Interprofessional assistance in prehabilitation and surgical rehabilitation of cancer patients during the perioperative period: integrative review
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.226056Keywords:
Perioperative care, Rehabilitation, Preoperative exercise, Enhanced recovery after surgery, Surgical oncologyAbstract
Objective To analyze scientific evidence regarding the role of the interprofessional team in prehabilitation and surgical rehabilitation of adult and older cancer patients During the perioperative
period. Method: This is an Integrative Literature Review (ILR) developed in six stages, conducted
according to the PICo research strategy and based on the recommendations of the Preferred
Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-ScR). The Rayyan application
was used as a tool for automation and filtering of studies. Searches were conducted in the
LILACS, CINAHL, Scopus, Web of Science, and PUBMED databases, using inclusion and exclusion
criteria, with a time frame from 2012 to 2024. Sample data were analyzed to identify studies,
methodological characteristics, methodological rigor assessment, and sample synthesis. A third
reviewer was involved to resolve disagreements through consensus meetings. The data collection
instrument included identification information, as per the Mixed Methods Data Extraction Form,
following the Joanna Briggs Institute’s Integrated Convergent Approach tool. The study was registered on the Figshare platform under DOI https://doi.org/10.6084/m9.figshare.21980156.v1.
Results: Twenty-nine articles were deemed eligible for this ILR. Regarding the level of evidence,
most studies were classified as level IV (n=11; 37.9%). Concerning the location of the primary
tumor, a predominance of rectal malignancy (ICD-10 - C20) was observed (n=10; 26.3%). Additionally,
the articles were categorized into three phases: (1) “surgical prehabilitation”; (2) “surgical perioperative period,” subdivided into care and educational approaches; and (3) “surgical postoperative period,” with telerehabilitation as a continuation of the perioperative period. Most studies focused on the “surgical prehabilitation” phase (n=21; 72.4%). Conclusion: This integrative literature review provided evidence reinforcing the importance of interprofessional team assistance
in the perioperative surgical context for the rehabilitation of adult and older cancer patients. Such assistance promoted improvements in ambulation, oral feeding, cardiopulmonary fitness, oxygen saturation rates, reduced hospital stay, and emotional well-being.
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Copyright (c) 2024 Pedro Emílio Gomes Prates, Antonio Jorge Silva Correa-Júnior, Tatiana Mara da Silva Russo, Camila Maria Silva Paraizo-Horvath, André Aparecido da Sila Teles, Helena Megumi Sonobe nobe; Tatiana Mara da Silva Russo
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