Effectiveness of integrated multidisciplinary rehabilitation in primary brain cancer survivors in an Australian community cohort: a controlled clinical trial.
Identifieur interne : 002267 ( Main/Exploration ); précédent : 002266; suivant : 002268Effectiveness of integrated multidisciplinary rehabilitation in primary brain cancer survivors in an Australian community cohort: a controlled clinical trial.
Auteurs : Fary Khan [Australie] ; Bhasker Amatya ; Kate Drummond ; Mary GaleaSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2014.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (psychologie), Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse de variance (MeSH), Anxiété (diagnostic), Anxiété (rééducation et réadaptation), Anxiété (étiologie), Autosoins (MeSH), Classification internationale du fonctionnement, du handicap et de la santé (MeSH), Dépression (diagnostic), Dépression (rééducation et réadaptation), Dépression (étiologie), Femelle (MeSH), Gliome (classification), Gliome (rééducation et réadaptation), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Qualité de vie (MeSH), Soins ambulatoires (MeSH), Sujet âgé (MeSH), Survivants (psychologie), Tumeurs du cerveau (classification), Tumeurs du cerveau (complications), Tumeurs du cerveau (psychologie), Tumeurs du cerveau (rééducation et réadaptation), Victoria (MeSH), Études prospectives (MeSH).
- MESH :
- diagnostic : Anxiété, Dépression.
- psychologie : Activités de la vie quotidienne, Survivants, Tumeurs du cerveau.
- rééducation et réadaptation : Anxiété, Dépression, Gliome, Tumeurs du cerveau.
- étiologie : Anxiété, Dépression.
- classification : Adulte, Adulte d'âge moyen, Analyse de variance, Autosoins, Classification internationale du fonctionnement, du handicap et de la santé, Femelle, Gliome, Humains, Jeune adulte, Mâle, Qualité de vie, Soins ambulatoires, Sujet âgé, Tumeurs du cerveau, Victoria, Études prospectives.
English descriptors
- KwdEn :
- Activities of Daily Living (psychology), Adult (MeSH), Aged (MeSH), Ambulatory Care (MeSH), Analysis of Variance (MeSH), Anxiety (diagnosis), Anxiety (etiology), Anxiety (rehabilitation), Brain Neoplasms (classification), Brain Neoplasms (complications), Brain Neoplasms (psychology), Brain Neoplasms (rehabilitation), Depression (diagnosis), Depression (etiology), Depression (rehabilitation), Female (MeSH), Glioma (classification), Glioma (rehabilitation), Humans (MeSH), International Classification of Functioning, Disability and Health (MeSH), Male (MeSH), Middle Aged (MeSH), Prospective Studies (MeSH), Quality of Life (MeSH), Self Care (MeSH), Survivors (psychology), Victoria (MeSH), Young Adult (MeSH).
- MESH :
- classification : Brain Neoplasms, Glioma.
- complications : Brain Neoplasms.
- diagnosis : Anxiety, Depression.
- etiology : Anxiety, Depression.
- psychology : Activities of Daily Living, Brain Neoplasms, Survivors.
- rehabilitation : Anxiety, Brain Neoplasms, Depression, Glioma.
- Adult, Aged, Ambulatory Care, Analysis of Variance, Female, Humans, International Classification of Functioning, Disability and Health, Male, Middle Aged, Prospective Studies, Quality of Life, Self Care, Victoria, Young Adult.
Abstract
OBJECTIVE
To evaluate effectiveness of a multidisciplinary rehabilitation program for persons following definitive primary brain tumour treatment in a community cohort.
METHODS
The brain tumour (glioma) survivors (n = 106) were allocated either to the treatment group (n = 53) (intensive ambulatory multidisciplinary rehabilitation), or the waitlist control group (n = 53). The primary outcome - Functional Independence Measure (FIM), measured 'Activity' limitation; secondary measures included Depression, Anxiety Stress Scale, Perceived Impact Problem Profile and Cancer Rehabilitation Evaluation System. Assessments were at baseline, 3 and 6 months after program completion.
RESULTS
Participants were predominantly women (56%), with mean age 51 years (standard deviation 13.6) and median time since diagnosis of 2.1 years. Intention-to-treat analysis showed a significant difference between groups at 3-month in favour of multidisciplinary rehabilitation program in FIM motor subscales: 'self-care', 'sphincter', 'locomotion', 'mobility'(p < 0.01 for all); and FIM 'communication' (p < 0.01) and 'psychosocial' subscales (p < 0.05), with small to moderate effect size (r = 0.2-0.4). At 6-month follow-up, significant improvement in the treatment group was maintained only for FIM 'sphincter', 'communication' and 'cognition' subscales (p < 0.01 for all). No difference between groups was noted in other subscales.
