SP 7.03 Patients’ Perceptions of a Rehabilitation Intervention to Restore Quality of Life Following Oesophageal Cancer Surgery: A Qualitative Study
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ID: 323865
2026
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Abstract
Abstract Aims Participation in a structured post-oesophagectomy rehabilitation programme improves vital health-related quality of life (HR-QOL) domains in survivorship. To achieve optimal HR-QOL improvements, patient engagement is important. This qualitative study assessed patients’ perceptions of participating in a home-based, post-oesophagectomy rehabilitation programme comprising exercises and multidisciplinary input. Methods This qualitative study was conducted as part of the Fitness AfteR Oesophagectomy (FARO) trial, which assessed the impact of a 12-week post-oesophagectomy rehabilitation programme upon HR-QOL and cardiorespiratory fitness. Focus groups with patients randomised to each group (REHAB-intervention; NO-REHAB-control) were individually conducted. Focus group discussions were audio-recorded and transcribed verbatim. A thematic content analysis approach was utilised to understand patients’ perceptions, facilitators and barriers to engagement. Results Thirteen patients (median age 64, range 48-77) attended the REHAB (n=7) and NO-REHAB (n=6) focus groups, respectively. Five themes were identified: (1) individual variation in recovery and impact on physical activity (2) changes in physical strength and body composition (3) digestive dysfunction (4) challenges with oral intake (5) long-term impact of oesophageal cancer surgery on physical strength and regular activities. Structured guidance and regular clinical contact were recognised as facilitators to participation. Barriers included side effects associated with adjuvant treatment (fatigue, nausea) and ongoing digestive issues. Participants highlighted the need for psychological support, structured post-oesophagectomy physical activity guidance and greater dietary counselling as factors that may aid swifter recovery. Conclusion Post-oesophagectomy rehabilitation can help address key patient concerns and restore key HR-QOL domains in the post-operative recovery phase and into survivorship.
| Reference Key |
openalex_W7172491539
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| Authors | Pooja Prasad, Joshua Brown, Claire Sedgwick, Crystal M Aure, Alastair Greystoke, Alexander W Phillips |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.090
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| URL | |
| Keywords | Keywords not found |
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