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Abstract

Cancer-related impairments result in disabilities similar to those typically encountered in inpatient rehabilitation settings; however, the use of rehabilitation services by cancer survivors is low. This is particularly important for older adults as they are at higher risk for cancer. This retrospective study collected data from medical records from 215 charts of patients admitted to an inpatient physical rehabilitation hospital, within a 5-year period, with a primary diagnosis of cancer. Mean age was 61 years (SD = 15.7) for 109 (51%) females and 106 (49%) males. Regardless of age, patients achieved significant functional improvement, as shown by their FIM scores (t = 23.06, p < .0001), from admission to discharge. The results have several important implications related to cancer survivorship among older adults. With a push toward aging in place, maintaining optimal physical functioning is crucial. Physical rehabilitation benefited the functional outcomes of this group of cancer survivors regardless of age.

Keywords

cancer rehabilitation comorbidities rehabilitation outcomes aging cancer survivorship

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Arozullah

A. M.

Calhoun

E. A.

Wolf

Finley

D. K.

Fitzner

K. A.

Heckinger

E. A.

Gorby

N.S.

Schumock

G.T.

Bennett

C.L.

(2004). The financial burden of cancer: Estimates from a study of insured women with breast cancer. Journal of Supportive Oncology, 2, 271-278.

Bond

S. M.

(2010). Crossing the threshold of cancer and aging. Journal of Gerontological Nursing, 36(2), 3-4.

Brennan

M. J.

Warfel

B. S.

(1993). Musculoskeletal complications of cancer: A survey of 50 patients. Journal of Back and Musculoskeletal Rehabilitation, 3, 1-6.

Center for Disease Control and Prevention. (2007). The state of aging and health in America 2002-2007. Retrieved from http://www.cdc.gov/aging

Cheville

A. L.

Troxel

A. B.

Basford

J. R.

Kornblith

A. B.

(2008). Prevalence and treatment patterns of physical impairments in patients with metastatic breast cancer. Journal of Clinical Oncology, 26, 2621-2629.

Cole

R. P.

Scialla

S. J.

Bednarz

(2000). Functional recovery in cancer rehabilitation. Archives of Physical Medicine & Rehabilitation, 81, 623-627.

Deitz

J. H.

(1969). Rehabilitation of the cancer patient. Medical Clinics of North America, 53, 607-624.

Demark-Wahnefried

Morey

M. C.

Sloane

Snyder

D. C.

Cohen

H. J.

(2009). Promoting health lifestyles in older cancer survivors to improve health and preserve function. Journal of the American Geriatrics Society, 57, S262-S264.

Dodds

T. A.

Martin

D. P.

Stolov

W. C.

Deyo

R. A.

(1993). A validation of the Functional Independence Measurement and its performance among rehabilitation inpatients. Archives of Physical Medicine & Rehabilitation, 74, 531-536.

10.

Drouin

(2004). Exercise in older individuals with cancer. Topics in Geriatric Rehabilitation, 20(2), 81-97.

11.

Ershler

W. B.

(2003). Biological Interactions of Aging and Anemia: A focus on Cytokines. Journal of the American Geriatrics Society, 51, 18-21.

12.

Feuerstein

(2009). Cancer survivors need evidence on how to optimize physical function. Journal of Cancer Survivorship, 3, 73-74.

13.

Fialka-Moser

Crevenna

Korpan

Quittan

(2003). Cancer rehabilitation: Particularly with aspects of physical impairments. Journal of Rehabilitation Medicine, 35, 153-162.

14.

Ganz

P. A.

Guadagnoli

Landrum

M. B.

Lash

T. L.

Rakowski

Silliman

R. A.

(2003). Breast cancer in older women: Quality of life and psychosocial adjustment in the 15 months after diagnosis. Journal of Clinical Oncology, 21, 4027-4033.

15.

Guo

Shin

K. Y.

Hainley

Bruera

Palmer

J. L.

(2011). Inpatient rehabilitation improved functional status in asthenic patients with solid and hematologic malignancies. American Journal of Physical Medicine & Rehabilitation, 90, 265-271.

16.

Granger

C. V.

(1982). Health accounting-functional assessment of the long-term patient. In Kottke

F. J.

Stillwell

G. K.

Lehmann

J. F.

(Eds.), Krusen’s handbook of physical medicine and rehabilitation (3rd ed., pp. 253-274). Philadelphia, PA: W. B. Saunders.

17.

Granger

C. V.

Deutsch

Russell

Black

Ottenbacher

K. J.

(2007). Modifications of the FIM instrument under the inpatient rehabilitation facility prospective payment system. American Journal of Physical Medicine & Rehabilitation, 86, 883-892.

18.

Granger

C. V.

Divan

Fiedler

R. C.

(1995). Functional assessment scales: A study of persons after traumatic brain injury. American Journal of Physical Medicine & Rehabilitation, 74, 107-113.

19.

Granger

C. V.

Hamilton

B. B.

(1990). UDS Report: The Uniform Data System for Medical Rehabilitation report for first admissions for 1990. American Journal of Physical Medicine & Rehabilitation, 71, 108-113.

20.

Granger

C. V.

Markello

S. J.

Graham

J. E.

Deutsch

Reistetter

T. A.

Ottenbacker

K. J.

(2009). The uniform data system for medical rehabilitation: Report of patients with stroke discharged from a comprehensive medical program in 2000-2007. American Journal of Physical Medicine & Rehabilitation, 88, 961-972.

21.

Granger

C. V.

Markello

S. J.

Graham

J. E.

Deutsch

Reistetter

T. A.

Ottenbacker

K. J.

(2010). The uniform data system for medical rehabilitation: Report of patients with traumatic brain injury discharged from rehabilitation programs in 2000-2007. American Journal of Physical Medicine & Rehabilitation, 89, 265-278.

22.

Granger

C. V.

McNamara

M. A.

(1982). Functional assessment utilization: The Long-Range Evaluation System (LRES). In Granger

C. V.

Gresham

G. E.

(Eds.), Functional assessment in rehabilitation medicine (pp. 99-121). Baltimore, MD: Williams and Wilkins.

23.

Greenberg

Treger

Ring

(2006). Rehabilitation outcomes in patients with brain tumors and acute stroke: Comparative study of inpatient rehabilitation. American Journal of Physical Medicine Rehabilitation, 85, 568-573.

24.

Hamilton

B. B.

Granger

C. V.

Sherwin

F. F.

Zielezny

Tashman

J. S.

(1987). A uniform national data system for medical rehabilitation. In Fuhrer

M. H.

(Ed.), Rehabilitation outcomes: Analysis and measurement (pp. 137-147). Baltimore, MD: Paul H. Brooks.

25.

Hess

D. R.

(2004). Retrospective studies and chart reviews. Respiratory Care, 49, 1171-1174.

26.

Hewitt

Greenfield

Stovall

(2006). From cancer patient to cancer survivor: Lost in transition. Washington, DC: National Academies Press.

27.

Kroenke

C. H.

Rosner

Chen

W. Y.

Kawachi

Colditz

G. A.

Holmes

M. D.

(2004). Functional impact of breast cancer by age at diagnosis. Journal of Clinical Epidemiology, 22, 1849-1856.

28.

Lehmann

J. F.

Delisa

J. A.

Warren

C. G.

deLateur

B. J.

Bryant

P. L. S.

Nicholson

C. G.

(1978). Cancer rehabilitation: Assessment of need, development, and evaluation of model of care. Archives of Physical Medicine & Rehabilitation, 59, 410-419.

29.

Marciniak

C. M.

Sliwa

J. A.

Heinemann

A. W.

Semik

P. E.

(2001). Functional outcomes of persons with brain tumors after inpatient rehabilitation. Archives of Physical Rehabilitation Medicine, 82, 457-463.

30.

Marciniak

C. M.

Sliwa

J. A.

Spill

Heinemann

A. W.

Semik

P. E.

(1996). Functional outcome following rehabilitation of the cancer patient. Archives of Physical Medicine Rehabilitation, 77, 54-57.

31.

McKinley

W. O.

Huang

M. E.

Tewksbury

M. A.

(2000). Neoplastic vs. traumatic spinal cord injury: An inpatient rehabilitation comparison. American Journal of Physical Medicine & Rehabilitation, 79, 138-144.

32.

Movsas

S. B.

Chang

V. T.

Tunkel

R. S.

Shah

V. V.

Ryan

L. S.

Millis

S. R.

(2003). Rehabilitation needs of an inpatient medical oncology unit. Archives of Physical Medicine and Rehabilitation, 84, 1642-1646.

33.

Nomori

Watanabe

Ohtsuka

Naruke

Suemasu

(2004). Six-minute walking and pulmonary function test outcomes during the early period after lung cancer surgery with special reference to patients with chronic obstructive pulmonary disease. Japanese Journal of Thoracic and Cardiovascular Surgery, 52, 113-119.

34.

Phillip

P. A.

Ayyangar

Vanderbilt

Gaebler-Spira

D. J.

(1994). Rehabilitation outcome in children after treatment of primary brain tumor. Archives of Physical Medicine and Rehabilitation, 75, 36-38.

35.

Ries

Melbert

Krapcho

Mariotto

Miller

B. A.

Feuer

E. J.

. . . Edwards

B. K.

(2007). SEER Cancer Statistical Review, 1975-2004. Bethesda, MD: National Cancer Institute.

36.

Schrag

Cramer

L. D.

Bach

P. B.

Begg

C. B.

(2001). Age and adjuvant chemotherapy use after surgery for stage III colon cancer. Journal of the National Cancer Institute, 93, 850-857.

37.

Smith

B. D.

Smith

G. L.

Hurria

Hortobagyi

G. N.

Buchholz

T. A.

(2009). Future of cancer incidence in the United States: Burdens upon an aging, changing nation. Journal of Clinical Oncology, 27, 2758-2765.

38.

Tang

Harvey

Park Dorsay

Jiang

Rathborn

M. P.

(2007). Prognostic indicators in metastatic spinal cord compression: Using Functional Independence Measure and Tokuhashi scale to optimize rehabilitation planning. Spinal Cord, 45, 671-677.

39.

Vargo

M. M.

(2008). The oncology–rehabilitation interface: Better systems needed. Journal of Clinical Oncology, 26, 2610-2611.

40.

Warfel

B. S.

Lachmann

Nagler

(1993). Physiatric evaluation of the cancer patient. Journal of Back and Musculoskeletal Rehabilitation, 3, 60-68.

Functional Outcomes by Age for Inpatient Cancer Rehabilitation

Abstract

Keywords

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