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Cost-effectiveness of a technology-supported multimodal prehabilitation program in moderate-to-high risk patients undergoing lung cancer resection: randomized controlled trial protocol.
Barberan-Garcia, Anael; Navarro-Ripoll, Ricard; Sánchez-Lorente, David; Moisés-Lafuente, Jorge; Boada, Marc; Messaggi-Sartor, Monique; González-Vallespí, Laura; Montané-Muntané, Mar; Alsina-Restoy, Xavier; Campero, Betina; Lopez-Baamonde, Manuel; Romano-Andrioni, Barbara; Guzmán, Rudith; López, Antonio; Arguis, Maria Jose; Roca, Josep; Martinez-Palli, Graciela.
Afiliación
  • Barberan-Garcia A; Respiratory Medicine Department, Hospital Clínic de Barcelona, Villarroel 170, 08036, Barcelona, Catalonia, Spain. anbarber@clinic.cat.
  • Navarro-Ripoll R; August Pi i Sunyer Biomedical Research Institute - IDIBAPS, University of Barcelona (UB), Barcelona, Spain. anbarber@clinic.cat.
  • Sánchez-Lorente D; Biomedical Networking Research Centre on Respiratory Diseases (CIBERES), Barcelona, Spain. anbarber@clinic.cat.
  • Moisés-Lafuente J; Anaesthesia and Intensive Care Department, Hospital Clínic de Barcelona, Barcelona, Spain.
  • Boada M; Thoracic Surgery Department, Hospital Clínic de Barcelona, Barcelona, Spain.
  • Messaggi-Sartor M; Respiratory Medicine Department, Hospital Clínic de Barcelona, Villarroel 170, 08036, Barcelona, Catalonia, Spain.
  • González-Vallespí L; Thoracic Surgery Department, Hospital Clínic de Barcelona, Barcelona, Spain.
  • Montané-Muntané M; Respiratory Medicine Department, Hospital Clínic de Barcelona, Villarroel 170, 08036, Barcelona, Catalonia, Spain.
  • Alsina-Restoy X; August Pi i Sunyer Biomedical Research Institute - IDIBAPS, University of Barcelona (UB), Barcelona, Spain.
  • Campero B; Clinical Psychology Department, Hospital Clínic de Barcelona, Barcelona, Spain.
  • Lopez-Baamonde M; Anaesthesia and Intensive Care Department, Hospital Clínic de Barcelona, Barcelona, Spain.
  • Romano-Andrioni B; Respiratory Medicine Department, Hospital Clínic de Barcelona, Villarroel 170, 08036, Barcelona, Catalonia, Spain.
  • Guzmán R; Endocrinology and Nutrition Department, Hospital Clínic de Barcelona, Barcelona, Spain.
  • López A; Anaesthesia and Intensive Care Department, Hospital Clínic de Barcelona, Barcelona, Spain.
  • Arguis MJ; Endocrinology and Nutrition Department, Hospital Clínic de Barcelona, Barcelona, Spain.
  • Roca J; Thoracic Surgery Department, Hospital Clínic de Barcelona, Barcelona, Spain.
  • Martinez-Palli G; Anaesthesia and Intensive Care Department, Hospital Clínic de Barcelona, Barcelona, Spain.
BMC Health Serv Res ; 20(1): 207, 2020 Mar 12.
Article en En | MEDLINE | ID: mdl-32164687
BACKGROUND: Multimodal prehabilitation is a preoperative intervention with the objective to enhance cancer patients' functional status which has been showed to reduce both postoperative morbidity and hospital length of stay in digestive oncologic surgery. However, in lung cancer surgery patients further studies with higher methodological quality are needed to clarify the benefits of prehabilitation. The main aim of the current protocol is to evaluate the cost-effectiveness of a multimodal prehabilitation program supported by information and communication technologies in moderate-to-high risk lung cancer patients undergoing thoracic surgery. METHODS: A Quadruple Aim approach will be adopted, assessing the prehabilitation program at the following levels: i) Patients' and professionals' experience outcomes (by means of standardized questionnaires, focus groups and structured interviews); ii) Population health-based outcomes (e.g. hospital length of stay, number and severity of postoperative complications, peak oxygen uptake and levels of systemic inflammation); and, iii) Healthcare costs. DISCUSSION: This study protocol should contribute not only to increase the scientific basis on prehabilitation but also to detect the main factors modulating service adoption. TRIAL REGISTRATION: NCT04052100 (August 9, 2019).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Preoperatorios / Neoplasias Pulmonares Tipo de estudio: Clinical_trials / Etiology_studies / Evaluation_studies / Guideline / Health_economic_evaluation / Qualitative_research / Risk_factors_studies Límite: Humans Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2020 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Preoperatorios / Neoplasias Pulmonares Tipo de estudio: Clinical_trials / Etiology_studies / Evaluation_studies / Guideline / Health_economic_evaluation / Qualitative_research / Risk_factors_studies Límite: Humans Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2020 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido