Tennison Jegy M, Sullivan Carly M, Fricke Brian C, Bruera Eduardo
Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Department of Rehabilitation Services, The University of Texas MD Anderson Cancer Center, Houston, Texas.
J Cancer. 2021 Aug 20;12(20):5987-5990. doi: 10.7150/jca.61010. eCollection 2021.
The need for cancer rehabilitation is expected to continue to dramatically increase with the aging population and increasing number of cancer survivors. These survivors experience a wide range of physical limitations and symptoms that negatively affect their health and quality of life. Research is needed to determine the rate of adherence, reasons for non-adherence, and interventions to improve adherence to acute inpatient rehabilitation among patients with cancer. To evaluate the rate of adherence and reasons for non-adherence to acute inpatient rehabilitation in patients with cancer. This was a secondary analysis of a retrospective study that assessed medical complications in 165 patients with cancer who had a median length of stay of 11 days (interquartile range of 8-14) in acute inpatient rehabilitation. We reviewed the records of all consecutive patients who underwent acute inpatient rehabilitation from September 1, 2017 through February 28, 2018 at a large academic, quaternary National Cancer Institute-designated Cancer Center. We calculated the rehabilitation session adherence rate and descriptively summarized the reasons for non-adherence. There were 78/165 (47%) patients that had 1 or more incomplete rehabilitation sessions due to medical complications. These patients had a median of 2 (interquartile range of 1-4) incomplete rehabilitation sessions. We noted other reasons for incomplete rehabilitation sessions in 146/165 (89%) patients, who had a median of 3 (interquartile range of 2-4) incomplete rehabilitation sessions. The median total number of days with incomplete rehabilitation sessions in the entire cohort was 2 (interquartile range 1-3). Among patients with cancer undergoing acute inpatient rehabilitation, the adherence rate to 1-hour long intensive rehabilitation sessions were low due to medical complications and other reasons. This in turn affected compliance with the 3 hours of rehabilitation a day requirement for acute inpatient rehabilitation. Patients with cancer undergoing acute inpatient rehabilitation are medically complex and further research at multiple institutions with larger cohorts may be beneficial in further assessing adherence rates and reasons for non-adherence to improve participation in acute inpatient rehabilitation.
随着人口老龄化以及癌症幸存者数量的增加，对癌症康复的需求预计将继续急剧上升。这些幸存者经历了各种各样的身体限制和症状，对他们的健康和生活质量产生了负面影响。需要开展研究以确定依从率、不依从的原因以及提高癌症患者对急性住院康复依从性的干预措施。为了评估癌症患者对急性住院康复的依从率和不依从的原因。这是一项回顾性研究的二次分析，该研究评估了165例癌症患者在急性住院康复期间的医疗并发症，这些患者的中位住院时间为11天（四分位间距为8 - 14天）。我们回顾了2017年9月1日至2018年2月28日期间在一家大型学术性、四级国家癌症研究所指定的癌症中心接受急性住院康复的所有连续患者的记录。我们计算了康复疗程的依从率，并对不依从的原因进行了描述性总结。有78/165（47%）的患者由于医疗并发症而有1次或更多次未完成的康复疗程。这些患者未完成康复疗程的中位数为2次（四分位间距为1 - 4次）。我们在146/165（89%）的患者中注意到了未完成康复疗程的其他原因，这些患者未完成康复疗程的中位数为3次（四分位间距为2 - 4次）。整个队列中未完成康复疗程的总天数中位数为2天（四分位间距为1 - 3天）。在接受急性住院康复的癌症患者中，由于医疗并发症和其他原因，对1小时强化康复疗程的依从率较低。这反过来又影响了对急性住院康复每天3小时康复要求的遵守情况。接受急性住院康复的癌症患者病情复杂，在多个机构对更大队列进行进一步研究可能有助于进一步评估依从率和不依从的原因，以提高对急性住院康复的参与度。
