Smith Sean Robinson, Zheng Jasmine Yiqian
Department of Physical Medicine & Rehabilitation, University of Michigan, 325 E Eisenhower Pkwy, Ste 100, Ann Arbor, MI 48108 USA.
Curr Phys Med Rehabil Rep. 2017;5(1):46-54. doi: 10.1007/s40141-017-0150-0. Epub 2017 Mar 1.
This review examines the delivery of rehabilitation care to cancer patients with relation to disease prognosis. This includes the evaluation when patients are referred for rehabilitation services and the effectiveness of rehabilitation interventions across the cancer continuum.
Although prognosticating life expectancy is difficult, referrals for rehabilitation interventions appear to be affected by physician attitudes towards patients with advanced disease, in part because of misconceptions about the nature of rehabilitation for oncology patients. Rehabilitation may also be underutilized in long-term survivors with no evidence of disease. Despite this, our review found that rehabilitation in advanced disease, end-of-life, geriatric cancer patients, and in long-term survivors can be beneficial. There is a relative dearth in studies on rehabilitation interventions specifically at the end-of-life.
Cancer rehabilitation can be helpful to patients along the spectrum of cancer prognoses. Examining more accurate ways to prognosticate life expectancy, improving communication and education between oncologists and rehabilitation team members, and modifying survivorship plans to include patient education on functional changes over time may improve the delivery of rehabilitation care.
本综述探讨了与疾病预后相关的癌症患者康复护理的提供情况。这包括患者被转介接受康复服务时的评估以及癌症全程康复干预的效果。
尽管预测预期寿命很困难，但康复干预的转介似乎受到医生对晚期疾病患者态度的影响，部分原因是对肿瘤患者康复性质存在误解。在无疾病证据的长期幸存者中，康复服务的利用可能也不足。尽管如此，我们的综述发现，晚期疾病、临终、老年癌症患者以及长期幸存者的康复可能是有益的。关于临终时具体康复干预的研究相对较少。
癌症康复对处于癌症预后不同阶段的患者可能有所帮助。研究更准确的预期寿命预测方法、改善肿瘤学家与康复团队成员之间的沟通与教育，以及调整生存计划以纳入关于随时间推移功能变化的患者教育，可能会改善康复护理的提供。
