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The feasibility of patient-reported outcomes, physical function, and mobilization in the care pathway for head and neck cancer surgical patients.
Daun, Julia T; Twomey, Rosie; Capozzi, Lauren C; Crump, Trafford; Francis, George J; Matthews, T Wayne; Chandarana, Shamir; Hart, Robert D; Schrag, Christiaan; Matthews, Jennifer; McKenzie, C David; Lau, Harold; Dort, Joseph C; Culos-Reed, S Nicole.
  • Daun JT; Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada. jtdaun@ucalgary.ca.
  • Twomey R; Ohlson Research Initiative, Arnie Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Capozzi LC; O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Crump T; Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.
  • Francis GJ; Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Matthews TW; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Chandarana S; Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Hart RD; Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Schrag C; Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Matthews J; Ohlson Research Initiative, Arnie Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • McKenzie CD; Section of Otolaryngology Head & Neck Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Lau H; Foothills Medical Centre, Alberta Health Services, Calgary, AB, Canada.
  • Dort JC; Ohlson Research Initiative, Arnie Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Culos-Reed SN; Section of Otolaryngology Head & Neck Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Pilot Feasibility Stud ; 8(1): 114, 2022 May 27.
Article in English | MEDLINE | ID: covidwho-1928207
ABSTRACT

BACKGROUND:

Head and neck cancer (HNC) patients are an understudied population whose treatment often includes surgery, causing a wide range of side effects. Exercise prehabilitation is a promising tool to optimize patient outcomes and may confer additional benefits as a prehabilitation tool. The primary objective of this study was to assess the feasibility of measuring patient-reported outcomes (PROs), physical function, and in-hospital mobilization across the HNC surgical timeline in advance of a future prehabilitation trial. The secondary objective was to examine potential changes in these outcomes across the surgical timeline.

METHODS:

HNC patients scheduled to undergo oncologic resection with free-flap reconstruction completed assessments of PROs and physical function at three timepoints across the surgical timeline (baseline, in-hospital, and postsurgical/outpatient). Mobilization was measured during the in-hospital period. The feasibility of recruitment and measurement completion was tracked, as were changes in both PROs and physical function.

RESULTS:

Of 48 eligible patients, 16 enrolled (recruitment rate of 33%). The baseline and in-hospital PROs were completed by 88% of participants, while the outpatient assessments were completed by 81% of participants. The baseline and in-hospital assessment of physical function were completed by 56% of participants, and 38% completed the outpatient assessment. Measuring in-hospital mobilization was completed for 63% of participants.

CONCLUSION:

Measuring PROs and in-hospital mobilization is feasible across the surgical timeline in HNC; however, the in-person assessment of physical function prior to surgery was not feasible. A multidisciplinary collaboration between exercise specialists and clinicians supported the development of new clinical workflows in HNC surgical care that will aid in the implementation of a future prehabilitation trial for this patient population.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study / Randomized controlled trials Language: English Journal: Pilot Feasibility Stud Year: 2022 Document Type: Article Affiliation country: S40814-022-01074-4

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study / Randomized controlled trials Language: English Journal: Pilot Feasibility Stud Year: 2022 Document Type: Article Affiliation country: S40814-022-01074-4