Evidence map›Paper›PMID 39298020›Full record

ArticleAnnals of surgical oncology2025

The Optimal Time of High-Intensity Pre-rehabilitation for Surgical Lung Cancer Patients: A Retrospective Cohort Study with 4452 Patients.

Yutian Lai, Yingxian Dong, Long Tian, Hongjun Li, Xinyi Ye, Guowei Che

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Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yutian Lai *Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Yingxian Dong *Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Long TianDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Hongjun LiWest China Hospital of Medicine, Sichuan University, Chengdu, People's Republic of China.
Xinyi YeDepartment of Endoscopy Center, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Guowei CheDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, People's Republic of China. cheguoweixw@126.com.

Funding

the Science Foundation project in Sichuan Province 2021JDKP0046the Science Foundation project in Sichuan Province 2021YFQ0029
6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the influence of the time of pre-rehabilitation (PR) combined with respiratory training and aerobic exercise on surgical patients with lung cancer. PATIENTS AND

methodsA retrospective study from a 5-year database of a single center, including patients with lung cancer who underwent surgery between 1 January 2016 and 31 December 2020, was conducted. The patients were divided into the PR group, in which they received the PR regimen, and the non-PR group, in which they received routine care.

resultsA total of 4452 patients were retrospectively included, 684 of whom received PR regimen. A lower postoperative pulmonary complication (PPC) rate was observed in PR group than in non-PR group before or after propensity score matching (PSM) (before: 12.6% vs 18.5%, P < 0.001; after: 12.6% vs 18.7%, P < 0.001). For the PR group, a restricted cubic spline model revealed a significant nonlinear dose‒response association between PR time and the occurrence of PPCs (P for nonlinearity = 0.002). The PR time associated with the lowest occurrence of PPCs was 7 days, and the odds ratio (OR) of PPCs decreased steeply, with an OR of 0.8 [95% confidence interval (CI) 0.66-0.97] per day until 7 days, and then remained stable with a slight increase afterward with an OR of 1.11 (95% CI 0.99-1.25) per day.

conclusionThe study validated the effectiveness of a pre-rehabilitation regimen for decreasing the occurrence of PPCs. A U-shaped nonlinear relationship was found between pre-rehabilitation time and the PPC rate, indicating that both excessive and insufficient pre-rehabilitation time may increase the incidence of PPCs. Registry Number: ChiCTR1800020097.

Indexed as

Lung NeoplasmsPostoperative ComplicationsAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPneumonectomyPreoperative ExercisePrognosisRetrospective StudiesTime FactorsLung cancerPostoperative pulmonary complicationPre-rehabilitationSurgery

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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.