A Guide to Inpatient Cancer Rehabilitation: Focusing on Patient Selection and Evidence‐Based Outcomes

Fu, Jack B.; Raj, Vishwa S.; Guo, Ying

doi:10.1016/j.pmrj.2017.04.017

Cited by 26 publications

(17 citation statements)

References 72 publications

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“…Brain tumor patients whether due to a primary brain tumor or metastatic brain tumor are general felt to fall under the brain injury diagnosis. [14, 15] Interestingly, MD Anderson Cancer Center is exempt from the Prospective Payment System and does not have to adhere to the 60% rule. Despite this, neurologic tumors were still the largest group of primary tumors admitted to the IRF there (although the proportion was less compared to Shirley Ryan Ability Lab or the national data from Mix et al).…”

Section: Introductionmentioning

confidence: 99%

Changing Paradigms in the Rehabilitation of Inpatients with Brain Tumors

Morishita

Yadav

2018

Curr Phys Med Rehabil Rep

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Neurologic tumors account for over 50% of American acute inpatient rehabilitation facility cancer admissions. WHO Grade IV astrocytoma (also known as glioblastoma multiforme, high grade glioma or GBM) is the most common primary brain tumor in adults and is invariably fatal. The majority of primary brain tumor patients experience neurologic deficits. However, under-referral from oncology to rehabilitation has been reported. This brief narrative review article covers functional, medical and regulatory considerations when rehabilitating brain tumor inpatients.

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Section: Introductionmentioning

confidence: 99%

Changing Paradigms in the Rehabilitation of Inpatients with Brain Tumors

Morishita

Yadav

2018

Curr Phys Med Rehabil Rep

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“…This lower admission rate may be due to a number of factors including under-referral as well as insurance denial of services 11 . A concern that is often cited in the cancer population is the ability to participate in therapy requirements at post-acute care facilities, which can range from 1-3 hours total per day of physical therapy, occupational therapy or speech therapy 17 . Despite this postulated apprehension, previous studies have found that cancer patients make signi cant functional gains during IRF stay, comparable to gains made for stroke, traumatic brain injury and spinal cord injury patients for which IRF is commonly recommended [18][19][20][21] .…”

Section: Discussionmentioning

confidence: 99%

Post-Acute Care Service use in Lung Cancer Patients

McLarney

Shofer

Zheng

2021

Preprint

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Purpose: Lung cancer patients experience functional deconditioning secondary to their underlying cancer and treatment yet rehabilitation service use remains low. The goal of this study is to compare post-acute care service use in lung cancer patients admitted to a metropolitan academic medical center. Methods: Adult lung cancer patients admitted from January 1, 2017 to August 31, 2018 with a diagnosis of lung cancer based on International Classification of Diseases 10, C34.0-C34.9, were included in this study. Patient characteristics including age, gender, race, marital status, functional status on admission, length of stay, and number of comorbidities were compared based on discharge setting. Results: 1,139 lung cancer patients were included in our study. The majority of patients discharged home with home care (51%) followed by home without services (35%), skilled nursing facilities (SNF) (10%) and acute inpatient rehabilitation facilities (IRF) (4%). 44% (498) of patients were primarily admitted for their lung cancer diagnosis. In unadjusted analyses, patients who discharged to SNF compared to home were more likely to be older, black, unmarried, live alone and have died during the study period. Patients who discharged to IRF had longer acute care hospitalization length of stays. In adjusted analyses, age, number of concurrent comorbidities and length of stay significantly correlated with discharge location. Conclusion: Lung cancer patients are unlikely to be discharged to a post-acute care facility after an acute hospitalization. Rehabilitation service use differs by sociodemographic factors, concurrent medical history and functional status. Future study is needed to better understand why these differences in discharge setting persists.

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“…However, the guarantee of frequent and close controls, and follow-up exams of these patients in their centre during the first 100 days, is in fact more important than physical and psychological rehabilitation during this time period. The main reason for this difficult situation is simply the lack of rehabilitation facilities experienced in alloHCT treatment that are close to transplant centres [ 51 ].…”

Section: Acute Rehabilitation As An Inpatient Later In the Time Coursementioning

confidence: 99%

Rehabilitation after Allogeneic Haematopoietic Stem Cell Transplantation: A Special Challenge

Bertz

2021

Cancers

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The general population is getting older and suffer more haematological malignancies despite being physically fit. These malignancies are mainly only curable via an alloHCT, and they are now carried out more frequently. Patients benefit from intensive rehabilitation earlier and may need it repeatedly in cases of severe side effects (e.g., graft-versus-host disease). They can suffer many problems that other cancer patients do not experience, such as severe infections, continued immunosuppression, nutritional restrictions, acute or chronic GvHD, or organ impairments (e.g., lung, eyes). They may also encounter various associated psychological problems, e.g., feeling like a chimera. Rehabilitation centres willing to care for patients after alloHCT should have an experienced multidisciplinary team and should work in close co-operation with the primary transplant centre.

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A Guide to Inpatient Cancer Rehabilitation: Focusing on Patient Selection and Evidence‐Based Outcomes

Cited by 26 publications

References 72 publications

Changing Paradigms in the Rehabilitation of Inpatients with Brain Tumors

Changing Paradigms in the Rehabilitation of Inpatients with Brain Tumors

Post-Acute Care Service use in Lung Cancer Patients

Rehabilitation after Allogeneic Haematopoietic Stem Cell Transplantation: A Special Challenge

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