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P. Mikkelsen
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P2.07 - Poster Session with Presenters Present (ID 468)
- Event: WCLC 2016
- Type: Poster Presenters Present
- Track: Nurses
- Presentations: 1
- Moderators:
- Coordinates: 12/06/2016, 14:30 - 15:45, Hall B (Poster Area)
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P2.07-009 - Lung Function after Pulmonary Resection in Lung Cancer (ID 6105)
14:30 - 14:30 | Author(s): P. Mikkelsen
- Abstract
Background:
Surgical resection for lung cancer reduces the pulmonary capacity relative to the extent of the resection. The forced expiratory volume in the first second (FEV1) correlates significant to the experience of dyspnoea and lung function by the patient. In this study we analysed changes in FEV1 over time after lung surgery to investigate if standard rehabilitation has an effect on lung function. Furthermore we analysed the effect of physical exercise using the 6 minute walk test (6MWT) before and after a standardized physical exercise program.
Methods:
FEV1 is measured in 225 pulmonary resections (175 lobectomies, 31 pneumonectomies, 17 resections and 2 explorative thoracotomies) performed in a single surgical unit. FEV1 is measured before surgery and after 1, 2, 6 and 12 months. All patients are alive after 1 year. Patients were treated in accordance with national guidelines and 131 patients received oncologic treatment during the first year after surgery. Patients were postoperatively offered to join a physical lung rehabilitation program starting 3 to 6 weeks after surgery twice a week for 4 – 10 weeks.
Results:
Figure 1. First year postoperative change in FEV1 Figure 1 Median distance traveled after 6 minutes was 484 meters before the exercise program and 557 meters after. Change is significant; P= 0,0001, paired T test). A significant reduction in FEV1 before and one month after surgery was observed, but between one month and one year after surgery no significant change was observed.
Conclusion:
As expected FEV1 declines after pulmonary resection for lung cancer. Physical exercise in a standardized rehabilitation program has a positive effect on the short term physical capability of the patient, but this effect is not reflected in the long term lung function test. Short intensive physical exercise after pulmonary resection in lung cancer will have an effect but sustained effects calls for fundamental and persistent efforts.
