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As a secondary objective, the study aimed to investigate the impact of early ambulation on the occurrence of short-term postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective cohort study included patients who underwent elective abdominal cancer surgery between April 2024 and July 2025. Preoperative handgrip strength (HGS) and walking speed, measured using the 10-Meter Walk Test (10MeWT), were assessed preoperatively. Logistic regression was used to identify factors associated with early ambulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 122 patients were included in the study, of whom 93 (76.2%) ambulated for the first time on POD1. Multivariate analysis showed that patients with a preoperative walking speed\u2009&gt;\u20090.80\u00a0m\/s (OR 4.74; 95% CI 1.41\u201315.96;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01), those who underwent gastrectomy (OR 8.20; 95% CI 1.36\u201349.32;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), rectosigmoidectomy (OR 6.99; 95% CI 1.48\u201332.91;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01), and those with shorter operative times (OR 0.99; 95% CI 0.98\u20130.99;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02) were independently associated with early ambulation. The median length of hospital stay was significantly shorter among patients who ambulated on POD1 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). In-hospital mortality was also lower among those who ambulated on POD1 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients who ambulated on POD1 exhibited a lower frequency of short-term postoperative complications. Preoperative walking speed, operative time, and type of surgical procedure were independent predictors of early ambulation in patients undergoing abdominal cancer surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-11072-4","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:46:45Z","timestamp":1787125605000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative walking speed and surgical aspects as predictors of early ambulation after abdominal cancer surgery: a prospective cohort study"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7606-2564","authenticated-orcid":false,"given":"Gustavo Telles","family":"da Silva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4572-7683","authenticated-orcid":false,"given":"Myllena Nassif","family":"de Almeida Rohem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8373-4698","authenticated-orcid":false,"given":"Maria Luiza Val\u00e9rio","family":"Dalzini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5268-4577","authenticated-orcid":false,"given":"M\u00f4nica Maria Pena","family":"Quint\u00e3o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0033-2545","authenticated-orcid":false,"given":"Rodrigo Otavio","family":"de Castro Araujo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"issue":"3","key":"11072_CR1","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","volume":"74","author":"F Bray","year":"2024","unstructured":"Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, Jemal A (2024) Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. 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