<scp>PM</scp>&amp;R <scp>BOLD</scp>: Cancer rehabilitation medicine core services

Wisotzky, Eric; Smith, Sean R.; Ruppert, Lisa Marie; Mayer, R. Samuel; Shahpar, Samman; McMichael, Brian; Clark, Michael W.; Brunner, Megan; Thompson, Brian; Vargo, Mary M.

doi:10.1002/pmrj.12901

Cited by 3 publications

(12 citation statements)

References 16 publications

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“…49, p 21 A recently published editorial on the American Academy of Physical Medicine and Rehabilitation's (AAPM&R) cancer rehabilitation medicine core services included three symptom-specific, global impairments that relate directly to RIBP: musculoskeletal/neuromuscular disorders in cancer, radiation fibrosis syndrome, and cancer-related neuropathies. 50 As well, one of the core procedures listed that is crucial to identifying RIBP was electrodiagnosis, encompassing EMG and nerve conduction velocity. 50…”

Section: Discussionmentioning

confidence: 99%

“…As well, professional oncology societies would be prudent to include RIBP in their long‐term survivorship guidelines for breast cancer as well as including those for lymphoma and head and neck cancers. It is encouraging that AAPM&R has highlighted radiation fibrosis syndrome (which includes RIBP) under its core services impairments 50 …”

Section: Discussionmentioning

confidence: 99%

“…50 As well, one of the core procedures listed that is crucial to identifying RIBP was electrodiagnosis, encompassing EMG and nerve conduction velocity. 50…”

Section: Discussionmentioning

confidence: 99%

“…It is encouraging that AAPM&R has highlighted radiation fibrosis syndrome (which includes RIBP) under its core services impairments. 50 Finally, all of us who provide rehabilitative care must continue to advocate for awareness, diagnosis, and management of both the common and rare iatrogenic outcomes experienced by long-term cancer survivors. As Rudra et al 23 concluded in their recent retrospective review of RIBP in 498 survivors of breast cancer, this disorder remains "a rare but devastating consequence" of adjuvant radiation therapy that appears to largely have been forgotten.…”

Section: Discussionmentioning

confidence: 99%

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Brachial plexopathy after breast cancer: A persistent late effect of radiotherapy

Harris

2023

PM&R

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Radiation‐induced brachial plexopathy (RIBP) is an iatrogenic, progressively disabling, and often very late effect of adjuvant radiotherapy most commonly seen in breast cancer survivors but also in those treated for lymphoma, lung, and head and neck cancers. In late‐onset RIBP following breast cancer, the nerve injury is chronic and irreversible, occurring more commonly when axillary and/or supraclavicular nodes have been irradiated, as well as the breast/chest wall. RIBP is manifested initially by paresthesia, hypoesthesia, dysesthesia, and later by weakness in the ipsilateral hand with those symptoms progressing distally to proximally up through the shoulder. Depressed/absent deep tendon reflexes in the upper extremity and muscle fasciculations occur also. Neither patients nor their health care providers tend to associate these unusual neurological symptoms with cancer treatments received ≥20 years prior, often failing to link these sensory‐motor symptoms with radiotherapy decades before. Because long‐term follow‐up of these patients now typically falls to general practitioners, many cases may be missed or misdiagnosed because of the rarity of this disorder. Physiatrists and allied rehabilitation professionals must be aware of this progressively disabling, incurable condition to provide appropriate diagnoses and compensatory rehabilitation therapies. Additionally, professional oncology organizations should include RIBP in their long‐term, survivorship guidelines for breast cancer. Researchers examining the iatrogenic late effects of radiotherapy should extend their follow‐up periods well beyond the current 5–6 years to ascertain the true incidence of RIBP today. Rehabilitation providers must continue to advocate for awareness, diagnosis, and management of iatrogenic outcomes experienced by long‐term cancer survivors.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…50 As well, one of the core procedures listed that is crucial to identifying RIBP was electrodiagnosis, encompassing EMG and nerve conduction velocity. 50…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Brachial plexopathy after breast cancer: A persistent late effect of radiotherapy

Harris

2023

PM&R

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“…In 2022, the American Academy of Physical Medicine and Rehabilitation, as part of their PM&R BOLD initiative, defined a comprehensive set of core services that are commonly provided by CRM physiatrists and are valued by patients, caregivers, oncologists, payers, and leaders of health systems. 7 These services were sorted into the following categories: global impairments/symptom specific, cancer-diagnosis specific, procedures, wellness/survivorship, and areas of practice/other (Table 7). The list is justifiably comprehensive, and while it is unlikely for any one CRM rotation to adequately address all core services, the content provided should be considered aspirational and can be valuable in defining the educational needs for graduate medical learners.…”

Section: Step 4: Educational Strategiesmentioning

confidence: 99%

Proposing a Cancer Rehabilitation Medicine Curriculum for Physical Medicine and Rehabilitation Trainees

Custodio,

Stein

2024

Am J Phys Med Rehabil

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With the rapid growth and rising interest in the subspecialty of cancer rehabilitation medicine, establishing a structured training and educational curriculum in cancer rehabilitation medicine has become more crucial than ever. For those who are responsible for the educational experiences of students, residents, fellows, or other healthcare professionals, this article provides a systematic approach for establishing a curriculum template relevant for cancer rehabilitation medicine training. This included the assessment of general and targeted needs for learners and educators, rotation goals and objectives, educational strategies, implementation, and evaluation and feedback.

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