消化瘤学的多式预康复:一个范围审查
Eva Ester Molina Beltran1,2, Florence Carrouel3, Samuel Pereira4,5
1Curie Institute, 35 Rue Dailly, 92210, Saint-Cloud, France. evaester.molinabeltran@curie.fr.
概括
多模式预康复,结合身体和营养支持,在手术前增强消化瘤患者的功能能力. 需要进一步的研究来澄清其对术后结果和住院住院的影响.
科学领域:
- 消化瘤学 消化瘤学
- 手术瘤学手术瘤学
- 康复医学 康复医学 康复医学
背景情况:
- 多模式预康复在消化瘤学中越来越受欢迎.
- 在手术前优化患者的状况对于更好的结果至关重要.
研究的目的:
- 审查当前关于消化瘤学多式预康复的知识.
- 确定该领域的证据,挑战和研究缺口.
主要方法:
- 由两个独立审查员进行的范围审查.
- 搜索了遵守PRISMA-ScR指南的四个数据库.
- 从51篇入选文章中提取数据并分析偏差风险.
主要成果:
- 大多数研究将体力活动和营养支持相结合,至少在手术前4周.
- 心理支持不一致地被包括在内.
- 前期康复改善了功能能力 (例如,6分钟步行测试) 和身体组成,但术后的结果仍然不清楚.
结论:
- 结构化预康复计划是改善胃肠道癌症手术结果的有希望的策略.
- 需要进一步调查,以充分阐明好处并优化实施.
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