ArticleJournal of cardiothoracic surgery2019
Fit 4 surgery, a bespoke app with biofeedback delivers rehabilitation at home before and after elective lung resection.
Article in Journal of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Effectiveness and Feasibility of Digital Pulmonary Rehabilitation in Patients Undergoing Lung Cancer Surgery: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2024Pooled it
- Supportive eHealth Technologies and Their Effects on Physical Functioning and Quality of Life for People With Lung Cancer: Systematic Review.Journal of medical Internet research · 2024Pooled it
- The use of technology in cancer prehabilitation: a systematic review.Frontiers in oncology · 2024Pooled it
- Implementing a telehealth prehabilitation education session for patients preparing for major cancer surgery.BMC health services research · 2021Trial
- Effects of a functional training prehabilitation program supported by the Prehab® App on functional capacity in preoperative oncological patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- The feasibility of implementing and evaluating individualised digital prehabilitation prior to major elective surgery in adults aged ≥ 50 years: the PreActiv intervention.Perioperative medicine (London, England) · 2026Article
- Effectiveness of introducing a health care application for prehabilitation in patients undergoing major hepatobiliary-pancreatic surgery: a pilot study.Surgery today · 2026Article
- Design and implementation of mHealth applications for older people with cancer: A scoping review.Asia-Pacific journal of oncology nursing · 2025Review
- mHealth technologies in research studying cardiovascular health in cancer: A systematic review.PLOS digital health · 2025Article
- Implementation of a preoperative exercise programme in lung cancer resection: protocol for a mixed-methods study.BMJ open · 2025Article
- Predictive relationship in perioperative symptoms and step count for lung cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- [App-based prehabilitation: implementation and adherence].Chirurgie (Heidelberg, Germany) · 2025Review
- Validity, Accuracy, and Safety Assessment of an Aerobic Interval Training Using an App-Based Prehabilitation Program (PROTEGO MAXIMA Trial) Before Major Surgery: Prospective, Interventional Pilot Study.JMIR mHealth and uHealth · 2025Article
- Current Implementation of Digital Health in Chronic Disease Management: Scoping Review.Journal of medical Internet research · 2024Article
- Consumer Perspectives on the Adoption of a Prehabilitation Multimodal Online Program for Patients Undergoing Cancer Surgery.Cancers · 2023Article
- Stories for a sustainable healthcare future: the perspectives of healthcare IoT technologies in surgical oncology.Journal of medicine and life · 2023Review
- M-Health in lung cancer: A literature review.SAGE open medicine · 2023Review
- ERS International Congress 2021: highlights from the Thoracic Surgery and Lung Transplantation Assembly.ERJ open research · 2022Article
- Evidence on technology-driven preoperative exercise interventions: are we there yet?British journal of anaesthesia · 2020Article
- Prehabilitation in lung cancer resection-are we any closer to the ideal program?Journal of thoracic disease · 2020Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundPulmonary rehabilitation programme for lung surgery patients can reduce the risk of post-operative complications but compliance to programmes can be limited by access to health care. We developed a home-based rehabilitation app and tested its feasibility in patients undergoing lung resection surgery.
methodsA cohort study was conducted over 18 months at a regional thoracic unit. The Fit 4 Surgery app included ten exercises. Patients were instructed to exercise for at least three minutes for each exercise. Data was transmitted back to the researchers remotely. Data was also collected from a contemporaneous group of surgery patients who attended local outpatient-based Chronic Obstructive Pulmonary Disease rehabilitation classes. Quality of Life and outcomes data in the app group were collected. Patients were also interviewed about their experience of the app.
resultsApp patients had a shorter wait before surgery compared to patients attending rehabilitation classes (24 vs 45 days) but managed four times as many sessions (2 vs 9), improving incremental shuttle walk test distance by 99 ± 83 (p < 0.05) metres before surgery. Five themes were gathered from the interviews.
conclusionAn app based programme of rehabilitation can be delivered in a timely fashion to lung surgery patients with demonstrable physiological benefits; this will need to be confirmed in further clinical trials. CLINICAL TRIAL REGISTRATION NUMBER: ISRCTN00061628. Registered 27 May 2011.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.