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Physical and Quality of Life Changes in Elderly Patients after Laparoscopic Surgery for Colorectal Cancer—A Prospective Cohort Study

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  • Rochelle Mey

    (Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
    VUMC School of Medical Sciences, Amsterdam UMC, 1105 Amsterdam, The Netherlands)

  • José Casaña

    (Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain)

  • Óscar Díaz-Cambronero

    (Department Anesthesiology, Hospital Universitari i Politécnic la Fe, 46010 Valencia, Spain
    Perioperative Medicine Research Group, Biomedical Research Institute la Fe, 46010 Valencia, Spain)

  • Luis Suso-Martí

    (Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain)

  • Ferran Cuenca-Martínez

    (Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain)

  • Guido Mazzinari

    (Department Anesthesiology, Hospital Universitari i Politécnic la Fe, 46010 Valencia, Spain
    Perioperative Medicine Research Group, Biomedical Research Institute la Fe, 46010 Valencia, Spain)

  • Rubén López-Bueno

    (National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
    Department of Physical Medicine and Nursing, University of Zaragoza, 50009 Zaragoza, Spain)

  • Lars L. Andersen

    (National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
    Sport Sciences, Department of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark)

  • Laura López-Bueno

    (Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain)

  • Francisco Selva-Sarzo

    (Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain)

  • Joaquín Calatayud

    (Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
    Department Anesthesiology, Hospital Universitari i Politécnic la Fe, 46010 Valencia, Spain)

Abstract

Background—The incidence of colorectal cancer is increasing among elderly people, where postoperative complications are frequent. Methods—We evaluated postoperative physical and quality of life changes in elderly patients undergoing laparoscopic surgery for colorectal cancer. A prospective cohort study was performed in 31 colorectal cancer patients ≥60 years who were scheduled for laparoscopic surgery due to colorectal cancer. Outcomes were measured one month preoperative (T1), three days postoperative (T2) and one month postoperative (T3). Results—The largest early postoperative (from T1 to T2) declines were observed for isometric knee extension strength (33.1%), 30 s Chair Stand Test (27.9%) and handgrip strength (16.9%). Significant reductions in quality of life measured with the QLQ-C30 summary score and the EQ 5D index score were found between T1–T3 and T1–T2, respectively. Conclusions—A decline in isometric knee extension strength, 30 s Chair Stand Test, handgrip strength and quality of life is evident in elderly patients in the days following laparoscopic surgery for colorectal cancer. Preoperative values are recovered one month after surgery for all the outcomes, except for isometric knee extension, which should receive especial attention.

Suggested Citation

  • Rochelle Mey & José Casaña & Óscar Díaz-Cambronero & Luis Suso-Martí & Ferran Cuenca-Martínez & Guido Mazzinari & Rubén López-Bueno & Lars L. Andersen & Laura López-Bueno & Francisco Selva-Sarzo & Joa, 2022. "Physical and Quality of Life Changes in Elderly Patients after Laparoscopic Surgery for Colorectal Cancer—A Prospective Cohort Study," IJERPH, MDPI, vol. 19(22), pages 1-10, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14711-:d:967660
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    References listed on IDEAS

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    1. Kathrin Borchert & Christian Jacob & Natalie Wetzel & Martina Jänicke & Egbert Eggers & Annette Sauer & Norbert Marschner & Julia Altevers & Thomas Mittendorf & Wolfgang Greiner, 2020. "Application study of the EQ-5D-5L in oncology: linking self-reported quality of life of patients with advanced or metastatic colorectal cancer to clinical data from a German tumor registry," Health Economics Review, Springer, vol. 10(1), pages 1-14, December.
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