TY - JOUR
T1 - 4,300 steps per day prior to surgery are associated with improved outcomes after pancreatectomy
AU - Cos, Heidy
AU - Zárate Rodríguez, Jorge G.
AU - Srivastava, Rohit
AU - Bewley, Alice
AU - Raper, Lacey
AU - Li, Dingwen
AU - Dai, Ruixuan
AU - Williams, Gregory A.
AU - Fields, Ryan C.
AU - Hawkins, William G.
AU - Lu, Chenyang
AU - Sanford, Dominic E.
AU - Hammill, Chet W.
N1 - Funding Information:
This work was supported by grants from The Foundation for Barnes Jewish Hospital and the BJC Health Systems Innovation Lab. G.A.W is supported by the SPORE Grant 5P50 CA196510. REDCap is supported by Clinical and Translational Science Award (CTSA) Grant UL1 TR000448 and Siteman Comprehensive Cancer Center and NCI Cancer Center Support Grant P30 CA091842.
Publisher Copyright:
© 2022 International Hepato-Pancreato-Biliary Association Inc.
PY - 2023/1
Y1 - 2023/1
N2 - Background: Decreased preoperative physical fitness and low physical activity have been associated with preoperative functional reserve and surgical complications. We sought to evaluate daily step count as a measure of physical activity and its relationship with post-pancreatectomy outcomes. Methods: Patients undergoing pancreatectomy were given a remote telemonitoring device to measure their preoperative levels of physical activity. Patient activity, demographics, and perioperative outcomes were collected and compared in univariate and multivariate logistic regression analysis. Results: 73 patients were included. 45 (61.6%) patients developed complications, with 17 (23.3%) of those patients developing severe complications. These patients walked 3437.8 (SD 1976.7) average daily steps, compared to 5918.8 (SD 2851.1) in patients without severe complications (p < 0.001). In logistic regression analysis, patients who walked less than 4274.5 steps had significantly higher odds of severe complications (OR = 7.5 (CI 2.1, 26.8), p = 0.002). Conclusion: Average daily steps below 4274.5 before surgery are associated with severe complications after pancreatectomy. Preoperative physical activity levels may represent a modifiable target for prehabilitation protocols.
AB - Background: Decreased preoperative physical fitness and low physical activity have been associated with preoperative functional reserve and surgical complications. We sought to evaluate daily step count as a measure of physical activity and its relationship with post-pancreatectomy outcomes. Methods: Patients undergoing pancreatectomy were given a remote telemonitoring device to measure their preoperative levels of physical activity. Patient activity, demographics, and perioperative outcomes were collected and compared in univariate and multivariate logistic regression analysis. Results: 73 patients were included. 45 (61.6%) patients developed complications, with 17 (23.3%) of those patients developing severe complications. These patients walked 3437.8 (SD 1976.7) average daily steps, compared to 5918.8 (SD 2851.1) in patients without severe complications (p < 0.001). In logistic regression analysis, patients who walked less than 4274.5 steps had significantly higher odds of severe complications (OR = 7.5 (CI 2.1, 26.8), p = 0.002). Conclusion: Average daily steps below 4274.5 before surgery are associated with severe complications after pancreatectomy. Preoperative physical activity levels may represent a modifiable target for prehabilitation protocols.
UR - http://www.scopus.com/inward/record.url?scp=85140327746&partnerID=8YFLogxK
U2 - 10.1016/j.hpb.2022.09.011
DO - 10.1016/j.hpb.2022.09.011
M3 - Article
C2 - 36272956
AN - SCOPUS:85140327746
SN - 1365-182X
VL - 25
SP - 91
EP - 99
JO - HPB
JF - HPB
IS - 1
ER -