Author:
Barberan-Garcia Anael,Navarro-Ripoll Ricard,Sánchez-Lorente David,Moisés-Lafuente Jorge,Boada Marc,Messaggi-Sartor Monique,González-Vallespí Laura,Montané-Muntané Mar,Alsina-Restoy Xavier,Campero Betina,Lopez-Baamonde Manuel,Romano-Andrioni Barbara,Guzmán Rudith,López Antonio,Arguis Maria Jose,Roca Josep,Martinez-Palli Graciela
Abstract
Abstract
Background
Multimodal prehabilitation is a preoperative intervention with the objective to enhance cancer patients’ functional status which has been showed to reduce both postoperative morbidity and hospital length of stay in digestive oncologic surgery. However, in lung cancer surgery patients further studies with higher methodological quality are needed to clarify the benefits of prehabilitation. The main aim of the current protocol is to evaluate the cost-effectiveness of a multimodal prehabilitation program supported by information and communication technologies in moderate-to-high risk lung cancer patients undergoing thoracic surgery.
Methods
A Quadruple Aim approach will be adopted, assessing the prehabilitation program at the following levels: i) Patients’ and professionals’ experience outcomes (by means of standardized questionnaires, focus groups and structured interviews); ii) Population health-based outcomes (e.g. hospital length of stay, number and severity of postoperative complications, peak oxygen uptake and levels of systemic inflammation); and, iii) Healthcare costs.
Discussion
This study protocol should contribute not only to increase the scientific basis on prehabilitation but also to detect the main factors modulating service adoption.
Trial registration
NCT04052100 (August 9, 2019).
Funder
Fundació Catalana de Pneumologia
Sociedad Española de Neumología y Cirugía Torácica
EIT Health
European Commission
European Regional Development Fund
Instituto de Salud Carlos III
Publisher
Springer Science and Business Media LLC
Cited by
12 articles.
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