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Self-assessed preoperative level of habitual physical activity predicted postoperative complications after colorectal cancer surgery: A prospective observational cohort study

Artikel i vetenskaplig tidskrift
Författare Aron Onerup
Eva Angenete
Pierre Bonfre
Mats Börjesson
Eva Haglind
Catrin Wessman
Hanna Nilsson
Publicerad i European Journal of Surgical Oncology
Volym 45
Nummer/häfte 11
Sidor 2045-2051
ISSN 0748-7983
Publiceringsår 2019
Publicerad vid Institutionen för kliniska vetenskaper, Avdelningen för kirurgi
Institutionen för neurovetenskap och fysiologi, sektionen för fysiologi
Institutionen för kost- och idrottsvetenskap
Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för hälsometri
Sidor 2045-2051
Språk en
Länkar dx.doi.org/10.1016/j.ejso.2019.06.0...
Ämnesord Colon cancer, Colorectal surgery, Physical activity, Postoperative complications, Rectal cancer
Ämneskategorier Cancer och onkologi, Kirurgi

Sammanfattning

Introduction: There is a growing interest in physical activity in relation to recovery after surgery. One important aspect of measuring recovery after surgical procedures is postoperative complications. The aim of this study was to determine if there is an association between the preoperative level of habitual physical activity and postoperative complications in patients undergoing elective surgery for colorectal cancer. Materials and methods: 115 patients scheduled for elective surgery due to colorectal cancer between February 2014 and September 2015 answered a questionnaire regarding physical activity and other baseline variables. Physical activity was assessed using the Saltin-Grimby physical activity level scale. Complications within 30 days after surgery were classified according to Clavien-Dindo, and the Comprehensive Complications Index (CCI) was calculated. Primary outcome was difference in CCI and key secondary outcome was risk for CCI ≥20. Results: Physically inactive individuals had a CCI that was 12 points higher than individuals with light activity (p = 0.002) and 17 points higher than regularly active individuals (p = 0.0004). Inactive individuals had a relative risk for a CCI ≥20 that was 65% higher than for individuals reporting light activity (95% confidence interval (CI) for relative risk (RR) = 1.1–2.5) and 338% higher than for regularly active individuals (95% CI for RR = 2.1–9.4). Conclusion: Self-assessed level of habitual physical activity before colorectal cancer surgery was associated with fewer postoperative complications measured with CCI, in a dose-response relationship. © 2019

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