Improvement of quality of life and psychological distress after inpatient cancer rehabilitation

Riedl, David; Giesinger, Johannes; Wintner, Lisa M.; Loth, F; Rumpold, Gerhard; Greil, Richard; Nickels, Alain; Licht, Thomas; Holzner, Bernhard

doi:10.1007/s00508-017-1266-z

Cited by 30 publications

(26 citation statements)

References 33 publications

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“…This data is not documented in a standardized fashion but rather paraphrased by the physicians. Several reports have previously described improvement of various components of HRQOL by inpatient or outpatient cancer rehabilitation [21][22][23][24][25]42]. Many investigations focus on patients from certain cancer entities, such as breast [21,22,42], bladder [43], or prostate cancer [44].…”

Section: Discussionmentioning

confidence: 99%

Evaluation by electronic patient-reported outcomes of cancer survivors’ needs and the efficacy of inpatient cancer rehabilitation in different tumor entities

Licht

Nickels²,

Rumpold

et al. 2021

Support Care Cancer

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Objective We investigated cancer survivors’ health-related quality of life (HRQOL), specific deficiencies related to underlying disease or treatment, and benefits of rehabilitation in a large variety of cancer entities. Patients and methods Electronic patient-reported outcomes were performed as clinical routine procedures. Cancer survivors underwent a 3-week multidisciplinary inpatient rehabilitation. Twenty-one different cancer entities were analyzed separately before (T0) and by the end (T1) of rehabilitation. HRQOL, symptoms, and functions were assessed with EORTC-QLQ-C30 questionnaire, psychological distress with Hospital Anxiety and Depression Scale (HADS). Results Four thousand four hundred one of 5912 rehabilitants were evaluable, having completed both questionnaires at T0 and T1. All function mean scores and HRQOL were lower than in Austrian normal population, while levels of anxiety, depression, and all symptom scores were higher. HRQOL was particularly low in lung, liver, and bladder cancer patients. Maximum anxiety levels were observed in patients with breast and thyroid cancer patients, the highest levels of depression in liver and brain cancer patients. Fatigue was severe in patients with lung, liver, esophageal, bladder cancer, and myeloma patients. Mean scores were also high for pain and insomnia. In the group of all rehabilitants, a highly significant improvement of global HRQOL, anxiety, depression, and all function and symptom scores was observed at T1 (p < 0.001). We noted significant improvement of HRQOL, anxiety, depression, fatigue, emotional, social, role, and physical functions in each cancer entity with medium to large effect sizes. Other recorded symptoms were reduced in the majority of cancers. Conclusion Rehabilitation effectively improves psychological distress and HRQOL as a part of treatment for various cancers.

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Section: Discussionmentioning

confidence: 99%

Evaluation by electronic patient-reported outcomes of cancer survivors’ needs and the efficacy of inpatient cancer rehabilitation in different tumor entities

Licht

Nickels²,

Rumpold

et al. 2021

Support Care Cancer

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“…Several aspects need to be considered as to why the integrated nurse‐led CIM approach reported here did not demonstrate QoL benefits in patients completing CHT. CHT is the most burdensome treatment phase for cancer patients, and oncological rehabilitation studies report that patients’ QoL needs almost a month to recover after primary treatment . This might be a possible explanation for not having found an effect shortly after the end of CHT.…”

Section: Discussionmentioning

confidence: 99%

“…CHT is the most burdensome treatment phase for cancer patients, 2 and oncological rehabilitation studies report that patients' QoL needs almost a month to recover after primary treatment. 38 This might be a possible explanation for not having found an effect shortly after the end of CHT. So, it can be hypothesized that the positive effect needs time to develop.…”

Section: Discussionmentioning

confidence: 99%

The effects of an integrated supportive care intervention on quality of life outcomes in outpatients with breast and gynecologic cancer undergoing chemotherapy: Results from a randomized controlled trial

