Prehabilitation for Prostate cancer surgery.

Main Article Content

Favil Singh

Abstract

Prostatectomy is associated with short- and long-term morbidity, which includes attenuation of cardiovascular and muscle function, as well as the deterioration of lean body mass. Physical function is a known predictor of morbidity and mortality, with initial evidence indicating that pre-surgical exercise is associated with fewer post-surgical complications and shorter hospitalisation. Prehabilitation has been previously shown to be more effective in enhancing postoperative functional capacity than rehabilitation alone. Evidence grows indicating benefits to clinical, physical and quality of life outcomes. Exercising within this critical period between cancer diagnosis and surgery allows the usage of surgical wait time to promote and facilitate health behaviour changes that can lead to altering prostate cancer patient management. By combining exercise with a nutritional and psychological intervention a prostate cancer patient can be set up to significantly improve preoperative physical and mental fitness in preparation for surgery and beyond.

Keywords: Prostate cancer, Exercise, Surgery, Prehabilitation, Prostatectomy, Pre-surgery, Post-operative recovery, Post-operative complications

Article Details

How to Cite
SINGH, Favil. Prehabilitation for Prostate cancer surgery.. Medical Research Archives, [S.l.], v. 8, n. 6, june 2020. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2148>. Date accessed: 28 mar. 2024. doi: https://doi.org/10.18103/mra.v8i6.2148.
Section
Review Articles

