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Master Thesis

Barriers to the completion of a home-based rehabilitation program in patients awaiting lung resection surgery for lung cancer: a prospective observational multicenter study

Abstract : Our aims were to identify the determinants associated with the non-completion of H-RP and the factors associated with 30-days postoperative events for patients awaiting thoracic surgery for non small cell lung cancer (NSCLC). Methods: Patients with proven or suspected NSCLC were involved prior to surgery in an H-RP containing four components : i) a minimum of three ergocycle sessions/week; ii) one physiotherapy session/week; iii) initiation of smoking cessation; iv)nutritional support. The H-RP was defined "completed" when the four components were performed. Results: Out of 50 patients included, 42 were finally operated (80% men, median age 69(IQR 25%-75% 60-74) years; 64% COPD; 29% type-2 diabetes). 20 patients (48%) completed 100% of the program. In univariate analysis, BMI>26.5 kg/m2, diabetes, polymedication (≥ 5 drugs), living alone and a long delay in starting H-RP were associated with the risk of non-completion. In multivariate analysis, polymedication (OR=12.2 95% CI: 2.0;74.2), living alone (single vs couple OR=21.5 95%CI: 1.4;324.4) and a long delay in starting H-RP (OR=6.24 95%CI: 1.1;36.6) were independantly associated with the risk of non-completion. H-RP non completion, diabetes, polymedication, social precariousness and female gender were associated with events at 30 days. Conclusion: Facing multiples morbidities and living alone increases the risk of not completing H-RP.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02533738
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Submitted on : Tuesday, April 7, 2020 - 3:39:26 PM
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Héloïse Catho. Barriers to the completion of a home-based rehabilitation program in patients awaiting lung resection surgery for lung cancer: a prospective observational multicenter study. Human health and pathology. 2020. ⟨dumas-02533738⟩

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