Effectiveness and Feasibility of Digital Pulmonary Rehabilitation in Patients Undergoing Lung Cancer Surgery: Systematic Review and Meta-Analysis

作者：Taiping Lu, Ting Deng, Yangyang Long, Jin Li, Anmei Hu, Yufan Hu, Li Ouyang, H. Wang, Junliang Ma, S. Chen, Jiale Hu · 发表于：Journal of Medical Internet Research · 年份：2024 · DOI：10.2196/56795 · 被引用次数：16 · 研究领域：Lung Cancer Diagnosis and Treatment、Cancer survivorship and care、Chronic Obstructive Pulmonary Disease (COPD) Research

BACKGROUND: Pulmonary rehabilitation (PR) has been shown to effectively support postsurgical recovery in patients with lung cancer (LC) at various stages. While digital PR programs offer a potential solution to traditional challenges, such as time and space constraints, their efficacy and feasibility for patients undergoing LC surgery remain unclear. OBJECTIVE: This systematic review aims to assess the feasibility and effectiveness of digital PR programs for individuals undergoing LC surgery. METHODS: A systematic review was conducted, retrieving data from 6 English and 4 Chinese databases from their inception to January 1, 2024. References in related studies were also manually reviewed. The primary outcomes assessed were physical capacity, lung function, and the incidence of postoperative pulmonary complications (PPCs). The secondary outcomes were compliance, hospital stay, chest tube duration, anxiety, depression, and quality of life. Where applicable, recruitment and withdrawal rates were also evaluated. Meta-analysis and descriptive analysis were used to assess the outcomes. RESULTS: A total of 5 randomized controlled trials and 6 quasi-experimental studies (n=1063) were included, with 4 studies being included in the meta-analyses. Our meta-analyses revealed that digital PR reduced the decline in 6-minute walk distance (6-MWD) by an average of 15 m compared with routine PR programs from admission to discharge, demonstrating a clinically significant improvement in physical...