Effects of prehabilitation and rehabilitation including a home-based component on physical fitness, adherence, treatment tolerance, and recovery in patients with non-small cell lung cancer: A systematic review
Open accessAbstract
This systematic review aimed to examine physical fitness, adherence, treatment tolerance, and recovery for (p)rehabilitation including a home-based component for patients with non-small cell lung cancer (NSCLC). PRISMA and Cochrane guidelines were followed. Studies describing (home-based) prehabilitation or rehabilitation in patients with NSCLC were included from four databases (January 2000-April 2016, N=11). Nine of ten rehabilitation studies and one prehabilitation study (437 NSCLC patients, mean age 59-72 years) showed significantly or clinically relevant improved physical fitness. Three (27%) assessed home-based training and eight (73%) combined training at home, inhospital (intramural) and/or at the physiotherapy practice/department (extramural). Six (55%) applied supervision of home-based components, and four (36%) a personalized training program. Adherence varied strongly (9-125% for exercises, 50-100% for patients). Treatment tolerance and recovery were heterogeneously reported. Although promising results of (p)rehabilitation for improving physical fitness were found (especially in case of supervision and personalization), adequately powered studies for home-based (p)rehabilitation are needed.
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Cancer exercise programs may also need to analyze patients' barriers and facilitators to exercise before the intervention and choose good accessibility and an adequate place to deliver the intervention.
“Outlining briefly each of the chronic diseases, cancer exercise programs may also need to analyze patients’ barriers and facilitators to exercise before the intervention [14,30,31,33,34] and choose good accessibility and an adequate place to deliver the intervention [11,14,30,34].”
From Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review (2021) · cites this paper as [30]
The Introduction and §4.1 (pages not available in our copy) identify commuting and accessibility as barriers to clinic-based exercise and recommend delivering programs in patients’ living situations to improve adherence. They support choosing an accessible setting, but do not recommend analyzing each patient’s barriers and facilitators before the intervention. (LLM, conf=0.82)
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References 55 · Cited by 81
Research works printed but not linked: 2
- [15]15. NA Extension leg kg Quist et 2012 38.6 ± 15.5 45.1 ± 18.9 1. +6.5[+16.8%] 2. 6.5[4.1-8.9] 1. 0.000 2. NA Press leg kg Quist 2012 70.34 ± 26.9 86.9 ± 28.8 1. +16.56[+23.5%] 2. +16.5[11.5-21.7] 1. 0.000
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- Authors
- Driessen, E. J., Peeters, M. E., Bongers, B. C., Maas, H. A., Bootsma, G. P., van Meeteren, N. L., & Janssen-Heijnen, M. L.
- Affiliations
- VieCuri Medisch Centrum (NL)
- Maastricht University (NL)
- Elisabeth-TweeSteden Ziekenhuis (NL)
- Zuyderland Medisch Centrum (NL)
- Maastricht University Medical Centre (NL)
- Corresponding author
- Driessen, Elisabeth J.
- Venue
- Critical Reviews in Oncology/Hematology
- Publisher
- Elsevier BV
- Published
- 2017-06
- Volume
- 114
- Pages
- 63-76
- ISSN
- 1040-8428 (ISSN-L)
- OpenAlex
- W2605063825
- Semantic Scholar
- b3f9070ea180e798f01c0dc962aec7d4a696c0e8
- Cited by
- 81
- References
- 55
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 10 · 2023: 15 · 2022: 15 · 2021: 11 · 2020: 11 · 2019: 5 · 2018: 5 · 2017: 3
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Critical Reviews in Oncology/Hematology (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (acceptedVersion, other-oa)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Keywords
- prehabilitation, rehabilitation, non-small cell lung cancer, home-based exercise training, physical fitness, exercise adherence, treatment tolerance, recovery, supervised exercise, personalized training programs, cancer rehabilitation
- MeSH terms
- Treatment Adherence and Compliance, Carcinoma, Non-Small-Cell Lung, Exercise Therapy, Home Nursing, Humans, Lung Neoplasms, Postoperative Care, Preoperative Care, Exercise, Exercise Tolerance, Physical Therapy Modalities
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