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A prospective surveillance model for rehabilitation for women with breast cancer

Stout, N L; Binkley, J; Schmitz, K H; Andrews, K; Hayes, S C; Campbell, K L; McNeely, M; Soballe, P W; Berger, A M and Cheville, A L, et al. (2012) In Cancer 118(8). p.2191-2200
Abstract
BACKGROUND:



The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Breast cancer treatment sequelae can lead to physical impairments and functional limitations. Common impairments include pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Evidence supports prospective surveillance for early identification and treatment as a means to prevent or mitigate many of these concerns. This article proposes a prospective surveillance model for physical... (More)
BACKGROUND:



The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Breast cancer treatment sequelae can lead to physical impairments and functional limitations. Common impairments include pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Evidence supports prospective surveillance for early identification and treatment as a means to prevent or mitigate many of these concerns. This article proposes a prospective surveillance model for physical rehabilitation and exercise that can be integrated with disease treatment to create a more comprehensive approach to survivorship health care. The goals of the model are to promote surveillance for common physical impairments and functional limitations associated with breast cancer treatment; to provide education to facilitate early identification of impairments; to introduce rehabilitation and exercise intervention when physical impairments are identified; and to promote and support physical activity and exercise behaviors through the trajectory of disease treatment and survivorship.



METHODS:



The model is the result of a multidisciplinary meeting of research and clinical experts in breast cancer survivorship and representatives of relevant professional and advocacy organizations.



RESULTS/CONCLUSIONS:



The proposed model identifies time points during breast cancer care for assessment of and education about physical impairments. Ultimately, implementation of the model may influence incidence and severity of breast cancer treatment-related physical impairments. As such, the model seeks to optimize function during and after treatment and positively influence a growing survivorship community. (Less)
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(Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Cancer
volume
118
issue
8
pages
2191 - 2200
publisher
John Wiley & Sons
external identifiers
  • wos:000302544100002
  • scopus:84859641941
ISSN
1097-0142
DOI
10.1002/cncr.27476.
language
English
LU publication?
yes
id
85c0acc0-5a20-4a61-9f31-44db14160122 (old id 3916568)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22488693
date added to LUP
2013-07-02 14:24:57
date last changed
2017-10-08 03:19:58
@article{85c0acc0-5a20-4a61-9f31-44db14160122,
  abstract     = {BACKGROUND: <br/><br>
<br/><br>
The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Breast cancer treatment sequelae can lead to physical impairments and functional limitations. Common impairments include pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Evidence supports prospective surveillance for early identification and treatment as a means to prevent or mitigate many of these concerns. This article proposes a prospective surveillance model for physical rehabilitation and exercise that can be integrated with disease treatment to create a more comprehensive approach to survivorship health care. The goals of the model are to promote surveillance for common physical impairments and functional limitations associated with breast cancer treatment; to provide education to facilitate early identification of impairments; to introduce rehabilitation and exercise intervention when physical impairments are identified; and to promote and support physical activity and exercise behaviors through the trajectory of disease treatment and survivorship.<br/><br>
<br/><br>
METHODS: <br/><br>
<br/><br>
The model is the result of a multidisciplinary meeting of research and clinical experts in breast cancer survivorship and representatives of relevant professional and advocacy organizations.<br/><br>
<br/><br>
RESULTS/CONCLUSIONS: <br/><br>
<br/><br>
The proposed model identifies time points during breast cancer care for assessment of and education about physical impairments. Ultimately, implementation of the model may influence incidence and severity of breast cancer treatment-related physical impairments. As such, the model seeks to optimize function during and after treatment and positively influence a growing survivorship community.},
  author       = {Stout, N L and Binkley, J and Schmitz, K H and Andrews, K and Hayes, S C and Campbell, K L and McNeely, M and Soballe, P W and Berger, A M and Cheville, A L and Fabian, C and Gerber, L and Harris, S R and Johansson, Karin and Pusic, A L and Prosnirz, R G and Smith, R},
  issn         = {1097-0142},
  language     = {eng},
  number       = {8},
  pages        = {2191--2200},
  publisher    = {John Wiley & Sons},
  series       = {Cancer},
  title        = {A prospective surveillance model for rehabilitation for women with breast cancer},
  url          = {http://dx.doi.org/10.1002/cncr.27476.},
  volume       = {118},
  year         = {2012},
}