An interventional study of Pulmonary Rehabilitation and Usual post operative care in Lung Cancer, Lobectomy and Pulmonary Rehabilitation, sponsored by Imperial College Healthcare NHS Trust. Completed at 2 sites in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-17.
Sponsored by Imperial College Healthcare NHS Trust · Not applicable, Interventional, and Treatment
Patients who have surgery to cure lung cancer often have multiple problems at hospital discharge and later on. This includes poor exercise performance and quality of life, breathlessness, pain and tiredness. Currently there is little formal physical or psychological support for such patients. This pilot study aims to investigate whether outpatient pulmonary rehabilitation (an exercise training and education programme), started within 2 weeks of hospital discharge, can lead to improvements in exercise performance and quality of life in patients who have undergone lung cancer surgery. The study will also assess whether pulmonary rehabilitation is acceptable for patients and will analyze the safety profile. The hypothesis is that patients; discharged from hospital after undergoing lung cancer surgery, have improved exercise performance and quality of life following early outpatient pulmonary rehabilitation compared with usual care.
The research question is to investigate
Pulmonary rehabilitation (PR) is the most effective non-pharmacological treatment for patients with chronic respiratory diseases, especially COPD. Many patients with lung cancer have co-existing smoking-related lung disorders such as COPD. To date there have been no randomised controlled trials of PR in post-resection lung cancer survivors. However there is indirect evidence that PR may be of benefit in this patient cohort. Cesario et al (2007)reported a 32% improvement in exercise capacity with in-patient PR, and Spruit et al (2009) demonstrated a 43% improvement in six minute walk distance following an 8-week in-patient PR programme. However, both studies had small numbers, and no randomised control group. Furthermore, inpatient PR is not an economically justifiable intervention in the NHS where emphasis is on self-management and ambulatory care.
7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.
This study's enrollment of 30 is below the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.
Browse Lung Neoplasms studies →Imperial College Healthcare NHS Trust is the lead sponsor of 79 studies on the registry; 19 are open to participants now.
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Exclusion Criteria:
Usual Care
Other: Usual post operative care
Pulmonary Rehabilitation consists of twice weekly exercise classes with an educational component.
Other: Pulmonary Rehabilitation
Twice weekly exercise classes with an education component. For 8 weeks.
Usual post operative care for post lung lobectomy patients for 8 weeks post discharge.
Six minute walk test to assess exercise tolerance
Time frame: Within 3 month of discharge from surgery
Shoulder Range of Motion Changes
Time frame: Within 3 months of discharge from surgery
Bioimpedence for tissue composition
Time frame: Within 3 months of discharge from surgery
Quality of life measurement changes
Time frame: Within 3 months of discharge from surgery
This study is completed, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.
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Imperial College Healthcare NHS Trust