Publications by authors named "Mioko Horiuchi"

Purpose: This study aimed to clarify the responsiveness and minimal clinically important difference (MCID) of the 6-minute walk distance (6MWD) from before and 1 week after surgery in patients with colorectal cancer (CRC).

Methods: This retrospective cohort study enrolled 97 patients with primary CRC scheduled for surgery. An anchor-based approach estimated the MCID of the 6MWD, with postoperative physical recovery and EuroQol 5-dimension 5L questionnaire assessments serving as anchors.

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Article Synopsis
  • The study aimed to understand how preoperative physical activity impacts the timing of postoperative ambulation in gastrointestinal cancer patients, considering factors like functional capacity and depression.
  • Among 70 enrolled patients, only 42 had sufficient data for analysis, revealing that lower levels of preoperative light-intensity physical activity were linked to longer wait times for ambulation after surgery.
  • The findings suggest that monitoring preoperative light-intensity activity could help predict and address delays in patients' recovery and mobility after gastrointestinal surgery.
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Article Synopsis
  • The study explored the link between long periods of sedentary time (ST) before surgery and the risk of postoperative ileus (POI) in patients with colorectal cancer.
  • Researchers examined 155 patients, finding that those who sat for 6 or more hours a day were more likely to experience POI after surgery.
  • The results suggested that reducing sedentary time before surgery could help lower the risk of developing POI, emphasizing its role as a significant risk factor.
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Background: Postoperative delirium (POD) is one of the most common postoperative complications in gastrointestinal surgery patients. POD has been reported to affect long-term activities of daily living, cognitive function decline, and mortality. Previous studies have indicated that preoperative physical activity (PA) predicted POD in patients with other diseases, but we have not found any reports in patients with gastrointestinal cancer.

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Purpose: The present study aimed to investigate the association between preoperative physical activity (PA) and postoperative functional recovery in gastrointestinal cancer patients.

Materials And Methods: In this prospective study, we included 101 patients who underwent colorectal or gastric cancer surgery. Primary outcome was 6-minute walk distance (6MWD) decline ratio ((postoperative 6MWD value - preoperative 6MWD value)/preoperative 6MWD value × 100 (%)), which was determined as postoperative functional recovery.

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Background: Gastrointestinal cancer has a high global prevalence. Postoperative complications (PCs) affect the length of hospital stay and long-term outcomes. However, it is unclear whether preoperative sedentary time is associated with PCs, independently of physical activity (PA).

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