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- Title
Impact of Real-World Outpatient Cancer Rehabilitation Services on Health-Related Quality of Life of Cancer Survivors across 12 Diagnosis Types in the United States.
- Authors
Pergolotti, Mackenzi; Wood, Kelley C.; Kendig, Tiffany D.; Mayo, Stacye
- Abstract
Simple Summary: This is the first study to examine the impact of specialized community-based outpatient physical and occupational therapy on the health-related quality of life of cancer survivors with various cancers. Survivors who completed PT/OT reported significant improvements in physical and mental health, physical function, and social participation. Although more research is needed, these findings suggest cancer rehabilitation is an important strategy to meet HRQOL needs and lends support for inclusion as a standard of care. Compared to adults without cancer, cancer survivors report poorer health-related quality of life (HRQOL), which is associated with negative treatment outcomes and increased healthcare use. Cancer-specialized physical and occupational therapy (PT/OT) could optimize HRQOL; however, the impact among survivors with non-breast malignancies is unknown. This retrospective (2020–2022), observational, study of medical record data of 12 cancer types, examined pre/post-HRQOL among cancer survivors who completed PT/OT. PROMIS® HRQOL measures: Global Health (physical [GPH] and mental [GMH]), Physical Function (PF), and Ability to Participate in Social Roles and Activities (SRA) were evaluated using linear mixed effect models by cancer type, then compared to the minimal important change (MIC, 2 points). Survivors were 65.44 ± 12.84 years old (range: 19–91), male (54%), with a median of 12 visits. Improvements in GPH were significant (p < 0.05) for all cancer types and all achieved MIC. Improvements in GMH were significant for 11/12 cancer types and 8/12 achieved MIC. Improvements in PF were significant for all cancer types and all achieved the MIC. Improvements in SRA were significant for all cancer types and all groups achieved the MIC. We observed statistically and clinically significant improvements in HRQOL domains for each of the 12 cancer types evaluated.
- Subjects
UNITED States; TUMOR classification; PHYSICAL therapy; COMMUNITY health services; MEDICAL care use; COMMUNITY support; STATISTICAL models; OUTPATIENT services in hospitals; HEALTH status indicators; SCIENTIFIC observation; RETROSPECTIVE studies; DESCRIPTIVE statistics; TREATMENT effectiveness; OCCUPATIONAL therapy; PRE-tests &; post-tests; QUALITY of life; MEDICAL records; SOCIAL skills; CANCER patient psychology; CANCER patient rehabilitation; PSYCHOSOCIAL factors
- Publication
Cancers, 2024, Vol 16, Issue 10, p1927
- ISSN
2072-6694
- Publication type
Article
- DOI
10.3390/cancers16101927