Publications by authors named "M Coca-Martinez"
Article Synopsis
- Esophageal adenocarcinoma has a high rate of complications and deaths, but prehabilitation—which includes exercise, nutrition, and mental health support—has not been widely studied for these patients.
- A study from August 2019 to February 2023 examined the feasibility of prehabilitation during treatment and compared supervised versus home-based exercises in patients undergoing neoadjuvant chemotherapy.
- Results showed high recruitment and compliance rates in both groups, with significant improvements in physical activities, cardiorespiratory fitness, and quality of life, suggesting that prehabilitation can be beneficial and viable for esophageal cancer patients.
Background: Elective treatment options for aortic abdominal aneurysms include open repair or the less-invasive endovascular aortic aneurysm repair (EVAR). Recovery from EVAR is generally considered easier and faster than open repair. Despite this, EVAR remains a major procedure, and average return to preoperative quality of life is at least 3 months.
View Article and Find Full Text PDFBackground: To establish the feasibility and safety of multimodal prehabilitation (MP), and to obtain pilot data on the change in quality of life, functional walking capacity, and the need for surgery for a full-scale trial.
Methods: Pilot randomized controlled trial that included patients older than 50 years old suffering from moderate to severe intermittent claudication and who were candidates for endovascular revascularization (ER). Participants were excluded if they presented with ischemic rest pain, gangrene or ulceration of the index leg, significant lesions in the iliac vessels, planned surgical bypass, comorbidities in which exercise was contraindicated or if they were unable to speak English or French.
Article Synopsis
- Postoperative pain management remains a significant challenge despite the high volume of surgeries, often treated inadequately, leading to chronic pain in some patients based on the type of surgery and individual factors.
- Using a multimodal approach that combines opioids, nonopioid pain relievers, adjuvants, and nonpharmacologic methods is recommended for better pain relief and to reduce reliance on opioids.
- Guidelines from specialty societies highlight the importance of tailored pain management strategies for specific populations, like children and pregnant patients, stressing caution with medications like codeine for pediatric patients due to potential safety risks.
Prehabilitation is an intervention that occurs between cancer diagnosis and the start of an acute treatment. It involves physical, nutritional, and psychological assessments to establish a baseline functional level and provide targeted interventions to improve a person's health and prevent future impairments. Prehabilitation has been applied to surgical oncology and has shown positive results at improving functional capacity, reducing hospital stay, decreasing complications, and enhancing health-related quality of life.
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