Exercise and Education Program After Breast Cancer: Benefits on Quality of Life and Symptoms at 3, 6, 12, and 24 Months’ Follow-up

Leclerc, Anne-France; Slomian, Justine; Jérusalem, Guy; Coucke, Philippe; Bury, Thierry; Deflandre, Dorian; Devos, M.; Bruyère, Olivier; Foidart-Dessalle, Marguerite; Kaux, Jean-François; Crielaard, Jean-Michel; Maquet, Didier

doi:10.1016/j.clbc.2018.05.004

Cited by 18 publications

(25 citation statements)

References 62 publications

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“…Several reports have previously described improvement of various components of HRQOL by inpatient or outpatient cancer rehabilitation [21][22][23][24][25]42]. Many investigations focus on patients from certain cancer entities, such as breast [21,22,42], bladder [43], or prostate cancer [44]. In contrast, our aim was to compare the effects of oncological rehabilitation in a spectrum of patients from major cancer entities.…”

Section: Discussionmentioning

confidence: 99%

Evaluation by electronic patient-reported outcomes of cancer survivors’ needs and the efficacy of inpatient cancer rehabilitation in different tumor entities

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Nickels²,

Rumpold

et al. 2021

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Objective We investigated cancer survivors’ health-related quality of life (HRQOL), specific deficiencies related to underlying disease or treatment, and benefits of rehabilitation in a large variety of cancer entities. Patients and methods Electronic patient-reported outcomes were performed as clinical routine procedures. Cancer survivors underwent a 3-week multidisciplinary inpatient rehabilitation. Twenty-one different cancer entities were analyzed separately before (T0) and by the end (T1) of rehabilitation. HRQOL, symptoms, and functions were assessed with EORTC-QLQ-C30 questionnaire, psychological distress with Hospital Anxiety and Depression Scale (HADS). Results Four thousand four hundred one of 5912 rehabilitants were evaluable, having completed both questionnaires at T0 and T1. All function mean scores and HRQOL were lower than in Austrian normal population, while levels of anxiety, depression, and all symptom scores were higher. HRQOL was particularly low in lung, liver, and bladder cancer patients. Maximum anxiety levels were observed in patients with breast and thyroid cancer patients, the highest levels of depression in liver and brain cancer patients. Fatigue was severe in patients with lung, liver, esophageal, bladder cancer, and myeloma patients. Mean scores were also high for pain and insomnia. In the group of all rehabilitants, a highly significant improvement of global HRQOL, anxiety, depression, and all function and symptom scores was observed at T1 (p < 0.001). We noted significant improvement of HRQOL, anxiety, depression, fatigue, emotional, social, role, and physical functions in each cancer entity with medium to large effect sizes. Other recorded symptoms were reduced in the majority of cancers. Conclusion Rehabilitation effectively improves psychological distress and HRQOL as a part of treatment for various cancers.

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Section: Discussionmentioning

confidence: 99%

Evaluation by electronic patient-reported outcomes of cancer survivors’ needs and the efficacy of inpatient cancer rehabilitation in different tumor entities

Licht

Nickels²,

Rumpold

et al. 2021

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“…Only one study [ 21 ] assessed the outcome of rehabilitation not only after the intervention, but also approximately 4 and 23 weeks after the end of the intervention. In before-after studies, three studies [ 23 , 24 ] assessed outcomes at baseline and directly after the end of the rehabilitation. Except for one study [ 27 ], all before-after studies measured outcomes also some time after the end of rehabilitation, between 6 weeks and 24 months after baseline (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…This is due to the study design and the nature of the interventions. Two before-after studies [ 23 , 24 ] were controlled studies, which neither used randomization nor allocation concealment and were, therefore, rated as being of high risk of selection bias. The remaining before-after studies did not have a control group, which indicates a high risk for selection bias.…”

Section: Resultsmentioning

confidence: 99%

“…Before-after studies came to similar conclusions, although fewer studies measured physical strength, but rather focused on self-reported physical well-being. Four studies observed statistically significant improvements in the physical status of cancer patients [ 19 , 24 – 26 ]. Regarding the psychosocial status of cancer patients, five out of six RCTs observed statistically significant improvements of at least one outcome measure [ 17 , 18 , 20 – 22 ].…”

