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[Evaluation of the feasibility of a program of adapted physical activity in day hospital of digestive oncology: From the point of view of patients].

Identifieur interne : 000727 ( Main/Exploration ); précédent : 000726; suivant : 000728

[Evaluation of the feasibility of a program of adapted physical activity in day hospital of digestive oncology: From the point of view of patients].

Auteurs : Céline Crespel [France] ; Cloé Brami [France] ; Paul De Boissieu [France] ; Camille Mazza [France] ; Kevin Chauvet [France] ; Amélie Lemoine [France] ; Benoit Gavlak [France] ; Chloé Léandri [France] ; Mathilde Brasseur [France] ; Eric Bertin [France] ; Olivier Bouché [France]

Source :

RBID : pubmed:29426740

Descripteurs français

English descriptors

Abstract

INTRODUCTION

Adapted physical activity (APA) is recognized as an effective supportive care for asthenia and quality of life in oncology. Before an APA program was organized, the feasibility of such a program was evaluated among the patients.

METHODS

Descriptive, prospective, semi-qualitative, single-center study over a 3-month period in patients treated with ambulatory chemotherapy for digestive cancer. A self-questionnaire was offered to all patients to evaluate their practice and knowledge about APA. In ten patients, fatigue, anxiety and depression were assessed, before and after 9 weeks of hospital-based APA. The scores were compared by matched Student test.

RESULTS

Of the 123 patients treated, 80 questionnaires (65%) were exploitable. Before the diagnosis of cancer, 40 patients (50%) were physically active, 20% after (n=16). The reasons for not practicing were: lack of interest/not the idea (42%), lack of time (34%), do not believe in profit (9%), too expensive (8%). Fifty-three patients (66%) were interested in the program. In 10 patients, the APA program significantly reduced the depression score (P=0.024) and a non-significant improvement in anxiety and fatigue.

DISCUSSION

This study shows that patients treated with chemotherapy are unaware of the usefulness of APA and that medical information can improve adherence to such a program. The establishment of an intra-hospital APA program proved to be possible and relevant.


DOI: 10.1016/j.bulcan.2017.11.011
PubMed: 29426740


Affiliations:


