regression analysis and multivariate analysis to correct for all considerable confounding factors revealed the rates of PPCs of 6.4% and 24.3% in the PR group and NPR group, respectively. The PR group demonstrated a significantly less incidence rate of PPCs than the NPR group (odds ratio: 0.14). This study showed that the intensive preoperative respiratory rehabilitation reduced PPCs in esophageal cancer patients who underwent esophagectomy.
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