CONCLUSIONS
brain tumour survivors can improve function with multidisciplinary rehabilitation, with some gains maintained up to 6 months. Evidence for specific interventions in the 'blackbox' of rehabilitation is needed.
DOI: 10.2340/16501977-1840
PubMed: 24940656
Affiliations:
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Kate" sort="Drummond, Kate" uniqKey="Drummond K" first="Kate" last="Drummond">Kate Drummond</name></author><author><name sortKey="Galea, Mary" sort="Galea, Mary" uniqKey="Galea M" first="Mary" last="Galea">Mary Galea</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24940656</idno><idno type="pmid">24940656</idno><idno type="doi">10.2340/16501977-1840</idno><idno type="wicri:Area/Main/Corpus">002122</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">002122</idno><idno type="wicri:Area/Main/Curation">002122</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">002122</idno><idno type="wicri:Area/Main/Exploration">002122</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Effectiveness of integrated multidisciplinary rehabilitation in primary brain cancer survivors in an Australian community cohort: a controlled clinical trial.</title><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation Medicine, Royal, Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. fary.khan@mh.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rehabilitation Medicine, Royal, Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052</wicri:regionArea><wicri:noRegion>Melbourne VIC 3052</wicri:noRegion></affiliation></author><author><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name></author><author><name sortKey="Drummond, Kate" sort="Drummond, Kate" uniqKey="Drummond K" first="Kate" last="Drummond">Kate Drummond</name></author><author><name sortKey="Galea, Mary" sort="Galea, Mary" uniqKey="Galea M" first="Mary" last="Galea">Mary Galea</name></author></analytic><series><title level="j">Journal of rehabilitation medicine</title><idno type="eISSN">1651-2081</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (psychology)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Ambulatory Care (MeSH)</term><term>Analysis of Variance (MeSH)</term><term>Anxiety (diagnosis)</term><term>Anxiety (etiology)</term><term>Anxiety (rehabilitation)</term><term>Brain Neoplasms (classification)</term><term>Brain Neoplasms (complications)</term><term>Brain Neoplasms (psychology)</term><term>Brain Neoplasms (rehabilitation)</term><term>Depression (diagnosis)</term><term>Depression (etiology)</term><term>Depression (rehabilitation)</term><term>Female (MeSH)</term><term>Glioma (classification)</term><term>Glioma (rehabilitation)</term><term>Humans (MeSH)</term><term>International Classification of Functioning, Disability and Health (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Quality of Life (MeSH)</term><term>Self Care (MeSH)</term><term>Survivors (psychology)</term><term>Victoria (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (psychologie)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Analyse de variance (MeSH)</term><term>Anxiété (diagnostic)</term><term>Anxiété (rééducation et réadaptation)</term><term>Anxiété (étiologie)</term><term>Autosoins (MeSH)</term><term>Classification internationale du fonctionnement, du handicap et de la santé (MeSH)</term><term>Dépression (diagnostic)</term><term>Dépression (rééducation et réadaptation)</term><term>Dépression (étiologie)</term><term>Femelle (MeSH)</term><term>Gliome (classification)</term><term>Gliome (rééducation et réadaptation)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Soins ambulatoires (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Survivants (psychologie)</term><term>Tumeurs du cerveau (classification)</term><term>Tumeurs du cerveau (complications)</term><term>Tumeurs du cerveau (psychologie)</term><term>Tumeurs du cerveau (rééducation et réadaptation)</term><term>Victoria (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Brain Neoplasms</term><term>Glioma</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Anxiety</term><term>Depression</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Anxiété</term><term>Dépression</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Anxiety</term><term>Depression</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Survivants</term><term>Tumeurs du cerveau</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Activities of Daily Living</term><term>Brain Neoplasms</term><term>Survivors</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Anxiety</term><term>Brain Neoplasms</term><term>Depression</term><term>Glioma</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Anxiété</term><term>Dépression</term><term>Gliome</term><term>Tumeurs du cerveau</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Anxiété</term><term>Dépression</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Ambulatory Care</term><term>Analysis of Variance</term><term>Female</term><term>Humans</term><term>International Classification of Functioning, Disability and Health</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Quality of Life</term><term>Self Care</term><term>Victoria</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Autosoins</term><term>Classification internationale du fonctionnement, du handicap et de la santé</term><term>Femelle</term><term>Gliome</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Qualité de vie</term><term>Soins ambulatoires</term><term>Sujet âgé</term><term>Tumeurs du cerveau</term><term>Victoria</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate effectiveness of a multidisciplinary rehabilitation program for persons following definitive primary brain tumour treatment in a community cohort.