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Le document en format XML

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<term>Aged (MeSH)</term>
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<term>Anxiety (diagnosis)</term>
<term>Depression (diagnosis)</term>
<term>Digestive System Neoplasms (drug therapy)</term>
<term>Digestive System Neoplasms (psychology)</term>
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<term>Fatigue (diagnosis)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Anxiété (diagnostic)</term>
<term>Dépression (diagnostic)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
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<term>Fatigue (diagnostic)</term>
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<term>Mise au point de programmes (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Soins ambulatoires (méthodes)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Tumeurs de l'appareil digestif (psychologie)</term>
<term>Tumeurs de l'appareil digestif (traitement médicamenteux)</term>
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<term>Anxiety</term>
<term>Depression</term>
<term>Fatigue</term>
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<term>Anxiété</term>
<term>Dépression</term>
<term>Fatigue</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Digestive System Neoplasms</term>
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<term>Ambulatory Care</term>
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<term>Soins ambulatoires</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Tumeurs de l'appareil digestif</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Digestive System Neoplasms</term>
</keywords>
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<term>Tumeurs de l'appareil digestif</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Exercise</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Program Development</term>
<term>Prospective Studies</term>
<term>Surveys and Questionnaires</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes et questionnaires</term>
<term>Exercice physique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mise au point de programmes</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études de faisabilité</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>INTRODUCTION</b>
</p>
<p>Adapted physical activity (APA) is recognized as an effective supportive care for asthenia and quality of life in oncology. Before an APA program was organized, the feasibility of such a program was evaluated among the patients.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Descriptive, prospective, semi-qualitative, single-center study over a 3-month period in patients treated with ambulatory chemotherapy for digestive cancer. A self-questionnaire was offered to all patients to evaluate their practice and knowledge about APA. In ten patients, fatigue, anxiety and depression were assessed, before and after 9 weeks of hospital-based APA. The scores were compared by matched Student test.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Of the 123 patients treated, 80 questionnaires (65%) were exploitable. Before the diagnosis of cancer, 40 patients (50%) were physically active, 20% after (n=16). The reasons for not practicing were: lack of interest/not the idea (42%), lack of time (34%), do not believe in profit (9%), too expensive (8%). Fifty-three patients (66%) were interested in the program. In 10 patients, the APA program significantly reduced the depression score (P=0.024) and a non-significant improvement in anxiety and fatigue.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DISCUSSION</b>
</p>
<p>This study shows that patients treated with chemotherapy are unaware of the usefulness of APA and that medical information can improve adherence to such a program. The establishment of an intra-hospital APA program proved to be possible and relevant.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">29426740</PMID>
<DateCompleted>
<Year>2018</Year>
<Month>03</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised>
<Year>2018</Year>
<Month>03</Month>
<Day>29</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1769-6917</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>105</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2018</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Bulletin du cancer</Title>
<ISOAbbreviation>Bull Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>[Evaluation of the feasibility of a program of adapted physical activity in day hospital of digestive oncology: From the point of view of patients].</ArticleTitle>
<Pagination>
<MedlinePgn>228-233</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0007-4551(18)30006-7</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bulcan.2017.11.011</ELocationID>
<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Adapted physical activity (APA) is recognized as an effective supportive care for asthenia and quality of life in oncology. Before an APA program was organized, the feasibility of such a program was evaluated among the patients.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Descriptive, prospective, semi-qualitative, single-center study over a 3-month period in patients treated with ambulatory chemotherapy for digestive cancer. A self-questionnaire was offered to all patients to evaluate their practice and knowledge about APA. In ten patients, fatigue, anxiety and depression were assessed, before and after 9 weeks of hospital-based APA. The scores were compared by matched Student test.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 123 patients treated, 80 questionnaires (65%) were exploitable. Before the diagnosis of cancer, 40 patients (50%) were physically active, 20% after (n=16). The reasons for not practicing were: lack of interest/not the idea (42%), lack of time (34%), do not believe in profit (9%), too expensive (8%). Fifty-three patients (66%) were interested in the program. In 10 patients, the APA program significantly reduced the depression score (P=0.024) and a non-significant improvement in anxiety and fatigue.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">This study shows that patients treated with chemotherapy are unaware of the usefulness of APA and that medical information can improve adherence to such a program. The establishment of an intra-hospital APA program proved to be possible and relevant.</AbstractText>
