Cancer rehabilitation: A Nordic and European perspective

Hellbom, Maria; Bergelt, Corinna; Bergenmar, Mia; Gijsen, B.; Loge, Jon Håvard; Rautalathi, Matti; Smáradóttir, Agnes; Johansen, Christoffer

doi:10.3109/0284186x.2010.533194

Cited by 124 publications

(125 citation statements)

References 26 publications

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“…However, the identification and documentation of rehabilitation needs is not yet routinely established as a standard part of clinical practice and implementation varies significantly due to different health systems and financial resources [21]. The Netherlands, Britain, Norway and Sweden are working towards systematic cancer rehabilitation programs under national guidelines across hospitals and the primary sector [7]. In Germany cancer rehabilitation has in recent decades been a fully integrated part of the social security system, with all patients being offered a specialized, three-week, across-the-board rehabilitation program during hospitalization on the basis of an assessment of functional ability and rehabilitation needs [3,7].…”

Section: Lack Of Consensus On the Procedures For Assessing Rehabilitatmentioning

confidence: 99%

“…In Denmark the national policies from 2012 include guidelines for continually identifying and assessing the physical, psychological and social rehabilitation needs of cancer patients throughout their treatment program [4], which calls for the implementation of validated assessment tools to analyze rehabilitation needs in clinical practice [5,6]. The use of a systematic procedure for assessing the rehabilitation needs of cancer patients in clinical practice is still in its infancy in the US and various European countries [7]. However, despite interest on the part of health authorities and recommendations to implement a system of continual appraisal of needs, we do not know today whether these recommendations have been implemented in clinical practice in individual surgical and oncology departments.…”

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confidence: 99%

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Assessment of rehabilitation needs in colorectal cancer treatment: Results from a mixed audit and qualitative study in Denmark

et al. 2016

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Background Systematic assessments of cancer patients' rehabilitation needs are a prerequisite for devising appropriate survivorship programs. Little is known about the fit between needs assessment outlined in national rehabilitation policies and clinical practice. This study aimed to explore clinical practices related to identification and documentation of rehabilitation needs among patients with colorectal cancer at Danish hospitals. Material and methods A retrospective clinical audit was conducted utilizing data from patient files randomly selected at surgical and oncology hospital departments treating colorectal cancer patients. Forty patients were included, 10 from each department. Semi-structured interviews were carried out among clinical nurse specialists. Audit data was analyzed using descriptive statistics, qualitative data using thematic analysis. Results Documentation of physical, psychological and social rehabilitation needs initially and at end of treatment was evident in 10% (n ¼ 2) of surgical patient trajectories and 35% (n ¼ 7) of oncology trajectories. Physical rehabilitation needs were documented among 90% (n ¼ 36) of all patients. Referral to municipal rehabilitation services was documented among 5% (n ¼ 2) of all patients. Assessments at surgical departments were shaped by the inherent continuous assessment of rehabilitation needs within standardized fast-track colorectal cancer surgery. In contrast, the implementation of locally developed assessment tools inspired by the distress thermometer (DT) in oncology departments was challenged by a lack of competencies and funding, impeding integration of data into patient files. Conclusion Consensus must be reached on how to ensure more systematic, comprehensive assessments of rehabilitation needs throughout clinical cancer care. Fast-track surgery ensures systematic documentation of physical needs, but the lack of inclusion of data collected by the DT in oncological departments questions the efficacy of assessment tools and points to a need for distinguishing between surgical and oncological settings in national rehabilitation policies.

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Section: Lack Of Consensus On the Procedures For Assessing Rehabilitatmentioning

confidence: 99%

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confidence: 99%

Assessment of rehabilitation needs in colorectal cancer treatment: Results from a mixed audit and qualitative study in Denmark

et al. 2016

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“…Return to work seems to be a relevant and important issue for cancer patients [1][2][3]. About 60% of patients are able to work following a cancer diagnosis, and multidisciplinary programs have been shown to help cancer survivors to return to work [1][2][3].…”

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confidence: 99%

“…About 60% of patients are able to work following a cancer diagnosis, and multidisciplinary programs have been shown to help cancer survivors to return to work [1][2][3].…”

mentioning

confidence: 99%

“…In this setting, occupation-oriented rehabilitation concepts for individuals with work-related problems are emphasized and the outcomes in the different phases of the return-to-work process are of high interest [1,3]. In their longitudinal multicentre study, BOutcomes across the return to work process in prostate cancer survivors attending a rehabilitation measure -results from a prospective study^, Anneke Ullrich and colleagues analysed the return-to-work outcomes among prostate cancer survivors in different phases of the return-to-work process, which can be conceptualized as a multiphase construct based on a conceptual framework of occupational reintegration by Wasiak and colleagues [1,4].…”

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