Impact of a comprehensive functional rehabilitation programme on the quality of life of the oncological patient with dyspnoea

Rodríguez, Eduardo José Fernández; Galve, María Isabel Rihuete; Hernández, Juan Jesús Cruz

doi:10.1016/j.medcle.2020.05.044

Cited by 8 publications

(10 citation statements)

References 24 publications

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“…All individuals showed statistically significant improvements after the implementation of the proposed functional rehabilitation program. This is clearly corroborated by the results of similar studies in other incapacitating pathologies such as COPD or dyspnea [ 23 ].…”

Section: Discussionsupporting

confidence: 79%

“…Twenty-five subjects were necessary in first group and twenty-five in the second to recognize as statistically significant a difference greater than or equal to 7.5 units in the Barthel Index score, which was considered as a primary variable. The common standard deviation was assumed to be 8.3 units [ 22 , 23 ] and a drop-out rate of 20% was anticipated.…”

Section: Methodsmentioning

confidence: 99%

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Multimodal Physical Exercise and Functional Rehabilitation Program in Oncological Patients with Cancer-Related Fatigue—A Randomized Clinical Trial

Rodríguez

Gómez

Méndez-Sánchez

et al. 2023

IJERPH

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The increase in life expectancy and survival time implies an increase in the possible side-effects of pharmacological treatments in patients. Cancer-related fatigue is one of these side-effects. The main objective of this study was to evaluate the effects of a multimodal program of physical exercise and functional rehabilitation on asthenia, pain, functional capacity, and quality of life in cancer patients with cancer-related fatigue. Methods: This was a randomized, parallel-controlled clinical trial, with two arms (experimental and control group), and it was conducted over the course of a year in the Oncology Hospitalization Unit at the University Hospital of Salamanca, Spain. Participants (n = 48) were assessed at three points during the study. The first assessment was prior to hospital discharge, the second assessment was after 15 days, and the final assessment was at one month post-hospital follow-up. The intervention lasted one month. The main variables studied were the dependency levels (Barthel), cancer-related fatigue (FACT-An), health-related quality of life (EuroQoL-5D), functional capacity (SPPB), and kinesiophobia (TSK-F). Results: Sample size (n = 44). Mean age 63.46 ± 12.36 years. Significant differences between control and experimental group participants in Barthel, FACT-An, TSK-F, and SPPB scores at follow-up and final assessment. Conclusions: There are beneficial effects of a multimodal physical exercise and functional rehabilitation program in improving the autonomy of cancer-related fatigue patients.

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Section: Discussionsupporting

confidence: 79%

Section: Methodsmentioning

confidence: 99%

Multimodal Physical Exercise and Functional Rehabilitation Program in Oncological Patients with Cancer-Related Fatigue—A Randomized Clinical Trial

Rodríguez

Gómez

Méndez-Sánchez

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…All individuals showed statistically signi cant improvements after the implementation of the proposed functional rehabilitation program. This is clearly corroborated by the results of similar studies in other incapacitating pathologies such as COPD or dyspnea [23].…”

Section: Discussionsupporting

confidence: 75%

“…Sample size: The sample size was estimated using the program EPIDAT 4.2, accepting an alpha risk of 0.05 and a beta risk of 0.2 in a two-sided test, 25 subjects were necessary in rst group and 25 in the second to recognize as statistically signi cant a difference greater than or equal to 7.5 units in the Barthel Index score, which was considered as primary variable. The common standard deviation is assumed to be 8.3 units [22,23], and It was been anticipated a drop-out rate of 20%.…”

Section: Participantsmentioning

confidence: 99%

Multimodal physical exercise and functional rehabilitation program in oncological patients with cancer-related fatigue. A randomized clinical trial

Rodríguez

Gómez

Hernández

et al. 2022

Preprint

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Background The increase in life expectancy and survival time implies an increase in the possible side-effects of pharmacological treatments in these patients. Cancer-related fatigue is one of them. The main objective of this study is to evaluate the effects of a multimodal program of physical exercise and functional rehabilitation on asthenia, pain, functional capacity and quality of life in cancer patients with cancer-related fatigue. Methods This was a randomized, parallel-controlled clinical trial, with two arms (experimental and control group), and it was conducted over the course of a year in the Oncology Hospitalization Unit at the CAUSA. Participants were assessed at three points during the study. First assessment was prior to hospital discharge, second assessment was after 15 days, and final assessment was at one-month post-hospital follow-up. The main variables to be studied are the dependency levels (Barthel), cancer-related fatigue (FACT-An), health-related quality of life (EuroQoL-5D), functional capacity (SPPB) and kinesiophobia (TSK-F). Results Sample size (n = 44). Mean age 63.46 ± 12.36 years. Significant differences between control and experimental group participants in Barthel, FACT-An, TSK-F and SPPB scores (p = 0.000) at follow-up and final assessment. Conclusions There are beneficial effects of a multimodal physical exercise and functional rehabilitation program in improving the autonomy of cancer-related fatigue patients. Trials registration: The clinical trial was registered in ClinicalTrials.gov (NCT04761289). (18/02/2021). https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000AP1U&selectaction=Edit&uid=U0004OJ7&ts=2&cx=bz92lb

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“…Due to its high mortality and increasing incidence [ 1 , 2 , 3 ], it represents the first cause of death in men and the second in women [ 4 , 5 ]. Cancer affects the medical aspects of the patient, but also generates a series of psychological, social, occupational, family and emotional conflicts in the lives of patients and their families [ 6 , 7 , 8 , 9 , 10 ]. The patient, during the oncological process, faces physical limitations and problems of autonomy caused by the disease, adaptation to new family dynamics and care roles in the patient, deteriorated labour relations and work incapacity, reduction of income at home, need for adaptations in the home, acquisition of orthopaedic material and complex emotional situations, among others.…”

Section: Introductionmentioning

confidence: 99%

Study on the Socio-Economic Impact of Cancer Disease on Cancer Patients and Their Relatives

et al. 2022

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Background: Cancer is one of the most relevant social and health problems in the world. The disease entails additional costs for cancer patients and their families that are not covered by the public part of our welfare state, and which they assume themselves simply because they are ill. The main objective of this study is to identify and analyse the additional cost and socioeconomic impact of cancer disease on patients diagnosed with cancer disease and their families. Methods: Descriptive cross-sectional randomised observational epidemiological study without replacement with prevalence of cancer disease in the study base, carried out in the Medical Oncology Service of the Complejo Asistencial Universitario de Salamanca (CAUSA), Spain. Results: The study variable has been the additional cost of the cancer disease for cancer patients and their families that is not covered by our autonomous health system. Conclusions: Cancer disease entails an additional cost for the patient and family; more specifically, for 55% of the patients in the study sample, the diagnosis of cancer represents extra expenditure of between 8.38–9.67% of their annual income. Furthermore, the disability and dependence of patients does not represent an additional cost due to their levels of functionality, but it can have repercussions on the future cost of the evolution of the disease, in addition to the fact of having cancer.

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Impact of a comprehensive functional rehabilitation programme on the quality of life of the oncological patient with dyspnoea

Cited by 8 publications

References 24 publications

Multimodal Physical Exercise and Functional Rehabilitation Program in Oncological Patients with Cancer-Related Fatigue—A Randomized Clinical Trial

Multimodal Physical Exercise and Functional Rehabilitation Program in Oncological Patients with Cancer-Related Fatigue—A Randomized Clinical Trial

Multimodal physical exercise and functional rehabilitation program in oncological patients with cancer-related fatigue. A randomized clinical trial

Study on the Socio-Economic Impact of Cancer Disease on Cancer Patients and Their Relatives

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