Preoperative physical activity and functional performance levels are predictors of acute postoperative outcomes in a private South African colorectal cancer cohort

South African Journal of Physiotherapy


 
 
Field Value
 
Title Preoperative physical activity and functional performance levels are predictors of acute postoperative outcomes in a private South African colorectal cancer cohort
 
Creator Whelan, Megan van Aswegen, Heleen Roos, Ronel Fabian, June Bebington, Brendan
 
Subject Physiotherapy physical activity; functional performance; colorectal cancer; predictors; postoperative outcomes
Description Background: For patients with colorectal cancer, surgical resection of the primary tumour remains the best treatment option. Surgery for colorectal cancer is being performed on patients who would previously not have been considered as suitable candidates. It remains to be seen which factors influence hospital length of stay (LOS) and the development of acute postoperative complications in South African patients.Objectives: The objectives of our study were to determine the modifiable factors that influence patients’ development of postoperative complications and hospital LOS and, to identify the types of postoperative complications that develop.Method: A retrospective review and secondary analysis of information in an existing database of patients with colorectal cancer were conducted. Regression analysis statistics were used to determine the predictors of postoperative outcomes. The level of significance at which testing was performed was set at 5% (p ≤ 0.05).Results: Data of 125 patients were included. Surgical site infections and postoperative paralytic ileus were the most frequently reported postoperative complications. Preoperative vigorous-intensity physical activity (p = 0.048, β = -0.000) and functional performance status (p = 0.05, β = 0.926) significantly predicted hospital LOS and the incidence of postoperative complications, respectively.Conclusion: Preoperative physical activity and functional performance levels are predictors of acute postoperative outcomes in a private South African cohort of patients with colorectal cancer. Future research which includes other modifiable factors is required to make informed suggestions for changes in clinical practice.Clinical implications: Patients requiring surgery for colorectal cancer should be screened for signs of physical deconditioning and referred for physiotherapy intervention before elective surgery to optimise their recovery.
 
Publisher AOSIS
 
Contributor Wits/SAMRC Common Epithelial Cancer Research Centre (CECRC) Grant The South African Society of Physiotherapy Research Foundation, Wits Donald Gordon Medical Centre
Date 2021-03-08
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Retrospective database review and secondary analysis
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v77i1.1526
 
Source South African Journal of Physiotherapy; Vol 77, No 1 (2021); 9 pages 2410-8219 0379-6175
 
Language eng
 
Relation https://sajp.co.za/index.php/sajp/article/view/1526/2349 https://sajp.co.za/index.php/sajp/article/view/1526/2348 https://sajp.co.za/index.php/sajp/article/view/1526/2350 https://sajp.co.za/index.php/sajp/article/view/1526/2347
 
Coverage Africa; South Africa; Gauteng; Johannesburg January 2016-June 2018 Adults; Male and female; Colorectal cancer diagnosis
Rights Copyright (c) 2021 Megan Whelan, Heleen van Aswegen, Ronel Roos, June Fabian, Brendan Bebington https://creativecommons.org/licenses/by/4.0