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Association between the 6MWT and other measurements of physical functioning in patients with cancer awaiting major surgery.
Sebio-Garcia, Raquel; Montané-Muntané, Mar; González-Colom, Rubèn; Tena, Beatriz; Dana, Fernando; Sisó, Marina; Peláez, Amaia; Campero, Betina; Diéguez-Porto, Iago; Capitán, David; Borda, Daniel; Martínez-Pallí, Graciela.
Afiliación
  • Sebio-Garcia R; Department of Physical Medicine and Rehabilitation, Hospital Clínic de Barcelona, Barcelona, Spain; Institut D'Investigacions Biomèdiques Agustí Pi I Sunyer, Universitat de Barcelona, Barcelona, Spain. Electronic address: sebio@clinic.cat.
  • Montané-Muntané M; Department of Anaesthesia, Reanimation and Pain Management, Hospital Clínic de Barcelona, Barcelona, Spain. Electronic address: mdmontane@clinic.cat.
  • González-Colom R; Institut D'Investigacions Biomèdiques Agustí Pi I Sunyer, Universitat de Barcelona, Barcelona, Spain. Electronic address: rgonzalezc@recerca.clinic.cat.
  • Tena B; Department of Anaesthesia, Reanimation and Pain Management, Hospital Clínic de Barcelona, Barcelona, Spain. Electronic address: btena@clinic.cat.
  • Dana F; Department of Anaesthesia, Reanimation and Pain Management, Hospital Clínic de Barcelona, Barcelona, Spain. Electronic address: fjdana@clinic.cat.
  • Sisó M; Department of Endocrinology and Metabolic Diseases, Hospital Clinic de Barcelona, Barcelona, Spain. Electronic address: siso@clinic.cat.
  • Peláez A; Department of Anaesthesia, Reanimation and Pain Management, Hospital Clínic de Barcelona, Barcelona, Spain. Electronic address: ampelaez@clinic.cat.
  • Campero B; Department of Endocrinology and Metabolic Diseases, Hospital Clinic de Barcelona, Barcelona, Spain. Electronic address: bcampero@clinic.cat.
  • Diéguez-Porto I; Department of Anaesthesia, Reanimation and Pain Management, Hospital Clínic de Barcelona, Barcelona, Spain. Electronic address: dieguez@clinic.cat.
  • Capitán D; Department of Anaesthesia, Reanimation and Pain Management, Hospital Clínic de Barcelona, Barcelona, Spain. Electronic address: dcapitan@clinic.cat.
  • Borda D; Department of Physical Medicine and Rehabilitation, Hospital Clínic de Barcelona, Barcelona, Spain. Electronic address: dborda@clinic.cat.
  • Martínez-Pallí G; Department of Anaesthesia, Reanimation and Pain Management, Hospital Clínic de Barcelona, Barcelona, Spain; Institut D'Investigacions Biomèdiques Agustí Pi I Sunyer, Universitat de Barcelona, Barcelona, Spain; Biomedical Research Networking Centre on Respiratory Diseases (CIBERES), Madrid, Spain. El
Eur J Surg Oncol ; 50(9): 108510, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38945057
ABSTRACT

BACKGROUND:

The Six Minute Walk Test (6MWT) is a widely used measure of functional capacity in (p)rehabilitation of cancer patients, but it is time-consuming and requires specific space conditions. In this study we explore the association between the 6MWT with other measurements of physical functioning and their predictive value in classifying patients according to their estimated functional capacity.

DESIGN:

This prospective study included cancer patients referred to a prehabilitation programme prior to major surgery. For each patient, data on different measurements of physical functioning including the Duke Activity Status Index (DASI), the handgrip strength, the 30" Sit-to-Stand Test and self-reported physical activity levels were collected. Bivariate associations were performed to determine the association between the 6MWT and other variables. Multivariate analyses were performed to identify potential predictive factors of 6MWT in this population. A subsequent algorithm was developed to classify patients based on their functional capacity (good performance - 6MWT>400 m or poor performance 6MWT<400 m)

RESULTS:

Between mid-2018 to mid 2022, 692 patients were assessed of whom the 6MWT was performed in 524 (75.7 %) (mean age 72.5 ± 11.8 years; 57.1 % men). Moderate-to-strong correlations were found between 6MWT and 30" Sit-To-Stand Test (r = 0.54, p < 0.001), DASI (r = 0.68; p < 0.001) and handgrip strength (r = 0.5; p < 0.001). Multivariate analyses confirmed that a combination of six variables were able to classify 80 % of patients in good (>400 m) or poor (<400 m) performance in the 6MWT.

CONCLUSION:

The 6MWT was moderately associated with several variables of physical functioning, a combination of which can be used to predict performance in the 6MWT.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fuerza de la Mano / Prueba de Paso / Neoplasias Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Surg Oncol Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fuerza de la Mano / Prueba de Paso / Neoplasias Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Surg Oncol Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido