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CompletedNCT01963923Updated May 1, 2020Results posted

Effectiveness of a Preoperative Pulmonary Rehabilitation Program in Patients Awaiting Lung Resection

An interventional study of Pulmonary Rehabilitation Program in Lung Cancer, sponsored by Universidade da Coruña. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-05-01.

Sponsored by Universidade da Coruña · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to establish the effectiveness of a preoperative pulmonary rehabilitation program in patients awaiting lung resection for lung cancer by Video-assisted thoracic surgery in order to improve exercise tolerance and quality of life. The investigators hypothesized that a pulmonary rehabilitation program including both endurance and strength training may improve exercise tolerance and quality of life measured with a submaximal exercise test and a quality of life questionnaire respectively.

02

Conditions studied

  • Lung Cancer

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Keywords

  • Pulmonary Rehabilitation
  • Lung Cancer Resection
  • Video-assisted thoracic surgery
  • Exercise tolerance
  • Quality of life
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's enrollment of 40 is below the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Universidade da Coruña is the lead sponsor of 33 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis confirmed or suspected of lung cancer (either primary or metastatic)
  • Be on the waiting list for lung resection by Video-assisted thoracic surgery
  • Present at least one of the next conditions: Forced Expiratory Volume in 1 second (FEV1)\<80% of predicted and/or Body Mass Index > 30 or/and >80 years old and/or two or more comorbidities (Arterial Hypertension, Chronic Obstructive Pulmonary Disease, Coronary Disease, Diabetes, Renal Failure and/or cancer.
  • No smoking at the time of recruitment
  • Signed Informed Consent

Exclusion criteria

Exclusion Criteria:

  • Chemotherapy or Radiotherapy in the previous 6 months before the Rehabilitation program.
  • Thoracotomies or pneumonectomies.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Rehabilitation Group

    The rehabilitation group must complete at least 16 sessions of the Pulmonary Rehabilitation Program

    Behavioral: Pulmonary Rehabilitation Program

  • No intervention
    Control Group

    The control group must complete only the outcome measures and continue with their clinical routine as specified by their physicians.

Interventions

  • BehavioralPulmonary Rehabilitation Program

    The pulmonary rehabilitation program includes an endurance training with a cycloergometer, a strength training with elastic bands and two dairy sessions of incentive spirometry with a volume-oriented device.

    Also known as: Endurance training, Strenght training, Incentive Spirometry

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What researchers measure

Primary outcomes

  1. Exercise Tolerance

    Maximum time sustained (in seconds) during the constant-load cycle endurance test performed at 80% of the maximal workload achieved measured three weeks after hospital discharge in comparison with the control group.

    Time frame: Exercise tolerance 3 weeks after hospital discharge

  2. Exercise Tolerance

    Maximum time sustained (in seconds) during the constant-load cycle endurance test performed at 80% of the maximal workload achieved measured three months after hospital discharge in comparison with the control group.

    Time frame: Exercise tolerance 3 months after surgery

Secondary outcomes

  1. Health-Related Quality of Life

    Health-Related Quality of Life measured with the 36-Item Short-Form Health Survey Version 2 (SF-36) three weeks post-surgery. This scale is scored on a 0 - 100 scale, with higher scores referring to a better health-related quality of life. The scale compromises 8 subscales and two summaries (physial and mental).

    Time frame: Quality of life 3 weeks after surgery

  2. Health-Related Quality of Life

    Health-Related Quality of Life measured with the 36-Item Short-Form Health Survey Version 2 (SF-36) three months post-surgery. This scale is scored on a 0 - 100 scale, with higher scores referring to a better health-related quality of life. The scale compromises 8 subscales and two summaries (physial and mental).

    Time frame: Quality of life post-surgery

  3. Upper Body Strength

    Upper body strength measured with the Arm-Curl Test of the Senior Fitness Test. The test measures the number of curl-arm movements with a 2.27kg or a 3.61 kg dumbbell for women and men respectively during 30 seconds.

    Time frame: 3 weeks post-surgery

  4. Upper Body Strength

    Upper body strength measured with the Arm-Curl Test of the Senior Fitness Test. The test measures the number of curl-arm movements with a 2.27kg or a 3.61 kg dumbbell for women and men respectively during 30 seconds.

    Time frame: 3 months post-surgery

  5. Lower Body Strength

    Lower body strength measured with the sit-to-stand Test. The test consist of counting the number of full stands from a chair that can be completed in 30 seconds with arms folded across chest.

    Time frame: 3 weeks post-surgery

  6. Lower Body Strength

    Lower body strength measured with the sit-to-stand Test. The test consist of counting the number of full stands from a chair that can be completed in 30 seconds with arms folded across chest.

    Time frame: 3 months post-surgery

07

Results

Posted May 1, 2020

Participant flow

3 Weeks Post-surgery
Participant flow — 3 Weeks Post-surgery
MilestoneControl GroupRehabilitation Group
Started2020
Completed1210
Not completed810
3 Months Post-surgery
Participant flow — 3 Months Post-surgery
MilestoneControl GroupRehabilitation Group
Started1210
Completed109
Not completed21

Outcome measures

PrimaryExercise Tolerance

Maximum time sustained (in seconds) during the constant-load cycle endurance test performed at 80% of the maximal workload achieved measured three weeks after hospital discharge in comparison with the control group.

