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Current Practice and Barriers in Cancer Rehabilitation: Perspectives of Korean Physiatrists

Identifieur interne : 007025 ( Ncbi/Merge ); précédent : 007024; suivant : 007026

Current Practice and Barriers in Cancer Rehabilitation: Perspectives of Korean Physiatrists

Auteurs : Eun Joo Yang [Corée du Sud] ; Seung Hyun Chung [Corée du Sud] ; Jae-Yong Jeon [Corée du Sud] ; Kwan Sik Seo [Corée du Sud] ; Hyung-Ik Shin [Corée du Sud] ; Ji Hye Hwang [Corée du Sud] ; Jae-Young Lim [Corée du Sud]

Source :

RBID : PMC:4506115

Abstract

Purpose

The purpose of this study was to assess clinical practice and barriers associated with cancer rehabilitation from the perspective of Korean physiatrists.

Materials and Methods

All active members of the Korean Academy of Rehabilitation Medicine were invited to complete an online survey developed after focus group discussions.

Results

A total of 97 physiatrists (72 males and 25 females) in Korea completed the survey. Of these, 77% reported familiarity with the term 'cancer survivors.' More than 50% of respondents reported that they provided rehabilitation services for patients with breast cancer (61.9%), brain tumors (64.9%), and spinal tumors (63.9%), whereas 86.6% of respondents reported that they had never or rarely provided rehabilitation programs for patients with gynecological, colorectal, or prostate cancer. Physiatrists who received referrals from a well-organized cooperative referral system reported providing services such as exercise programs for patients with gynecological cancer (odds ratio [OR], 2.16; p=0.044) as well as education regarding lymphedema (OR, 1.81; p=0.047) and neuropathic pain (OR, 1.96; p=0.026).

Conclusion

Although most of the physiatrists surveyed believed that they should contribute to the management of cancer patients, they considered themselves ill equipped to provide appropriate rehabilitation services. This lack of understanding of the effectiveness of rehabilitation services for cancer patients and absence of a cooperative referral system are the major barriers to providing rehabilitation services to cancer survivors in Korea.


Url:
DOI: 10.4143/crt.2014.084
PubMed: 25672583
PubMed Central: 4506115

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PMC:4506115

Le document en format XML

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<title>Purpose</title>
<p>The purpose of this study was to assess clinical practice and barriers associated with cancer rehabilitation from the perspective of Korean physiatrists.</p>
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<sec>
<title>Materials and Methods</title>
<p>All active members of the Korean Academy of Rehabilitation Medicine were invited to complete an online survey developed after focus group discussions.</p>
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<title>Results</title>
<p>A total of 97 physiatrists (72 males and 25 females) in Korea completed the survey. Of these, 77% reported familiarity with the term 'cancer survivors.' More than 50% of respondents reported that they provided rehabilitation services for patients with breast cancer (61.9%), brain tumors (64.9%), and spinal tumors (63.9%), whereas 86.6% of respondents reported that they had never or rarely provided rehabilitation programs for patients with gynecological, colorectal, or prostate cancer. Physiatrists who received referrals from a well-organized cooperative referral system reported providing services such as exercise programs for patients with gynecological cancer (odds ratio [OR], 2.16; p=0.044) as well as education regarding lymphedema (OR, 1.81; p=0.047) and neuropathic pain (OR, 1.96; p=0.026).</p>
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<p>Although most of the physiatrists surveyed believed that they should contribute to the management of cancer patients, they considered themselves ill equipped to provide appropriate rehabilitation services. This lack of understanding of the effectiveness of rehabilitation services for cancer patients and absence of a cooperative referral system are the major barriers to providing rehabilitation services to cancer survivors in Korea.</p>
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<name sortKey="Yang, Eun Joo" sort="Yang, Eun Joo" uniqKey="Yang E" first="Eun Joo" last="Yang">Eun Joo Yang</name>
<affiliation wicri:level="1">
<nlm:aff id="af1-crt-2014-084">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam,
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<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Chung, Seung Hyun" sort="Chung, Seung Hyun" uniqKey="Chung S" first="Seung Hyun" last="Chung">Seung Hyun Chung</name>
<affiliation wicri:level="1">
<nlm:aff id="af2-crt-2014-084">Department of Physical Medicine and Rehabilitation, National Cancer Center, Goyang,
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</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Jeon, Jae Yong" sort="Jeon, Jae Yong" uniqKey="Jeon J" first="Jae-Yong" last="Jeon">Jae-Yong Jeon</name>
<affiliation wicri:level="1">
<nlm:aff id="af3-crt-2014-084">Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Seo, Kwan Sik" sort="Seo, Kwan Sik" uniqKey="Seo K" first="Kwan Sik" last="Seo">Kwan Sik Seo</name>
<affiliation wicri:level="1">
<nlm:aff id="af4-crt-2014-084">Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Shin, Hyung Ik" sort="Shin, Hyung Ik" uniqKey="Shin H" first="Hyung-Ik" last="Shin">Hyung-Ik Shin</name>
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<nlm:aff id="af1-crt-2014-084">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam,
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</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="af5-crt-2014-084">Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lim, Jae Young" sort="Lim, Jae Young" uniqKey="Lim J" first="Jae-Young" last="Lim">Jae-Young Lim</name>
<affiliation wicri:level="1">
<nlm:aff id="af1-crt-2014-084">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<title xml:lang="en" level="a" type="main">Current Practice and Barriers in Cancer Rehabilitation: Perspectives of Korean Physiatrists</title>
<author>
<name sortKey="Yang, Eun Joo" sort="Yang, Eun Joo" uniqKey="Yang E" first="Eun Joo" last="Yang">Eun Joo Yang</name>
<affiliation wicri:level="1">
<nlm:aff id="af1-crt-2014-084">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Chung, Seung Hyun" sort="Chung, Seung Hyun" uniqKey="Chung S" first="Seung Hyun" last="Chung">Seung Hyun Chung</name>
<affiliation wicri:level="1">
<nlm:aff id="af2-crt-2014-084">Department of Physical Medicine and Rehabilitation, National Cancer Center, Goyang,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jeon, Jae Yong" sort="Jeon, Jae Yong" uniqKey="Jeon J" first="Jae-Yong" last="Jeon">Jae-Yong Jeon</name>
<affiliation wicri:level="1">
<nlm:aff id="af3-crt-2014-084">Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Seo, Kwan Sik" sort="Seo, Kwan Sik" uniqKey="Seo K" first="Kwan Sik" last="Seo">Kwan Sik Seo</name>
<affiliation wicri:level="1">
<nlm:aff id="af4-crt-2014-084">Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Shin, Hyung Ik" sort="Shin, Hyung Ik" uniqKey="Shin H" first="Hyung-Ik" last="Shin">Hyung-Ik Shin</name>
<affiliation wicri:level="1">
<nlm:aff id="af1-crt-2014-084">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hwang, Ji Hye" sort="Hwang, Ji Hye" uniqKey="Hwang J" first="Ji Hye" last="Hwang">Ji Hye Hwang</name>
<affiliation wicri:level="1">
<nlm:aff id="af5-crt-2014-084">Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lim, Jae Young" sort="Lim, Jae Young" uniqKey="Lim J" first="Jae-Young" last="Lim">Jae-Young Lim</name>
<affiliation wicri:level="1">
<nlm:aff id="af1-crt-2014-084">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam,
<country>Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
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<series>
<title level="j">Cancer Research and Treatment : Official Journal of Korean Cancer Association</title>
<idno type="ISSN">1598-2998</idno>
<idno type="eISSN">2005-9256</idno>
<imprint>
<date when="2015">2015</date>
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<div type="abstract" xml:lang="en">
