Quality of Life Changes Evaluation on the Basis of the International Classification of Functioning at the Third Stage of Rehabilitation: a Retrospective Cohort Study of 40 Women with Breast Cancer

Abstract

INTRODUCTION. The article reflects long-term and distant consequences of antitumor therapy, from three to six months from the beginning of treatment, in patients with breast cancer. Analysis of the identified effects allowed to determine the structure of the rehabilitation diagnosis based on the International Classification of Functioning. AIM. To designate the main International Classification of Functioning codes for breast cancer patients corresponding to the third stage of rehabilitation, to evaluate the effectiveness of rehabilitation measures at this stage of rehabilitation in breast cancer patients who received different methods of treatment for this disease. MATERIAL AND METODS. The study was conducted on the basis Federal Research and Clinical Center of Radiology and Oncology of the Federal Medical and Biological Agency of Russia for the period October-January 2021-2022, including the data analysis of 40 patients (all women) with breast cancer stages I-IV, being at the third stage of rehabilitation 3-6 months after the complex antitumor treatment with the persistence of adverse events due to the therapy, the mean age of patients is 58 .6 ± 1.2 years. RESULTS AND DISCUSSION. The need for rehabilitation measures in patients with breast cancer persisted and increased after the end of antitumor treatment. A brief set of International Classification of Functioning was formed on the basis of complaints and evaluation of patients admitted to the third stage of medical rehabilitation from the standpoint of a biopsychosocial approach. Rehabilitation diagnosis distinctive features were identified and, accordingly, the rehabilitation program was developed at the third stage of medical rehabilitation of patients with breast cancer. CONCLUSION. The results of the study confirm the long-term effects of antitumor treatment, which suggests the need for rehabilitation measures to prevent the development and progression of complications and to improve the quality of life of breast cancer patients.