Rehabilitation and exercise oncology program: translating research into a model of care.
Identifieur interne : 000143 ( PubMed/Checkpoint ); précédent : 000142; suivant : 000144Rehabilitation and exercise oncology program: translating research into a model of care.
Auteurs : M A Dalzell ; N. Smirnow ; W. Sateren ; A. Sintharaphone ; M. Ibrahim ; L. Mastroianni ; L D Vales Zambrano ; S. O'BrienSource :
- Current oncology (Toronto, Ont.) [ 1198-0052 ] ; 2017.
Abstract
The Rehabilitation and Exercise Oncology model of care (ActivOnco) was established to optimize cancer survivorship through exercise prescription and active lifestyle promotion, providing a transition of care from hospital to community. Patients having any cancer diagnosis, stage of disease, and treatment were eligible for evaluation and exercise prescription upon deterioration of performance status. The team of professionals included hospital-based physiotherapists proactively screening for rehabilitation needs, loss of functional independence, and exercise eligibility, plus exercise specialists in a community-based Wellness Centre to provide follow-up or direct access for post-treatment or non-complex patients.
DOI: 10.3747/co.24.3498
PubMed: 28680286
Affiliations:
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Mastroianni</name><affiliation><nlm:affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</nlm:affiliation><wicri:noCountry code="subField">QC</wicri:noCountry></affiliation></author><author><name sortKey="Vales Zambrano, L D" sort="Vales Zambrano, L D" uniqKey="Vales Zambrano L" first="L D" last="Vales Zambrano">L D Vales Zambrano</name><affiliation><nlm:affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</nlm:affiliation><wicri:noCountry code="subField">QC</wicri:noCountry></affiliation></author><author><name sortKey="O Brien, S" sort="O Brien, S" uniqKey="O Brien S" first="S" last="O'Brien">S. 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Smirnow</name><affiliation><nlm:affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</nlm:affiliation><wicri:noCountry code="subField">QC</wicri:noCountry></affiliation></author><author><name sortKey="Sateren, W" sort="Sateren, W" uniqKey="Sateren W" first="W" last="Sateren">W. Sateren</name><affiliation><nlm:affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</nlm:affiliation><wicri:noCountry code="subField">QC</wicri:noCountry></affiliation></author><author><name sortKey="Sintharaphone, A" sort="Sintharaphone, A" uniqKey="Sintharaphone A" first="A" last="Sintharaphone">A. Sintharaphone</name><affiliation><nlm:affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</nlm:affiliation><wicri:noCountry code="subField">QC</wicri:noCountry></affiliation></author><author><name sortKey="Ibrahim, M" sort="Ibrahim, M" uniqKey="Ibrahim M" first="M" last="Ibrahim">M. Ibrahim</name><affiliation><nlm:affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</nlm:affiliation><wicri:noCountry code="subField">QC</wicri:noCountry></affiliation></author><author><name sortKey="Mastroianni, L" sort="Mastroianni, L" uniqKey="Mastroianni L" first="L" last="Mastroianni">L. Mastroianni</name><affiliation><nlm:affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</nlm:affiliation><wicri:noCountry code="subField">QC</wicri:noCountry></affiliation></author><author><name sortKey="Vales Zambrano, L D" sort="Vales Zambrano, L D" uniqKey="Vales Zambrano L" first="L D" last="Vales Zambrano">L D Vales Zambrano</name><affiliation><nlm:affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</nlm:affiliation><wicri:noCountry code="subField">QC</wicri:noCountry></affiliation></author><author><name sortKey="O Brien, S" sort="O Brien, S" uniqKey="O Brien S" first="S" last="O'Brien">S. O'Brien</name><affiliation><nlm:affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</nlm:affiliation><wicri:noCountry code="subField">QC</wicri:noCountry></affiliation></author></analytic><series><title level="j">Current oncology (Toronto, Ont.)</title><idno type="ISSN">1198-0052</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The Rehabilitation and Exercise Oncology model of care (ActivOnco) was established to optimize cancer survivorship through exercise prescription and active lifestyle promotion, providing a transition of care from hospital to community. Patients having any cancer diagnosis, stage of disease, and treatment were eligible for evaluation and exercise prescription upon deterioration of performance status. The team of professionals included hospital-based physiotherapists proactively screening for rehabilitation needs, loss of functional independence, and exercise eligibility, plus exercise specialists in a community-based Wellness Centre to provide follow-up or direct access for post-treatment or non-complex patients.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28680286</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>06</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1198-0052</ISSN><JournalIssue CitedMedium="Print"><Volume>24</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Current oncology (Toronto, Ont.)</Title><ISOAbbreviation>Curr Oncol</ISOAbbreviation></Journal><ArticleTitle>Rehabilitation and exercise oncology program: translating research into a model of care.