Background: Prehabilitation to maximize exercise capacity before lung cancer surgery has the potential to improve operative tolerability and patient outcomes. However, translation of this evidence into clinical practice is limited. Aims: To determine the acceptability and perceived benefit of prehabilitation in lung cancer among thoracic surgeons. Procedure: 198 cardiothoracic surgeons within Australia and New Zealand were surveyed to evaluate their attitudes and perceived benefits of prehabilitation in lung cancer. Results: Response rate was 14%. A moderate proportion of respondents reported that there is a need to refer lung resection patients to preoperative physiotherapy/prehabilitation, particularly high-risk patients or those with borderline fitness for surgery. 91% of surgeons were willing to delay surgery (as indicated by cancer stage/type) to optimize patients via prehabilitation. The main barriers to prehabilitation reported were patient comorbidities and access to allied health professionals, with 33% stating that they were unsure who to refer to for prehabilitation in thoracic surgery. This is despite 60% of the cohort reporting that pulmonary rehabilitation is available as a preoperative resource. 92% of respondents believe that further research into prehabilitation in lung cancer is warranted. Conclusion: The benefits of prehabilitation for the oncology population have been well documented in the literature over recent years and this is reflected in the perceptions surgeons had on the benefits of prehabilitation for their patients. This survey demonstrates an interest among cardiothoracic surgeons in favor of prehabilitation, and therefore further research and demonstration of its benefit is needed in lung cancer to facilitate implementation into practice.

中文翻译：

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对肺癌康复的态度和看法。

背景：在肺癌手术前最大限度地提高运动能力的预康复有可能提高手术耐受性和患者预后。然而，将该证据转化为临床实践是有限的。目的：确定胸外科医生对肺癌康复治疗的可接受性和感知益处。程序：对澳大利亚和新西兰的 198 名心胸外科医生进行了调查，以评估他们对肺癌康复治疗的态度和感知益处。结果：反应率为 14%。中等比例的受访者报告说，需要将肺切除患者转诊至术前物理治疗/康复治疗，尤其是高危患者或边缘适合手术的患者。91% 的外科医生愿意推迟手术（如癌症分期/类型所示）以通过康复治疗优化患者。所报告的康复训练的主要障碍是患者的合并症和获得专职卫生专业人员的机会，33% 的人表示他们不确定在胸外科进行康复训练时应参考谁。尽管有 60% 的队列报告称肺康复可作为术前资源。92% 的受访者认为有必要对肺癌的康复进行进一步研究。结论：近年来，康复治疗对肿瘤患者的益处已在文献中得到充分证明，这反映在外科医生对其患者进行康复治疗的益处的看法上。