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A prospective surveillance model for rehabilitation for women with breast cancer.

Identifieur interne : 004545 ( Main/Exploration ); précédent : 004544; suivant : 004546

A prospective surveillance model for rehabilitation for women with breast cancer.

Auteurs : Nicole L. Stout [États-Unis] ; Jill M. Binkley ; Kathryn H. Schmitz ; Kimberly Andrews ; Sandra C. Hayes ; Kristin L. Campbell ; Margaret L. Mcneely ; Peter W. Soballe ; Ann M. Berger ; Andrea L. Cheville ; Carol Fabian ; Lynn H. Gerber ; Susan R. Harris ; Karin Johansson ; Andrea L. Pusic ; Robert G. Prosnitz ; Robert A. Smith

Source :

RBID : pubmed:22488693

Descripteurs français

English descriptors

Abstract

The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Breast cancer treatment sequelae can lead to physical impairments and functional limitations. Common impairments include pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Evidence supports prospective surveillance for early identification and treatment as a means to prevent or mitigate many of these concerns. This article proposes a prospective surveillance model for physical rehabilitation and exercise that can be integrated with disease treatment to create a more comprehensive approach to survivorship health care. The goals of the model are to promote surveillance for common physical impairments and functional limitations associated with breast cancer treatment; to provide education to facilitate early identification of impairments; to introduce rehabilitation and exercise intervention when physical impairments are identified; and to promote and support physical activity and exercise behaviors through the trajectory of disease treatment and survivorship.

DOI: 10.1002/cncr.27476
PubMed: 22488693


Affiliations:


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<term>Breast Neoplasms (therapy)</term>
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<term>Analyse de survie</term>
<term>Association thérapeutique</term>
<term>Congrès comme sujet</term>
<term>Diagnostic précoce</term>
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<term>Récidive tumorale locale (diagnostic)</term>
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<front>
<div type="abstract" xml:lang="en">The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Breast cancer treatment sequelae can lead to physical impairments and functional limitations. Common impairments include pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Evidence supports prospective surveillance for early identification and treatment as a means to prevent or mitigate many of these concerns. This article proposes a prospective surveillance model for physical rehabilitation and exercise that can be integrated with disease treatment to create a more comprehensive approach to survivorship health care. The goals of the model are to promote surveillance for common physical impairments and functional limitations associated with breast cancer treatment; to provide education to facilitate early identification of impairments; to introduce rehabilitation and exercise intervention when physical impairments are identified; and to promote and support physical activity and exercise behaviors through the trajectory of disease treatment and survivorship.</div>
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