Incorporating Weight Management into Clinical Care for Cancer Survivors: Challenges, Opportunities, and Future Directions

Jain, Rishi; Denlinger, Crystal S.

doi:10.1002/oby.22016

Cited by 3 publications

(6 citation statements)

References 20 publications

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“…32,33 Multifaceted prevention strategies including education and sustained intervention programs to tackle obesity among the general population and cancer survivors may help reduce the economic burden of obesity on cancer. 11,34 Future studies using claims data would be useful to improve our knowledge of the association between obesity and cancer care and to evaluate how and to what extent specific healthrelated factors or services provided contribute to the burden of the disease.…”

Section: Discussionmentioning

confidence: 99%

Excess Costs and Economic Burden of Obesity-Related Cancers in the United States

et al. 2019

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Background: Obesity is a significant risk factor of several cancers that imposes a substantial economic burden on US healthcare that remains to be quantified. We estimated the excess costs and economic burden of obesity-related cancers in the United States. Methods: From the Medical Expenditure Panel Survey (2008-2015) data, we identified 19 405 cancer survivors and 175 498 non-cancer individuals. We estimated annual health expenditures using generalized linear regression with log link and gamma distribution by cancer types (stratified by 11 obesity-related cancers and other cancer types), controlling for sociodemographic and clinical characteristics. All cost estimates were adjusted to 2015 USD value.

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Section: Discussionmentioning

confidence: 99%

Excess Costs and Economic Burden of Obesity-Related Cancers in the United States

et al. 2019

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“…Providers are reluctant to recommend exercise, citing competing health issues and the lack of an infrastructure to refer patients [36]. They also report lack of education, resources, and time to formally explain and recommend exercise during clinical visits [40]. On the other hand, cancer patients may experience a decrease in ability and motivation to exercise [41], uncertainty about what types of exercise are safe, and how to commence or sustain an exercise program [35], as well as lack of time, access, and support for lifestyle changing [40].…”

Section: Discussionmentioning

confidence: 99%

“…They also report lack of education, resources, and time to formally explain and recommend exercise during clinical visits [40]. On the other hand, cancer patients may experience a decrease in ability and motivation to exercise [41], uncertainty about what types of exercise are safe, and how to commence or sustain an exercise program [35], as well as lack of time, access, and support for lifestyle changing [40]. The provider’s recommendation is one of the most important motivating force for survivors to change lifestyle behaviors, such as adding exercise to their daily routine.…”

Section: Discussionmentioning

confidence: 99%

“…Given the substantial number of BrCa survivors (and other types of cancer survivors) who may benefit from referral, there exists an urgent need to train health and fitness professionals with the knowledge, skills, abilities, and sources that are necessary to safely individualize and implement exercise programs that are appropriate for the unique needs of cancer survivors. Oncologists will require proper training to acknowledge the role of physical activity among cancer survivors, to be able to identify those who may benefit from a referral to medically based exercise program, and to prepare them to be able to exercise on their own [40]. Medically based exercise program, such as physical therapy, under some conditions, is covered by third-party health insurance [33].…”

Section: Discussionmentioning

confidence: 99%

“…Medically based exercise program, such as physical therapy, under some conditions, is covered by third-party health insurance [33]. It is possible to reduce the financial burden and increase cancer survivors’ participation through a system in place with facilities and reimbursement for prescribed exercise programs [40]. With the proper infrastructure in place, oncology providers can consider referring their patients to physical therapists, rehabilitation physicians, and other health professionals to promote the safe participation in exercise.…”

Section: Discussionmentioning

confidence: 99%

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Applying pre-participation exercise screening to breast cancer survivors: a cross-sectional study

Igwebuike

Zhang

Brown

et al. 2017

Support Care Cancer

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A large proportion of BrCa survivors can be prescribed community/home-based exercise program safely and independently, without further medical investigations or supervision. Future research will be needed to determine how to identify the subset of BrCa survivors that may benefit from medical evaluation prior to starting exercise in a manner that does not interrupt clinical oncology workflow. Approximately 35% of BrCa survivors may benefit from medical evaluation prior to starting community/home-based exercise.

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Critical appraisal of clinical guidelines for prevention and management of doxorubicin-induced cardiotoxicity

Moustafa

Viljoen

Perumal-Pillay

et al. 2022

J Oncol Pharm Pract

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Objective Doxorubicin is a valuable chemotherapeutic drug; however, it is associated with a high risk of cardiotoxicity. Several institutions and organizations have developed guidelines for risk factor assessment, monitoring and prevention strategies against chemotherapy-induced cardiotoxicity. This review aimed to assess the quality of current practice guidelines, using the Appraisal of Guidelines for Research and Evaluation II (AGREE II). This tool was used to compare the recommendations with regards to their strength and evidence recommendations were based on. Data Sources This review identified guidelines in literature from January 1960 to February 6, 2022, through a systematic search that included PubMed, EMBASE, MEDLINE, Cochrane Database and Google Scholar. The quality, consistency and the strength of supporting evidence was evaluated using the AGREE II method. Data Summary Eight guidelines met the inclusion criteria and 144 recommendations were extracted from these guidelines. The results from the AGREE II evaluation showed that the total assessment scores of guidelines ranged from 2 to 5, indicating the guidelines need modifications. The recommendations were evaluated according to the references used, and it was found that 12 (11%) recommendations had high evidence, 36 (33%) had moderate evidence, 38 (35.19%) had low and 22 (20.37%) had insufficient evidence. Recommendations for risk factors assessment, prophylaxis of cardiotoxicity, management of cardiotoxicity and monitoring of cardiotoxicity were quite varied amongst the different guidelines evaluated. Conclusions All studied guidelines need modifications as per the AGREE II evaluating tool. Several shortcomings were identified, including a lack of evidence-based studies supporting the recommendations in the guidelines.

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Incorporating Weight Management into Clinical Care for Cancer Survivors: Challenges, Opportunities, and Future Directions

Cited by 3 publications

References 20 publications

Excess Costs and Economic Burden of Obesity-Related Cancers in the United States

Excess Costs and Economic Burden of Obesity-Related Cancers in the United States

Applying pre-participation exercise screening to breast cancer survivors: a cross-sectional study

Critical appraisal of clinical guidelines for prevention and management of doxorubicin-induced cardiotoxicity

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