Pulmonary Rehabilitation Before Lung Cancer Resection

Study Overview
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Brief Summary
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This study seeks to study the effectiveness of a short mindfulness based pulmonary rehabilitation program prior to a surgical resection in patients with lung cancer and severe Chronic Obstructive Lung Disease (COPD).

Official Title
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Pulmonary Rehabilitation Before Lung Cancer Resection

Conditions
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Lung Cancer, COPD, Chronic Obstructive Lung Disease, Emphysema

Intervention / Treatment
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* Behavioral: Mindfulness Based Pulmonary Rehabilitation
* Other: Usual Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient is scheduled to undergo a surgery for non small cell lung cancer Moderate to severe COPD Current or ex smoker of ten or more years Exclusion Criteria: Unable to perform exercise due to active cardiovascular, musculoskeletal or mental problems Poorly motivated to attend the rehabilitation sessions or receive randomization.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Intervention<br>The Intervention Arm will receive 10 sessions of Mindfulness Based Pulmonary Rehabilitation prior to lung surgery | Behavioral: Mindfulness Based Pulmonary Rehabilitation<br>* Participants in this group will under go 10 sessions of mindfulness based pulmonary rehabilitation prior to surgery. Each session is about 2 hours long and consists of upper /lower extremity training, breathing exercises, and education.<br>|
| Placebo Comparator: Usual Care<br>The Usual Care Arm will receive the normal care that a patient with severe COPD having a lung surgery would receive. | Other: Usual Care<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measure of length of hospital stay post surgical resection of lung cancer in patients that underwent a resection for lung cancer. | The length of hospital stay will be compared between participants that under went 10 Mindful Rehabilitation Sessions with participants who received the usual care prior to a lung resection. | baseline to release from hospital - approx 10 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measure post-operative complications in patients that under went 10 session of Mindful Pulmonary Rehabilitation prior to lung resection compared to patients who received usual care prior to a lung resection for lung cancer. | The study will compare the number of ICU days, ventilation hours, number of days with a chest tube, subsequent pneumonia or respiratory failure in patients that underwent 10 Mindful Pulmonary Rehabilitation sessions prior to a lung resection to patients who received the usual care prior to a lung resection for lung cancer. | Post surgerybaseline to release from hospital - approx 10 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COPD, Chronic Obstructive Lung Disease, lung cancer, emphysema, Pulmonary Rehabilitation