Perioperative medicine & outcomes

Feasibility and outcomes of a real-world regional lung cancer prehabilitation programme in the UK

Br J AnaesthPublished Prospective service evaluation

Authors' conclusion

The P4C programme demonstrated feasibility at scale, high uptake, and promising impact on the status of patients with lung cancer before surgery.

Study context

Population
Patients planning surgical resection for lung cancer, referred from all 11 hospitals in Greater Manchester, UKreferred
Participants
377 patients
Outcome
Programme feasibility, uptake, and outcomes
Methodological detailscohort study, real-world, regional programme, single-group
  • Cohort study
  • Real-world
  • Regional programme
  • Single-group

Main finding

As reported in the abstract

Feasibility and uptake
GroupValueAttended initial assessment, of patients reached by telephone (n=348)Days from referral to initial assessment (median, IQR 4-14)Attended baseline assessment (280/377)Completed prehabilitation (180/377)Sessions attended (median, IQR 4-9)
Prehab4Cancer (P4C)80.0%80.0%874.3%47.7%six

Prehab4Cancer (P4C)

Value80.0%
Attended initial assessment, of patients reached by telephone (n=348)80.0%
Days from referral to initial assessment (median, IQR 4-14)8
Attended baseline assessment (280/377)74.3%
Completed prehabilitation (180/377)47.7%
Sessions attended (median, IQR 4-9)six

Observational data: associations, not effects.

Further findings

Incremental shuttle walk test, preoperative change · preoperatively

Mean increase in incremental shuttle walk test (m)
50 m (95% CI: 25-74; P<0.001)

Objective physiological and subjective functional assessments · preoperatively

Statistically significant improvements in all objective physiological and subjective functional assessments

Original publication

Feasibility and outcomes of a real-world regional lung cancer prehabilitation programme in the UK. Br J Anaesth. Published 13 July 2022. doi:10.1016/j.bja.2022.05.034

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