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癌症相关手术的虚弱患者的预康复:系统性审查

Jamie Loizou-van Hoff¹, Haider Kamil¹, Ryan Ruiyang Ling^2,3,4

¹Department of Intensive Care Medicine, Monash Health, Melbourne, Victoria, Australia.

Internal medicine journal

|January 19, 2026

概括

预康复并没有显著减少接受癌症手术的脆弱患者的住院时间或并发症. 由于各种预康复方法和报告,需要进行更多的研究.

科学领域:

在瘤学瘤学.
老年病的医生老年病的医生
手术科学手术科学

背景情况:

预康复是一种多学科的策略,旨在优化手术前的患者,旨在减少脆弱性和改善手术结果.
关于预康复在改善癌症手术的脆弱患者的临床结果方面的有效性证据有限.

研究的目的:

系统地审查和对证据进行元分析,以确定预康复是否提高了癌症相关手术的虚弱患者的临床相关结果.

主要方法:

一项对四个数据库的系统审查和元分析 (2000年1月至2024年4月) 确定了选择性癌症手术前预康复的研究.
主要结局:住院时间 (LOS). 二次结果:功能状态,并发症率和再接收率.
进行了随机效应元分析,并使用Cochrane风险偏差2.0和Joanna Briggs研究所工具评估了偏差风险.

主要成果:

包含了15项研究 (1955名患者,67.7%是脆弱的). 医院LOS在预康复和对照组之间是可比的 (MD = -0.29;P = 0.34).
在术后功能状态 (MD = 29.95;P = 0.15),并发症率 (RR = 0.76;P = 0.085) 或再入院率 (RR = 1.23;P = 0.29) 中没有观察到显著改善.
预康复方案和脆弱性评估的重大异质性和不一致的报告被注意到.

结论:

预康复并没有减少接受癌症手术的脆弱患者的医院LOS或重大术后并发症.
预康复方案和报告方法的异质性限制了结果的解释,并突出了研究方法的关键差距.

关键词:

癌症手术癌症手术手术并发症可能导致并发症.脆弱脆弱脆弱脆弱脆弱功能状态功能状态在外科手术期间的护理.康复前期治疗是什么进行手术前的练习.幸存率幸存率生存率

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