Cancer Rehabilitation:

Nori, Phalgun; Kline‐Quiroz, Cristina; Stubblefield, Michael D.

doi:10.1016/j.mcna.2019.10.005

Cited by 9 publications

(4 citation statements)

References 57 publications

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“…Cancer rehabilitation is widely recognized as an essential element of survivorship and utilizes interventions that can improve, maintain, restore, or compensate for dysfunction. 4,7,37,60,[72][73][74][75][76][77][78] Nevertheless, repeating PRO and functional measures for patients who attend this clinic over time would provide novel information regarding beneficial effects. In view of the preliminary effectiveness of this interdisciplinary clinic, we continue to employ this model at our institution; in addition, we are initiating a prospective multiyear study examining the efficacy of this interdisciplinary functional surveillance model.…”

Section: Discussionmentioning

confidence: 99%

Identification and management of late dysfunction in survivors of head and neck cancer: Implementation and outcomes of an interdisciplinary quality of life (IQOL) clinic

et al. 2021

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Background Identifying and treating late dysfunction in survivors of head and neck cancer (HNC) is important; however, an effective way to do so is not established. Methods A quality improvement initiative altering our HNC survivorship clinic to include surveillance by rehabilitation providers was undertaken. The nature of dysfunction identified, along with the number and type of referrals to ancillary/support services were collected and compared to baseline. Results The baseline, single‐provider, clinic evaluated 61 patients and referred 2 (3%) to ancillary/support services. Fifty‐seven patients were evaluated in the interdisciplinary clinic, with 36 (63%) referred to at least one ancillary/support service for new/progressive dysfunction. Of 59 referrals made, 22 (37%) were for dysphagia, 17(29%) were for neck/shoulder dysfunction, and 28 (47%) were attended by the patient. Conclusion Many HNC survivors exhibit late dysfunction appropriate for referral to ancillary/support services. A survivorship clinic including surveillance by rehabilitation specialists may optimize identification of dysfunction.

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Section: Discussionmentioning

confidence: 99%

Identification and management of late dysfunction in survivors of head and neck cancer: Implementation and outcomes of an interdisciplinary quality of life (IQOL) clinic

et al. 2021

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“…Van den Beuken-van Everdingen et al 15 establish the prevalence of chronic pain after curative treatment as 39.3% (CI 95% 33.3-45.3), 9 of which 27.6% reports moderate-to-severe pain. 15,16 Other studies suggest that chronic pain can reach 50% in breast cancer survivors, 6,11,15,17 40% in head and neck cancer survivors 14,18 and 27% in colorectal cancer survivors. 2,18,19 The aetiology of pain may be related to the tumour itself, the presence of metastases or as a secondary effect of treatment.…”

Section: Introductionmentioning

confidence: 99%

Chronic pain, functionality and quality of life in cancer survivors

Gonçalves

Veiga

Araújo

2020

British Journal of Pain

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The increasing number of cancer survivors associated to a longer average life-span after diagnosis of an oncological disease facilitates the observation of deleterious long-term effects of both oncological disease and its treatment. Among these effects, chronic pain emerges as one of the most prevalent and, with its onset, there is a decrease in these patients’ functionality and quality of life. The main focus in oncological disease treatment has been tumour eradication and average life expectancy extension after diagnosis, neglecting these deleterious long-term effects. This study aims at assessing the prevalence and characteristics of chronic pain in cancer survivors as well as pain interference in their quality of life and functionality. The study selected cancer survivors (n = 85) after dismissal from oncology service to assess the presence and characteristics of chronic pain, their health-related quality of life (HRQoL) and pain-related disability through a combination of different questionnaires. Chronic pain prevalence was 23.5%. In total, 85% of patients reported neuropathic pain descriptors and 45% presented diagnostic criteria for neuropathic pain. Of these patients, 45% were followed-up for pain surveillance and 35% underwent analgesic medication. There was a median pain disability index of 20.50 (14.50–35.00) and an average HRQoL of 0.5338 in chronic pain patients and 0.8872 in patients without pain. We found that chronic pain was the main negative predictor of HRQoL and was associated with decreased functionality. This study also concluded that these patients often were not offered the appropriate long-term medical follow-up. These findings highlight a need to raise awareness among health professionals to the importance of timely diagnosis and treatment of pain and its impact on HRQoL and functionality of long-term cancer survivors as well as the need to change clinical practice in order to improve healthcare provided to these patients.

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“…Treatment for cancer is commonly multimodal and becoming more individually targeted, but increased survival comes at a price of short-term, prolonged, or lifelong late effects 2–4 . Issues such as fatigue, neuropathy, lymphedema, urinary and gastrological problems, impaired memory and concentration, anxiety, depression, and sexual implications affect many cancer survivors with subsequent social, economic, and work-related challenges 3,5–8 . Research has established that rehabilitation can mitigate the impact of cancer-related impairments by improving physical functioning and quality of life 9–11 .…”

mentioning

confidence: 99%

“…[2][3][4] Issues such as fatigue, neuropathy, lymphedema, urinary and gastrological problems, impaired memory and concentration, anxiety, depression, and sexual implications affect many cancer survivors with subsequent social, economic, and work-related challenges. 3,[5][6][7][8] Research has established that rehabilitation can mitigate the impact of cancer-related impairments by improving physical functioning and quality of life. [9][10][11] In Norway, cancer rehabilitation has traditionally been offered as residential programs at the specialist healthcare level.…”

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confidence: 99%

Community-Based Multidimensional Cancer Rehabilitation in Norway

Ahmedzai

Oldervoll²,

Sweetmore³

et al. 2022

Cancer Nurs

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Background: Cancer survival is often accompanied by late effects that can be mitigated by tailored rehabilitation. In Norway, this has traditionally been offered as residential programs, whereas community-based cancer rehabilitation programs are lacking. Objective: This study aimed to assess the feasibility and acceptability of a newly developed community-based multidimensional cancer rehabilitation program in Norway. Methods: A feasibility study with a mixed methods explanatory sequential design was implemented. The intervention was a 12-week group-based rehabilitation program comprising 5 components: goal setting, physical exercise, psychoeducation, individual follow-up consultations, and peer support. Feasibility was assessed through recruitment, retention, and intervention delivery. Acceptability was assessed through intervention adherence and participant evaluation. Qualitative data were generated from focus group interviews. Statistical analyses were descriptive, and qualitative data were transcribed and analyzed using framework analyses. Results: Sixty participants started, and 55 completed the 12-week rehabilitation program. The majority were female (80%), and the mean age was 56 years. The largest diagnostic group was breast cancer (42%). Retention was high (92%), as were adherence rates for all intervention components. The exercise component was rated the most beneficial, followed by individual consultations and peer support. Qualitative findings contributed to explaining the high adherence and positive evaluation. Conclusion: High retention, strong adherence, and positive evaluation imply that the community-based program was

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Cancer Rehabilitation:

Cited by 9 publications

References 57 publications

Identification and management of late dysfunction in survivors of head and neck cancer: Implementation and outcomes of an interdisciplinary quality of life (IQOL) clinic

Identification and management of late dysfunction in survivors of head and neck cancer: Implementation and outcomes of an interdisciplinary quality of life (IQOL) clinic

Chronic pain, functionality and quality of life in cancer survivors

Community-Based Multidimensional Cancer Rehabilitation in Norway

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