Supplementary table i: Study characteristics Study ID Participamts Intervention(s) Usual care Outcomes assessed Quality score Prostate cancer Burgio 2006 [21] Prostate cancer (awaiting radical prostatectomy ) N=63 (N=51 at final follow-up; reasons for loss to follow-up not reported) Definition: Pelvic floor muscle training (PFMT) and biofeedback Initiation: Pre-surgery Content: One session of biofeedback with PFMT N=62 (N=51at final follow-up; reasons for loss to follow-up not reported) Brief verbal instructions at postoperative visit Post-intervention Seven-day bladder diary Use of incontinence pads Time to continence Six-week, three- and six-month follow-up Bladder control Lifestyle issues Health High risk of bias
28
Embed
11764_2017_645_MOESM4_ESM.docx10.1007... · Web viewDaily pelvic floor exercises (45 exercises, 3 sessions to build up gradually to 10 sessions) N=62 (N=51at final follow-up; reasons
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Supplementary table i: Study characteristics
Study ID Participamts Intervention(s) Usual care Outcomes assessed Quality scoreProstate cancerBurgio 2006 [21] Prostate cancer
(awaiting radical prostatectomy)
N=63(N=51 at final follow-up; reasons for loss to follow-up not reported)
Definition:Pelvic floor muscle training (PFMT) and biofeedback
Initiation:Pre-surgery
Content: One session of
biofeedback with PFMT
Daily pelvic floor exercises (45 exercises, 3 sessions to build up gradually to 10 sessions)
N=62(N=51at final follow-up; reasons for loss to follow-up not reported)
Brief verbal instructions at postoperative visit
Post-intervention Seven-day
bladder diary Use of
incontinence pads Time to
continence
Six-week, three- and six-month follow-up
Bladder control Lifestyle issues Health status Distress Incontinence
impact
High risk of bias
Centemero 2010 [28]
Prostate cancer (awaiting radical prostatectomy)
N=59(no losses to follow-up)
N=59(no losses to follow-up)
One- and three-months post-surgery
Self-reported
Low risk of bias
Definition:PFMT
Initiation:30-days pre-surgery
Content: PFMT exercises, visual
biofeedback and verbal instruction and reinforcement.
Twice supervised per week (30minutes) and daily at home (30minutes) for 48-hours after catheter removal until continence was achieved.
PFMT to be undertaken post-operatively as part of standard care
continence. Degree of urinary
incontinence Satisfaction with
preoperative PFMT
Parekh 2003 [16] Prostate cancer (awaiting radical prostatectomy)
N=19(n=1 loss to follow-up, no reason reported)
Definition:PFMT
Initiation:Pre-surgery
N=19 enrolled(N=1 loss to follow-up, no reason reported)
Usual care
Six-, 12-, 16-, 20-, 28- and 52-weeks post-operation
Urinary continence
Frequency of daily pad use.
Median time to continence
High risk of bias
Content: Physical therapy and
pelvic floor muscle training.
Education in pelvic floor muscle awareness.
Two sessions prior to surgery
Every three-weeks post-surgery up to three-months
Up to six-months or more at home post-surgery
Parker 2009 [13] Prostate cancer patients (awaiting radical prostatectomy)
Group 1: Stress Management
N=53 enrolled(n=38 at final follow-up; reasons for loss to follow-up reported)
Initiation:One to two weeks prior to surgery
Content:
N=52 enrolled(N=44 available at follow-up; reasons for loss to follow-up reported)
Usual care
One-week pre-surgery, morning of surgery. six-weeks, six- and 12-months post-surgery
Mood disturbance
One-week pre-surgery, six-weeks, six- and 12-months post-surgery
Impact of events
Six-weeks, six- and 12-
High risk of bias
Guided manual Two 60-90minute
individual sessions with a clinical psychologist.
Training in relaxation and problem-focused coping skills.
Information about prostate cancer, surgery and management of effects.
Two booster sessions
Group 2: Supportive attention
N=54 enrolled(N=45 available at follow-up; reasons for loss to follow-up reported)
Initiation:One to two weeks prior to surgery
Content: Two 60-90minute
sessions with a clinical psychologist who
months post-surgery Quality of life
undertook a detailed psychosocial and medical history with participants.
