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The effects of inpatient exercise therapy on the length of hospital stay in stage I-III colon cancer patients: randomized controlled trial

Title
 The effects of inpatient exercise therapy on the length of hospital stay in stage I-III colon cancer patients: randomized controlled trial
Authors
 Ki-Yong Ahn; Hyuk Hur; Nam Kyu Kim; Justin Y. Jeon; Lee W. Jones; Jeffrey A. Meyerhardt; Jennifer A. Ligibel; Ji Won Lee; Sang Hui Chu; Duck Hyoun Jeong; Jihee Min; Dong-Hyun Kim
Issue Date
2013
Journal Title
 International Journal of Colorectal Disease
ISSN
 0179-1958
Citation
 International Journal of Colorectal Disease, Vol.28(null) : 643~651, 2013
Abstract
PURPOSE: This study aimed to examine the effects of a postsurgical, inpatient exercise program on postoperative recovery in operable colon cancer patients METHODS: We conducted the randomized controlled trial with two arms: postoperative exercise vs. usual care. Patients with stages I-III colon cancer who underwent colectomy between January and December 2011 from the Colorectal Cancer Clinic, were recruited for the study. Subjects in the intervention group participated in the postoperative inpatient exercise program consisted of twice daily exercise, including stretching, core, balance, and low-intensity resistance exercises. The usual care group was not prescribed a structured exercise program. The primary endpoint was the length of hospital stay. Secondary endpoints were time to flatus, time to first liquid diet, anthropometric measurements, and physical function measurements. RESULTS: A total of 31 (86.1 %) patients completed the trial, with adherence to exercise interventions at 84.5 %. The mean length of hospital stay was 7.82 ± 1.07 days in the exercise group compared with 9.86 ± 2.66 days in usual care (mean difference, 2.03 days; 95 % confidence interval (CI), -3.47 to -0.60 days; p = 0.005) in per-protocol analysis. The mean time to flatus was 52.18 ± 21.55 h in the exercise group compared with 71.86 ± 29.2 h in the usual care group (mean difference, 19.69 h; 95 % CI, -38.33 to -1.04 h; p = 0.036). CONCLUSIONS: Low-to-moderate-intensity postsurgical exercise reduces length of hospital stay and improves bowel motility after colectomy procedure in patients with stages I-III colon cancer.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/86703
DOI
10.1007/s00384-013-1665-1
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Family Medicine
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
1. 연구논문 > 3. College of Nursing > Dept. of Nursing Environment Systems
Yonsei Authors
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Link
 http://link.springer.com/article/10.1007%2Fs00384-013-1665-1
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