Functional recovery in cancer rehabilitation

Cole, Robert P.; Scialla, Salvatore J.; Bednarz, Lucien

doi:10.1016/s0003-9993(00)90046-7

Cited by 84 publications

(34 citation statements)

References 12 publications

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“…All cancer groups examined in the study (brain, breast, spinal cord, other) experienced similar functional improvements and efficiency in functional gain. In a study 29 of 200 cancer patients, significant functional improvements from admission to discharge were reported, with equivalent motor and cognitive gains across all 9 cancer subgroups. In studies 30–34 of patients with brain tumors, patients were shown to make significant functional improvement from admission to discharge.…”

Section: Discussionmentioning

confidence: 99%

Characterization of Cancer Patients in Inpatient Rehabilitation Facilities: A Retrospective Cohort Study

Mix

Granger²,

LaMonte

et al. 2017

Archives of Physical Medicine and Rehabilitation

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Objectives To identify the types of cancer patients admitted to inpatient medical rehabilitation and to describe their rehabilitation outcomes. Design: Retrospective cohort study. Setting U.S. inpatient rehabilitation facilities (IRFs). Participants Adult patients (N=27,952) with a malignant cancer diagnosis admitted to an IRF with a cancer-related impairment between October 2010 and September 2012 were identified from the Uniform Data System for Medical Rehabilitation database. Interventions Not applicable. Main Outcome Measures Demographic, medical, and rehabilitation characteristics for patients with various cancer tumor types were summarized using data collected from the Inpatient Rehabilitation Facility–Patient Assessment Instrument. Rehabilitation outcomes included the percentage of patients discharged to the community and acute care settings, and functional change from admission to discharge. Functional status was measured using the FIM instrument. Results Cancer patients constituted about 2.4% of the total IRF patient population. Cancer types included brain and nervous system (52.9%), digestive (12.0%), bone and joint (8.7%), blood and lymphatic (7.6%), respiratory (7.1%), and other (11.7%). Overall, 72% were discharged to a community setting, and 16.5% were discharged back to acute care. Patients with blood and lymphatic cancers had the highest frequency of discharge back to acute care (28%). On average, all cancer patient groups made significant functional gains during their IRF stay (mean FIM total change ± SD, 23.5±16.2). Conclusions In a database representing approximately 70% of all U.S. patients in IRFs, we found that patients with a variety of cancer types are admitted to inpatient rehabilitation. Most cancer patients admitted to IRFs were discharged to a community setting and, on average, improved their function. Future research is warranted to understand the referral patterns of admission to postacute care rehabilitation and to identify factors that are associated with rehabilitation benefit in order to inform the establishment of appropriate care protocols.

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Section: Discussionmentioning

confidence: 99%

Characterization of Cancer Patients in Inpatient Rehabilitation Facilities: A Retrospective Cohort Study

Mix

Granger²,

LaMonte

et al. 2017

Archives of Physical Medicine and Rehabilitation

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“…Patients in the study of Maunsell et al complained about the lack of attention to work problems from health care professionals. 26 Recently, a more general lack of attention to vocational rehabilitation has also been noted. 27 Furthermore, in our study, half of the patients indicated that they had not discussed work with their attending physician (results not shown).…”

Section: Discussionmentioning

confidence: 99%

Return to work of cancer survivors: a prospective cohort study into the quality of rehabilitation by occupational physicians

Verbeek

Spelten²,

Kammeijer³

et al. 2003

Occup Environ Med

122

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Aims: To describe and assess the quality of rehabilitation of cancer survivors by occupational physicians and to relate the quality of the process of occupational rehabilitation to the outcome of return to work. Methods: One hundred occupational physicians of a cohort of cancer survivors were interviewed about return to work management. Quality of rehabilitation was assessed by means of four indicators that related to performance in knowledge of cancer and treatment, continuity of care, patients complaints, and relations at work. The cohort of patients was prospectively followed for 12 months to assess time to return to work and rate of return to work. Patients' and physicians' satisfaction with care was also assessed. The relation between performance and these outcome measures was studied in a multivariate analysis, taking into account the influence of other work and disease related factors that could potentially predict return to work. Results: For knowledge of cancer and treatment, only 3% had optimal performance because occupational physicians did not communicate with treating physicians. For continuity of care, patient complaints, and relations at work, performance was optimal for 55%, 78%, and 60% of the physicians respectively. After adjustment for other prognostic factors, overall physician's performance (hazard ratio (HR) 0.5, 95% CI 0.3 to 0.8) and continuity of care (HR 0.5, 95% CI 0.3 to 0.9) were related to the return to work of patients. Overall optimal performance was also related to a small but significant higher level of satisfaction with care, both for patients and physicians. Conclusion: Quality of occupational rehabilitation of cancer survivors can be improved substantially, especially with regard to communication between physicians and continuity of care. There is a need for the development of more effective rehabilitation procedures which should be evaluated in a randomised controlled trial.

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“…Previous research found 87% of patients admitted to a medical oncology unit had rehabilitation needs on admission, and 84% on discharge 5. Inpatient rehabilitation has been shown to improve physical and mental functioning of patients with cancer with disabilities relating to their disease or treatment,6 as well as for elderly patients with cancer asthenia 7…”

Section: Introductionmentioning

confidence: 99%

Restorative care for palliative patients: a retrospective clinical audit of outcomes for patients admitted to an inpatient palliative care unit

Runacres

Gregory

Ugalde

2015

BMJ Support Palliat Care

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The majority of patients referred for restorative care died during admission, with only a minority discharged home. Patients discharged most commonly experienced maintenance and not improvement in performance status. A successful discharge home following restorative care was associated with a shorter length of stay. Implications and recommendations for successful restorative care will be discussed.

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Functional recovery in cancer rehabilitation

Cited by 84 publications

References 12 publications

Characterization of Cancer Patients in Inpatient Rehabilitation Facilities: A Retrospective Cohort Study

Characterization of Cancer Patients in Inpatient Rehabilitation Facilities: A Retrospective Cohort Study

Return to work of cancer survivors: a prospective cohort study into the quality of rehabilitation by occupational physicians

Restorative care for palliative patients: a retrospective clinical audit of outcomes for patients admitted to an inpatient palliative care unit

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