Download or read book Personalised Multimodal Prehabilitation in Cancer written by Malcolm West and published by Frontiers Media SA. This book was released on 2022-12-29 with total page 111 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Feasibility of Multimodal Prehabilitation to Enhance Preoperative Functional Capacity of Esophageal Cancer Patients During Concurrent Neoadjuvant Chemotherapies written by Kenneth Drummond and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Background: The prognosis among patients with esophageal adenocarcinoma (EAC) is poor, moreover the aggressive nature of the disease and treatments often leads to a pervasive decline in functional status throughout the perioperative period. Importantly, prehabilitation has been demonstrated to improve functional trajectories in patients with esophagogastric cancers. Despite the logical rationale, few studies have investigated its clinical potential during neoadjuvant chemotherapy (NACT). The thesis aimed to (1) assess the safety and feasibility of prehabilitation (2) investigate the impact of a multimodal prehabilitation program on preoperative functional status and QoL, and (3) to document the short-term clinical outcomes of EAC patients receiving prehabilitation concurrently with NACT. It was hypothesized that prehabilitation would be feasible even with the challenges of the disease and treatments. Additionally, researchers anticipated an improvement in cardiorespiratory fitness following prehabilitation.Methods: The current thesis describes a single cohort pilot study operated out of a single high-volume centre. Patients diagnosed with non-metastatic EAC referred to receive NACT prior to an esophagectomy were approached for recruitment. All patients received a personalized multimodal prehabilitation program until surgery, varying with respect to modality of exercise delivery (home-based, in-hospital supervised, teleprehabilitation supervised. Program feasibility was dependent on patients’ weekly self-reported adherence to exercise and nutritional interventions. All patients performed a complete battery of functional tests at baseline and before surgery, which included: 6-MWT, CPET, TUG, HGS, STS and 1-arm curl test. Patient reported outcomes included: FACT-E, ESAS, DASI, CHAMPS and HADS. Results: Between August 1st, 2019 and November 1st, 2020, a total of 23 patients met the inclusion criteria, 56.5% (n=13) were recruited. All received either home-based (n=6), in-hospital supervised (n=5) or teleprehabilitation (n=2). All patients completed the program, performed both evaluations and received their respective surgeries. The cohort reported a satisfactory overall adherence rate to the program (68.9% vs 70%, p=0.7). Cardiorespiratory fitness as determined by the 6-MWD did not significantly change (p=0.6). Conversely, muscle strength improved, as determined by timed-repetitions performed in both sit-to-stand (p=0.004) and 1-arm curl tests (p=0.005). The median compliance to NACT was 100%, with only three patients ceasing treatments prematurely. The five patients did not experience postoperative complications, the median length of stay was seven days, and the incidence of in-hospital mortality was two.Conclusion: The thesis confirmed that personalized multimodal prehabilitation programs could be safe and feasibly delivered to EAC patients during NACT. Notwithstanding the lacking functional improvements, the results suggest that prehabilitation may have played a role in preserving cardiorespiratory fitness, functional status and QoL throughout the preoperative period"--

Download or read book Predictive Preventive and Personalised Medicine From Bench to Bedside written by Halina Podbielska and published by Springer Nature. This book was released on 2023-12-01 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume presents advanced bio/medical sciences with a particular value for translating research achievements into daily medical practice in the framework of Predictive, Preventive and Personalised Medicine (3PM/PPPM). First two decades of the 21st century are characterised by epidemics of non-communicable diseases such as many hundreds of millions of patients diagnosed with cardiovascular diseases and the type 2 diabetes mellitus, breast, lung, liver and prostate malignancies, neurological, sleep, mood and eye disorders, amongst others. Consequent socio-economic burden is tremendous. Unprecedented decrease in age of maladaptive individuals has been reported. The absolute majority of expanding non-communicable disorders carry a chronic character, over a couple of years progressing from reversible suboptimal health conditions to irreversible severe pathologies and cascading collateral complications. The paradigm change from reactive to predictive preventive and personalised medicine is essential to promote population health by application of individualised patient profiling, multi-parametric analysis leading to cost-effective targeted prevention. To this end, inadequate data for risk assessment on speed and urgency of COVID-19, combined with increased globalization of human society, led to the rapid spread of COVID-19. Despite an abundance of digital methods that could be used in slowing or stopping this virus and future pandemics, the world remains unprepared, and lessons have not been learned from previous cases of pandemics. The book presents PPPM strategies which might be of great clinical utility for future pandemics. In a long-term way, a significantly improved healthcare economy is one of the clear benefits of the proposed paradigm shift; a tight collaboration between all stakeholders including scientific community, healthcare providers, patient organisations, policy-makers and educators is analysed for the smooth implementation of the 3PM concepts. Further issues linked to big data management and medical ethics have to be carefully treated in the context of application of artificial intelligence in medicine.

Download or read book Non Invasive Health Systems based on Advanced Biomedical Signal and Image Processing written by Adel Al-Jumaily and published by CRC Press. This book was released on 2024-02-29 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book contains up-to-date noninvasive monitoring and diagnosing systems closely developed by a set of scientists, engineers, and physicians. The chapters are the results of different biomedical projects and theoretical studies that were coupled by simulations and real-world data. Non-Invasive Health Systems based on Advanced Biomedical Signal and Image Processing provides a multifaceted view of various biomedical and clinical approaches to health monitoring systems. The authors introduce advanced signal- and image-processing techniques as well as other noninvasive monitoring and diagnostic systems such as inertial sensors in wearable devices and novel algorithm-based hybrid learning systems for biosignal processing. The book includes a discussion of designing electronic circuits and systems for biomedical applications and analyzes several issues related to real-world data and how they relate to health technology including ECG signal monitoring and processing in the operating room. The authors also include detailed discussions of different systems for monitoring various conditions and diseases including sleep apnea, skin cancer, deep vein thrombosis, and prosthesis controls. This book is intended for a wide range of readers including scientists, researchers, physicians, and electronics and biomedical engineers. It will cover the gap between theory and real life applications.

Download or read book Multimodal Prehabilitation in Lung Cancer Patients Undergoing Surgical Resection written by Vanessa Ferreira and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Objective: My doctoral work aims to investigate the effects of multimodal prehabilitation on functional capacity in lung cancer patients undergoing surgery, with a specific interest on the impact of preoperative nutrition.Study 1: The objective was to determine whether a multimodal prehabilitation program enhances post-operative functional recovery, measured by the 6-minute walk test (6MWT), 8 weeks after surgery compared to multimodal rehabilitation. Both interventions were entirely home-based and consisted of aerobic and resistance training, nutritional consultations with whey protein supplementation and relaxation strategies, commenced either before (prehabilitation, n=52) or after (rehabilitation, n=43) surgery. There was no difference in functional capacity at any time point during the perioperative period between the 2 multimodal programs. By 8 weeks after surgery, both groups returned to baseline 6MWT and a similar proportion of patients (over 75%) in both groups had recovered to their baseline. It was concluded that both interventions were as effective in recovering functional capacity.Study 2: A systematic review was conducted to determine the effect of preoperative nutrition and multimodal prehabilitation on clinical and functional outcomes. Only 5 studies were included, 4 of which were multimodal prehabilitation interventions and 1 was a preoperative nutrition-only intervention. Limited research has been performed on preoperative nutritional supplementation in lung cancer patients however, multimodal prehabilitation programs that combine nutrition and exercise may have beneficial effects on various physical function outcomes. Study 3: The goal of this secondary analysis study was to characterize the presence of malnutrition, examine the association between malnutrition and baseline functional capacity and examine the extent to which patients benefit from preoperative multimodal prehabilitation. Data from 162 participants enrolled in multimodal prehabilitation or control before lung cancer surgery were analyzed. Malnutrition was measured using the Patient-Generated Subjective Global Assessment (PG-SGA) according to triage levels. A total of 83 (51.2%) patients were considered at low nutrition risk, 61 (37.7%) were at moderate nutrition risk and 18 (11.1%) were at high nutrition risk. Results confirmed that patients at high nutrition risk had significantly lower baseline functional capacity compared to patients at low nutrition risk [mean baseline 6MWT: 416 m (SD 90) vs. 484 m (SD 88)], but experienced a significant improvement in preoperative functional capacity of 58.9 m (16.7-101.2) upon receiving multimodal prehabilitation.Study 4: The aim was to investigate the feasibility of delivering a novel 4-week multimodal prehabilitation intervention compared to standard of care (control). Results showed that within a preoperative time-frame, it was feasible to deliver this novel multimodal prehabilitation intervention as recruitment rate was 58.6% and adherence to the a) prescribed intensity of the supervised exercise program was 84.1% (SD 23.1), b) home-based exercise program was 88.2 % (SD 21), c) nutritional supplement was 93.2% (SD 14.2) and d) patients’ preoperative assessment was 82% and 88% in the prehabilitation and control group, respectively. Conclusion: This thesis work contributes to gain a better understanding of the effects of multimodal prehabilitation and specifically nutrition, on functional capacity in lung cancer patients undergoing surgery"--

Download or read book Multimodal Prehabilitation in Patients Undergoing Colorectal Cancer Resection written by Rashami Awasthi and published by . This book was released on 2016 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exercise training has been shown to positively affect the maintenance of functional capacity and facilitate recovery from surgery. This thesis proposes that a supervised pre- operative exercise training program would encourage patient compliance, thus maximizing the opportunity to regain functional exercise capacity 4-weeks post-surgery. The supervised group (Group S) received 4 training sessions at the Montreal General Hospital exercise laboratory along with a home-based exercise program during the pre-surgical period and provided daily supervised exercise during the post-surgical hospital stay. The unsupervised group (Group U) received a 4-week home-based exercise program during the pre-surgical period and were not seen by a kinesiologist during the post-surgical in-hospital stay. The exercise programs (both pre and post-surgery) included individualized aerobic, resistance and flexibility exercises. Both groups continued to exercise until 4 weeks post-surgery, after which they returned to the laboratory for evaluation. The primary outcome was functional walking capacity, as assessed by the six-minute walk test (6MWT).

Download or read book Prehabilitation for Cancer Surgery written by Arunangshu Chakraborty and published by Springer. This book was released on 2023-01-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the concept of prehabilitation to great depths using all possible modes of prehabilitation across surgical specialities. Prehabilitation is a unique concept that is becoming popular day-by-day. It began from the enhanced recovery after surgery (ERAS) program and has found importance in almost all of the surgeries now. The book possibly being the first on prehabilitation globally introduces the concept, describes the methods of functional assessment of the patients scheduled for extensive cancer surgery, and ways of pre-optimisation. It covers the methods of prehabilitation system-wise and then provides pehabilitation tools specific for individual onco-surgical subspecialties. The book will be an invaluable resource for practitioners of onco-anesthesia and onco-surgery in optimizing their patients before surgery for best results. It will also be useful for the allied disciplines such as nutritionists, physiotherapists, psychiatrists and oncology nurses.

Download or read book Exercise Oncology written by Kathryn H. Schmitz and published by Springer Nature. This book was released on 2020-05-04 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt: This groundbreaking book presents a unique and practical approach to the evolving field of exercise oncology - the study of physical activity in the context of cancer prevention and control. Presenting the current state of the art, the book is sensibly divided into four thematic sections. Following an opening chapter presenting an overview and timeline of exercise oncology, the chapters comprising part I discuss primary cancer prevention, physical activity and survivorship, and the mechanisms by which these operate. Diagnosis and treatment considerations are discussed in part II, including prehabilitation, exercise during surgical recovery, infusion and radiation therapies, and treatment efficacy. Post-treatment and end-of-life care are covered in part III, including cardio-oncology, energetics and palliative care. Part IV presents behavioral, logistical and policy-making considerations, highlighting a multidisciplinary approach to exercise oncology as well as practical matters such as reimbursement and economics. Written and edited by experts in the field, Exercise Oncology will be a go-to practical resource for sports medicine clinicians, family and primary care physicians, oncologists, physical therapy and rehabilitation specialists, and all medical professionals who treat cancer patients.

Download or read book The ERAS Society Handbook for Obstetrics Gynecology written by Gregg Nelson and published by Academic Press. This book was released on 2022-06-08 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ERAS® Society Handbook for Obstetrics & Gynecology covers all aspects of enhanced recovery care for disciplines of general gynecology, gynecologic oncology, urogynecology and obstetrical surgery. Written by renowned experts in the field, chapters discuss foundational knowledge on ERAS and provide specific worked examples, ERAS order sets, and practical implementation tools. This book is an indispensable resource to researchers interested in ERAS, but it is also ideal for anesthesiologists, gynecologists and obstetricians interested in initiating an ERAS program. Enhanced Recovery After Surgery (ERAS) is a global surgical quality improvement initiative that originated in colorectal surgery and has now spread to numerous other disciplines, including gynecology (benign and malignant) and obstetrics (caesarean delivery). ERAS is associated with improvements in clinical outcomes (reduction in length of hospital stay, complications, readmissions), cost savings for the healthcare system, and patient satisfaction, hence the addition of this comprehensive resource on the topics is a welcomed addition to the available literature. - Covers all aspects of enhanced recovery care for the disciplines of general gynecology, gynecologic oncology and obstetrical surgery - Enables gynecologists and obstetricians to realize improvements in clinical outcomes for their patients by providing knowledge and practical tools for implementation of the ERAS program - Discusses specific worked examples and provides practical implementation tools