<sec>
<title>Purpose</title>
<p>The purpose of this study was to assess clinical practice and barriers associated with cancer rehabilitation from the perspective of Korean physiatrists.</p>
</sec>
<sec>
<title>Materials and Methods</title>
<p>All active members of the Korean Academy of Rehabilitation Medicine were invited to complete an online survey developed after focus group discussions.</p>
</sec>
<sec>
<title>Results</title>
<p>A total of 97 physiatrists (72 males and 25 females) in Korea completed the survey. Of these, 77% reported familiarity with the term 'cancer survivors.' More than 50% of respondents reported that they provided rehabilitation services for patients with breast cancer (61.9%), brain tumors (64.9%), and spinal tumors (63.9%), whereas 86.6% of respondents reported that they had never or rarely provided rehabilitation programs for patients with gynecological, colorectal, or prostate cancer. Physiatrists who received referrals from a well-organized cooperative referral system reported providing services such as exercise programs for patients with gynecological cancer (odds ratio [OR], 2.16; p=0.044) as well as education regarding lymphedema (OR, 1.81; p=0.047) and neuropathic pain (OR, 1.96; p=0.026).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Although most of the physiatrists surveyed believed that they should contribute to the management of cancer patients, they considered themselves ill equipped to provide appropriate rehabilitation services. This lack of understanding of the effectiveness of rehabilitation services for cancer patients and absence of a cooperative referral system are the major barriers to providing rehabilitation services to cancer survivors in Korea.</p>
</sec>
</div>
</front>
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<name sortKey="Chung, Seung Hyun" sort="Chung, Seung Hyun" uniqKey="Chung S" first="Seung Hyun" last="Chung">Seung Hyun Chung</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Physical Medicine and Rehabilitation, National Cancer Center, Goyang, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Physical Medicine and Rehabilitation, National Cancer Center, Goyang</wicri:regionArea>
<wicri:noRegion>Goyang</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Jeon, Jae Yong" sort="Jeon, Jae Yong" uniqKey="Jeon J" first="Jae-Yong" last="Jeon">Jae-Yong Jeon</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul</wicri:regionArea>
<placeName>
<settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Seo, Kwan Sik" sort="Seo, Kwan Sik" uniqKey="Seo K" first="Kwan Sik" last="Seo">Kwan Sik Seo</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul</wicri:regionArea>
<placeName>
<settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Shin, Hyung Ik" sort="Shin, Hyung Ik" uniqKey="Shin H" first="Hyung-Ik" last="Shin">Hyung-Ik Shin</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam</wicri:regionArea>
<wicri:noRegion>Seongnam</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hwang, Ji Hye" sort="Hwang, Ji Hye" uniqKey="Hwang J" first="Ji Hye" last="Hwang">Ji Hye Hwang</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea>
<placeName>
<settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Lim, Jae Young" sort="Lim, Jae Young" uniqKey="Lim J" first="Jae-Young" last="Lim">Jae-Young Lim</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam</wicri:regionArea>
<wicri:noRegion>Seongnam</wicri:noRegion>
</affiliation>
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<analytic>
<title xml:lang="en">Current Practice and Barriers in Cancer Rehabilitation: Perspectives of Korean Physiatrists.</title>
<author>
<name sortKey="Yang, Eun Joo" sort="Yang, Eun Joo" uniqKey="Yang E" first="Eun Joo" last="Yang">Eun Joo Yang</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam</wicri:regionArea>
<wicri:noRegion>Seongnam</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Chung, Seung Hyun" sort="Chung, Seung Hyun" uniqKey="Chung S" first="Seung Hyun" last="Chung">Seung Hyun Chung</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Physical Medicine and Rehabilitation, National Cancer Center, Goyang, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Physical Medicine and Rehabilitation, National Cancer Center, Goyang</wicri:regionArea>
<wicri:noRegion>Goyang</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Jeon, Jae Yong" sort="Jeon, Jae Yong" uniqKey="Jeon J" first="Jae-Yong" last="Jeon">Jae-Yong Jeon</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul</wicri:regionArea>
<placeName>
<settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Seo, Kwan Sik" sort="Seo, Kwan Sik" uniqKey="Seo K" first="Kwan Sik" last="Seo">Kwan Sik Seo</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul</wicri:regionArea>
<placeName>
<settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Shin, Hyung Ik" sort="Shin, Hyung Ik" uniqKey="Shin H" first="Hyung-Ik" last="Shin">Hyung-Ik Shin</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam</wicri:regionArea>
<wicri:noRegion>Seongnam</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hwang, Ji Hye" sort="Hwang, Ji Hye" uniqKey="Hwang J" first="Ji Hye" last="Hwang">Ji Hye Hwang</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea>
<placeName>
<settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Lim, Jae Young" sort="Lim, Jae Young" uniqKey="Lim J" first="Jae-Young" last="Lim">Jae-Young Lim</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University, College of Medicine, Seongnam</wicri:regionArea>
<wicri:noRegion>Seongnam</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Cancer research and treatment : official journal of Korean Cancer Association</title>
<idno type="ISSN">1598-2998</idno>
<imprint>
<date when="2015" type="published">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">The purpose of this study was to assess clinical practice and barriers associated with cancer rehabilitation from the perspective of Korean physiatrists.</div>
</front>
</TEI>
</pubmed>
</double>
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