Inpatient oncology rehabilitation in Toronto: a descriptive 18-month retrospective record review

McEwen, Sara; Elmi, Sarah; Waldman, Murray; Bishev, Mila

doi:10.1007/s00520-011-1243-4

Cited by 10 publications

(4 citation statements)

References 25 publications

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“…We first demonstrated that physical therapy increased the FIM score in patients with HCC. In previous studies, physical therapy has been reported to increase the FIM score in patients with various cancers, including colorectal cancer [10] and pancreatic cancer [36]. Thus, our results are in good agreement with these previous reports.…”

Section: Discussionsupporting

confidence: 93%

Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma

Narao¹,

Hirota

Koya

et al. 2020

IJERPH

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Activities of daily living (ADL) are frequently impaired in patients with hepatocellular carcinoma (HCC). In this retrospective study, we aimed to investigate the effects of physical therapy on ADLs in patients with HCC during hospitalization for cancer treatment. Nineteen patients with HCC were enrolled. During hospitalization, patients performed a combination of resistance training, stretching, and aerobic exercise (20–60 min/day). ADLs were assessed using the functional independence measure (FIM). Changes in FIM were evaluated by before–after analysis. No significant difference was seen in Child–Pugh class before and after physical therapy. The bilateral knee extension strength and chair stand test were significantly increased after physical therapy compared with before physical therapy (p = 0.001 and p = 0.008, respectively). The total FIM score was significantly increased after physical therapy compared with that before physical therapy (p = 0.0156). Among the 18 indexes of FIM, the stairs index was significantly improved after physical therapy compared with that before physical therapy (5.9 vs. 6.4 points, p = 0.0241). We demonstrated that physical therapy improved muscle strength without worsening liver function. Furthermore, physical therapy improved FIM, especially in the stairs index, in patients with HCC. Thus, physical therapy may be beneficial in patients with HCC during cancer treatment.

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Section: Discussionsupporting

confidence: 93%

Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma

Narao¹,

Hirota

Koya

et al. 2020

IJERPH

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show abstract

“…A need for rehabilitative care and an improvement in the QOL after rehabilitation was also observed in older colon cancer patients [31]. The findings of positive changes in physical health are consistent with findings from other studies that investigated somatic status [33,46], functional status [47], and QOL [48] in rehabilitants with various cancers. The two included RT investigated shortterm physiological adaption following different aerobic exercise intensities [41,42].…”

Section: Summary Of Study Findings and Comparison To Previous Studiessupporting

confidence: 87%

Changes in health-related outcomes among colorectal cancer patients undergoing inpatient rehabilitation therapy: a systematic review of observational and interventional studies

et al. 2020

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Background: Colorectal cancer (CRC) and its treatment can lead to several physical and psychosocial impairments. Cancer rehabilitation aims to reduce morbidity and improve quality of life. The objective of this review was to summarize and evaluate evidence on changes in health-related outcomes among CRC patients undergoing inpatient rehabilitation therapy and on the effectiveness of such treatment. Material and methods: We conducted a systematic literature search including the electronic databases Pubmed and Web of Science to find observational and interventional studies, which investigated changes in health-related outcomes among CRC patients undergoing multidisciplinary inpatient rehabilitation programs or treatment effects. Study findings were synthesized narratively. Results: Eleven studies were eligible and included in this review. Eight patient cohort studies addressed outcomes such as physical and functional status, fecal incontinence, anxiety and depression, and quality of life. Positive changes during rehabilitation therapy were observed for physical health (functional and physical status, fecal incontinence), and several dimensions of quality of life. Study findings concerning anxiety and depression were not conclusive. Studies that additionally conducted long-term follow-ups indicated that the improved health status after rehabilitative treatment waned over time. One RCT reported no effect of inpatient rehabilitation on distress and two randomized trials reported effects of exercise intensity on oxidative stress and immune response. Sample sizes were low (<100 included CRC patients) in eight studies and only the RCT included a comparison group (nonrehabilitants). Conclusion:The scientific evidence level was very limited. Due to the lack of a comparison group in most studies, we were only able to evaluate changes during/after inpatient rehabilitation therapy but not the effectiveness of treatment. However, study findings suggest that physical health and functional independence improve during inpatient rehabilitation, but improvements wane over time. Further large representative studies, in particular RCTs with long-term follow-up, are essential to evaluate the effectiveness of inpatient rehabilitation and identify determinants of treatment success.

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“…For instance, five studies collapsed analyses and presented results across all patient groups, which were diverse and included all cancer patients in rehabilitation 39 , all inpatient rehabilitation 40 , all neurologic rehabilitation patients 41 , all patients in states of severely altered consciousness 42 , and all patients with disorders of consciousness 43 . Furthermore, two studies included nTBI patients in a ‘brain dysfunction’ group 44,45 , which also included TBI.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Comorbidity Measurement Methods for Patients With Nontraumatic Brain Injury in Inpatient Rehabilitation Settings

Khuu

Chan

Colantonio

2017

American Journal of Physical Medicine &Amp; Rehabilitation

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This review summarizes comorbidity measurements used on patients with non-traumatic brain injury (nTBI) in inpatient rehabilitation and describes findings on measurement validation and comorbidity profiles. MEDLINE and MEDLINE In-Process, EMBASE, PsycINFO, the Cochrane Database of Systematic Reviews, Health and Psychosocial Measurement Instruments were searched. Two reviewers screened results according to pre-defined inclusion and exclusion criteria. Population, statistical methods, comorbidity measurement, justification of its use, and results involving comorbidity were extracted using a standard table. Of 9476 articles retrieved, 16 were included. Comorbidity has been measured using various methods including: number and type within various classification systems, such as the International Disease Classification system, the Charlson Comorbidity Index, Centers for Medicare and Medicaid Services Comorbidity Tiers, Patient Comorbidity and Complexity Level values, and subsets of diagnoses within non-administrative data studies. No studies have assessed the predictive ability of the comorbidity measurements for inpatient rehabilitation outcomes in this population. As comorbidities are common among the nTBI population, the predictive validity of comorbidity measurements should be assessed to determine the most appropriate measure to predict or risk adjust rehabilitation outcomes, which has implications for the development of clinical guidelines and to inform health service research, planning, and delivery.

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Inpatient oncology rehabilitation in Toronto: a descriptive 18-month retrospective record review

Cited by 10 publications

References 25 publications

Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma

Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma

Changes in health-related outcomes among colorectal cancer patients undergoing inpatient rehabilitation therapy: a systematic review of observational and interventional studies

A Systematic Review of Comorbidity Measurement Methods for Patients With Nontraumatic Brain Injury in Inpatient Rehabilitation Settings

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