Physical and Quality of Life Changes in Elderly Patients after Laparoscopic Surgery for Colorectal Cancer—A Prospective Cohort Study

Rochelle Mey, José Casaña (), Óscar Díaz-Cambronero, Luis Suso-Martí, Ferran Cuenca-Martínez, Guido Mazzinari, Rubén López-Bueno, Lars L. Andersen, Laura López-Bueno (), Francisco Selva-Sarzo and Joaquín Calatayud
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Rochelle Mey: Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
José Casaña: Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
Óscar Díaz-Cambronero: Department Anesthesiology, Hospital Universitari i Politécnic la Fe, 46010 Valencia, Spain
Luis Suso-Martí: Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
Ferran Cuenca-Martínez: Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
Guido Mazzinari: Department Anesthesiology, Hospital Universitari i Politécnic la Fe, 46010 Valencia, Spain
Rubén López-Bueno: National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
Lars L. Andersen: National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
Laura López-Bueno: Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
Francisco Selva-Sarzo: Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
Joaquín Calatayud: Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain

IJERPH, 2022, vol. 19, issue 22, 1-10

Abstract: Background—The incidence of colorectal cancer is increasing among elderly people, where postoperative complications are frequent. Methods—We evaluated postoperative physical and quality of life changes in elderly patients undergoing laparoscopic surgery for colorectal cancer. A prospective cohort study was performed in 31 colorectal cancer patients ≥60 years who were scheduled for laparoscopic surgery due to colorectal cancer. Outcomes were measured one month preoperative (T1), three days postoperative (T2) and one month postoperative (T3). Results—The largest early postoperative (from T1 to T2) declines were observed for isometric knee extension strength (33.1%), 30 s Chair Stand Test (27.9%) and handgrip strength (16.9%). Significant reductions in quality of life measured with the QLQ-C30 summary score and the EQ 5D index score were found between T1–T3 and T1–T2, respectively. Conclusions—A decline in isometric knee extension strength, 30 s Chair Stand Test, handgrip strength and quality of life is evident in elderly patients in the days following laparoscopic surgery for colorectal cancer. Preoperative values are recovered one month after surgery for all the outcomes, except for isometric knee extension, which should receive especial attention.

Keywords: physical fitness; handgrip; lower limb isometric strength; cancer; laparoscopic surgery (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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