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    Physiotherapy practice patterns for patients undergoing surgery for lung cancer: a survey of hospitals in Australia and New Zealand

    248815.pdf (236.9Kb)
    Access Status
    Open access
    Authors
    Cavalheri de Oliveira, Vinicius
    Jenkins, Susan
    Hill, Kylie
    Date
    2013
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Cavalheri de Oliveira, V. and Jenkins, S. and Hill, K. 2013. Physiotherapy practice patterns for patients undergoing surgery for lung cancer: a survey of hospitals in Australia and New Zealand. Internal Medicine Journal. 43 (4): pp. 394-401.
    Source Title
    Internal Medicine Journal
    DOI
    10.1111/j.1445-5994.2012.02928.x
    ISSN
    14440903
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/49638
    Collection
    • Curtin Research Publications
    Abstract

    Background: There has been a recent increase in the research available to guide physiotherapy management of patients who require surgical resection for lung cancer. It is unclear whether this evidence has influenced clinical practice. Aim: To describe physiotherapy practice patterns in the preoperative and postoperative management of patients who undergo surgical resection for lung cancer. Methods: Physiotherapists involved in the management of patients who require surgical resection for lung cancer at hospitals across Australia and New Zealand were mailed a purpose-designed questionnaire. Results: The response rate was 91% (43/47). Prior to surgery, 40% (n = 17) of the respondents indicated that patients were not assessed by a physiotherapist. In most hospitals (n = 39; 91%), patients did not participate in supervised exercise training before surgery. Most commonly, physiotherapy was commenced on the day following surgery (n = 39; 91%), with walking-based exercise being the treatment that was most frequently implemented in all patients (n = 40; 93%). Seventy-two per cent of respondents referred less than 25% of patients to pulmonary rehabilitation on discharge from hospital. Physiotherapy assessment and treatment choices were influenced predominantly by established practice in the hospital and personal experience rather than research findings. Conclusion: In people who undergo surgical resection for lung cancer, physiotherapy services focused on reducing or preventing postoperative pulmonary complications. Despite recent data suggesting that exercise training is beneficial in this population, our data indicate that referral to pulmonary rehabilitation was uncommon.

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