Perioperative medicine & outcomes

Effects of a Pragmatic Home-based Exercise Program Concurrent With Neoadjuvant Therapy on Physical Function of Patients With Pancreatic Cancer: The PancFit Randomized Clinical Trial

Ann SurgPublished Randomised controlled trial

Authors' conclusion

In this randomized trial of prescribed exercise versus enhanced usual care during neoadjuvant therapy for pancreatic cancer, a high volume of physical activity and increased exercise capacity were observed in both arms

Study context

Population
Patients with pancreatic cancer receiving neoadjuvant therapy; all received nutrition counseling and activity trackersrandomised
Participants
151 patients
Comparison
Arm A vs Arm B
Primary endpoint
6-minute walk distance (6MWD; ≥14 m improvement clinically meaningful)

Primary result

As reported in the abstract

Change in 6MWD
GroupValueP (within-group)
Arm Amean 18.6 (SD 56.8) mP =0.01
Arm Bmean 27.3 (SD 68.1) mP =0.002

Value

Arm Amean 18.6 (SD 56.8) m
Arm Bmean 27.3 (SD 68.1) m

P (within-group)

Arm AP =0.01
Arm BP =0.002

Secondary outcomes

Objectively measured weekly activity · similar

P = 0.62

Self-reported weekly moderate-to-strenuous physical activity · similar

P = 0.49

Increase in weekly strength training sessions · increased more in Arm B

P < 0.001

Quality of life and clinical outcomes

Did not significantly differ between arms

Exercise and physical activity, both arms pooled

Favorably associated with physical performance and clinical outcomes

Original publication

Effects of a Pragmatic Home-based Exercise Program Concurrent With Neoadjuvant Therapy on Physical Function of Patients With Pancreatic Cancer: The PancFit Randomized Clinical Trial. Ann Surg. Published 7 April 2023. doi:10.1097/sla.0000000000005878

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