Review Article

Effect of Pulmonary Rehabilitation on Postoperative Clinical Status in Patients with Lung Cancer and Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Table 1

Characteristics of included studies.

Study (country)YearStudy designTotal participants, n (male/female)Intervention group (I), n (age, years); control group (C), n (age, years)CharacteristicsComparisonOutcome measurements

Stefanelli et al. [16] (Italy)2013RCT40 (23/17)I: 20 (<75)
C: 20 (75)
65 ± 7
NSCLC (stage I/II) and COPD; open thoracotomyUsual care (preoperative preparation)CPET
PFT
Zhang and Zhao [17] (United States)2011RCT19 (9/10)I: 10 (70.2 ± 8.61)
C: 9 (72.0 ± 6.69)
Lung cancer and COPD; open thoracotomy or VATSUsual care (preoperative preparation)PPCs
LOS
Adverse effects
Zhang et al. [18] (China)2014RCT86 (56/30)I: 43 (64.98 ± 2.7)
C: 43 (64.53 ± 2.62)
NSCLC (stages I–III) and COPD; open thoracotomy or VATSUsual care (preoperative preparation)PPCs
LOS
6MWD
Lai et al. [19] (China)2016RCT48 (28/20)I: 24 (63.13 ± 6.26)
C: 24 (64.04 ± 8.94)
NSCLC (stages I–IV) and COPD; open thoracotomy or VATSUsual care (preoperative preparation)PPCs
LOS
6MWD
Health-related quality
He [20] (China)2018RCT110 (72/38)I: 55 (68.5 ± 5.6)
C: 55 (69.3 ± 6.1)
NSCLC and COPD; open thoracotomy or VATSUsual care (preoperative preparation)PPCs
LOS
CPET
PFT
Saito et al. [6] (Japan)2017CT62 (54/8)I: 31 (72.0 ± 8.8)
C: 31 (71.3 ± 6.5)
NSCLC (stages I–II) and COPD; open thoracotomy or VATSUsual care (preoperative preparation)PPCs
PFT
LOS
Mujovic et al. [21] (Serbia)2015CT103 (90/13)I: 56 (72.0 ± 8.8)
C: 47 (71.3 ± 6.5)
NSCLC and COPD; open thoracotomy or VATSUsual care (preoperative preparation)LOS
PFT
6MWD
Sekine et al. [22] (Japan)2005CT82 (76/6)I: 22 (70.4 ± 4.6)
C: 60 (69.0 ± 5.5)
NSCLC (stages I–IV) and COPD;
Lobectomy
Usual care (preoperative preparation)PPCs
LOS
PFT
Meng et al. [15] (China)2018CT101 (63/38)I: 43 (58.9 ± 8.9)
C: 58 (61.1 ± 9.1)
NSCLC (stages I–III) and COPD; VATSUsual care (preoperative preparation)PPCs
LOS
PFT

RCT: randomized controlled trial; I: intervention group; C: control group; COPD: chronic obstructive pulmonary disease; SD: standard deviation; LOS: length of stay; NSCLC: non-small-cell lung cancer; PFT: pulmonary function testing; PPC: postoperative pulmonary complication; CPET: cardiopulmonary exercise test; 6MWD: 6-minute walking distance; VATS: video-assisted thoracoscopic surgery; CT: controlled trial.