<CopyrightInformation>Copyright © 2018 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Crespel</LastName>
<ForeName>Céline</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of gastroenterology, avenue du General-Koenig, 51092 Reims cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Brami</LastName>
<ForeName>Cloé</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of gastroenterology, avenue du General-Koenig, 51092 Reims cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>de Boissieu</LastName>
<ForeName>Paul</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of research and innovation, avenue du General-Koenig, 51092 Reims cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mazza</LastName>
<ForeName>Camille</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of gastroenterology, avenue du General-Koenig, 51092 Reims cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Chauvet</LastName>
<ForeName>Kevin</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of gastroenterology, avenue du General-Koenig, 51092 Reims cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lemoine</LastName>
<ForeName>Amélie</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of gastroenterology, avenue du General-Koenig, 51092 Reims cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gavlak</LastName>
<ForeName>Benoit</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of gastroenterology, avenue du General-Koenig, 51092 Reims cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Léandri</LastName>
<ForeName>Chloé</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of gastroenterology, avenue du General-Koenig, 51092 Reims cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Brasseur</LastName>
<ForeName>Mathilde</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of gastroenterology, avenue du General-Koenig, 51092 Reims cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bertin</LastName>
<ForeName>Eric</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of nutrition, avenue du General-Koenig, 51092 Reims cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bouché</LastName>
<ForeName>Olivier</ForeName>
<Initials>O</Initials>
<AffiliationInfo>
<Affiliation>CHU de Reims, department of gastroenterology, avenue du General-Koenig, 51092 Reims cedex, France. Electronic address: obouche@chu-reims.fr.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>fre</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<VernacularTitle>Évaluation de la faisabilité d’un programme d’activité physique adaptée en hôpital de jour de cancérologie digestive : à partir du point de vue des patients.</VernacularTitle>
<ArticleDate DateType="Electronic">
<Year>2018</Year>
<Month>02</Month>
<Day>06</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>France</Country>
<MedlineTA>Bull Cancer</MedlineTA>
<NlmUniqueID>0072416</NlmUniqueID>
<ISSNLinking>0007-4551</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000553" MajorTopicYN="N">Ambulatory Care</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004067" MajorTopicYN="N">Digestive System Neoplasms</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015444" MajorTopicYN="Y">Exercise</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005221" MajorTopicYN="N">Fatigue</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016730" MajorTopicYN="Y">Program Development</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Activité physique adaptée au cancer</Keyword>
<Keyword MajorTopicYN="N">Barriers</Keyword>
<Keyword MajorTopicYN="N">Barrières</Keyword>
<Keyword MajorTopicYN="N">Cancer digestif</Keyword>
<Keyword MajorTopicYN="N">Digestive cancer</Keyword>
<Keyword MajorTopicYN="N">En cours de traitement</Keyword>
<Keyword MajorTopicYN="N">Faisabilité</Keyword>
<Keyword MajorTopicYN="N">Feasibility.</Keyword>
<Keyword MajorTopicYN="N">Physical activity adapted to cancer</Keyword>
<Keyword MajorTopicYN="N">Soins de support</Keyword>
<Keyword MajorTopicYN="N">Supportive care</Keyword>
<Keyword MajorTopicYN="N">Undergoing treatment</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2017</Year>
<Month>08</Month>
<Day>10</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2017</Year>
<Month>10</Month>
<Day>22</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2017</Year>
<Month>11</Month>
<Day>08</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2018</Year>
<Month>2</Month>
<Day>11</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2018</Year>
<Month>3</Month>
<Day>30</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2018</Year>
<Month>2</Month>
<Day>11</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">29426740</ArticleId>
<ArticleId IdType="pii">S0007-4551(18)30006-7</ArticleId>
<ArticleId IdType="doi">10.1016/j.bulcan.2017.11.011</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Champagne-Ardenne</li>
<li>Grand Est</li>
</region>
<settlement>
<li>Reims</li>
</settlement>
</list>
<tree>
<country name="France">
<region name="Grand Est">
<name sortKey="Crespel, Celine" sort="Crespel, Celine" uniqKey="Crespel C" first="Céline" last="Crespel">Céline Crespel</name>
</region>
<name sortKey="Bertin, Eric" sort="Bertin, Eric" uniqKey="Bertin E" first="Eric" last="Bertin">Eric Bertin</name>
<name sortKey="Bouche, Olivier" sort="Bouche, Olivier" uniqKey="Bouche O" first="Olivier" last="Bouché">Olivier Bouché</name>
<name sortKey="Brami, Cloe" sort="Brami, Cloe" uniqKey="Brami C" first="Cloé" last="Brami">Cloé Brami</name>
<name sortKey="Brasseur, Mathilde" sort="Brasseur, Mathilde" uniqKey="Brasseur M" first="Mathilde" last="Brasseur">Mathilde Brasseur</name>
<name sortKey="Chauvet, Kevin" sort="Chauvet, Kevin" uniqKey="Chauvet K" first="Kevin" last="Chauvet">Kevin Chauvet</name>
<name sortKey="De Boissieu, Paul" sort="De Boissieu, Paul" uniqKey="De Boissieu P" first="Paul" last="De Boissieu">Paul De Boissieu</name>
<name sortKey="Gavlak, Benoit" sort="Gavlak, Benoit" uniqKey="Gavlak B" first="Benoit" last="Gavlak">Benoit Gavlak</name>
<name sortKey="Leandri, Chloe" sort="Leandri, Chloe" uniqKey="Leandri C" first="Chloé" last="Léandri">Chloé Léandri</name>
<name sortKey="Lemoine, Amelie" sort="Lemoine, Amelie" uniqKey="Lemoine A" first="Amélie" last="Lemoine">Amélie Lemoine</name>
<name sortKey="Mazza, Camille" sort="Mazza, Camille" uniqKey="Mazza C" first="Camille" last="Mazza">Camille Mazza</name>
</country>
</tree>
</affiliations>
</record>

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