TY - JOUR
T1 - Association of Outpatient Cancer Rehabilitation with Patient-Reported Outcomes and Performance-Based Measures of Function
AU - Pergolotti, MacKenzi
AU - Covington, Kelley R.
AU - Lightner, Ashley N.
AU - Bertram, Jessica
AU - Thess, Melissa
AU - Sharp, Julia
AU - Spraker, Matthew
AU - Williams, Grant R.
AU - Manning, Peter
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/7
Y1 - 2021/7
N2 - Background and Purpose/Objective: Evidence supporting the effect of community-based cancer-specific physical and occupational therapy (PT/OT) services on cancer-related disability is limited. We examined the effect of community-based outpatient cancer-specific PT/OT for performance-based and patient-reported outcomes (PROs) for adults with cancer. Methods: This retrospective, pre/posttreatment study included 185 adults seen for cancer rehabilitation (PT/OT). Demographic and clinical data were patient-reported. Patient-Reported Outcomes Measurement Information System (PROMIS) measures included global physical health (GPH) and global mental health (GMH) scale (10 item); physical function (PF; 4-item), and ability to participate in social roles and activities (SRA; 4-item). Performance-based measures included hand grip strength (HGS) and the Timed Up and Go (TUG) test. We used descriptive statistics to evaluate patient characteristics, paired-samples t test to compare scores pre- and post-PT/OT, and independent-samples t test to compare the mean change for all outcomes between patients in the active and posttreatment groups. Results: Patients were predominantly female (n = 137; 75%), were 41 to 65 years old (n = 99; 57%). The majority had been diagnosed with breast (n = 98; 53%) cancer. Most (n = 115; 62.2%) patients completed at least one follow-up evaluation over 6 ± 4.5 weeks. A significant effect (P <.05; Cohen d = 0.21-0.35) was observed for GPH, SRA, HGS, and TUG test. There was no difference in average effect between the active and posttreatment groups. Conclusions: Community-based cancer-specific PT/OT has a significant effect on the functioning and participation of adults with cancer. Implications for Cancer Survivors: Community-based cancer rehabilitation services may benefit cancer survivors' functioning and health-related quality of life across the cancer continuum.
AB - Background and Purpose/Objective: Evidence supporting the effect of community-based cancer-specific physical and occupational therapy (PT/OT) services on cancer-related disability is limited. We examined the effect of community-based outpatient cancer-specific PT/OT for performance-based and patient-reported outcomes (PROs) for adults with cancer. Methods: This retrospective, pre/posttreatment study included 185 adults seen for cancer rehabilitation (PT/OT). Demographic and clinical data were patient-reported. Patient-Reported Outcomes Measurement Information System (PROMIS) measures included global physical health (GPH) and global mental health (GMH) scale (10 item); physical function (PF; 4-item), and ability to participate in social roles and activities (SRA; 4-item). Performance-based measures included hand grip strength (HGS) and the Timed Up and Go (TUG) test. We used descriptive statistics to evaluate patient characteristics, paired-samples t test to compare scores pre- and post-PT/OT, and independent-samples t test to compare the mean change for all outcomes between patients in the active and posttreatment groups. Results: Patients were predominantly female (n = 137; 75%), were 41 to 65 years old (n = 99; 57%). The majority had been diagnosed with breast (n = 98; 53%) cancer. Most (n = 115; 62.2%) patients completed at least one follow-up evaluation over 6 ± 4.5 weeks. A significant effect (P <.05; Cohen d = 0.21-0.35) was observed for GPH, SRA, HGS, and TUG test. There was no difference in average effect between the active and posttreatment groups. Conclusions: Community-based cancer-specific PT/OT has a significant effect on the functioning and participation of adults with cancer. Implications for Cancer Survivors: Community-based cancer rehabilitation services may benefit cancer survivors' functioning and health-related quality of life across the cancer continuum.
KW - adults
KW - cancer rehabilitation
KW - community-based
KW - outcomes
KW - outpatient
UR - http://www.scopus.com/inward/record.url?scp=85107841021&partnerID=8YFLogxK
U2 - 10.1097/01.REO.0000000000000245
DO - 10.1097/01.REO.0000000000000245
M3 - Article
AN - SCOPUS:85107841021
SN - 2168-3808
VL - 39
SP - 137
EP - 142
JO - Rehabilitation Oncology
JF - Rehabilitation Oncology
IS - 3
ER -