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Title: Cost-effectiveness of a technology-supported multimodal prehabilitation program in moderate-to-high risk patients undergoing lung cancer resection: randomized controlled trial protocol
Author: Barberán García, Anael
Navarro Ripoll, Ricard
Sánchez Lorente, David
Moisés Lafuente, Jorge
Boada, Marc
Messaggi Sartor, Monique
González Vallespí, Laura
Montane Muntane, Mar
Alsina Restoy, Xavier
Campero, Betina
López Baamonde, Manuel
Romano Andrioni, Bárbara
Guzmán, Rudith
López, Antonio
Arguis, María José
Roca Torrent, Josep
Martínez Palli, Graciela
Keywords: Condició física
Hàbit de fumar
Teràpia cognitiva
Physical fitness
Cognitive therapy
Issue Date: 12-Mar-2020
Publisher: BioMed Central
Abstract: Background: Multimodal prehabilitation is a preoperative intervention with the objective to enhance cancer patients' functional status which has been showed to reduce both postoperative morbidity and hospital length of stay in digestive oncologic surgery. However, in lung cancer surgery patients further studies with higher methodological quality are needed to clarify the benefits of prehabilitation. The main aim of the current protocol is to evaluate the cost-effectiveness of a multimodal prehabilitation program supported by information and communication technologies in moderate-to-high risk lung cancer patients undergoing thoracic surgery. Methods: A Quadruple Aim approach will be adopted, assessing the prehabilitation program at the following levels: i) Patients' and professionals' experience outcomes (by means of standardized questionnaires, focus groups and structured interviews); ii) Population health-based outcomes (e.g. hospital length of stay, number and severity of postoperative complications, peak oxygen uptake and levels of systemic inflammation); and, iii) Healthcare costs. Discussion: This study protocol should contribute not only to increase the scientific basis on prehabilitation but also to detect the main factors modulating service adoption. Trial registration: NCT04052100 (August 9, 2019).
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It is part of: BMC Health Services Research, 2020, vol. 20, num. 1, p. 207
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ISSN: 1472-6963
Appears in Collections:Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
Articles publicats en revistes (Medicina)

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