Klafke

Mahler²,

Hagens

et al. 2019

Cancer Medicine

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The aim of the Co mplementary N ursing in G ynecologic O ncology study was to investigate the effects of a complex, nurse‐led, supportive care intervention using Complementary and Integrative Medicine (CIM) on patients’ quality of life (QoL) and associated patient‐reported outcomes. In this prospective, pragmatic, bicentric, randomized controlled trial, women with breast or gynecologic cancer undergoing a new regimen of chemotherapy (CHT) were randomly assigned to routine supportive care plus intervention (intervention group, IG) or routine care alone (control group, CG). The intervention consisted of CIM applications and counseling for symptom management, as well as CIM information material. The primary endpoint was global QoL measured with the EORTC‐QLQ‐C30 before and after CHT. Mixed linear models considering fixed and random factors were used to analyze the data. In total, 126 patients were randomly assigned into the IG and 125 patients into the CG (median age 51 years). The patients’ medical and socio‐demographic characteristics were homogenous at baseline and at follow‐up. No group effects on QoL were found upon completion of CHT (estimate −1.04 [−4.89; 2.81]; P = 0.596), but there was a significant group difference in favor of the IG 6 months later (estimate 6.643 [1.65; 11.64]; P = 0.010). IG patients did also experience significant better emotional functioning ( P = 0.007) and less fatigue ( P = 0.027). The tested supportive intervention did not improve patients’ QoL outcomes directly after CHT (T3), but was associated with significant QoL improvements when considering the change from baseline to the time point T4, which could be assessed 6 months after patients’ completion of CHT. This delayed effect may have resulted due to a strengthening of patients’ self‐management competencies.

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“…Inpatient rehabilitation services play a significant role in overall QOL improvement and affect many patients' ability to cope with their disabilities. 7,8 Previous studies have reported that cancer patients benefit from inpatient rehabilitations. [1][2][3][4] However, functional impairments related to cancer are often not referred for specialized rehabilitation services as the main focus of oncologists remains the treatment of the disease rather than the functional deficits it causes.…”

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confidence: 99%

Impact of inpatient rehabilitation services on the functional levels of cancer patients at King Fahad Medical City, Riyadh, Saudi Arabia

AlJohi

Javison

Lubbad

et al. 2020

SMJ

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To identify the impact of inpatient rehabilitation services on the functional levels of cancer patients. Methods: This was a retrospective study of data from the Rehabilitation Hospital, King Fahad Medical City, Riyadh, Saudi Arabia, from 2012 to 2018. The functional independence measure (FIM) tool was used to assess functional changes from admission to discharge to determine the impact of inpatient rehabilitation. Results: A total of 81 eligible records were reviewed. The median hospital length of stay (LOS) was 50 days, mean±SD of the FIM gain was 25 (15.3), and 91.4% were discharged home, while only 4.9% were readmitted. Although statistically significant gains were observed in both motor and cognitive scores, motor scores Original Article improved more than the cognitive. The LOS was less (30 days) in patients requiring minimal assistance, at the time of admission, compared to the LOS in patients with moderate and low levels of independence. The level of significance was set at p≤0.05 Conclusions: In patient cancer rehabilitation service demonstrated statistically significant functional gains during rehabilitation at King Fahad Medical City. This study may help the policymakers to provide similar rehabilitation services to all cancer patients as well as in other health care hospitals to improve the functional status of cancer survivors.

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Improvement of quality of life and psychological distress after inpatient cancer rehabilitation

Cited by 30 publications

References 33 publications

Evaluation by electronic patient-reported outcomes of cancer survivors’ needs and the efficacy of inpatient cancer rehabilitation in different tumor entities

Evaluation by electronic patient-reported outcomes of cancer survivors’ needs and the efficacy of inpatient cancer rehabilitation in different tumor entities

The effects of an integrated supportive care intervention on quality of life outcomes in outpatients with breast and gynecologic cancer undergoing chemotherapy: Results from a randomized controlled trial

Impact of inpatient rehabilitation services on the functional levels of cancer patients at King Fahad Medical City, Riyadh, Saudi Arabia

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