Abstract
19518 Background: Recommendations for inclusion of cancer rehabilitation as part of cancer care are notable. Treatment impact on patients’ functional status suggests integrating supportive and therapeutic care would be appropriate for most patients. Methods: Data were from two outpatient cancer rehabilitation centers (N=515) on referred patients receiving or completing treatment. Patients performed an initial assessment for cardiopulmonary (CP), physical therapy (PT), quality of life (QOL), and nutritional status evaluations. Qualifying patients completed 8 weeks of supportive and rehabilitative therapies specifically prescribed for side effect and presenting symptoms. Data were collected pre and post intervention. Measurements included descriptives with crosstabulations for all variables, acuity (A), stress (S), pain (P), energy (E), resting, target and highest heart rates (RHR) (TRH) (HHR), blood pressure (BP), treadmill speed and grade (S) (G) and QOL (total (T), health/function (HF), social/economic (SE), psychological/spiritual (PS) and family (F). Descriptive statistics are determined using means and frequencies. Pre and post intervention differences were determined using paired T-tests. Subsequent factor analyses were performed using principle component analysis with varimax rotation. Results: Descriptive statistics yielded characteristics on 53 different cancer types. Factor analysis produced 7 factors: heart rate (HR p=0.279), blood pressure (p=0.060), pulmonary (p=0.721), O2 saturation (p=0.387), intensity (p=0.598), SPE (p=0.000), AS (p=0.002). Differences were not expected for pulmonary function and O2 saturation. QOL differences were (T: p=0.000), (HF: p=0.000), (SE: p=0.022), (PS: p=0.001), (F: p=0.099). Conclusions: While many studies have noted a significant decline in functioning during and following treatments, patients participating in therapeutic cancer rehabilitation maintained or improved functional status and quality of life. Comprehensive cancer rehabilitation can be utilized for a number of cancer types and should be strongly considered as part of the continuum of care. No significant financial relationships to disclose.
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