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Objective: Preoperative exercise prehabilitation in lung cancer patients can improve preoperative functional reserve, reduce postoperative complications, accelerate postoperative recovery compared with postoperative rehabilitation. To integrate and evaluate the evidence related to preoperative exercise prehabilitation in patients with lung cancer.
Methods: Conducted utilizing the "6S" model of evidence resources, according to the search strategy searching for relevant guidelines, evidence summaries, best practices, systematic reviews, and expert consensuses on preoperative exercise prehabilitation for lung cancer patients. Based on the evidence inclusion and exclusion criteria, filter out relevant literature published between the beginning of each database and December 2024. Evaluated the quality of the selected literature, and then synthesis the evidence from the literature and made the recommendation level formulation.
Results: There were 16 pieces of literature in total, including two guidelines, three evidence summaries, one expert consensus, and ten systematic reviews. Twenty-two pieces of evidence were summarized from seven aspects: patient selection and assessment, exercise implementation and supervision, type of the exercise program, exercise prescription, safety of the exercise program, adherence to exercise program and exercise outcome evaluation.
Conclusion: The evidence presented in this study is scientific, comprehensive and of good clinical applicability, which can provide an evidence-based basis for medical staff to carry out preoperative exercise prehabilitation of lung cancer patients.
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http://dx.doi.org/10.2147/JMDH.S528534 | DOI Listing |
Surg Case Rep
August 2025
Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.
Introduction: Lymphedema is generally managed with conservative therapy. However, in cases of severe fibrosclerotic lymphedema, debulking surgery is required, although rarely. We present a case of massive lymphedema in the left calf complicated by severe skin fibrosclerosis that was successfully managed with debulking surgery.
View Article and Find Full Text PDFMedicine (Baltimore)
August 2025
Department of Rehabilitation Medicine, International University of Health and Welfare Narita Hospital, Narita, Japan.
Increased postoperative physical activity is thought to be useful in preventing postoperative cognitive dysfunction (POCD) in elderly patients after lower extremity orthopedic surgery. This study aims to clarify the effect of postoperative physical activity on the course of bottom-up attention in elderly postoperative lower extremity orthopedic surgery patients. The study enrolled 22 patients aged ≥65 years who were admitted to the Hospital for total knee or total hip replacement surgery.
View Article and Find Full Text PDFBMC Urol
September 2025
University Hospital Santa Maria of Lleida, Gestió de Serveis Sanitaris, Av. Alcalde Rovira Roure 44, 25198, Lleida, Spain.
Objective: To review the effectiveness of pelvic floor muscle strengthening before radical prostatectomy.
Methodology: A search of publications was conducted in the following databases: PubMed, Scopus, Cochrane and Enfispo for articles published from 2019 to September 2024. A total of 199 articles were reviewed, of which 6 were selected and peer-reviewed using the CASPe questionnaire to assess methodological quality, resulting in the inclusion of 5 studies with a total of 642 participants.
J Sport Health Sci
August 2025
Centre for Lifestyle Medicine and Behaviour, School of Sport Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK; National Institute for Health and Care Research (NIHR) Leicester Biomedical Research Centre, University Hospitals of Leicester National Health Service (NHS)
Background: Evidence on pre-operative physical activity before hip and knee arthroplasty is limited and heterogeneous. Intervention components and behavior change techniques remain underexplored. This review examined the effectiveness of pre-operative physical activity interventions on patient and surgical outcomes in elective hip and knee arthroplasty up to 12 weeks post-surgery.
View Article and Find Full Text PDFEur J Med Res
September 2025
Department of Orthopaedic and Trauma Surgery, Eifelklinik St. Brigida, 52152, Simmerath, Germany.
Purpose: Aseptic loosening remains a leading cause of revision in medial unicompartmental knee arthroplasty (UKA). This imaging study aimed to identify recurrent patterns of coronal alignment deviation in patients undergoing revision to total knee arthroplasty (TKA) to explore whether subtle malalignment may contribute to biomechanical failure.
Methods: Imaging of patients who underwent revision surgery of a medial UKA to TKA for aseptic loosening of the tibial or femoral component was retrieved.