Download or read book Prehabilitation for Cancer Surgery written by Arunangshu Chakraborty and published by Springer Nature. This book was released on 2022-01-04 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the concept of prehabilitation to great depths using all possible modes of prehabilitation across surgical specialities. Prehabilitation is a unique concept that is becoming popular day-by-day. It began from the enhanced recovery after surgery (ERAS) program and has found importance in almost all of the surgeries now. The book possibly being the first on prehabilitation globally introduces the concept, describes the methods of functional assessment of the patients scheduled for extensive cancer surgery, and ways of pre-optimisation. It covers the methods of prehabilitation system-wise and then provides pehabilitation tools specific for individual onco-surgical subspecialties. The book will be an invaluable resource for practitioners of onco-anesthesia and onco-surgery in optimizing their patients before surgery for best results. It will also be useful for the allied disciplines such as nutritionists, physiotherapists, psychiatrists and oncology nurses.

Download or read book A Complete Guide to Onco Anaesthesia Critical Care and Cancer Pain written by Jyotsna Goswami and published by White Falcon Publishing. This book was released on 2022-06-23 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all topics related to anesthetic and perioperative management, critical care and pain in cancer patients. The chapters of the book describe the principles and practices of onco-anesthesia, onco-critical care and cancer pain in great details. Cancer surgeries (onco-surgeries) are organ specific now with each surgery having its own set of anesthetic requirements and challenges. The perioperative management of these different organ-specific surgeries have been discussed based on recent evidence. The chapters have been written by experts from different cancer centers of India. Various courses like DM Onco-anesthesia and fellowship in onco-anesthesia are running in different institutes. FNB in Onco-anesthesia has been recognised this year. This book will help all those students pursuing these courses both as textbook and as reference book. This book will also be very helpful for MD/DNB students for their examination purpose as a good number of topics in their syllabus are on perioperative management of cancer patients. Moreover, anesthesiologists, who are practicing anesthesia in cancer patients, will also be benefited from this book.

Download or read book Perioperative Care of the Cancer Patient E Book written by Carin A. Hagberg and published by Elsevier Health Sciences. This book was released on 2022-03-26 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than 80% of patients with cancer will need the services of anesthesiology and perioperative medicine, intensive care medicine, and pain management specialists during their cancer journey for diagnostic, therapeutic, and symptom management needs, as well as for the management of recurrent disease, secondary cancers, and ongoing non-oncologic surgical needs during survivorship. Perioperative Care of the Cancer Patient is today's most up-to-date, authoritative, comprehensive reference on the acute care of surgical patients with cancer, from a team of international experts in this emerging and dynamic specialty. - Covers current clinical practice and perioperative care guidelines during the entire cancer journey for both adult and pediatric patients. - Includes a diverse array of topics on cancer care, such as cancer epidemiology, cancer biology, ethics in cancer care delivery, value proposition in cancer care, opportunities and challenges with research programs in perioperative cancer care, application of big data and computational sciences in cancer medicine and care delivery, and the MD Anderson Cancer Center Moon Shots Program®. - Discusses newer cancer therapies and their perioperative implications, functional assessment and prehabilitation, enhanced recovery programs in cancer care, challenges with novel cancer therapies in the care of the critically ill cancer patient, chronic and interventional pain management in patients with cancer, and more. - An educational resource and clinical reference for surgeons, anesthesia practitioners, hospitalists, internists, pain physicians, intensivists, basic science researchers, and all clinicians involved in the acute care of surgical patients with cancer. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Download or read book Multimodal Therapy of Upper Gastrointestinal Malignancies written by Ulrich Ronellenfitsch and published by MDPI. This book was released on 2021-08-30 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent decades have seen remarkable advances in the treatment of upper gastrointestinal malignancies, i.e., adenocarcinoma and squamous cell carcinoma as well as gastrointestinal stromal and other rare tumors of the esophagus and stomach. While, historically, surgical resection has been the sole treatment for these tumors, multimodal therapies have meanwhile proven their efficacy. At present, pre- and postoperative chemotherapy and radiotherapy, targeted drug therapy, and stage-specific surgical approaches are all indispensable cornerstones of an individualized treatment for upper gastrointestinal malignancies. With such multimodal treatment, better outcomes comprising improved quality of life and prolonged survival have been achieved for patients. However, for many tumor entities and stages, the ideal combination and sequence of treatments is still being evaluated in clinical trials. Moreover, the value of novel approaches such as immunotherapy or robotic surgery remains a matter of research. In this Special Issue of Cancers, up-to-date original research, short communications, and comprehensive review articles on all modalities playing a role in the treatment of upper gastrointestinal malignancies have been published.

