Relationship between walking distance within the first 24 h following lung cancer surgery and clinical outcomes.

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

General Thoracic and Cardiovascular Surgery Pub Date : 2025-03-24 DOI:10.1007/s11748-025-02139-w

Makoto Asaeda, Yukio Mikami, Akihiro Matsumoto, Yuki Nakashima, Kouki Fukuhara, Tomoya Hirai, Atsushi Kamigaichi, Norifumi Tsubokawa, Takahiro Mimae, Yoshihiro Miyata, Morihito Okada

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引用次数: 0

Abstract

Objectives: Lung cancer remains a major health concern in Japan, with over 126,000 cases diagnosed in 2019. Surgery is the primary treatment for stage I-III non-small-cell lung cancer. The 6-min walk test is widely used to assess physical endurance before and after surgery, with preoperative distances below 500 m associated with prolong hospital stays. Postoperatively, endurance typically decreases by 50-100 m. Early mobilization is critical to prevent this decline; however, no clear consensus exists on optimal rehabilitation protocols after lung cancer surgery.

Methods: This retrospective cohort study examined the relationship between early postoperative walking distance and clinical outcomes in 104 patients who underwent lung cancer surgery between 2020 and 2023. Physical function was assessed using the 6-min Walk Test before admission and before discharge.

Results: A significant correlation was found between the distance walked within the first 24 h after surgery and the pre- and postoperative 6-min walk test performance. However, no significant association was observed between early walking distance and length of hospital stay or postoperative complications.

Conclusions: Early mobilization after lung cancer surgery aligns closely with preoperative endurance levels, suggesting that improving preoperative physical function can enhance postoperative recovery and reduce complications. Further research is needed to standardize the rehabilitation protocols.

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肺癌手术后24小时内步行距离与临床结果的关系

肺癌仍然是日本的一个主要健康问题，2019年确诊病例超过12.6万例。手术是I-III期非小细胞肺癌的主要治疗方法。6分钟步行试验被广泛用于评估手术前后的身体耐力，术前距离低于500米与住院时间延长有关。术后耐力一般下降50-100米。早期动员对于防止这种衰退至关重要；然而，对于肺癌手术后的最佳康复方案尚无明确的共识。方法：本回顾性队列研究探讨了2020年至2023年间104例肺癌手术患者术后早期步行距离与临床结局的关系。入院前和出院前使用6分钟步行测试评估身体功能。结果：术后24小时内步行距离与术前和术后6分钟步行测试成绩显著相关。然而，早期步行距离与住院时间或术后并发症之间没有明显的关联。结论：肺癌术后早期活动与术前耐力水平密切相关，改善术前身体功能可促进术后恢复，减少并发症。需要进一步的研究来规范康复方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

General Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine

CiteScore

2.70

自引率

8.30%

发文量

142

期刊介绍： The General Thoracic and Cardiovascular Surgery is the official publication of The Japanese Association for Thoracic Surgery and The Japanese Association for Chest Surgery, the affiliated journal of The Japanese Society for Cardiovascular Surgery, that publishes clinical and experimental studies in fields related to thoracic and cardiovascular surgery.