Quality Characteristics and Prevalence of Exercise Therapy During Childhood Cancer Treatment in Germany

Abstract

Background Exercise and adapted physical activity during and after treatment for childhood cancer have a large potential to diminish several side and late effects of treatment. However, the prevalence of such interventions is low. The aim of this investigation is to identify interventions in the clinical setting in Germany and to examine their quality and structural characteristics. Method 54 hospitals were investigated for the existence of relevant interventions and if applicable the quality and structural characteristics of these according to DIN EN 15224:2012 and further characteristics of structural quality in written form or by telephone. Results 48 hospitals took part in the investigation and filled out the questionnaire (CR 89%). Of these, 9 (19%) offer exercise therapy during treatment and/or aftercare. The remaining 39 (81%) did not offer exercise therapy at the time of investigation. Exercise therapy represents a permanent component of adjuvant treatment in the 9 identified hospitals. The qualifications of exercise therapy staff seem appropriate as well as conditions concerning rooms and equipment. Yet, funding of exercise therapy is mainly realized through donations and 3rd party funds. Conclusion The majority of childhood cancer patients in Germany do not have access to adapted physical activity during treatment or aftercare. The body of evidence for exercise therapy in the pediatric oncology setting is growing, as well as the network between exercise scientists/therapists in this field. To date, an exercise manual for pediatric oncology in German and a comprehensive financing option of such interventions via health insurance is not available.