Division of Chronic Disease Epidemiology; Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Hirschengraben 82, CH-8001, Zurich, Switzerland.
Curr Oncol Rep. 2020 Oct 1;22(12):122. doi: 10.1007/s11912-020-00979-8.
This systematic review aimed to determine the effects of interdisciplinary/multidisciplinary outpatient rehabilitation programmes by looking at physical, psychosocial and return to work status of adult cancer patients.
There is growing evidence that emphasizes the importance of interdisciplinary/multidisciplinary rehabilitation especially in outpatient care, which addresses the complex and individual needs of cancer patients. Many studies focus on measuring the effect of individual rehabilitation interventions. Randomized controlled trials (RCTs) and before-after studies examining the effects of interdisciplinary/multidisciplinary outpatient rehabilitation programmes were included in this systematic review. The electronic literature search was conducted in MEDLINE, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials and PEDro. The PICO statement was used for selection of the studies. Six randomized controlled trials and six before-after studies were included. Interdisciplinary/multidisciplinary outpatient cancer rehabilitation programmes improved physical and/or psychosocial status of cancer patients. However, non-significant changes in a variety of single physical and psychosocial measures were also common. The findings of the systematic review indicate that interdisciplinary/multidisciplinary outpatient cancer rehabilitation can improve cancer patients' physical and psychosocial status. This review is limited by the narrative approach due to the heterogeneity of outcome measures. To evaluate effects of rehabilitation, better comparable studies are necessary. Further research is needed in regard to long-term outcomes, effects on return to work status and on the associations depending on cancer type.
本系统综述旨在通过观察成人癌症患者的身体、心理社会和重返工作岗位状况，确定跨学科/多学科门诊康复计划的效果。
越来越多的证据强调了跨学科/多学科康复的重要性，特别是在门诊护理中，它满足了癌症患者的复杂和个体需求。许多研究都侧重于测量个别康复干预措施的效果。本系统综述纳入了随机对照试验（RCT）和前后对照研究，以检验跨学科/多学科门诊康复计划的效果。电子文献检索在 MEDLINE、EMBASE、CINAHL、Cochrane 对照试验中心注册和 PEDro 中进行。使用 PICO 陈述进行研究选择。纳入了 6 项随机对照试验和 6 项前后对照研究。跨学科/多学科门诊癌症康复计划改善了癌症患者的身体和/或心理社会状况。然而，各种单一身体和心理社会措施也经常出现无显著变化的情况。系统综述的结果表明，跨学科/多学科门诊癌症康复可以改善癌症患者的身体和心理社会状况。本综述受到叙述方法的限制，因为结果测量的异质性。为了评估康复的效果，需要更好的可比研究。需要进一步研究长期结果、对重返工作岗位状况的影响以及取决于癌症类型的影响。
