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接受膀癌手术的患者的预康复 - - 一项系统性审查和元分析

Daniel Steffens^1,2,3, Cherry Koh^1,2,3,4, Nicholas Hirst^1,5

¹Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.

The Canadian journal of urology

|October 27, 2024

概括

膀癌手术前的预康复显示了减少并发症和住院的不确定的好处. 需要更多高质量的研究来证实这些手术前干预措施的有效性.

科学领域:

在瘤学瘤学.
外科手术的结果
基于证据的医学基于证据的医学.

背景情况:

有限证据表明,在膀癌手术患者中,预康复疗法的有效性有限.
预康复旨在改善重大手术前的患者结果.

研究的目的:

确定预康复是否减少膀癌手术患者的术后发病率和住院时间.

主要方法:

随机对照试验的系统审查.
在多个数据库中搜索相关研究.
使用Cochrane和GRADE工具评估偏见风险和证据质量.
在可能的情况下进行了元分析.

主要成果:

包括5项试验,涉及282名患者.
预康复方法各不相同:运动,营养或多模式.
所有的试验都有一些或高风险的偏见.
低质量至非常低质量的证据表明,对并发症或住院没有显著影响.

结论:

有少数关于膀癌手术预康复的试验存在.
由于证据质量非常低,预康复 (运动,营养,多式联络) 的有效性仍然不确定.
需要进一步进行高质量的研究,以澄清预康复的作用.

关键词:

膀癌手术膀癌手术康复前期治疗是什么

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