Our Summary

The research paper examines the link between physical performance and long-term outcomes in older adults who have undergone cancer surgery. The study uses a simple tool called the Timed Up and Go test (TUG) to measure physical performance. The test involves timing how long it takes someone to stand up from a chair, walk a short distance, and then return to the chair. If it takes 12 seconds or more, the person’s physical performance is considered impaired.

The research included 528 patients, aged 65 years and above, who were having surgery for solid tumors. Nearly a quarter of these patients had an impaired TUG score. The study found that those with an impaired TUG score were more likely to die within five years of their surgery. However, the TUG score did not significantly predict who would have major complications within 30 days of surgery.

The researchers suggest that if ways can be found to improve the TUG scores of patients before surgery, it might help to improve their long-term survival rates. But more research is needed to explore this possibility.

FAQs

  1. What is the Timed Up and Go test (TUG) and how is it used in this study?
  2. Did the study find a significant correlation between impaired TUG scores and major complications within 30 days of surgery?
  3. How might improving a patient’s TUG score before surgery potentially affect their long-term survival rates?

Doctor’s Tip

A doctor may tell a patient undergoing oncologic surgery to focus on improving their physical performance, as measured by the Timed Up and Go test (TUG), to potentially improve their long-term outcomes and survival rates. They may recommend exercises or physical therapy to help improve mobility and strength before the surgery. It is important to consult with healthcare professionals for personalized advice and guidance.

Suitable For

Patients who are typically recommended oncologic surgery include those with solid tumors who are deemed to be fit for surgery based on their overall health status and ability to tolerate the procedure. In this study, the focus was on older adults aged 65 and above, but recommendations for surgery can vary based on individual factors such as the type and stage of cancer, overall health, and treatment goals.

Patients who may benefit from oncologic surgery include those with localized or early-stage cancers that are potentially curable with surgery, as well as those with advanced cancers who may benefit from surgery as part of a multimodal treatment approach. It is important for patients to discuss the risks and benefits of surgery with their healthcare team to determine if surgery is the best treatment option for their specific situation.

Timeline

Before oncologic surgery, a patient typically undergoes a series of pre-operative tests and consultations to assess their overall health and suitability for surgery. This may include blood tests, imaging scans, and discussions with the surgical team about the procedure and potential risks.

After surgery, the patient will typically spend time in the hospital recovering and receiving post-operative care. This may involve pain management, physical therapy, and monitoring for any complications. The length of hospital stay will depend on the type of surgery and the individual patient’s recovery progress.

Once discharged from the hospital, the patient will continue to recover at home, following a care plan provided by their healthcare team. This may include medication management, wound care, and instructions for gradually increasing physical activity.

Follow-up appointments will be scheduled to monitor the patient’s progress and address any concerns or complications that may arise. Depending on the type of cancer and surgery, the patient may also undergo additional treatments such as chemotherapy or radiation therapy as part of their cancer care plan.

Overall, the timeline before and after oncologic surgery involves a comprehensive evaluation of the patient’s health, surgical intervention, post-operative care, and follow-up monitoring to ensure the best possible outcomes for the patient’s cancer treatment and recovery.

What to Ask Your Doctor

  1. How will this surgery affect my physical performance and mobility?

  2. What can I do to improve my physical performance before surgery?

  3. How will my physical performance impact my long-term outcomes and survival rates?

  4. Are there specific exercises or physical therapy programs that can help improve my physical performance before and after surgery?

  5. What are the potential risks and complications associated with oncologic surgery in older adults?

  6. How can I best prepare for surgery to minimize complications and improve my overall outcomes?

  7. What is the recovery process like after oncologic surgery, and how can I ensure a smooth recovery?

  8. Are there any specific lifestyle changes or modifications I should make to improve my physical performance and overall outcomes after surgery?

  9. What support systems or resources are available to help me maintain or improve my physical performance during and after surgery?

  10. Are there any specific follow-up appointments or tests that will be important for monitoring my physical performance and overall health after surgery?

Reference

Authors: Hendriks S, Huisman MG, Ghignone F, Vigano A, de Liguori Carino N, Farinella E, Girocchi R, Audisio RA, van Munster B, de Bock GH, van Leeuwen BL. Journal: BMC Geriatr. 2022 Dec 5;22(1):934. doi: 10.1186/s12877-022-03585-4. PMID: 36464696