Evidence map›Paper›PMID 31489810›Full record

ArticleEuropean journal of physical and rehabilitation medicine2020

Preoperative respiratory muscle endurance training improves ventilatory capacity and prevents pulmonary postoperative complications after lung surgery.

Hélène Laurent, Sylvie Aubreton, Géraud Galvaing, Bruno Pereira, Patrick Merle, Ruddy Richard, Frédéric Costes, Marc Filaire

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In one paragraph

Article in European journal of physical and rehabilitation medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 11 pooled it
5.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 11 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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  7. Preoperative exercise training for people with non-small cell lung cancer.The Cochrane database of systematic reviews · 2022
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  12. Effectiveness of message framing on pulmonary rehabilitation behavior for lung cancer surgery patients: Randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Hélène LaurentClermont Auvergne University, Clermont-Ferrand, France - hlaurent@chu-clermontferrand.fr.
Sylvie AubretonDepartment of Physical Medicine and Rehabilitation, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Géraud GalvaingDepartment of Thoracic and Endocrinological Surgery, Center Jean Perrin, Clermont-Ferrand, France.
Bruno PereiraCHU Clermont-Ferrand, Délégation à la Recherche Clinique et à l'Innovation (DRCI), Clermont-Ferrand, France.
Patrick MerleDepartment of Pneumology, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Ruddy RichardClermont Auvergne University, Clermont-Ferrand, France.
Frédéric CostesClermont Auvergne University, Clermont-Ferrand, France.
Marc FilaireClermont Auvergne University, Clermont-Ferrand, France.
Université Clermont Auvergne · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Jean Perrin · FRUnité de Nutrition Humaine · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResection surgery is the main treatment for non-small cell lung cancer (NSCLC). Postoperative complications and mortality are mostly linked to respiratory failure consecutive to respiratory muscle overload.

aimWe aimed to evaluate the effect of preoperative respiratory muscle endurance training (RMET) on respiratory muscle capacity and postoperative complications in patients undergoing NSCLC resection.

designRandomized controlled trial.

settingFrench university hospital. POPULATION: Patients eligible for NSCLC resection.

methodsThe training group (T group) performed a 3-week preoperative RMET added to usual chest physical therapy while the control group (C group) had only the latter. The primary outcome was the change in respiratory muscle endurance. Secondary outcomes were postoperative complications and mortality. Assessments were performed similarly at baseline and after the intervention. We conducted multivariable analyses with analysis of covariance (ANCOVA) taking into account baseline values for isocapnic hyperpnoea endurance test, exercise capacity and pulmonary function tests. The number of pulmonary postoperative complication was analyzed by Fisher-exact test.

resultsWe included 26 patients with NSCLC (14 in the T group and 12 in the C group). Respiratory muscle endurance significantly increased in the T group after the RMET compared with C group (+229±199 vs. -5±371 sec, P=0.001). This increase was associated with a significantly lower number of pulmonary postoperative complications (2 vs. 10, P=0.037).

conclusionsPreoperative RMET improved respiratory muscle endurance and decreased pulmonary postoperative complications after surgery for NSCLC. These positive results obtained after RMET may help improve the perioperative course for such patients. These results should be confirmed in larger randomized controlled trials, including higher number of patients especially with altered respiratory muscle function. CLINICAL REHABILITATION IMPACT: Low-cost and easy to perform, RMET training could serve as complementary tool to usual chest physical therapy, before lung resection surgery.

Indexed as

AdultAgedBreathing ExercisesCarcinoma, Non-Small-Cell LungEndurance TrainingFemaleHumansLung NeoplasmsMaleMiddle AgedPostoperative ComplicationsPreoperative PeriodRespiratory Function Tests

Identifiers

PMID31489810
OpenAlexW2988464658

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.