Preliminary work from this review suggests that exercise intervention compared with usual care both pre and post-surgery is associated with improved cardiopulmonary exercise capacity , increased muscle strength and reduced fatigue , post-operative complications and hospital length of stay .
BACKGROUND Surgery remains the best curative option for appropriately selected patients with lung cancer .
Evidence suggests that improving cardiovascular fitness and functional capacity can accelerate post-surgery recovery and reduce mortality .
However , the effect of exercise intervention for patients surgically treated for Non-Small Cell Lung Cancer [ NCSLC ] has not been fully examined .
PURPOSE This review examines the literature regarding exercise intervention for patients who are surgically treated for NSCLC focussing on three key areas : method ological quality , intervention design ( e.g. duration , frequency , type ) and outcomes measured .
Survival after recurrent nonsmall-cell lung cancer after complete pulmonary resection.
BACKGROUND Survival characteristics of patients who have recurrent nonsmall-cell lung cancer after surgical resection are not well understood . Little objective evidence exists to justify treatment for these patients . METHODS We prospect ively followed 1,361 consecutive patients with nonsmall-cell lung cancer who underwent complete surgical resection at our institution from January 1997 to December 2001 . Only patients having recurrent cancer were included in the analysis . Multivariable Cox proportional hazards models were used to evaluate the effect of prognostic factors on postrecurrence survival . RESULTS Follow-up was achieved in 1,073 patients , and recurrent cancer developed in 445 . Complete information was available on 390 patients for analysis . There were 262 men and 128 women . Median age at time of recurrence was 69 years . Median time from surgical resection to recurrence was 11.5 months , and median postrecurrence survival was 8.1 months . Recurrence was intrathoracic in 171 patients , extrathoracic in 172 , and a combination of both in 47 . Treatments after recurrence included surgery in 43 patients , chemotherapy in 59 , radiation in 73 , and a combination in 96 . All patients who received treatment survived longer than those who received no treatment .  Preoperative chemotherapy and postoperative radiotherapy  for the primary lung cancer , poor Eastern Cooperative Oncology Group Performance Status , decreased disease-free interval from initial resection to recurrence , symptoms at recurrence , and certain location of recurrence significantly decreased postrecurrence survival . CONCLUSIONS In our experience , treatment for recurrent nonsmall-cell lung cancer significantly prolongs survival . Various treatment modalities including surgery should be considered in patients with postoperative recurrent nonsmall-cell lung cancer
Preliminary work from this review suggests that exercise intervention compared with usual care both pre and post-surgery is associated with improved cardiopulmonary exercise capacity , increased muscle strength and reduced fatigue , post-operative complications and hospital length of stay .
BACKGROUND Surgery remains the best curative option for appropriately selected patients with lung cancer .
Evidence suggests that improving cardiovascular fitness and functional capacity can accelerate post-surgery recovery and reduce mortality .
However , the effect of exercise intervention for patients surgically treated for Non-Small Cell Lung Cancer [ NCSLC ] has not been fully examined .
PURPOSE This review examines the literature regarding exercise intervention for patients who are surgically treated for NSCLC focussing on three key areas : method ological quality , intervention design ( e.g. duration , frequency , type ) and outcomes measured .