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. 2023 Apr 24;15(9):2434.
doi: 10.3390/cancers15092434.

Feasibility, Reliability, and Safety of Remote Five Times Sit to Stand Test in Patients with Gastrointestinal Cancer

Daniel Steffens  1   2 , Natasha C Pocovi  1   3 , Jenna Bartyn  1   2 , Kim Delbaere  4   5 , Mark J Hancock  3 , Cherry Koh  1   2   6 , Linda Denehy  7   8 , Kimberley S van Schooten  4   5 , Michael Solomon  1   2   6 , On Behalf Of The Priority Trial Collaboration
Affiliations

Feasibility, Reliability, and Safety of Remote Five Times Sit to Stand Test in Patients with Gastrointestinal Cancer

Daniel Steffens et al. Cancers (Basel). .

Abstract

Background: To determine the feasibility, reliability, and safety of the remote five times sit to stand test (5STS) test in patients with gastrointestinal cancer. Methods: Consecutive adult patients undergoing surgical treatment for lower gastrointestinal cancer at a major referral hospital in Sydney between July and November 2022 were included. Participants completed the 5STS test both face-to-face and remotely, with the order randomised. Outcomes included measures of feasibility, reliability, and safety. Results: Of fifty-five patients identified, seventeen (30.9%) were not interested, one (1.8%) had no internet coverage, and thirty-seven (67.3%) consented and completed both 5STS tests. The mean (SD) time taken to complete the face-to-face and remote 5STS tests was 9.1 (2.4) and 9.5 (2.3) seconds, respectively. Remote collection by telehealth was feasible, with only two participants (5.4%) having connectivity issues at the start of the remote assessment, but not interfering with the tests. The remote 5STS test showed excellent reliability (ICC = 0.957), with limits of agreement within acceptable ranges and no significant systematic errors observed. No adverse events were observed within either test environment. Conclusions: Remote 5STS for the assessment of functional lower extremity strength in gastrointestinal cancer patients is feasible, reliable, and safe, and can be used in clinical and research settings.

Keywords: cancer; cross-sectional design; five times sit to stand test; reliability; remote assessment.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Time taken to complete face-to-face and remote five times sit to stand tests (n = 37). Face-to-face: Median (IQR) = 9.0 (7.2 to 10.6) and mean (SD) = 9.1 (2.4); Remote: Median (IQR) = 9.4 (7.8 to 10.9) and mean (SD) = 9.5 (2.3), p < 0.058.
Figure 2
Figure 2
Bland-Altman plot of agreement between face-to-face and remote five times sit to stand tests. The mean difference was −0.48 s (continuous red line) and the upper and lower limits were 1.16 and −2.12 s (broken red lines).
See this image and copyright information in PMC

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