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Article ; Online: Identification of subgroups of patients with oesophageal cancer based on exercise intensity during prehabilitation.

Reijneveld, Elja A E / Griekspoor, Mitchel / Dronkers, Jaap J / Kerst, Ad / Ruurda, Jelle P / Veenhof, Cindy

2024 , Page(s) 1–8

Abstract: Purpose: To identify subgroups of patients with oesophageal cancer based on exercise intensity during prehabilitation, and to investigate whether training outcomes varied between subgroups.: Materials and methods: Data from a multicentre cohort study ...

Abstract	Purpose: To identify subgroups of patients with oesophageal cancer based on exercise intensity during prehabilitation, and to investigate whether training outcomes varied between subgroups. Materials and methods: Data from a multicentre cohort study were used, involving participants following prehabilitation before oesophagectomy. Hierarchical cluster analysis was performed using four cluster variables (intensity of aerobic exercise, the Borg score during resistance exercise, intensity of physical activity, and degree of fatigue). Aerobic capacity and muscle strength were estimated before and after prehabilitation. Results: In 64 participants, three clusters were identified based on exercise intensity. Cluster 1 ( Conclusions: This cluster analysis identified three subgroups with distinct patterns in exercise intensity during prehabilitation. Participants who were physically fit were able to train at high intensity. Fatigued participants trained at lower intensity but showed the greatest improvement. A small group of participants, despite being physically active, had a low training capacity and could be considered frail.
Language	English
Publishing date	2024-04-09
Publishing country	England
Document type	Journal Article
ZDB-ID	1104775-6
ISSN	1464-5165 ; 0963-8288
ISSN (online)	1464-5165
ISSN	0963-8288
DOI	10.1080/09638288.2024.2337106
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Article ; Online: An Editorial on Lymphadenectomy in Esophagectomy for Cancer.

Kingma, B Feike / Ruurda, Jelle P / van Hillegersberg, Richard

Annals of surgical oncology

2022 Volume 29, Issue 8, Page(s) 4676–4678

MeSH term(s)	Esophageal Neoplasms/surgery ; Esophagectomy ; Humans ; Lymph Node Excision ; Treatment Outcome
Language	English
Publishing date	2022-04-30
Publishing country	United States
Document type	Editorial
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-022-11736-5
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Zs.A 4042: Show issues

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Article ; Online: Response to Comment on Associations Between Preoperative Inspiratory Muscle Training Variables and Postoperative Pulmonary Complications in Subjects With Esophageal Cancer.

Overbeek, Meike C / Reijneveld, Elja Ae / Valkenet, Karin / van Adrichem, Edwin J / Dronkers, Jaap J / Ruurda, Jelle P / Veenhof, Cindy

Respiratory care

2024 Volume 69, Issue 3, Page(s) 1–2

MeSH term(s)	Humans ; Lung ; Respiratory Therapy ; Postoperative Complications/etiology ; Esophageal Neoplasms/surgery ; Muscles
Language	English
Publishing date	2024-02-28
Publishing country	United States
Document type	Letter
ZDB-ID	603252-7
ISSN	1943-3654 ; 0098-9142 ; 0020-1324
ISSN (online)	1943-3654
ISSN	0098-9142 ; 0020-1324
DOI	10.4187/respcare.11841
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Zs.B 2285: Show issues

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Article ; Online: The Association Between Preoperative Inspiratory Muscle Training Variables and Postoperative Pulmonary Complications in Subjects With Esophageal Cancer.

Overbeek, Meike C / Reijneveld, Elja Ae / Valkenet, Karin / van Adrichem, Edwin J / Dronkers, Jaap J / Ruurda, Jelle P / Veenhof, Cindy

Respiratory care

2024 Volume 69, Issue 3, Page(s) 290–297

Abstract: Background: Preoperative inspiratory muscle training (IMT) is frequently used in patients waiting for major surgery to improve respiratory muscle function and to reduce the risk of postoperative pulmonary complications (PPCs). Currently, the mechanism ... ...

