Palacio A, Calmels P, Genty M, Le-Quang B, Beuret-Blanquart F
CRMPR Les Herbiers, CHU de Rouen, 111, rue Herbeuse, 76230 Bois-Guillaume, France.
Ann Phys Rehabil Med. 2009 Sep-Oct;52(7-8):568-78. doi: 10.1016/j.rehab.2009.05.004. Epub 2009 Aug 15.
Cancer patients are living longer with deficiencies and functional impairments requiring often typically a care in physical medicine and rehabilitation (PMR).
To examine the care of cancer patients in PMR.
Investigation made with a questionnaire diffused from the e-mail listing of the Société Française de Médecine Physique et de Réadaptation.
Sixty-seven answers received. Fifty-seven centers take care of cancer patients. On average, 4% of cancer patients are hospitalised in PMR. Spinal cord injuries and hemiplegias are the most common impairments. Forty-two percent of the PMR units take the patients in all the stages of cancer treatment. Working relationships between PMR and oncology units are formalized only eight times out of 52. In case of health degradation, relationships with a palliative care unit are frequent but not generalized. Eighty-five percent of the centers think that PMR is not enough developed in oncology.
In spite of its limited character, this investigation shows that the PMR units take these patients. Situations where PMR has an important role in the follow-up of cancer patients are multiple and publications have showed its interest, especially on the limitations of activities. It is important to make better known the interest of PMR in oncology units but also to develop specific care within PMR units.
癌症患者的寿命越来越长，但常伴有各种缺陷和功能障碍，这通常需要接受物理医学与康复（PMR）治疗。
研究癌症患者在PMR方面的治疗情况。
通过法国物理医学与康复学会电子邮件列表发放问卷进行调查。
共收到67份回复。57个中心负责照顾癌症患者。平均而言，4%的癌症患者在PMR科室住院。脊髓损伤和偏瘫是最常见的功能障碍。42%的PMR科室接收处于癌症治疗各个阶段的患者。在52次合作中，PMR科室与肿瘤科室之间仅有8次建立了正式的工作关系。在患者健康状况恶化时，与姑息治疗科室的联系较为频繁，但并不普遍。85%的中心认为PMR在肿瘤学领域发展不足。
尽管本次调查范围有限，但显示出PMR科室接收了这些患者。PMR在癌症患者随访中发挥重要作用的情况多种多样，并且已有文献表明其具有重要意义，特别是在活动受限方面。重要的是要让肿瘤科室更好地了解PMR的作用，同时在PMR科室开展针对性治疗。
