International Retrospective Comparison of Inpatient Rehabilitation for Patients With Spinal Cord Dysfunction: Differences According to Etiology

New, Peter W; Reeves, Ronald K.; Smith, Éimear; Eriks‐Hoogland, Inge; Gupta, Anupam; Scivoletto, Giorgio; Townson, Andrea; Belci, Maurizio; Post, Marcel W M

doi:10.1016/j.apmr.2015.10.107

Cited by 32 publications

(41 citation statements)

References 35 publications

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“…15,27 A number of publications reported on the functional outcomes of people with SCDys due to tumor, with the consistent finding that they had a significant functional improvement between admission and discharge. 5,15,16,26 Compared to people with traumatic SCI, however, their functional improvement was less. 15,27 In comparison with other causes of SCDys, people with tumor have a trend towards lower functioning on admission and at discharge, and possibly lower overall change in function when compared with the other causes.…”

Section: Literature Reviewmentioning

confidence: 99%

“…5,10,[12][13][14][15][16]25,26 The key findings from these are summarized in Table 1. A number of reports compared people with SCDys due to tumor to those with traumatic SCI and found that the tumor group had a shorter length of stay in SRU, comparable improvement in functional abilities and similar rates of discharge back into the community.…”

Section: Literature Reviewmentioning

confidence: 99%

“…5 There are only a few studies on the survival of patients with SCDys due to tumor following rehabilitation, with the reports in the literature indicating a median survival of 3-30 months for those with metastatic tumor 10,14,29,30 and 11 months for those with primary tumors. 29 One study reported that patients spent more than a third of survival time after diagnosis in rehabilitation.…”

Section: Literature Reviewmentioning

confidence: 99%

“…[7][8][9] The bias of SRUs against admitting people with SCDys appears to be particularly strong regarding those people with SCDys due to tumor, 10,11 although numerous SRUs do admit these patients. 5,10,[12][13][14][15][16][17] It is acknowledged that the rehabilitation of patients with tumor presents unique challenges, 18 and this applies especially for those with tumor as the cause of SCDys. 10,16,[19][20][21] Despite the high proportion of people with tumor causing SCDys there has been relatively little written about these patients in terms of the ideal setting for their rehabilitation or recommendations for rehabilitation teams caring for them.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Of the many causes of SCDys, 3 benign and malignant tumors are reported to be among the most common etiologies, accounting for 15-30% of patients with SCDys admitted into spinal cord rehabilitation units (SRUs) that do not discriminate against this etiology. 4,5 It is expected that with population aging in the coming decades the incidence of SCDys due to tumor will increase dramatically. 1 Despite the evidence that people with SCDys have improved outcomes when admitted to a specialist SRU 6 many SRUs have a bias against admitting people with SCDys.…”

Section: Introductionmentioning

confidence: 99%

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Rehabilitation of people with spinal cord damage due to tumor: literature review, international survey and practical recommendations for optimizing their rehabilitation

New

Marshall²,

Stubblefield

et al. 2016

The Journal of Spinal Cord Medicine

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9Spinal Rehabilitation (SpiRe) laboratory, IRCCS Fondazione S. Lucia, Rome, Italy Background/Objectives: People with spinal cord dysfunction (SCDys) due to tumor (benign and malignant) pose enormous rehabilitation challenges. Objectives were: conduct literature search regarding epidemiology, clinical features and outcomes for SCDys due to tumor following rehabilitation, the ideal setting for rehabilitation and practical considerations for rehabilitation; and propose framework and practical considerations for managing people with SCDys due to tumor in spinal rehabilitation units (SRUs). Design: Survey of rehabilitation health care professionals, consensus opinion from experts and literature search. Setting: Workshop at International Spinal Cord Society and American Spinal Injury Association combined annual meeting, May 16, 2015, Montréal, Canada. Participants: Workshop attendees and experts in the rehabilitation of people with SCDys due to tumor. Outcomes Measures: Reports of services offered to people with SCDys due to tumor, including whether those with benign and malignant tumors are admitted into rehabilitation, any admission criteria used and the rational for declining admission. Results: Most respondents (n = 33, 83%) reported that people with benign tumors were routinely admitted for rehabilitation but only 18 (45%) reported that people with malignant tumors were routinely admitted. A range of criteria and reasons for declining admission were given. Evidence from the literature and the opinion of experts support the admission of people with SCDys due to tumor into specialist SRUs. Conclusions: A framework and practical considerations for managing people with SCDys due to tumor in SRUs are proposed. Patients with tumor causing SCDys should be given greater access to specialist SRU in order to achieve the best outcomes.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Rehabilitation of people with spinal cord damage due to tumor: literature review, international survey and practical recommendations for optimizing their rehabilitation

New

Marshall²,

Stubblefield

et al. 2016

The Journal of Spinal Cord Medicine

Self Cite

View full text Add to dashboard Cite

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Spinal Cord Injury

Rodger¹

2022

Orthopaedic and Trauma Nursing

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Challenges in rehabilitation of patients with nontraumatic spinal cord dysfunction due to tumors

Pataraia

Crevenna

2019

Wien Klin Wochenschr

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The incidence of cancer-associated nontraumatic spinal cord dysfunction is rising due to population aging and better cancer treatment. The overall benefit of rehabilitation in specialized facilities for traumatic spinal cord dysfunction has been confirmed many times. Because of their fragility and multiple comorbidities cancer patients still face challenges to complete rehabilitation in the spinal rehabilitation facilities. In this narrative review we describe specific aspects, challenges in rehabilitation and opportunities to improve care. A literature search was performed in the PubMed database from 1 January 1978 to 30 November 2018. The focus was to find publications that discuss challenges and opportunities for rehabilitation of patients with non-traumatic spinal cord dysfunction due to a tumor. Most publications described the benefits of rehabilitation in specialized facilities. There were only few publications about survival and functional outcomes after rehabilitation for this patient population. Overall benefits including fewer complications associated with spinal cord dysfunction, less pain and depression, and better quality of life were shown. Within the past decades increasing number of publications revealed a growing interest for this group of patients. Despite major progress in cancer treatment, patients still have a limited vital prognosis and access to specialized rehabilitation units because of the concerns about the medical complexity. Patients with spinal cord tumors can benefit in areas of functionality, mood, quality of life, and survival from inpatient rehabilitation programs, in spite of the increased medical comorbidities.A. Pataraia ( ) · R. Crevenna

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International Retrospective Comparison of Inpatient Rehabilitation for Patients With Spinal Cord Dysfunction: Differences According to Etiology

Cited by 32 publications

References 35 publications

Rehabilitation of people with spinal cord damage due to tumor: literature review, international survey and practical recommendations for optimizing their rehabilitation

Rehabilitation of people with spinal cord damage due to tumor: literature review, international survey and practical recommendations for optimizing their rehabilitation

Spinal Cord Injury

Challenges in rehabilitation of patients with nontraumatic spinal cord dysfunction due to tumors

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