Evidence map›Paper›PMID 42303312›Full record

Trial reportBMJ open respiratory research2026

Fissios and postoperative complications (FPoC trial): a multicentre, randomised, controlled clinical trial.

Carlos Alfredo Fraile Olivero, Lidia Sotillo Valenzuela, Verónica Albarrán Vidal, José Gabriel Barceló Cal, Verónica Alen Villamayor, Florentino Hernando Trancho, Elena Fernández Martín, Joaquín Calatayud Gastardi, Ana María Gómez Martínez, Pedro Daniel Arribas Manzanal and 9 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in BMJ open respiratory research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06732193 (Clinical Trial Comparing a Face-to-face Perioperative Respiratory Physiotherapy Program Versus the Use of Fissios App© as a Complement to a Respiratory Physiotherapy Program in Patients Diagnosed With NSCLC Undergoing Surgery.), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

NCT06732193 narecruitingnot on this map

Clinical Trial Comparing a Face-to-face Perioperative Respiratory Physiotherapy Program Versus the Use of Fissios App© as a Complement to a Respiratory Physiotherapy Program in Patients Diagnosed With NSCLC Undergoing Surgery.

TypeinterventionalSponsorCarlos Alfredo Fraile Olivero, MD, PhD.Ran2025 to 2026Enrolled560ConditionsSurgical Procedure, Unspecified, Non Small Cell Lung Cancer, Surgery Scheduled, Thoracic SurgeryArmsOn-site respiratory physiotherapy, Fissios App
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Carlos Alfredo Fraile OliveroThoracic Surgery, Hospital Clínico San Carlos, Madrid, Madrid, Spain carlosalfredo.fraile@salud.madrid.org.ORCID http://orcid.org/0000-0003-2585-1058
Lidia Sotillo ValenzuelaThoracic Surgery, Hospital Clínico San Carlos, Madrid, Madrid, Spain.ORCID http://orcid.org/0000-0002-6121-0461
Verónica Albarrán VidalThoracic Surgery, Hospital Clínico San Carlos, Madrid, Madrid, Spain.
José Gabriel Barceló CalThoracic Surgery, Hospital Clínico San Carlos, Madrid, Madrid, Spain.
Verónica Alen VillamayorThoracic Surgery, Hospital Clínico San Carlos, Madrid, Madrid, Spain.
Florentino Hernando TranchoThoracic Surgery, Hospital Clínico San Carlos, Madrid, Madrid, Spain.
Elena Fernández MartínThoracic Surgery, Hospital Clínico San Carlos, Madrid, Madrid, Spain.
Joaquín Calatayud GastardiThoracic Surgery, Hospital Clínico San Carlos, Madrid, Madrid, Spain.
Ana María Gómez MartínezThoracic Surgery, Hospital Clínico San Carlos, Madrid, Madrid, Spain.
Pedro Daniel Arribas ManzanalPhysical Medicine and Rehabilitation, Hospital Clínico San Carlos, Madrid, Madrid, Spain.
Passio SantosPhysical Medicine and Rehabilitation, Hospital Clínico San Carlos, Madrid, Madrid, Spain.
Raquel Fernández BlancoPhysical Medicine and Rehabilitation, Hospital Clínico San Carlos, Madrid, Madrid, Spain.
María Isabel Cal VázquezThoracic Surgery, Hospital Universitario de la Princesa, Madrid, Community of Madrid, Spain.ORCID http://orcid.org/0000-0003-0451-1652
Lucia Milla ColladoThoracic Surgery, Hospital Central de la Defensa Gómez Ulla, Madrid, Community of Madrid, Spain.
María RodríguezThoracic Surgery, Clinica Universidad de Navarra, Madrid, Madrid, Spain.
Valerio PernaThoracic Surgery, Clinica Universidad de Navarra, Madrid, Madrid, Spain.ORCID http://orcid.org/0000-0002-7103-2523
Alejandra Romero RomanThoracic Surgery, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Madrid, Spain.
Carlos Andrés OrdonezThoracic Surgery, Hospital Clínico Universitario, Valencia, Valencian Community, Spain.ORCID http://orcid.org/0000-0003-1424-8173
José Ramón Jarabo SarcedaThoracic Surgery, Hospital Clínico San Carlos, Madrid, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRespiratory physiotherapy as a part of a perioperative physical training programme may reduce the risk of developing postoperative complications in patients diagnosed with non-small cell lung carcinoma (NSCLC) scheduled for surgery. However, there is heterogeneity in the design, implementation and evaluation of respiratory physiotherapy programmes.Fissios App contains a standardised respiratory physiotherapy programme. Analysing the usage data, the patient's personal history, the surgical procedure and the postoperative course, we will establish the relationship between compliance with a standardised respiratory physiotherapy programme and the development of postoperative complications in a group of patients diagnosed with NSCLC who underwent lung resection surgery. METHODS AND ANALYSIS: The Fissios and postoperative complications trial is a multicentre, prospective, randomised, parallel two-group, controlled, open-label, superiority study of the use of only face-to-face respiratory physiotherapy or the use of Fissios App as a complement to respiratory physiotherapy. Based on the percentage of postoperative respiratory complications and the anticipated reduction, a total of 560 patients will be required. Patients will be electronically randomised to the intervention or control group before the surgery with a proportion of 1:1 in blocks of six for each centre.All patients will attend face-to-face respiratory physiotherapy sessions at the place and times established in each centre. In addition, patients in the intervention group will use the Fissios App freely and without restrictions in terms of hour of the day, usage time or location. The primary clinical endpoint is postoperative complications during hospital admission and the estimated duration of the study is 12 months. ETHICS AND DISSEMINATION: This protocol was reviewed and approved by the Clinical Research and Clinical Trials Unit of Hospital Clínico San Carlos (Madrid, Spain) and complies with the ethics principles for medical research on humans stipulated in the Declaration of Helsinki of the World Medical Association. TRIAL REGISTRATION NUMBER: NCT06732193.

Indexed as

Breathing ExercisesCarcinoma, Non-Small-Cell LungLung NeoplasmsPhysical Therapy ModalitiesPostoperative ComplicationsFemaleHumansMaleProspective StudiesExerciseLung CancerNon-Small Cell Lung CancerPulmonary RehabilitationRespiratory MusclesTelemedicineThoracic Surgery

Identifiers

PMID42303312
PMCPMC13289354

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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.