Section: Resultsmentioning

confidence: 99%

“…The main strength of our review was the inclusion of both RCTs and before-after studies, which allowed for assessing a variety of outcomes, including return to work status, which was only assessed in before-after studies. However, only two before-after studies included a control group but had a high drop-out rate [ 23 , 24 ]. Thus, improvements in physical and psychosocial status, as well as returning to work, could have occurred due to other reasons, e.g.…”

Section: Discussionmentioning

confidence: 99%

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Multidisciplinary Outpatient Cancer Rehabilitation Can Improve Cancer Patients’ Physical and Psychosocial Status—a Systematic Review

et al. 2020

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Purpose of Review This systematic review aimed to determine the effects of interdisciplinary/multidisciplinary outpatient rehabilitation programmes by looking at physical, psychosocial and return to work status of adult cancer patients. Recent Findings There is growing evidence that emphasizes the importance of interdisciplinary/multidisciplinary rehabilitation especially in outpatient care, which addresses the complex and individual needs of cancer patients. Many studies focus on measuring the effect of individual rehabilitation interventions. Summary Randomized controlled trials (RCTs) and before-after studies examining the effects of interdisciplinary/multidisciplinary outpatient rehabilitation programmes were included in this systematic review. The electronic literature search was conducted in MEDLINE, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials and PEDro. The PICO statement was used for selection of the studies. Six randomized controlled trials and six before-after studies were included. Interdisciplinary/multidisciplinary outpatient cancer rehabilitation programmes improved physical and/or psychosocial status of cancer patients. However, non-significant changes in a variety of single physical and psychosocial measures were also common. The findings of the systematic review indicate that interdisciplinary/multidisciplinary outpatient cancer rehabilitation can improve cancer patients’ physical and psychosocial status. This review is limited by the narrative approach due to the heterogeneity of outcome measures. To evaluate effects of rehabilitation, better comparable studies are necessary. Further research is needed in regard to long-term outcomes, effects on return to work status and on the associations depending on cancer type.

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Improve the management of cancer-related cognitive impairment in clinical settings: a European Delphi study

Duivon,

Lange,

Binarelli

et al. 2023

J Cancer Surviv

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Purpose Cancer-related cognitive impairment (CRCI) is under-addressed by healthcare professionals owing to a lack of clinical management guidelines. This European Delphi study proposes recommendations to healthcare professionals for the management of CRCI in patients with non-central nervous system (non-CNS) cancers. Methods Twenty-two recommendations were developed based on a literature review and authors’ clinical experience, split into three categories: screening, cognitive assessment, intervention. The survey included European professionals, experts in CRCI. The Delphi method was used: experts rated the clinical relevancy of recommendations on a 9-point Likert scale in three rounds. A recommendation was accepted if all votes were between 7 and 9. Recommendations not accepted in round 1 and round 2 were deleted, or modified and rated in round 3. Results Eighteen professionals (psychologists, physicians, researchers) voted and accepted 15 recommendations. Experts recommended the systematic screening of CRCI, followed by a short objective cognitive assessment, if complaints screened. A comprehensive evaluation is recommended if CRCI persists 6 months post-treatment. Cognitive rehabilitation, physical activity, meditative-movement therapy, and multimodal intervention should be offered. Recommendations about frequency and duration of interventions, the professional to administer cognitive rehabilitation and the use of meditation and cognitive training without psychoeducation were not accepted. Conclusions This survey provides 15 recommendations to assist healthcare professionals in detecting, assessing and offering interventions for CRCI. Implications for cancer survivors These recommendations should be included in supportive care to help healthcare professionals to detect CRCI and propose the best available intervention for patients with cognitive complaints. Developing CRCI management in clinical settings would improve patients’ quality of life.

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Exercise and Education Program After Breast Cancer: Benefits on Quality of Life and Symptoms at 3, 6, 12, and 24 Months’ Follow-up

Cited by 18 publications

References 62 publications

Evaluation by electronic patient-reported outcomes of cancer survivors’ needs and the efficacy of inpatient cancer rehabilitation in different tumor entities

Evaluation by electronic patient-reported outcomes of cancer survivors’ needs and the efficacy of inpatient cancer rehabilitation in different tumor entities

Multidisciplinary Outpatient Cancer Rehabilitation Can Improve Cancer Patients’ Physical and Psychosocial Status—a Systematic Review

Improve the management of cancer-related cognitive impairment in clinical settings: a European Delphi study

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