References

1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. 2020;70(1):7-30.
2. Australian Institute of Health and Welfare. Cancer in Australia 2019. Cancer series no.119. 2019;Cat. no. CAN 123. Canberra: AIHW.
3. Antonelli J, Freedland SJ, Jones LW. Exercise therapy across the prostate cancer continuum. Prostate Cancer Prostatic Dis. 2009;12(2):110-115.
4. Sanda MG, Dunn RL, Michalski J, et al. Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med. 2008;358(12):1250-1261.
5. Khuri SF, Henderson WG, DePalma RG, et al. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg. 2005;242(3):326-341; discussion 341-323.
6. Govaert JA, Fiocco M, van Dijk WA, et al. Costs of complications after colorectal cancer surgery in the Netherlands: Building the business case for hospitals. European Journal of Surgical Oncology (EJSO). 2015;41(8):1059-1067.
7. Wilson RJ, Davies S, Yates D, Redman J, Stone M. Impaired functional capacity is associated with all-cause mortality after major elective intra-abdominal surgery. Br J Anaesth. 2010;105(3):297-303.
8. Santa Mina D, Scheede-Bergdahl C, Gillis C, Carli F. Optimization of surgical outcomes with prehabilitation. Appl Physiol Nutr Metab. 2015:1-4.
9. Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. 2019;51(11):2375-2390.
10. Schmitz KH, Campbell AM, Stuiver MM, et al. Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer. 2019;69(6):468-484.
11. Patel AV, Friedenreich CM, Moore SC, et al. American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control. 2019;51(11):2391-2402.
12. Hayes SC, Newton, R.U., Spence, R.R., Galvao, D.A. The Exercise and Sports Science Australia position statement: Exercise medicine in cancer management. Jounal of Science and Medicine in Sport. 2019.
13. Myers J, Kaykha A, George S, et al. Fitness versus physical activity patterns in predicting mortality in men. Am J Med. 2004;117(12):912-918.
14. Hu FB, Willett WC, Li T, Stampfer MJ, Colditz GA, Manson JE. Adiposity as compared with physical activity in predicting mortality among women. N Engl J Med. 2004;351(26):2694-2703.
15. Brown JC, Huedo-Medina TB, Pescatello LS, et al. The efficacy of exercise in reducing depressive symptoms among cancer survivors: a meta-analysis. PloS one. 2012;7(1):e30955.
16. Tomlinson D, Diorio C, Beyene J, Sung L. Effect of exercise on cancer-related fatigue: a meta-analysis. Am J Phys Med Rehabil. 2014;93(8):675-686.
17. Keogh JW, MacLeod RD. Body composition, physical fitness, functional performance, quality of life, and fatigue benefits of exercise for prostate cancer patients: a systematic review. J Pain Symptom Manage. 2012;43(1):96-110.
18. Galvão DA, Spry N, Denham J, et al. A Multicentre Year-long Randomised Controlled Trial of Exercise Training Targeting Physical Functioning in Men with Prostate Cancer Previously Treated with Androgen Suppression and Radiation from TROG 03.04 RADAR. Eur Urol. 2013.
19. Peddle-McIntyre CJ, Singh F, Thomas R, Newton RU, Galvao DA, Cavalheri V. Exercise training for advanced lung cancer. Cochrane Database Syst Rev. 2019;2:CD012685.
20. Sweegers MG, Altenburg TM, Brug J, et al. Effects and moderators of exercise on muscle strength, muscle function and aerobic fitness in patients with cancer: a meta-analysis of individual patient data. Br J Sports Med. 2019;53(13):812.
21. Vina J, Sanchis-Gomar F, Martinez-Bello V, Gomez-Cabrera MC. Exercise acts as a drug; the pharmacological benefits of exercise. Br J Pharmacol. 2012;167(1):1-12.
22. Pannek J, König JE. Clinical usefulness of pelvic floor reeducation for men undergoing radical prostatectomy. Urol Int. 2005;74(1):38-43.
23. Bhatnagar V, Stewart ST, Huynh V, Jorgensen G, Kaplan RM. Estimating the risk of long-term erectile, urinary and bowel symptoms resulting from prostate cancer treatment. Prostate Cancer Prostatic Dis. 2006;9(2):136-146.
24. Nahon I, Waddington GS, Dorey G, Adams R. Assessment and conservative management of post-prostatectomy incontinence after radical prostatectomy. Australian and New Zealand Continence Journal. 2009;15(3):70-77.
25. Strassels SA, McNicol E, Wagner AK, Rogers WH, Gouveia WA, Carr DB. Persistent postoperative pain, health-related quality of life, and functioning 1 month after hospital discharge. Acute pain. 2004;6(3-4):95-104.
26. Litwin MS, McGuigan KA, Shpall AI, Dhanani N. Recovery of health related quality of life in the year after radical prostatectomy: early experience. J Urol. 1999;161(2):515-519.
27. Carli F, Silver JK, Feldman LS, et al. Surgical Prehabilitation in Patients with Cancer: State-of-the-Science and Recommendations for Future Research from a Panel of Subject Matter Experts. Phys Med Rehab Clin N Am. 2017;28(1):49-64.
28. Moran J, Guinan E, McCormick P, et al. The ability of prehabilitation to influence postoperative outcome after intra-abdominal operation: A systematic review and meta-analysis. Surgery. 2016;160(5):1189-1201.
29. Cinar N, Seckin U, Keskin D, Bodur H, Bozkurt B, Cengiz O. The effectiveness of early rehabilitation in patients with modified radical mastectomy. Cancer Nurs. 2008;31(2):160-165.