Abstract	Background: Preoperative inspiratory muscle training (IMT) is frequently used in patients waiting for major surgery to improve respiratory muscle function and to reduce the risk of postoperative pulmonary complications (PPCs). Currently, the mechanism of action of IMT in reducing PPCs is still unclear. Therefore, we investigated the associations between preoperative IMT variables and the occurrence of PPCs in patients with esophageal cancer. Methods: A multi-center cohort study was conducted in subjects scheduled for esophagectomy, who followed IMT as part of a prehabilitation program. IMT variables included maximum inspiratory pressure (P Results: Eighty-seven subjects were included (69 males; mean age 66.7 ± 7.3 y). A higher P Conclusions: This study shows that an improvement in preoperative inspiratory muscle strength during IMT and training intensity of IMT were not associated with a reduced risk on PPCs after esophagectomy. Further research is needed to investigate other possible factors explaining the mechanism of action of preoperative IMT in patients undergoing major surgery, such as the awareness of patients related to respiratory muscle function and a diaphragmatic breathing pattern.
MeSH term(s)	Male ; Humans ; Middle Aged ; Aged ; Breathing Exercises ; Anastomotic Leak ; Cohort Studies ; Diaphragm ; Respiratory Muscles ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Esophageal Neoplasms/surgery ; Esophageal Neoplasms/complications ; Muscle Strength
Language	English
Publishing date	2024-02-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	603252-7
ISSN	1943-3654 ; 0098-9142 ; 0020-1324
ISSN (online)	1943-3654
ISSN	0098-9142 ; 0020-1324
DOI	10.4187/respcare.11199
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Article ; Online: Comment on: "Early Outcomes of Robot-Assisted Versus Thoracoscopic-Assisted Ivor Lewis Esophagectomy for Esophageal Cancer: A Propensity Score-Matched Study".

Kingma, B Feike / Ruurda, Jelle P

Annals of surgical oncology

2019 Volume 26, Issue 5, Page(s) 1178–1181

MeSH term(s)	Esophageal Neoplasms/surgery ; Esophagectomy ; Humans ; Propensity Score ; Robotics ; Thoracoscopy
Language	English
Publishing date	2019-03-13
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-019-07310-1
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Article ; Online: Management of locally advanced adenocarcinoma of the oesophagus and oesophagogastric junction: the Neo-AEGIS trial.

Weijs, Teus J / van Laarhoven, Hanneke W M / Wijnhoven, Bas P L / Ruurda, Jelle P / van Hillegersberg, Richard

The lancet. Gastroenterology & hepatology

2024 Volume 9, Issue 2, Page(s) 103–104

MeSH term(s)	Humans ; Esophagus/pathology ; Adenocarcinoma/pathology ; Esophagogastric Junction/pathology
Language	English
Publishing date	2024-01-12
Publishing country	Netherlands
Document type	Letter
ISSN	2468-1253
ISSN (online)	2468-1253
DOI	10.1016/S2468-1253(23)00407-7
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Article: Mixed Reality in Modern Surgical and Interventional Practice: Narrative Review of the Literature.

Vervoorn, Mats T / Wulfse, Maaike / Van Doormaal, Tristan P C / Ruurda, Jelle P / Van der Kaaij, Niels P / De Heer, Linda M

JMIR serious games

2023 Volume 11, Page(s) e41297

Abstract: Background: Mixed reality (MR) and its potential applications have gained increasing interest within the medical community over the recent years. The ability to integrate virtual objects into a real-world environment within a single video-see-through ... ...

Abstract	Background: Mixed reality (MR) and its potential applications have gained increasing interest within the medical community over the recent years. The ability to integrate virtual objects into a real-world environment within a single video-see-through display is a topic that sparks imagination. Given these characteristics, MR could facilitate preoperative and preinterventional planning, provide intraoperative and intrainterventional guidance, and aid in education and training, thereby improving the skills and merits of surgeons and residents alike. Objective: In this narrative review, we provide a broad overview of the different applications of MR within the entire spectrum of surgical and interventional practice and elucidate on potential future directions. Methods: A targeted literature search within the PubMed, Embase, and Cochrane databases was performed regarding the application of MR within surgical and interventional practice. Studies were included if they met the criteria for technological readiness level 5, and as such, had to be validated in a relevant environment. Results: A total of 57 studies were included and divided into studies regarding preoperative and interventional planning, intraoperative and interventional guidance, as well as training and education. Conclusions: The overall experience with MR is positive. The main benefits of MR seem to be related to improved efficiency. Limitations primarily seem to be related to constraints associated with head-mounted display. Future directions should be aimed at improving head-mounted display technology as well as incorporation of MR within surgical microscopes, robots, and design of trials to prove superiority.
Language	English
Publishing date	2023-01-06
Publishing country	Canada
Document type	Journal Article ; Review
ZDB-ID	2798265-8
ISSN	2291-9279
ISSN	2291-9279
DOI	10.2196/41297
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Article ; Online: Risk Factors for Tumor Positive Resection Margins After Neoadjuvant Chemoradiotherapy for Esophageal Cancer: Results From the Dutch Upper GI Cancer Audit: A Nationwide Population-Based Study.