Two booster sessionsTienforti 2011 [19] Patients with
localised prostate cancer awaiting radical prostatectomy
N=17 enrolled(n=16 available at follow-up, reasons for follow-up reported)
Definition:PFMT
Initiation:One-day pre-surgery
Content: One supervised PFMT
and biofeedback session with a dedicated caregiver
Written and oral instructions on PF muscle contractions
Structured programme of exercises
N=17 enrolled(N=16 available at follow-up, reasons for drop-out reported)
Standard care- verbal and written instruction on PFMT after catheter removal
IV group assessed at each monthly visit post-catheter removal and controls at one-, three- and six-months post-catheter removal
Urinary function/symptoms
Impact of continence
Six-months post-catheter removal
Frequency of incontinence episodes per week
Weekly pad use
Moderate risk of bias
Cohen 2011 [14] Prostate cancer patients (awaiting radical
Same as Parker 2009 [13] Same as Parker 2009 [13]
48hours post-surgery Immunological
markers
High risk of bias
prostatectomy)Lung cancerBenzo 2011a [12] Lung cancer
(resectable) and moderate/severe COPD
N=5(No losses to follow-up)
Definition:Pulmonary rehabilitation
Initiation:Pre-surgery
Content: Exercise guidelines
according to American Thoracic Society
Four weeks, three times per week (two supervised; one unsupervised)
N=4(no losses to follow-up)
Usual care
Hospital length of stay
Post-operative pulmonary complications
Severe atelectasis Prolonged chest
intubation Prolonged
mechanical ventilation
High risk of bias
Benzo 2011b [12] Lung cancer (resectable) and moderate/severe COPD
N=10(1 loss to follow-up, person found to be non-resectable during surgery)
Definition:Pulmonary rehabilitation
N=9(1 loss to follow-up, person found to be non-resectable during surgery)
Usual care
Hospital length of stay
Post-operative pulmonary complications Severe atelectasis
Prolonged chest tubes
High risk of bias
Initiation:Pre-surgery
Content: Lower extremity
endurance exercises, strength exercises
IMT, slow breathing and walking
Five days Ten face to face
sessions, two dailyLai 2016 [17] Non-small cell lung
cancer (awaiting surgery)
N= 30(4 lost to follow-up, reasons include not able to undertake endurance training)
Definition:Exercise-based prehabilitation
Initiation:Pre-surgery
Content : Two daily 15-20
minute sessions of abdominal breathing
Three daily 15-20
N=30(no losses to follow-up)
Usual care
30-day post-operative pulmonary complications
Quality of life and patient symptoms
Functional ability Pulmonary
function
High risk of bias
minute sessions of expiration exercise
One daily 30-minute session of aerobic endurance training.
Licker (2016) [18] Lung cancer stage I-IIIa (awaiting surgery)
N=83 enrolled(losses to follow-up withdrawal n=3 and operation cancelled n=3)
Definition: Exercise- High Intensity Interval TrainingInitiation: time pre-surgery not specifiedContent: Supervised cycling ergometer sessions. Five-minute warm-up at 50% peak work rate. Two 10 minute sets alternate 15-seconds intervals of sprint at 80-100% peak work rate and pause. Four-minute rest period between sets. Five-minute cool-down at 30% peak work rate. Individualised additional exercises added. Risk management and active mobilisation (30-minute daily
N=81(losses to follow-up withdrawal n=5 and operation cancelled n=2)
Risk management and active mobilisation (30-minute daily walking) advised.
Composite morbidity score
Cardiopulmonary function
Post-operative pulmonary complications
Functional ability Length of stay in
post-anaesthetic care unit
Admission to intensive care unit
High risk of bias
walking) advised.Duration: Supervised cycling ergometer sessions 2-3 times per week pre-surgery only.
Pehlivan 2011 [22] Operable lung cancer (stages Ia-IIIb) without major cardiac morbidity
N=30(no losses to follow-up)
Definition:Intensive physical therapy
Initiation:One-week prior to surgery
Content: Breathing exercises Walking on a treadmill
three-times a day and encouraged to walk other times of the day.