Effectiveness of Multidimensional Cancer Survivor Rehabilitation and Cost-Effectiveness of Cancer Rehabilitation in General: A Systematic Review

Abstract

Introduction. Many cancer survivors suffer from a combination of disease-and treatment-related morbidities and complaints after primary treatment. There is a growing evidence base for the effectiveness of monodimensional rehabilitation interventions; in practice, however, patients often participate in multidimensional programs. This study systematically reviews evidence regarding effectiveness of multidimensional rehabilitation programs for cancer survivors and cost-effectiveness of cancer rehabilitation in general.Methods. The published literature was systematically reviewed. Data were extracted using standardized forms and were summarized narratively.Results. Sixteen effectiveness and six cost-effectiveness studies were included. Multidimensional rehabilitation programs were found to be effective, but not more effective than monodimensional interventions, and not on all outcome measures. Effect sizes for quality of life were in the

Participation in Activities Associated With Quality of Life for Long-Term Survivors of Rectal Cancer

“…Multidimensional cancer survivor rehabilitation programs have shown benefit and cost-effectiveness for survivors of breast cancer. 6 Our findings suggest the need to build the evidence for such interventions in other cancer survivor populations as well. Given the tremendous influence of participation in activities on rectal cancer survivors' QOL, interventions to help patients maintain their activities and adopt new, fulfilling activities should be developed.…”

“…Ultimately, these improved concepts and measures could translate to better treatment decisions, supportive interventions, and long-term outcomes for cancer survivors. 5,6 This opportunity is highlighted for patients with cancer of the low and midrectum, who often face a decision between sphincter-sparing surgery (anterior resection resulting in anastomosis with or without temporary ostomy) and complete excision of the rectum (abdominoperineal excision with permanent ostomy).…”

Survivorship Care Plans for Breast Cancer Patients: Understanding the Quality of the Available Evidence

“…Two reviews investigated the effects on bca patients and survivors of combinations of interventions 39,64 . The first review investigated the effects of physical activity combined with psychological counselling (individually or in group sessions) provided to bca patients and survivors for physical and social recovery from breast loss.…”

“…The second review examined the effects of combinations of interventions on bca patients and survivors without analyzing the effects separately by intervention type 64 . The interventions included combinations of inpatient rehabilitation, psychological education, psychological education and information, self-help education, information support, information support plus cognitive-behavioural techniques, and exercise together with behavioural therapy.…”

Rehabilitation and Exercise Oncology Program: Translating Research into a Model of Care

“…Cancer rehabilitation services and exercise prescription have been shown to enhance the quality of survivorship by providing targeted interventions to reduce impairments and the short-and long-term side effects of treatment, allowing for adaptation to daily activities and life roles [4][5][6][7][8][9][10][11] . Evidence includes a substantial number of peer-reviewed articles on the benefits of exercise alone and greatly supports the use of rehabilitation interventions in various cancer populations 12 .…”