Integrated cancer preparation: Prohesiabilitation before op shows feasibility
Integrated cancer preparation: Prohesiabilitation before op shows feasibility
Dealing with cancer is not only physically, but also emotionally a great burden. The phase before surgery is particularly challenging if patients have already received chemotherapy or radiation therapy. These treatments can significantly affect the quality of life. In such cases, the concept of "prehemilitation" can help. It is about preparing the body and spirit of the patients as best as possible for the upcoming operation and reducing possible postoperative complications. In addition, the prehistory is the opportunity to support patients in this critical phase in adapting their lifestyle.
In a current study, the feasibility of such a prehistration program was examined in an integrative medical daily clinic setting (Prime DC) at a large university clinic. The aim of the investigation was to determine whether 80 % of the participating patients are ready and able to take part in at least six out of eight weekly meetings, each lasting 6.5 hours. The study focuses on cancer patients that need a neoadjuvant (preparatory) treatment, especially for tumors in the abdomen or breast cancer.
The program includes various components: mind body medicine, movement therapy, nutritional therapy, naturopathic advice and the use of a yarrow liver wrap. The main goal of the study is the presence of the patients during the sessions, while the secondary goals include physical reviews, quality of life and the treatment of side effects.
| breast cancer | 18 |
| other tumors | 5 |
The results obtained by February 2023 show that the majority of the patients take part in the program and that it is an integrative approach that combines prehistory and lifestyle modification. These protocols open up new perspectives for the treatment of cancer patients and could help in the future to improve the quality of life and treatment results.
Explanation of the terms:
- neoadjuvant treatment: A therapy that takes place before the main treatment (such as an operation) to reduce the tumor or to improve the chances of recovery.
- Prähabilitation: A concept in which body and mind are prepared for upcoming medical treatment, such as surgery.
- Mind body medicine: A form of therapy that uses the connection between mind and body to promote health.
- SHASSGARBON LERBLURELEL: A naturopathic application in which a wrap with the Heiknkplant is used for the liver.
abbreviations:
- Prime-DC: Program of the prehistory dilitation in an integrated medical day clinic
- Drks: German Register of Clinical Studies
- irrid: International Registered Report Identifier
feasibility of the preaching in cancer patients before operations
The study examines the feasibility of an integrative multimodal prhabilitation program (Prime DC) for cancer patients at a large university clinic. The hypothesis is that such a program can reduce the postoperative burden and improve the clinical result.
study background and concentration points
cancer patients undergoing a neoadjuvant treatment experience significant burdens from chemotherapy and radiation therapy as well as the upcoming operation. The study aims to prepare these patients through a holistic preaching program that combines various approaches such as mind body medicine, movement therapy, nutritional counseling and naturopathic therapy.
methodology
- participant: adult cancer patients with primary tumors in the abdomen or in the chest that need neoadjuvant oncological treatment.
- Intervention: Prime DC includes a combination of mind body intervention, movement therapy, nutritional counseling, use of yarrow fuels and naturopathic advice.
- primary endpoints: adherence to the day clinic program, defined as a presence in at least 6 out of 8 weekly meetings.
- Secondary endpoints: physical assessment, quality of life and neoadjuvant treatment -associated side effects.
- Qualitative data: semi -structured interviews on the components of the program after completion.
results
So far, 23 patients have been included in the study protocol, with breast cancer being the dominant disease (18 patients). The feasibility of the program is measured by whether 80 % of the patients successfully complete at least 6 of the 8 planned meetings.protocol closures
The protocol shows the feasibility of an integrative preaching approach that not only aims at physical preparation, but also includes lifestyle changes and naturopathic therapies. The aim is to address the patient's need for the critical preoperative phase and thereby reduce postoperative complications.
| breast cancer | 18 |
| abdominal cancer | 5 |
The study shows that a multimodal approach in the preoperative phase is possible for cancer patients and is promising. Further investigations are required to evaluate the long -term effects of this program on postoperative results and quality of life.
Further information on research can be found at the following link: https://pubmed.nlm.nih.gov/37851493 .