Follow the trail: Using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation.

文献信息

DOI	10.3322/caac.21549
PMID	30457670
期刊	CA: a cancer journal for clinicians
影响因子	232.4
JCR 分区	Q1
发表年份	2019
被引次数	9
关键词	循证实践、肿瘤、政策、公众意见、康复
文献类型	Journal Article, Research Support, Non-U.S. Gov't
ISSN	0007-9235
页码	113-126
期号	69(2)
作者	Kathleen D Lyons, Lynne S Padgett, Timothy F Marshall, Joseph A Greer, Julie K Silver, Vishwa S Raj, David S Zucker, Jack B Fu, Mackenzi Pergolotti, Alix G Sleight, Catherine M Alfano

一句话小结

本文探讨了癌症康复干预措施在优化患者功能方面的潜力，指出肿瘤学领域对康复服务的转介和接受率低的问题，并借鉴姑息治疗的成功经验，提出五项策略以提升癌症康复的整合和接受度。研究强调，通过协调推进这些策略，能够提高癌症幸存者的生活质量，减少其残疾程度。

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循证实践 · 肿瘤 · 政策 · 公众意见 · 康复

摘要

尽管研究阐明了癌症康复干预措施在优化身体、社会、情感和职业功能方面的益处，但许多报告记录了肿瘤学领域对康复服务的转介和接受率低的现象。癌症康复临床医生、研究人员和政策制定者可以借鉴姑息治疗这一多学科专业领域的经验，该领域受益于增长战略，并获得了国家认可，成为肿瘤护理中一个重要且必要的组成部分。本文的目的是探讨那些增加姑息治疗接受度和整合的行动，从中获取洞见并提出多模式策略，以推动癌症康复的发展和增长。在审视姑息治疗的历史及其发展后，作者强调了五项可能对癌症康复领域有益的关键策略：1）刺激特定空白领域的科学研究；2）制定临床实践指南；3）提升临床能力；4）了解并回应公众意见；5）倡导公共政策变革。在这五项策略上进行协调和同步的推进，可能会催化患者筛查、及时转介及提供适当的癌症康复护理的增长、利用和有效性，从而减少残疾，提高需要这些服务的癌症幸存者的生活质量。

英文摘要

Despite research explicating the benefits of cancer rehabilitation interventions to optimize physical, social, emotional, and vocational functioning, many reports document low rates of referral to and uptake of rehabilitation in oncology. Cancer rehabilitation clinicians, researchers, and policy makers could learn from the multidisciplinary specialty of palliative care, which has benefited from a growth strategy and has garnered national recognition as an important and necessary aspect of oncology care. The purpose of this article is to explore the actions that have increased the uptake and integration of palliative care to yield insights and multimodal strategies for the development and growth of cancer rehabilitation. After examining the history of palliative care and its growth, the authors highlight 5 key strategies that may benefit the field of cancer rehabilitation: 1) stimulating the science in specific gap areas; 2) creating clinical practice guidelines; 3) building clinical capacity; 4) ascertaining and responding to public opinion; and 5) advocating for public policy change. Coordinated and simultaneous advances on these 5 strategies may catalyze the growth, utilization, and effectiveness of patient screening, timely referrals, and delivery of appropriate cancer rehabilitation care that reduces disability and improves quality of life for cancer survivors who need these services.

