Erratum to: physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial

Pyszora, Anna; Budzyński, Jacek; Wójcik, Agnieszka; Prokop, Anna; Krajnik, Małgorzata

doi:10.1007/s00520-017-3779-4

Cited by 4 publications

(1 citation statement)

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“… 23 A physiotherapy programme including exercises, myofascial release and proprioceptive neuromuscular facilitation stretches significantly reduced fatigue in patients with advanced cancer compared with controls. 24 However, a Cochrane meta-analysis of exercise in patients with advanced lung cancer found no significant overall effect on fatigue. 25 Selection of physical activity for patients with advanced cancer will require careful consideration of physical capacity and underlying pathology.…”

Section: Practice Recommendations ‘Do’mentioning

confidence: 99%

Practice review: Evidence-based and effective management of fatigue in patients with advanced cancer

et al. 2021

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Background: Fatigue affects most patients living with advanced cancer and is a symptom that healthcare professionals can find difficult to manage. Aim: To provide healthcare professionals with a pragmatic overview of approaches to management of fatigue in patients with advanced cancer that are commonly recommended by guidelines and to evaluate evidence underpinning them. Design: Scoping review methodology was used to determine the strength of evidence supporting use of interventions recommended in management of fatigue in patients with advanced cancer. Data sources: National or international guidelines were examined if they described the management of fatigue in adult cancer patients and were written within the last 6 years (2015–2021) in English. The Cochrane Database of Systematic Reviews (January 2011–December 2021) was searched for ‘cancer’ AND ‘fatigue’ in title, abstract or keywords. A PubMed search was also made. Results: Evidence indicates physical exercise interventions are effective and patients may benefit from energy conservation tactics. Evidence does not support use of psychostimulants such as methylphenidate. Limited data were found on efficacy of corticosteroids, psychological interventions, nutritional intervention, sleep optimization or complementary therapies for management of fatigue in advanced cancer. Conclusion: We recommend regular assessment, review and acknowledgement of the impact of fatigue. Exercise and energy conservation should be considered. Pharmacological interventions are not endorsed as a routine approach. Many interventions currently recommended by guidelines are not supported by a robust evidence base and further research on their efficacy is required.

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Section: Practice Recommendations ‘Do’mentioning

confidence: 99%

Practice review: Evidence-based and effective management of fatigue in patients with advanced cancer

et al. 2021

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Research on clinical application of manual therapy to tumor-related adverse reactions

Yao

Zhang

et al. 2021

J. Acupunct. Tuina. Sci.

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Integrating Function‐Directed Treatments into Palliative Care

Cheville

Morrow

Smith

et al. 2017

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The growing acceptance of palliative care has created opportunities to increase the use of rehabilitation services among populations with advanced disease, particularly those with cancer. Broader delivery has been impeded by the lack of a shared definition for palliative rehabilitation and a mismatch between patient needs and established rehabilitation service delivery models. We propose the definition that, in the advanced cancer population, palliative rehabilitation is function-directed care delivered in partnership with other clinical disciplines and aligned with the values of patients who have serious and often incurable illnesses in contexts marked by intense and dynamic symptoms, psychological stress, and medical morbidity to realize potentially time-limited goals. Although palliative rehabilitation is most often delivered by inpatient physical medicine and rehabilitation consultation/liaison services and by physical therapists in skilled nursing facilities, outcomes in these settings have received little scrutiny. In contrast, outpatient cancer rehabilitation programs have gained robust evidentiary support attesting to their benefits across diverse settings. Advancing palliative rehabilitation will require attention to historical barriers to the uptake of cancer rehabilitation services, which include the following: patient and referring physicians' expectation that effective cancer treatment will reverse disablement; breakdown of linear models of disablement due to presence of concurrent symptoms and psychological distress; tension between reflexive palliation and impairment-directed treatment; palliative clinicians' limited familiarity with manual interventions and rehabilitation services; and challenges in identifying receptive patients with the capacity to benefit from rehabilitation services. The effort to address these admittedly complex issues is warranted, as consideration of function in efforts to control symptoms and mood is vital to optimize patients' autonomy and quality of life. In addition, manual rehabilitation modalities are effective and drug sparing in the alleviation of adverse symptoms but are markedly underused. Realizing the potential synergism of integrating rehabilitation services in palliative care will require intensification of interdisciplinary dialogue.

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Erratum to: physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial

Cited by 4 publications

References 0 publications

Practice review: Evidence-based and effective management of fatigue in patients with advanced cancer

Practice review: Evidence-based and effective management of fatigue in patients with advanced cancer

Research on clinical application of manual therapy to tumor-related adverse reactions

Integrating Function‐Directed Treatments into Palliative Care

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