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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, 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 Smoking 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). |
Note: | Reproducció del document publicat a: https://doi.org/10.1186/s12913-020-05078-9 |
It is part of: | BMC Health Services Research, 2020, vol. 20, num. 1, p. 207 |
URI: | http://hdl.handle.net/2445/177051 |
Related resource: | https://doi.org/10.1186/s12913-020-05078-9 |
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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