30. Singh F, Newton RU, Galvão DA, Spry N, Baker MK. A systematic review of pre-surgical exercise intervention studies with cancer patients. Surg Oncol. 2013;22(2):92-104.
31. West MA, Loughney L, Lythgoe D, et al. Effect of prehabilitation on objectively measured physical fitness after neoadjuvant treatment in preoperative rectal cancer patients: a blinded interventional pilot study. Br J Anaesth. 2015;114(2):244-251.
32. Benzo R, Wigle D, Novotny P, et al. Preoperative pulmonary rehabilitation before lung cancer resection: results from two randomized studies. Lung Cancer. 2011;74(3):441-445.
33. Mayo NE, Feldman L, Scott S, et al. Impact of preoperative change in physical function on postoperative recovery: argument supporting prehabilitation for colorectal surgery. Surgery. 2011;150(3):505-514.
34. Silver JK. Cancer prehabilitation and its role in improving health outcomes and reducing health care costs. Semin Oncol Nurs. 2015;31(1):13-30.
35. Silver JK, Baima J. Cancer prehabilitation: an opportunity to decrease treatment-related morbidity, increase cancer treatment options, and improve physical and psychological health outcomes. Am J Phys Med Rehabil. 2013;92(8):715-727.
36. Santa Mina D, Clarke H, Ritvo P, et al. Effect of total-body prehabilitation on postoperative outcomes: a systematic review and meta-analysis. Physiotherapy. 2014;100(3):196-207.
37. Courneya KS, Friedenreich CM. Physical activity and cancer control. Semin Oncol Nurs. 2007;23(4):242-252.
38. Jones LW, Liang Y, Pituskin EN, et al. Effect of exercise training on peak oxygen consumption in patients with cancer: a meta-analysis. Oncologist. 2011;16(1):112-120.
39. Li C, Carli F, Lee L, et al. Impact of a trimodal prehabilitation program on functional recovery after colorectal cancer surgery: a pilot study. Surg Endosc. 2013;27(4):1072-1082.
40. Minnella EM, Awasthi R, Loiselle SE, Agnihotram RV, Ferri LE, Carli F. Effect of Exercise and Nutrition Prehabilitation on Functional Capacity in Esophagogastric Cancer Surgery: A Randomized Clinical Trial. JAMA Surg. 2018;153(12):1081-1089.
41. Singh F, Galvao DA, Newton RU, Spry NA, Baker MK, Taaffe DR. Feasibility and Preliminary Efficacy of a 10-Week Resistance and Aerobic Exercise Intervention During Neoadjuvant Chemoradiation Treatment in Rectal Cancer Patients. Integr Cancer Ther. 2018;17(3):952-959.
42. Treanor C, Kyaw T, Donnelly M. An international review and meta-analysis of prehabilitation compared to usual care for cancer patients. J Cancer Surviv. 2018;12(1):64-73.
43. Burgio KL, Goode PS, Urban DA, et al. Preoperative biofeedback assisted behavioral training to decrease post-prostatectomy incontinence: a randomized, controlled trial. J Urol. 2006;175(1):196-201.
44. Song C, Doo CK, Hong JH, Choo MS, Kim CS, Ahn H. Relationship between the integrity of the pelvic floor muscles and early recovery of continence after radical prostatectomy. J Urol. 2007;178(1):208-211.
45. Patel MI, Yao J, Hirschhorn AD, Mungovan SF. Preoperative pelvic floor physiotherapy improves continence after radical retropubic prostatectomy. International journal of urology : official journal of the Japanese Urological Association. 2013;20(10):986-992.
46. Singh F, Newton RU, Baker MK, et al. Feasibility of Presurgical Exercise in Men With Prostate Cancer Undergoing Prostatectomy. Integr Cancer Ther. 2017;16(3):290-299.
47. Santa Mina D, Hilton WJ, Matthew AG, et al. Prehabilitation for radical prostatectomy: A multicentre randomized controlled trial. Surg Oncol. 2018;27(2):289-298.
48. Guy GP, Jr., Ekwueme DU, Yabroff KR, et al. Economic burden of cancer survivorship among adults in the United States. J Clin Oncol. 2013;31(30):3749-3757.
49. Rochefort MM, Tomlinson JS. Unexpected readmissions after major cancer surgery: an evaluation of readmissions as a quality-of-care indicator. Surgical oncology clinics of North America. 2012;21(3):397-405, viii.
50. Lum HD, Studenski SA, Degenholtz HB, Hardy SE. Early hospital readmission is a predictor of one-year mortality in community-dwelling older Medicare beneficiaries. Journal of general internal medicine. 2012;27(11):1467-1474.
51. Greenblatt DY, Greenberg CC, Kind AJ, et al. Causes and implications of readmission after abdominal aortic aneurysm repair. Ann Surg. 2012;256(4):595-605.
52. Raut M, Schein J, Mody S, Grant R, Benson C, Olson W. Estimating the economic impact of a half-day reduction in length of hospital stay among patients with community-acquired pneumonia in the US. Curr Med Res Opin. 2009;25(9):2151-2157.
53. Kabata P, Jastrzebski T, Kakol M, et al. Preoperative nutritional support in cancer patients with no clinical signs of malnutrition--prospective randomized controlled trial. Support Care Cancer. 2015;23(2):365-370.
54. Tsimopoulou I, Pasquali S, Howard R, et al. Psychological Prehabilitation Before Cancer Surgery: A Systematic Review. Ann Surg Oncol. 2015;22(13):4117-4123.
55. Gillis C, Li C, Lee L, et al. Prehabilitation versus rehabilitation: a randomized control trial in patients undergoing colorectal resection for cancer. Anesthesiology. 2014;121(5):937-947.
56. Carli F, Scheede-Bergdahl C. Prehabilitation to enhance perioperative care. Anesthesiol Clin. 2015;33(1):17-33.