Effectiveness of rehabilitation interventions in patients with colorectal cancer: an overview of systematic reviews
Objective: To evaluate existing evidence from published systematic reviews for the effectiveness and safety of rehabilitation interventions in adult patients with colorectal cancer. Methods: A comprehensive literature search was conducted using medical/health science databases up to October 2024. B...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2025-01-01
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| Series: | Journal of Rehabilitation Medicine |
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| Online Access: | https://medicaljournalssweden.se/jrm/article/view/40021 |
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| author | Mengzhe Yang Bhasker Amatya Sana Malik Krystal Song Stefanie Marcella Catherine Voutier Fary Khan |
| author_facet | Mengzhe Yang Bhasker Amatya Sana Malik Krystal Song Stefanie Marcella Catherine Voutier Fary Khan |
| author_sort | Mengzhe Yang |
| collection | DOAJ |
| description | Objective: To evaluate existing evidence from published systematic reviews for the effectiveness and safety of rehabilitation interventions in adult patients with colorectal cancer.
Methods: A comprehensive literature search was conducted using medical/health science databases up to October 2024. Bibliographies of pertinent articles, journals, and grey literature were searched. Three reviewers independently selected potential reviews, assessed methodological quality, and graded the quality of evidence for outcomes using validated tools.
Results: Sixty systematic reviews (761 randomized controlled trials) evaluated 5 categories of rehabilitation interventions. Over half of the included reviews (n = 31) were of moderate–high quality. The findings suggest: moderate-quality evidence for exercise interventions for improving physical fitness and quality of life; high-quality evidence for nutritional interventions in reducing postoperative infections; high-quality evidence for multimodal prehabilitation for improved preoperative functional capacity; moderate-quality evidence for nutritional interventions for improving humoral immunity, reducing inflammation, and length of stay; moderate-quality evidence for acupuncture in improving gastrointestinal functional recovery; psychosocial interventions in improving short-term quality of life and mental health, and lifestyle interventions for improved quality of life.
Conclusion: Rehabilitation interventions yielded positive effects across multiple outcomes. However, high-quality evidence is still needed to determine the most effective rehabilitation approaches for patients with colorectal cancer.
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| format | Article |
| id | doaj-art-2641865baa3340be95a1391c1b9094b3 |
| institution | Kabale University |
| issn | 1651-2081 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj-art-2641865baa3340be95a1391c1b9094b32025-01-24T08:17:34ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-01-015710.2340/jrm.v57.40021Effectiveness of rehabilitation interventions in patients with colorectal cancer: an overview of systematic reviewsMengzhe Yang0https://orcid.org/0009-0007-3605-8270Bhasker Amatya 1Sana Malik 2Krystal Song3Stefanie Marcella4Catherine Voutier5Fary Khan6Department of Rehabilitation Medicine, Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Medicine (Royal Melbourne Hospital), University of Melbourne, Parkville, Victoria, AustraliaDepartment of Rehabilitation Medicine, Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Medicine (Royal Melbourne Hospital), University of Melbourne, Parkville, Victoria, Australia; Australian Rehabilitation Research Centre, Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Rehabilitation, Peter MacCallum Cancer Centre, Parkville, Victoria, AustraliaAustralian Rehabilitation Research Centre, Royal Melbourne Hospital, Parkville, Victoria, Australia; Albany Medical College, Albany, New York, USADepartment of Rehabilitation Medicine, Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Medicine (Royal Melbourne Hospital), University of Melbourne, Parkville, Victoria, AustraliaDepartment of Rehabilitation Medicine, Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Medicine (Royal Melbourne Hospital), University of Melbourne, Parkville, Victoria, AustraliaDepartment of Rehabilitation Medicine, Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Medicine (Royal Melbourne Hospital), University of Melbourne, Parkville, Victoria, AustraliaDepartment of Rehabilitation Medicine, Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Medicine (Royal Melbourne Hospital), University of Melbourne, Parkville, Victoria, Australia; Australian Rehabilitation Research Centre, Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Rehabilitation, Peter MacCallum Cancer Centre, Parkville, Victoria, AustraliaObjective: To evaluate existing evidence from published systematic reviews for the effectiveness and safety of rehabilitation interventions in adult patients with colorectal cancer. Methods: A comprehensive literature search was conducted using medical/health science databases up to October 2024. Bibliographies of pertinent articles, journals, and grey literature were searched. Three reviewers independently selected potential reviews, assessed methodological quality, and graded the quality of evidence for outcomes using validated tools. Results: Sixty systematic reviews (761 randomized controlled trials) evaluated 5 categories of rehabilitation interventions. Over half of the included reviews (n = 31) were of moderate–high quality. The findings suggest: moderate-quality evidence for exercise interventions for improving physical fitness and quality of life; high-quality evidence for nutritional interventions in reducing postoperative infections; high-quality evidence for multimodal prehabilitation for improved preoperative functional capacity; moderate-quality evidence for nutritional interventions for improving humoral immunity, reducing inflammation, and length of stay; moderate-quality evidence for acupuncture in improving gastrointestinal functional recovery; psychosocial interventions in improving short-term quality of life and mental health, and lifestyle interventions for improved quality of life. Conclusion: Rehabilitation interventions yielded positive effects across multiple outcomes. However, high-quality evidence is still needed to determine the most effective rehabilitation approaches for patients with colorectal cancer. https://medicaljournalssweden.se/jrm/article/view/40021RehabilitationColorectal neoplasmsColorectal cancerSystematic ReviewCritical Appraisal |
| spellingShingle | Mengzhe Yang Bhasker Amatya Sana Malik Krystal Song Stefanie Marcella Catherine Voutier Fary Khan Effectiveness of rehabilitation interventions in patients with colorectal cancer: an overview of systematic reviews Journal of Rehabilitation Medicine Rehabilitation Colorectal neoplasms Colorectal cancer Systematic Review Critical Appraisal |
| title | Effectiveness of rehabilitation interventions in patients with colorectal cancer: an overview of systematic reviews |
| title_full | Effectiveness of rehabilitation interventions in patients with colorectal cancer: an overview of systematic reviews |
| title_fullStr | Effectiveness of rehabilitation interventions in patients with colorectal cancer: an overview of systematic reviews |
| title_full_unstemmed | Effectiveness of rehabilitation interventions in patients with colorectal cancer: an overview of systematic reviews |
| title_short | Effectiveness of rehabilitation interventions in patients with colorectal cancer: an overview of systematic reviews |
| title_sort | effectiveness of rehabilitation interventions in patients with colorectal cancer an overview of systematic reviews |
| topic | Rehabilitation Colorectal neoplasms Colorectal cancer Systematic Review Critical Appraisal |
| url | https://medicaljournalssweden.se/jrm/article/view/40021 |
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