</ArticleTitle><Pagination><MedlinePgn>e191-e198</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3747/co.24.3498</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The Rehabilitation and Exercise Oncology model of care (ActivOnco) was established to optimize cancer survivorship through exercise prescription and active lifestyle promotion, providing a transition of care from hospital to community. Patients having any cancer diagnosis, stage of disease, and treatment were eligible for evaluation and exercise prescription upon deterioration of performance status. The team of professionals included hospital-based physiotherapists proactively screening for rehabilitation needs, loss of functional independence, and exercise eligibility, plus exercise specialists in a community-based Wellness Centre to provide follow-up or direct access for post-treatment or non-complex patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">From January 2011 to December 2015, the hospital team assessed 1635 patients representing all major cancer sites, and the Wellness Centre team evaluated and prescribed exercise for 1066 participants. Primary interventions provided were education about fatigue management, physical activity promotion, exercise prescription, fracture risk reduction, referral to specialized follow-up services (for example, occupational therapy, lymphedema clinic), and coordination for mobility aids and paratransit services.</AbstractText><AbstractText Label="RESULTS AND CONCLUSIONS" NlmCategory="CONCLUSIONS">Implementation of the ActivOnco model of care showed that exercise alone is not a panacea for all functional deterioration associated with the cancer trajectory and its treatment. However, screening to identify rehabilitation needs combined with exercise prescription can effectively improve the quality of survivorship in cancer patients. Program developments are limited by the cost of human resources, lack of hospital-based physical resources, and lack of public funding, all of which significantly limit the scope and development of appropriate services.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dalzell</LastName><ForeName>M A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smirnow</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sateren</LastName><ForeName>W</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Rossy Cancer Network, Montreal, QC.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Segal Cancer Centre, Jewish General Hospital, Montreal, QC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sintharaphone</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ibrahim</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mastroianni</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vales Zambrano</LastName><ForeName>L D</ForeName><Initials>LD</Initials><AffiliationInfo><Affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>O'Brien</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Hope and Cope, Jewish General Hospital, Montreal, QC.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>06</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>Curr Oncol</MedlineTA><NlmUniqueID>9502503</NlmUniqueID><ISSNLinking>1198-0052</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Ann Oncol. 2014 Feb;25(2):493-9</RefSource><PMID Version="1">24478323</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BJU Int. 2015 Feb;115(2):256-66</RefSource><PMID 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Version="1">22982580</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Med Sci Sports Exerc. 2005 Nov;37(11):1827-35</RefSource><PMID Version="1">16286849</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cochrane Database Syst Rev. 2013 Mar 28;(3):CD007730</RefSource><PMID Version="1">23543556</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Curr Oncol Rep. 2012 Dec;14(6):550-8</RefSource><PMID Version="1">22945451</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Oncology rehabilitation</Keyword><Keyword MajorTopicYN="N">exercise</Keyword><Keyword MajorTopicYN="N">models of care</Keyword><Keyword MajorTopicYN="N">quality of life</Keyword><Keyword MajorTopicYN="N">survivorship</Keyword></KeywordList><CoiStatement>We have read and understood Current Oncology’s policy on disclosing conflicts of interest, and we declare that we have 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Ibrahim</name><name sortKey="Mastroianni, L" sort="Mastroianni, L" uniqKey="Mastroianni L" first="L" last="Mastroianni">L. Mastroianni</name><name sortKey="O Brien, S" sort="O Brien, S" uniqKey="O Brien S" first="S" last="O'Brien">S. O'Brien</name><name sortKey="Sateren, W" sort="Sateren, W" uniqKey="Sateren W" first="W" last="Sateren">W. Sateren</name><name sortKey="Sintharaphone, A" sort="Sintharaphone, A" uniqKey="Sintharaphone A" first="A" last="Sintharaphone">A. Sintharaphone</name><name sortKey="Smirnow, N" sort="Smirnow, N" uniqKey="Smirnow N" first="N" last="Smirnow">N. Smirnow</name><name sortKey="Vales Zambrano, L D" sort="Vales Zambrano, L D" uniqKey="Vales Zambrano L" first="L D" last="Vales Zambrano">L D Vales Zambrano</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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