Defize, Ingmar L / Goense, Lucas / Borggreve, Alicia S / Mook, Stella / Meijer, Gert J / Ruurda, Jelle P / van Hillegersberg, Richard

Annals of surgery

2023 Volume 277, Issue 2, Page(s) e313–e319

Abstract: Objective: To identify risk factors for tumor positive resection margins after neoadjuvant chemoradiotherapy (nCRT) followed by esophagectomy for esophageal cancer.: Summary background data: Esophagectomy after nCRT is associated with tumor positive ... ...

Abstract	Objective: To identify risk factors for tumor positive resection margins after neoadjuvant chemoradiotherapy (nCRT) followed by esophagectomy for esophageal cancer. Summary background data: Esophagectomy after nCRT is associated with tumor positive resection margins in 4% to 9% of patients. This study evaluates potential risk factors for positive resection margins after nCRT followed by esophagectomy. Methods: All patients who underwent an elective esophagectomy following nCRT in 2011 to 2017 in the Netherlands were included. A multivariable logistic regression was performed to assess the association between potential risk factors and tumor positive resection margins. Results: In total, 3900 patients were included. Tumor positive resection margins were observed in 150 (4%) patients. Risk factors for tumor positive resection margins included tumor length (in centimeters, OR: 1.1, 95% CI: 1.0-1.1), cT4-stage (OR: 3.0, 95% CI: 1.2-6.7), and an Ivor Lewis esophagectomy (OR: 1.6, 95% CI: 1.0-2.6). Predictors associated with a lower risk of tumor positive resection margins were squamous cell carcinoma (OR: 0.4, 95% CI: 0.2-0.7), distal tumors (OR: 0.5, 95% CI: 0.3-1.0), minimally invasive surgery (OR: 0.6, 95% CI: 0.4-0.9), and a hospital volume of >60 esophagectomies per year (OR: 0.6, 95% CI: 0.4-1.0). Conclusions: In this nationwide cohort study, tumor and surgical related factors (tumor length, histology, cT-stage, tumor location, surgical procedure, surgical approach, hospital volume) were identified as risk factors for tumor positive resection margins after nCRT for esophageal cancer. These results can be used to improve the radical resection rate by careful selection of patients and surgical approach and are a plea for centralization of esophageal cancer care.
MeSH term(s)	Humans ; Neoadjuvant Therapy ; Cohort Studies ; Esophagectomy ; Margins of Excision ; Esophageal Neoplasms/therapy ; Gastrointestinal Neoplasms ; Risk Factors
Language	English
Publishing date	2023-01-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	340-2
ISSN	1528-1140 ; 0003-4932
ISSN (online)	1528-1140
ISSN	0003-4932
DOI	10.1097/SLA.0000000000005112
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Article ; Online: Risk factors and consequences of post-esophagectomy delirium: a systematic review and meta-analysis.

Papaconstantinou, Dimitrios / Frountzas, Maximos / Ruurda, Jelle P / Mantziari, Stella / Tsilimigras, Diamantis I / Koliakos, Nikolaos / Tsivgoulis, Georgios / Schizas, Dimitrios

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

2023 Volume 36, Issue 8

Abstract: Post-operative delirium (POD) is a state of mental and neurocognitive impairment characterized by disorientation and fluctuating levels of consciousness. POD in the context of esophageal surgery may herald serious and potentially life-threatening post- ... ...

