Exercise Program Reduces Complications Of Lung Cancer Surgery By Half

Exercise before surgery in lung cancer patients might reduce the complication rate and length of hospital stay by three days.

Highlights

Regular exercise before surgery for lung cancer reduces the complications by half.
The length of hospital stay for these patients can be reduced by three days.
An exercise program undertaken before surgery might help produce better outcomes.

Exercising regularly before surgery halves the complication rate after the surgery in lung cancer patients finds a synthesis of the available published evidence in the British Journal of Sports Medicine.

It reduces the length of hospital stay for these patients by almost three days, the findings show.

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‘Exercise before surgery might reduce the complication rate, length of hospital stay, and boost the quality of life in patients who underwent surgery for cancer.’

Several studies have suggested that an exercise program undertaken before surgery might help produce better outcomes. But as this is a rapidly growing area of research, the study authors wanted to explore this in more depth and find out whether exercise before surgery might reduce the complication rate, length of hospital stay, and boost the quality of life in patients who had had surgery for cancer.

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The study was a review of 17 suitable articles which reported on 13 clinical trials, involving 806 participants and six different types of cancer: bowel; liver; gullet (oesophageal); lung; mouth; and prostate.

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The exercise programs, which were compared with standard care or advice, lasted from one to four weeks, with the average length a fortnight.

Most of the trials assessed aerobic exercise--walking, for example--breathing, and resistance (weight training) exercises. The frequency of the sessions varied from three times a week to three times a day.

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Pooled analysis of the data showed that compared with standard care/advice, an exercise program before surgery cut the complication rate afterward by 48 percent and reduced length of hospital stay by nearly three days for patients with lung cancer.

Trials that reported more numerous sessions of exercise had better results, suggesting that there may be a dose-response effect, say the study authors.

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The impact on the other types of cancer was much less clear, largely because of the few trials which included other cancers and the poor quality of the evidence.

Exercise may improve quality of life after surgery for patients with mouth and prostate cancers, say the study authors, although this was only assessed in individual studies rather than in several, they point out.

"Postoperative complication is a major concern for patients undergoing [cancer] surgery," note the authors, who go on to say that based on their findings, exercise before lung cancer surgery might be worth considering.

"[The] findings may also impact on healthcare costs and on patients' quality of life, and consequently have important implications for patients, healthcare professionals and policymakers," they add, although future research would be needed to test this out, they say.

Source-Medindia