Respiratory physiotherapy as part of a pre-operative physical training program may reduce the risk of developing post-operative complications, improving post-operative results and optimizing physical conditions in patients with a diagnosis of non-small cell lung cancer (NSCLC) undergoing lung resection surgery. During the post-operative period, performing physical exercise has also been proved to increase the capacity for exercise, improve health-related quality of life and reduce the feeling of breathlessness. Fissios App is a tool created by thoracic surgeons, physiotherapists and a specialist doctor in physical medicine and rehabilitation, which has been satisfactorily implemented in thoracic surgery patients; this contains a program of standardized respiratory physiotherapy exercises with a defined time and number of repetitions.
The aim is to compare the effectiveness of use of the Fissios App tool as a complement to a peri-operative respiratory physiotherapy program compared to just attendance at a face-to-face peri-operative respiratory physiotherapy program, to reduce the incidence of post-operative complications.
It is expected to include 560 patients in the study. Subsequent to evaluation by the investigator and the acceptance of participant to take part in the study, the performing of peri-operative respiratory physiotherapy is prescribed. The participants will be randomly assigned to a study group that uses the tool as a complement to the respiratory physiotherapy program or a control group that should only attend face-to-face respiratory physiotherapy sessions. All the participants should attend face-to-face respiratory physiotherapy classes taught by physiotherapists at the place and time set out in each centre before and after surgery for at least 45 minutes and at least five sessions. Moreover, study group participants may use the Fissios App tool. Investigators should fill in the pre-operative, surgery and post-operative data for each patient on the Fissios Research platform.
Patients over 18 years of age.
Indication for lung resection surgery due to diagnostic suspicion or histopathological diagnosis of non-small cell lung carcinoma.
Anatomical lung resection surgery: anatomical segmental resection, lobectomies or pneumonectomies, using a conventional or minimally invasive approach (VATS, RATS).
The patient has a smart mobile device compatible with the Fissios App©, has the ability or has the support to use it.
Medical contraindication to perform respiratory physiotherapy exercises.
Not possessing a smart mobile device compatible with Fissios App©.
Inability of the patient to perform the exercises, either due to a physical or psychological impediment.
Inability to complete the informed consent form for participation in the study.
Parallel
On-site respiratory physiotherapy
Procedure/SurgeryThe patient attends face-to-face physiotherapy sessions prescribed by the doctor.
Fissios App
DeviceThe patient uses the Fissios App to perform respiratory physiotherapy exercises.
Postoperative complications
Development of at least one adverse clinical event categorised as a postoperative complication during hospital admission. Immediately after the surgery until discharge.
Duration of pleural drainage
Time that the patient has pleural drainage from the end of surgery until medical discharge.
Mortality
Patient status at the moment of discharge.
Hospital readmission
Any clinical situation requiring hospital admission
Mortality
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Carlos Alfredo Fraile Olivero, MD, PhD.
Lead sponsor
Hospital San Carlos, Madrid
Sponsor institution
Spanish Society of Pneumology and Thoracic Surgery (SEPAR)
Collaborator
Asociación Española de Afectados de Cáncer de Pulmón (AEACaP)
Collaborator
Medtronic General Research Grant
Collaborator
Spanish Society of Thoracic Surgery (SECT)
Collaborator