Abstract	Post-operative delirium (POD) is a state of mental and neurocognitive impairment characterized by disorientation and fluctuating levels of consciousness. POD in the context of esophageal surgery may herald serious and potentially life-threatening post-operative complications, or conversely be a symptom of severe underlying pathophysiologic disturbances. The aim of the present systematic review and meta-analysis is to explore risk factors associated with the development of POD and assess its impact on post-operative outcomes. A systematic literature search of the MedLine, Web of Science, Embase and Cochrane CENTRAL databases and the clinicaltrials.gov registry was undertaken. A random-effects model was used for data synthesis with pooled outcomes expressed as Odds Ratios (OR), or standardized mean differences (WMD) with corresponding 95% Confidence Intervals. Seven studies incorporating 2449 patients (556 with POD and 1893 without POD) were identified. Patients experiencing POD were older (WMD 0.29 ± 0.13 years, P < 0.001), with higher Charlson's Comorbidity Index (CCI; WMD 0.31 ± 0.23, P = 0.007) and were significantly more likely to be smokers (OR 1.38, 95% CI 1.07-1.77, P = 0.01). Additionally, POD was associated with blood transfusions (OR 2.08, 95% CI 1.56-2.77, P < 0.001), and a significantly increased likelihood to develop anastomotic leak (OR 2.03, 95% CI 1.25-3.29, P = 0.004). Finally, POD was associated with increased mortality (OR 2.71, 95% CI 1.24-5.93, P = 0.01) and longer hospital stay (WMD 0.4 ± 0.24, P = 0.001). These findings highlight the clinical relevance and possible economic impact of POD after esophagectomy for malignant disease and emphasize the need of developing effective preventive strategies.
MeSH term(s)	Humans ; Esophagectomy/adverse effects ; Risk Factors ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Anastomotic Leak/epidemiology ; Anastomotic Leak/etiology ; Anastomotic Leak/diagnosis ; Delirium/etiology ; Delirium/complications
Language	English
Publishing date	2023-01-18
Publishing country	United States
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	639470-x
ISSN	1442-2050 ; 1120-8694
ISSN (online)	1442-2050
ISSN	1120-8694
DOI	10.1093/dote/doac103
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Zs.A 2378: Show issues

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Article ; Online: Conditional relative survival in nonmetastatic esophagogastric cancer between 2006 and 2020: A population-based study.

Pape, Marieke / Kuijper, Steven C / Vissers, Pauline A J / Ruurda, Jelle P / Neelis, Karen J / van Laarhoven, Hanneke W M / Verhoeven, Rob H A

International journal of cancer

2023 Volume 152, Issue 12, Page(s) 2503–2511

Abstract: Conditional relative survival (CRS) is useful for communicating prognosis to patients as it provides an estimate of the life expectancy after having survived a certain time after treatment. Our study estimates the 3-year relative survival conditional on ... ...

Abstract	Conditional relative survival (CRS) is useful for communicating prognosis to patients as it provides an estimate of the life expectancy after having survived a certain time after treatment. Our study estimates the 3-year relative survival conditional on having survived a certain period for patients with esophageal or gastric cancer. Patients with nonmetastatic esophageal or gastric cancer diagnosed between 2006 and 2020 treated with curative intent (resection with or without [neo]adjuvant therapy, or chemoradiotherapy) were selected from the Netherlands Cancer Registry. CRS was calculated since resection or last day of chemoradiotherapy. The probability of surviving an additional 3 years (ie, 3-year CRS), if the patients survived 1, 3 and 5 years after diagnosis was 62%, 79%, 87% and 69%, 84%, 90% for esophageal and gastric cancer, respectively. The 3-year CRS after having survived 3 years for patients with esophageal cancer who underwent a resection (n = 12 204) was 91%, 88%, 77% and 60% for pathological Stage 0, I, II and III, and for patients with esophageal cancer who received chemoradiotherapy (n = 4158) was 51% and 66% for clinical Stage II and III, respectively. The 3-year CRS after having survived 3 years for patients with gastric cancer who underwent a resection (n = 6531) was 99%, 90%, 73% and 59% for pathological Stage 0, I, II and III, respectively. Despite poor prognosis of patients with esophageal or gastric cancer, life expectancy increases substantially after patients have survived several years after treatment. Our study provides valuable information for communication of prognosis to patients during follow-up after treatment.
MeSH term(s)	Humans ; Esophageal Neoplasms/therapy ; Stomach Neoplasms/pathology ; Prognosis ; Registries ; Combined Modality Therapy ; Survival Rate ; Retrospective Studies
Language	English
Publishing date	2023-03-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	218257-9
ISSN	1097-0215 ; 0020-7136
ISSN (online)	1097-0215
ISSN	0020-7136
DOI	10.1002/ijc.34480
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Zs.A 478: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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