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主要研究问题

核心洞察

研究背景和目的
尽管已有大量研究证明癌症康复干预对优化患者的身体、社交、情感和职业功能具有重要益处，但在肿瘤学领域，关于康复的转诊率和接受率依然较低。本文旨在借鉴临床多学科专科——姑息治疗的成功经验，探索如何推动癌症康复的发展和整合，以提高其在肿瘤治疗中的地位和利用率。
主要方法和发现
作者回顾了姑息治疗的发展历史，并从中提炼出五个关键策略，这些策略有望促进癌症康复的增长：
- 刺激特定领域的科学研究：针对当前研究空白进行深入探索，以推动相关科学的发展。
- 制定临床实践指南：提供系统化的指导，帮助临床医师在日常实践中有效实施康复措施。
- 增强临床能力建设：通过培训和教育提升从业人员的专业素养，以满足患者日益增长的康复需求。
- 了解和响应公众意见：通过社会调查和反馈，了解公众对癌症康复的认知与需求，进而调整服务方向。
- 倡导公共政策变革：通过政策倡导，推动政府和相关机构对癌症康复的重视和支持。
核心结论
通过对上述五个策略的协调推进，可以显著提升癌症康复服务的可获取性和有效性。这不仅促进患者的早期筛查和及时转诊，还能确保患者接受适当的康复护理，从而减少残疾，提高癌症幸存者的生活质量。
研究意义和影响
本研究不仅为癌症康复领域提供了一条明确的发展路线图，还强调了借鉴姑息治疗成功经验的重要性。通过实施这些策略，能够有效提升公众对癌症康复的认知和接受度，进而推动政策层面的支持。这一研究为改善癌症患者的整体护理质量提供了新的视角，具有重要的理论和实践意义，可能会对未来的肿瘤治疗模式和政策制定产生深远影响。

引用本文的文献

Training and Practice Patterns in Cancer Rehabilitation: A Survey of Physiatrists Specializing in Oncology Care. - Raman Sharma;Diana Molinares-Mejia;Ashish Khanna;Susan Maltser;Lisa Ruppert;Sarah Wittry;Ryan Murphy;Anne Felicia Ambrose;Julie K Silver - PM & R : the journal of injury, function, and rehabilitation (2020)
A health services research agenda to fully integrate cancer rehabilitation into oncology care. - Mackenzi Pergolotti;Catherine M Alfano;Alison N Cernich;K Robin Yabroff;Peter R Manning;Janet S de Moor;Erin E Hahn;Andrea L Cheville;Supriya G Mohile - Cancer (2019)
Cancer Rehabilitation and Palliative Care-Exploring the Synergies. - Rabeya A Chowdhury;Frank P Brennan;Matthew D Gardiner - Journal of pain and symptom management (2020)
A Survey of Cancer Rehabilitation Professionals Regarding Emerging Topics in the Field. - Jack B Fu;Paolo Tralongo - Journal of cancer rehabilitation (2020)
Moving through cancer: Setting the agenda to make exercise standard in oncology practice. - Kathryn H Schmitz;Nicole L Stout;Melissa Maitin-Shepard;Anna Campbell;Anna L Schwartz;Chloe Grimmett;Jeffrey A Meyerhardt;Jonas M Sokolof - Cancer (2021)
The Past, Present, and Future of American Cancer Rehabilitation. - Jack B Fu - Physical therapy research (2021)
An Integrated Care Approach to Improve Well-Being in Breast Cancer Patients. - Alessandra Fabi;Alessandro Rossi;Edoardo Mocini;Ludovica Cardinali;Valerio Bonavolontà;Cristina Cenci;Stefano Magno;Vittoria Barberi;Antimo Moretti;Zein Mersini Besharat;Giovanni Iolascon;Carlo Baldari;Elisabetta Ferretti;Andrea Botticelli;Ida Paris;Giovanni Scambia;Silvia Migliaccio - Current oncology reports (2024)
Sociodemographic and clinical characteristics associated with rehabilitation services utilization in older women with early-stage breast cancer from SEER-Medicare 2009-2018. - Jessica S Gorzelitz;Rachelle Brick;Luqin Deng;Michelle Mollica;Nicole Stout;Stefanie Stoller;Courtney P Williams - Journal of cancer survivorship : research and practice (2024)
Editorial: Rehabilitation within the context of palliative care. - Marcos Montagnini;Christopher M Wilson - Frontiers in rehabilitation sciences (2024)

Follow the trail: Using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation. ​

文献信息 ​

一句话小结 ​

在麦伴科研 (maltsci.com) 搜索更多文献 ​

摘要 ​

英文摘要 ​

麦伴智能科研服务 ​

主要研究问题 ​

核心洞察 ​

引用本文的文献 ​