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The brain tumour (glioma) survivors (n = 106) were allocated either to the treatment group (n = 53) (intensive ambulatory multidisciplinary rehabilitation), or the waitlist control group (n = 53). The primary outcome - Functional Independence Measure (FIM), measured 'Activity' limitation; secondary measures included Depression, Anxiety Stress Scale, Perceived Impact Problem Profile and Cancer Rehabilitation Evaluation System. Assessments were at baseline, 3 and 6 months after program completion.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Participants were predominantly women (56%), with mean age 51 years (standard deviation 13.6) and median time since diagnosis of 2.1 years. Intention-to-treat analysis showed a significant difference between groups at 3-month in favour of multidisciplinary rehabilitation program in FIM motor subscales: 'self-care', 'sphincter', 'locomotion', 'mobility'(p < 0.01 for all); and FIM 'communication' (p < 0.01) and 'psychosocial' subscales (p < 0.05), with small to moderate effect size (r = 0.2-0.4). At 6-month follow-up, significant improvement in the treatment group was maintained only for FIM 'sphincter', 'communication' and 'cognition' subscales (p < 0.01 for all). No difference between groups was noted in other subscales.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>brain tumour survivors can improve function with multidisciplinary rehabilitation, with some gains maintained up to 6 months. Evidence for specific interventions in the 'blackbox' of rehabilitation is needed.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">24940656</PMID><DateCompleted><Year>2014</Year><Month>12</Month><Day>12</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1651-2081</ISSN><JournalIssue CitedMedium="Internet"><Volume>46</Volume><Issue>8</Issue><PubDate><Year>2014</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of rehabilitation medicine</Title><ISOAbbreviation>J Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Effectiveness of integrated multidisciplinary rehabilitation in primary brain cancer survivors in an Australian community cohort: a controlled clinical trial.</ArticleTitle><Pagination><MedlinePgn>754-60</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2340/16501977-1840</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate effectiveness of a multidisciplinary rehabilitation program for persons following definitive primary brain tumour treatment in a community cohort.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The brain tumour (glioma) survivors (n = 106) were allocated either to the treatment group (n = 53) (intensive ambulatory multidisciplinary rehabilitation), or the waitlist control group (n = 53). The primary outcome - Functional Independence Measure (FIM), measured 'Activity' limitation; secondary measures included Depression, Anxiety Stress Scale, Perceived Impact Problem Profile and Cancer Rehabilitation Evaluation System. Assessments were at baseline, 3 and 6 months after program completion.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Participants were predominantly women (56%), with mean age 51 years (standard deviation 13.6) and median time since diagnosis of 2.1 years. Intention-to-treat analysis showed a significant difference between groups at 3-month in favour of multidisciplinary rehabilitation program in FIM motor subscales: 'self-care', 'sphincter', 'locomotion', 'mobility'(p < 0.01 for all); and FIM 'communication' (p < 0.01) and 'psychosocial' subscales (p < 0.05), with small to moderate effect size (r = 0.2-0.4). At 6-month follow-up, significant improvement in the treatment group was maintained only for FIM 'sphincter', 'communication' and 'cognition' subscales (p < 0.01 for all). No difference between groups was noted in other subscales.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">brain tumour survivors can improve function with multidisciplinary rehabilitation, with some gains maintained up to 6 months. Evidence for specific interventions in the 'blackbox' of rehabilitation is needed.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Fary</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Royal, Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. fary.khan@mh.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amatya</LastName><ForeName>Bhasker</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Drummond</LastName><ForeName>Kate</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Galea</LastName><ForeName>Mary</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D018848">Controlled Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Sweden</Country><MedlineTA>J Rehabil Med</MedlineTA><NlmUniqueID>101088169</NlmUniqueID><ISSNLinking>1650-1977</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000553" MajorTopicYN="N">Ambulatory Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000704" MajorTopicYN="N">Analysis of Variance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001932" MajorTopicYN="N">Brain Neoplasms</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005910" MajorTopicYN="N">Glioma</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064702" MajorTopicYN="N">International Classification of Functioning, Disability and Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017741" MajorTopicYN="N">Survivors</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014739" MajorTopicYN="N">Victoria</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>12</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24940656</ArticleId><ArticleId IdType="doi">10.2340/16501977-1840</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name><name sortKey="Drummond, Kate" sort="Drummond, Kate" uniqKey="Drummond K" first="Kate" last="Drummond">Kate Drummond</name><name sortKey="Galea, Mary" sort="Galea, Mary" uniqKey="Galea M" first="Mary" last="Galea">Mary Galea</name></noCountry><country name="Australie"><noRegion><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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