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Association between early mobilisation after abdominal cancer surgery and postoperative complications
Sophiahemmet University.ORCID iD: 0000-0002-4607-8677
2023 (English)In: European Journal of Surgical Oncology, ISSN 0748-7983, E-ISSN 1532-2157, Vol. 49, no 9, article id 106943Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Postoperative complications and readmission to hospital after major cancer surgery are common. Early mobilisation in hospital is thought to reduce complications, and patients are recommended to mobilise for at least 2 h on the day of surgery, and thereafter at least 6 h per day. Evidence for early mobilisation is limited and therefore also how early mobilisation may influence the development of postoperative complications. The aim of this study was to evaluate the association between early mobilisation after abdominal cancer surgery and readmission to hospital due to postoperative complications.

MATERIAL AND METHODS: Adult patients who had abdominal cancer surgery due to ovarian, colorectal, or urinary bladder cancer between January 2017 and May 2018 were included in the study. Exposure was set to the mean number of steps taken over the first three postoperative days, measured with an activity monitor. Primary outcome was readmission to hospital within 30 days after discharge, and secondary outcome was severity of complications. Data were obtained from medical records. Logistic regression was used to investigate the association between exposure and outcomes.

RESULTS: Of 133 patients included in the study, 25 were readmitted to the hospital within 30 days after discharge. The analysis showed no association between early mobilisation and readmission or severity of complications.

CONCLUSION: Early mobilisation does not seem to increase the odds of readmission, nor the severity of complications. This study contributes to the limited research on the association between early mobilisation and postoperative complications after abdominal cancer surgery.

Place, publisher, year, edition, pages
2023. Vol. 49, no 9, article id 106943
Keywords [en]
Activity monitor, Colorectal cancer, Ovarian cancer, Readmission, Steps, Urinary bladder cancer
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:shh:diva-4970DOI: 10.1016/j.ejso.2023.05.018PubMedID: 37296020OAI: oai:DiVA.org:shh-4970DiVA, id: diva2:1770023
Available from: 2023-06-19 Created: 2023-06-19 Last updated: 2025-09-15Bibliographically approved

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Hagströmer, Maria

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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf