Cancer Prehabilitation

Silver, Julie K.; Baima, Jennifer

doi:10.1097/phm.0b013e31829b4afe

Cited by 470 publications

(86 citation statements)

References 13 publications

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“…Dietz was similarly insightful in discussing the use of preventative cancer rehabilitation, now commonly described as prehabilitation [36]. Prehabilitation in the cancer population is a growing area of clinical interest and research.…”

Section: Fostering a Better Understanding Of Cancer Rehabilitationmentioning

confidence: 98%

Cancer rehabilitation and palliative care: critical components in the delivery of high-quality oncology services

Silver

Raj

et al. 2015

Support Care Cancer

Self Cite

172

112

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Palliative care and rehabilitation practitioners are important collaborative referral sources for each other who can work together to improve the lives of cancer patients, survivors, and caregivers by improving both quality of care and quality of life. Cancer rehabilitation and palliative care involve the delivery of important but underutilized medical services to oncology patients by interdisciplinary teams. These subspecialties are similar in many respects, including their focus on improving cancer-related symptoms or cancer treatment-related side effects, improving health-related quality of life, lessening caregiver burden, and valuing patient-centered care and shared decision-making. They also aim to improve healthcare efficiencies and minimize costs by means such as reducing hospital lengths of stay and unanticipated readmissions. Although their goals are often aligned, different specialized skills and approaches are used in the delivery of care. For example, while each specialty prioritizes goal-concordant care through identification of patient and family preferences and values, palliative care teams typically focus extensively on using patient and family communication to determine their goals of care, while also tending to comfort issues such as symptom management and spiritual concerns. Rehabilitation clinicians may tend to focus more specifically on functional issues such as identifying and treating deficits in physical, psychological, or cognitive impairments and any resulting disability and negative impact on quality of life. Additionally, although palliative care and rehabilitation practitioners are trained to diagnose and treat medically complex patients, rehabilitation clinicians also treat many patients with a single impairment and a low symptom burden. In these cases, the goal is often cure of the underlying neurologic or musculoskeletal condition. This report defines and describes cancer rehabilitation and palliative care, delineates their respective roles in comprehensive oncology care, and highlights how these services can contribute complementary components of essential quality care. An understanding of how cancer rehabilitation and palliative care are aligned in goal setting, but distinct in approach may help facilitate earlier integration of both into the oncology care continuum-supporting efforts to improve physical, psychological, cognitive, functional, and quality of life outcomes in patients and survivors.

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Section: Fostering a Better Understanding Of Cancer Rehabilitationmentioning

confidence: 98%

Cancer rehabilitation and palliative care: critical components in the delivery of high-quality oncology services

Silver

Raj

et al. 2015

Support Care Cancer

Self Cite

172

112

View full text Add to dashboard Cite

show abstract

“…The practice of prehabilitation therapy has been beneficially employed in areas such as orthopedic and cardiovascular surgery [88] and has more recently been applied to cancer care, especially in older patients [89,90]. Cancer prehabilitation is defined as the care that occurs between the time of cancer diagnosis and the beginning of acute treatment [88–90], which on average may be expected to be approximately 4 weeks.…”

Section: Prehabilitation and Rehabilitation In The Older Cancer Patientmentioning

confidence: 99%

Comprehensive geriatric assessment in the older cancer patient: coming of age in clinical cancer care

Owusu¹,

Berger²

2014

Clinical Practice

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Cancer care at the extremes of life, in the young and the old, is characterized by unique issues associated with pediatrics and geriatric medicine, accentuated by the special vulnerabilities of these groups. In response to these needs, the field of pediatric oncology has been well honed to deal with the special problems associated with juvenile cancer patients. While most adult oncologists consider themselves well prepared to deal with older cancer patients, the current expansion of the geriatric population – their variable levels of fitness, frailty and vulnerability, the fact that cancer is primarily a disease of older adults, the significant expansion of agents and approaches to treat cancer, as well as their resultant toxicities and complications – has led to the development of specialized geriatric oncologists. Moreover, the special characteristics and needs of these patients have led to the evolution of new guidelines for evaluation, management and the conduct of research in older patients with cancer.

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“…Multimodal approaches have yielded promising preliminary results such as better walking capacity in weeks after surgery and higher physical activity levels after surgery compared to controls [46,47] . Because in Western society gastric cancer is predominantly a disease of the elderly prehabilitation may provide a promising effort for improving outcomes in these patients in the future [48] .…”

Section: Mustmentioning

confidence: 99%