Spots Global Cancer Trial Database for Fast-Track Rehabilitation

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Trial Identification

Brief Title: Fast-Track Rehabilitation

Official Title: Feasibility at Home of a Rehabilitation Program Before Thoracic Surgery, for Pulmonary Parenchyma Exeresis

Study ID: NCT03530059

Conditions

Respiratory Disease

Thoracic Surgery

Lung Cancer

Interventions

Home-based rehabilitation

Study Description

Brief Summary: This study is a prospective observational study which aim to evaluate the feasibility of a total and systematic home respiratory rehabilitation training program in patients who will undergo thoracic surgery, and otherwise tend to define failure reasons.

Detailed Description: The aim of this clinical trial is to identify the determining factors which impact a preoperative home respiratory rehabilitation training program success. This success is determined by complete achievement of the program (100%) by the patient. This rehabilitation program is composed by 4 items: * Adapted physical activity : 3 averaging cyclo ergometer or physical activity seances per week (25%) * Physiotherapy sessions : 8 seances with a physical therapist (25%) * Smokers : Set up of a program to help give up smoking if active smoker (25%) * Dietetics : If unintentionally weight loss (\>5% total weight in 1 month or \>10% in 6 months) or BMI\<21 , nutritional assessment is conducted and dietetic program is initiated(25%) Secondary objectives are : * Assessment of postoperative event onset (30 days) (atelectasis, fibro-aspiration, time spent in resuscitation unit, intubation, revision surgery). * Link assessment of 100% program success and at least one complication onset. * Cost assessment of preoperative rehabilitation program * Evaluation of mean hospitalisation duration post surgery (30 days) * Average cost assessment of hospitalisation stay per patient. This study will include 50 patients over 18 years old, addressed to the home heath care provider AGIR à Dom, for rehabilitation before pulmonary parenchyma exeresis. Patients must perform at least 2 items of rehabilitation program previously described. This program is an initiative of a pulmonologist or a thoracic surgeon, who include the patient when the date of surgery is scheduled.