The CanMoRe project (2016 - 2024)

The CanMoRe project will evaluate if enhanced mobilisation after surgery using innovative digital methods at the hospital and a new model for physical rehabilitation in the primary care can lead to decreased frequency of readmission to hospital due to less postoperative complications in patients that have undergone major abdominal surgery due to cancer.

This project is part of a larger project ”Early up and Go” with the overall aim to evaluate if very early and structured mobilisation and rehabilitation can improve respiratory and physical function and thereby reduce complications and enhance recovery after abdominal surgery due to cancer. A further aim is to improve methods for mobilisation at the ward by the use of feedback and wearable sensors.

Progress

We have evaluated the Activity Board on patients undergoing abdominal cancer surgery. The results are promising. The group that used the Activity Board compared to usual care spent more time upright and walking as well as had shorter length of stay at the hospital (Porserud A et al 2019). Studies on the patients (Porserud A et al 2021), as well as healthcare staff perceptions of using the Activity Board (Karlsson P et al 2022), have been conducted. Patients' experiences of using the Activity Board were that the board enabled participation and thereby facilitated empowerment over rehabilitation. Healthcare professionals perceived that the Activity Board facilitates daily work and promotes patient participation. They also described the board as an easy-to-use and helpful tool with great potential, providing valuable and accessible information as well as enabling them to better support patients. The data collection for the randomized controlled trial evaluating a new model for physical rehabilitation has been completed and analysis is ongoing.

Principal Investigator

Profile image

Maria Hagströmer

Professor/Physical Therapist

Project members

Markus Aly, PhD, MD

Lars Henningsohn, docent, MD

Patrik Karlsson, PhD student

Malin Nygren-Bonnier, docent

Andrea Porserud, PhD 

Elisabeth Rydwik, docent

Simon Torikka, research assistant

Financial support

ALF Medicine

The Swedish Research Council (VR)

The Swedish Cancer Society

Signe och Olof Wallenius Stiftelse

Stiftelsen Tornspiran

Åke Wibergs stiftelse

Publications

Association between early mobilisation after abdominal cancer surgery and postoperative complications.
Porserud A, Aly M, Nygren-Bonnier M, Hagströmer M
Eur J Surg Oncol 2023 Jun;():

The feasibility of using a digital tool to enhance mobilisation following abdominal cancer surgery – A non-randomised controlled trial.
Karlsson P, Nygren-Bonnier M, Henningsohn L, Rydwik E, Hagströmer M.
Pilot and Feasibility Studies. 2023.

Health care professionals experiences of using the activity board as a tool for postoperative mobilization after abdominal surgery.
Karlsson P, Porserud A, Hagströmer M, Nygren-Bonnier M.
J Can Rehab. 2022;5:90-97. doi.org/10.48252/JCR67

Like I said, I would not have likely gotten up otherwise: patient experiences of using an Activity Board after abdominal cancer surgery.
Porserud A, Lundberg M, Eriksson J, Nygren Bonnier M, Hagströmer M
Disabil Rehabil 2022 Mar;():1-8

The CanMoRe trial - evaluating the effects of an exercise intervention after robotic-assisted radical cystectomy for urinary bladder cancer: the study protocol of a randomised controlled trial.
Porserud A, Karlsson P, Rydwik E, Aly M, Henningsohn L, Nygren-Bonnier M, et al
BMC Cancer 2020 Aug;20(1):805

Objectively measured mobilisation is enhanced by a new behaviour support tool in patients undergoing abdominal cancer surgery.
Porserud A, Aly M, Nygren-Bonnier M, Hagströmer M
Eur J Surg Oncol 2019 Oct;45(10):1847-1853

MH
Content reviewer:
15-08-2023