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. 2025 Jul 25;15(7):e101624.
doi: 10.1136/bmjopen-2025-101624.

Implementation of a preoperative exercise programme in lung cancer resection: protocol for a mixed-methods study

Meredith King  1   2 , Nicole Roche  3   4 , Benjamin Harris  3   5 , Michael Hibbert  4 , Garrick Don  4 , Marita Dale  6 , Gregory G King  3   5   7 , Sally Wootton  2   8
Affiliations

Implementation of a preoperative exercise programme in lung cancer resection: protocol for a mixed-methods study

Meredith King et al. BMJ Open. .

Abstract

Introduction: Preoperative exercise training is recommended, when feasible, for people undergoing resection for lung cancer and has been shown to reduce the risk of postoperative pulmonary complications and improve preoperative exercise capacity. However, preoperative exercise training programmes are not commonly available in the Australian clinical practice setting due to a range of factors including resource and time restrictions. We aim to describe the protocol to evaluate the implementation of an existing preoperative exercise training programme in people undergoing lung cancer resection in an Australian setting.

Methods and analysis: This is an evaluation of a secondary objective of a study examining the effect of lung cancer resection on exercise capacity, lung function and symptoms of dyspnoea and quality of life. Participants will be prospectively recruited at the time of lung cancer diagnosis and planned surgical treatment through the lung cancer multidisciplinary team of a metropolitan hospital in Sydney, Australia. All participants will be offered the choice of participating in the preoperative exercise training programme which encompasses a hybrid gym and telerehabilitation programme of up to five sessions/week from baseline until surgical date. The programme will be evaluated using the Reach, Effectiveness, Adoption, Implementation, Maintenance Framework including both quantitative and qualitative measures which will be analysed using descriptive statistics and qualitative analysis coded inductively.

Ethics and dissemination: The study has received ethical approval through the Northern Sydney Local Health District reference 2023/ETH01643 and has been registered prospectively. Findings will be disseminated through peer-reviewed publication and scientific conference presentation.

Trial registration number: ACTRN12624000359538.

Keywords: Exercise; Lung Neoplasms; REHABILITATION MEDICINE.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1. Study design. PreOpET, preoperative exercise training.
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