Impairment‐driven cancer rehabilitation: An essential component of quality care and survivorship
Top Cited Papers
- 15 July 2013
- journal article
- review article
- Published by Wiley in CA: A Cancer Journal for Clinicians
- Vol. 63 (5), 295-317
- https://doi.org/10.3322/caac.21186
Abstract
Adult cancer survivors suffer an extremely diverse and complex set of impairments, affecting virtually every organ system. Both physical and psychological impairments may contribute to a decreased health-related quality of life and should be identified throughout the care continuum. Recent evidence suggests that more cancer survivors have a reduced health-related quality of life as a result of physical impairments than due to psychological ones. Research has also demonstrated that the majority of cancer survivors will have significant impairments and that these often go undetected and/or untreated, and consequently may result in disability. Furthermore, physical disability is a leading cause of distress in this population. The scientific literature has shown that rehabilitation improves pain, function, and quality of life in cancer survivors. In fact, rehabilitation efforts can ameliorate physical (including cognitive) impairments at every stage along the course of treatment. This includes prehabilitation before cancer treatment commences and multimodal interdisciplinary rehabilitation during and after acute cancer treatment. Rehabilitation appears to be cost-effective and may reduce both direct and indirect health care costs, thereby reducing the enormous financial burden of cancer. Therefore, it is critical that survivors are screened for both psychological and physical impairments and then referred appropriately to trained rehabilitation health care professionals. This review suggests an impairment-driven cancer rehabilitation model that includes screening and treating impairments all along the care continuum in order to minimize disability and maximize quality of life.Keywords
This publication has 107 references indexed in Scilit:
- Psychological effect of exercise in women with breast cancer receiving adjuvant therapy: what is the optimal dose needed?Annals of Oncology, 2012
- Prognostic significance of functional capacity and exercise behavior in patients with metastatic non-small cell lung cancerLung Cancer, 2012
- Patient Safety in Cancer RehabilitationPhysical Medicine and Rehabilitation Clinics of North America, 2012
- Exercise and cancer treatment symptoms in 408 newly diagnosed older cancer patientsJournal of Geriatric Oncology, 2012
- Preoperative pulmonary rehabilitation before lung cancer resection: Results from two randomized studiesLung Cancer, 2011
- Projections of the Cost of Cancer Care in the United States: 2010-2020JNCI Journal of the National Cancer Institute, 2011
- Voice and speech outcomes of chemoradiation for advanced head and neck cancer: a systematic reviewEuropean Archives of Oto-Rhino-Laryngology, 2010
- Mental status changes after hematopoietic stem cell transplantationCancer, 2009
- A Systematic Review of the Management of Autonomic Dysreflexia After Spinal Cord InjuryArchives of Physical Medicine and Rehabilitation, 2009
- Exercise manages fatigue during breast cancer treatment: A randomized controlled trialPsycho‐Oncology, 2004