Download or read book 2016 Relative Value Guide Book written by and published by . This book was released on 2015-11-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Developed by the authorities in anesthesia, the American Society of Anesthesiologists, the Relative Value Guide is an essential tool for all anesthesia practices. Code effectively and accurately with the RVG? which contains the most up-to-date CPT codes and full descriptors for anesthesia services, including ASA's anesthesia base unit values. This edition includes information on non-anesthesia procedures often performed by anesthesiologists including pain management services, invasive monitoring and transesophageal echocardiography procedures. Note: The American Society of Anesthesiologists requires a distribution license for use of the ASA Relative Value Guide in any product intended for distribution in the U.S. or abroad. Please direct all inquiries to the ASA Associate General Counsel at (202) 289-2222.

Download or read book Convergence Breaking Down Barriers Between Disciplines written by Marijke Melles and published by Springer Nature. This book was released on 2023-11-04 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the proceedings of the 7th conference Healthcare Systems Ergonomics and Patient Safety (HEPS), held in Delft, The Netherlands on November 2-4, 2022, which was endorsed by the International Ergonomics Association (IEA). Contributions focus on the integration of knowledge, methods, and expertise from the disciplines of Human Factors/Ergonomics and of Medicine and Health in order to contribute to a safe and humane, high-quality healthcare system. Through breaking down the barriers between disciplines, they foster a framework of scientific knowledge, expertise and best practices to create the future of health and healthcare. The proceedings include papers from researchers and practitioners, scientists and physicians, institutional leaders, managers and policy makers that contribute to constructing the Human Factors and Ergonomics approach across a variety of methodologies, domains and productive sectors.

Download or read book Geriatric Anesthesiology written by J. G. Reves and published by Springer. This book was released on 2017-10-27 with total page 509 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgical and anesthetic techniques have evolved to allow a growing number of older adults to undergo surgery, and current estimates are that 50% of Americans over the age of 65 years old will have an operation. However, as the knowledge regarding perioperative care of the elderly surgical patient grows, so do the questions. In this edition, each chapter includes a section entitled “Gaps in Our Knowledge,” meant to highlight areas in which research is needed, as well as hopefully inspire readers to begin solving some of these questions themselves. Building upon the strong foundation of the first two editions, Geriatric Anesthesiology, 3rd edition also assembles the most up-to-date information in geriatric anesthesia and provides anesthesiologists with important new developments.Topics covered include several new chapters that reflect the evolution of multidisciplinary geriatric care throughout the perioperative continuum, as well as the growing body of literature related to prehabilitation. In addition, discussion of the surgeon’s perspective and geriatrician’s perspective on surgery in the geriatric population is covered, as well as the systematic physiologic changes associated with aging and the pharmacologic considerations for the geriatric patient undergoing procedures. Finally, the last section discusses postoperative care specific to the geriatric population, including acute pain management, ICU management, recent evidence and up-to-date practice regarding delirium and postoperative cognitive dysfunction, and palliative care.

Download or read book Geriatric Anesthesia An Issue of Anesthesiology Clinics written by Elizabeth Whitlock and published by Elsevier Health Sciences. This book was released on 2019-07-23 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Anesthesiology Clinics, edited by Dr. Elizabeth Whitlock and Dr. Robert Whittington, in collaboration with Consulting Editor Lee Fleisher, focuses on Geriatric Anesthesia. Topics in this issue include: The Growing Challenge of the Elderly Population; The Perioperative Period; Preoperative Assessment of the Geriatric Patient; Prehabilitation: Optimizing Elders Undergoing Elective Surgery; The Ethics of Surgery at the End of the Life; Perioperative Geriatric Physiology and the Frailty Syndrome; Geriatric Pharmacology; Emergency Surgery in the Elderly; Management of Acute Pain in the Elderly; Special Considerations for the Elderly Brain: Delirium and Perioperative Cognitive Change; Special Challenges of the Geriatric Critical Care Patient; Chronic Pain Management in the Elderly; Providing Patient- Focused Care: Treatment Burdens, Difficult Conversations, and Symptom Management; and Future Directions for Geriatric Anesthesiology.