Time frame:
Exercise tolerance 3 weeks after hospital discharge
Reported as:
Mean · Seconds
Exercise Tolerance
SecondsRehabilitation GroupControl Group
Exercise Tolerance459.7 ± 264.7341 ± 216.3
PrimaryExercise Tolerance

Maximum time sustained (in seconds) during the constant-load cycle endurance test performed at 80% of the maximal workload achieved measured three months after hospital discharge in comparison with the control group.

Time frame:
Exercise tolerance 3 months after surgery
Reported as:
Mean · Seconds
Exercise Tolerance
SecondsRehabilitation GroupControl Group
Exercise Tolerance560.3 ± 273.3271.5 ± 95
SecondaryHealth-Related Quality of Life

Health-Related Quality of Life measured with the 36-Item Short-Form Health Survey Version 2 (SF-36) three weeks post-surgery. This scale is scored on a 0 - 100 scale, with higher scores referring to a better health-related quality of life. The scale compromises 8 subscales and two summaries (physial and mental).

Time frame:
Quality of life 3 weeks after surgery
Reported as:
Mean · units on a scale
Health-Related Quality of Life
units on a scaleRehabilitation GroupControl Group
Health-Related Quality of Life38 ± 8.642.1 ± 8.4
SecondaryHealth-Related Quality of Life

Health-Related Quality of Life measured with the 36-Item Short-Form Health Survey Version 2 (SF-36) three months post-surgery. This scale is scored on a 0 - 100 scale, with higher scores referring to a better health-related quality of life. The scale compromises 8 subscales and two summaries (physial and mental).

Time frame:
Quality of life post-surgery
Reported as:
Mean · units on a scale
Health-Related Quality of Life
units on a scaleRehabilitation GroupControl Group
Health-Related Quality of Life45.8 ± 5.844.7 ± 7.6
SecondaryUpper Body Strength

Upper body strength measured with the Arm-Curl Test of the Senior Fitness Test. The test measures the number of curl-arm movements with a 2.27kg or a 3.61 kg dumbbell for women and men respectively during 30 seconds.

Time frame:
3 weeks post-surgery
Reported as:
Mean · Repetitions
Upper Body Strength
RepetitionsControl GroupRehabilitation Group
Upper Body Strength17 ± 3.417 ± 3.2
SecondaryUpper Body Strength

Upper body strength measured with the Arm-Curl Test of the Senior Fitness Test. The test measures the number of curl-arm movements with a 2.27kg or a 3.61 kg dumbbell for women and men respectively during 30 seconds.

Time frame:
3 months post-surgery
Reported as:
Mean · Repetitions
Upper Body Strength
RepetitionsControl GroupRehabilitation Group
Upper Body Strength16.1 ± 3.116 ± 3.1
SecondaryLower Body Strength

Lower body strength measured with the sit-to-stand Test. The test consist of counting the number of full stands from a chair that can be completed in 30 seconds with arms folded across chest.

Time frame:
3 weeks post-surgery
Reported as:
Mean · Repetitions
Lower Body Strength
RepetitionsControl GroupRehabilitation Group
Lower Body Strength13.2 ± 5.8612.2 ± 5.05
SecondaryLower Body Strength

Lower body strength measured with the sit-to-stand Test. The test consist of counting the number of full stands from a chair that can be completed in 30 seconds with arms folded across chest.

Time frame:
3 months post-surgery
Reported as:
Mean · Repetitions
Lower Body Strength
RepetitionsControl GroupRehabilitation Group
Lower Body Strength11.5 ± 2.5514.9 ± 5.6

Adverse events

Collected over 18 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Rehabilitation Group—0/20 (0%)0/20 (0%)
Control Group—0/20 (0%)0/20 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Control GroupRehabilitation GroupTotal
<=18 years000
Between 18 and 65 years426
>=65 years8816
Age, Continuous
Age, Continuous(years)Control GroupRehabilitation GroupTotal
Mean69.4 ± 9.470.9 ± 6.170.1 ± 7.9
Sex: Female, Male
Sex: Female, Male(Participants)Control GroupRehabilitation GroupTotal
Female123
Male11819
Region of Enrollment
Region of Enrollment(participants)Control GroupRehabilitation GroupTotal
Spain121022
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Study locations

1 site
  • Complejo Hospitalario Universitario A Coruña
    A Coruña, 15006, Spain
09

References and documents

Publications

  • Sebio Garcia R, Yanez-Brage MI, Gimenez Moolhuyzen E, Salorio Riobo M, Lista Paz A, Borro Mate JM. Preoperative exercise training prevents functional decline after lung resection surgery: a randomized, single-blind controlled trial. Clin Rehabil. 2017 Aug;31(8):1057-1067. doi: 10.1177/0269215516684179. Epub 2016 Dec 20. PubMed 28730888 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01963923
Lead sponsor
Universidade da Coruña
Responsible party
Esther Gimenez Moolhuyzen (Physiotherapist, Hospital Juan Canalejo) — Principal investigator
First posted
Oct 16, 2013
Start date
Oct 2013
Primary completion
Jul 2015
Completion
Oct 2015
Results posted
May 1, 2020
Last update
May 1, 2020

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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