TY - JOUR
T1 - Current Perspectives and Emerging Issues on Cancer Rehabilitation
AU - Stubblefield, Michael D.
AU - Hubbard, Gill
AU - Cheville, Andrea
AU - Koch, Uwe
AU - Schmitz, Kathryn H.
AU - Dalton, Susanne Oksbjerg
N1 - Copyright © 2013 American Cancer Society
PY - 2013/6/1
Y1 - 2013/6/1
N2 - Cancer rehabilitation is a rapidly emerging and evolving medical field in both Europe and the United States, in large part because ofincreases in the number of cancer survivors. Although few argue with the need to restore function and quality of life to patientsaffected by cancer and its treatments, differences exist between European countries with regard to the funding, accessibility, andeven the definition of cancer rehabilitation services. In the United States, there is tremendous variability in the provision of rehabilita-tion services resulting from a variety of factors, including a lack of highly trained cancer rehabilitation physicians and therapists aswell as a lack of comprehensive cancer rehabilitation programs, even at the majority of top cancer centers. Although studies evaluat-ing the effectiveness of rehabilitation programs in the cancer setting, particularly exercise, have influenced clinical decision-making inboth Europe and the United States for some time, this emerging evidence base also is now starting to influence guideline and policymaking. Coordinated research efforts are essential to establish a robust framework to support future investigation and establishshared initiatives. Determining the best way forward for cancer survivors will require investment in large-scale prospective cohortstudies that sufficiently describe their rehabilitation needs through the continuum of the survivorship experience.
AB - Cancer rehabilitation is a rapidly emerging and evolving medical field in both Europe and the United States, in large part because ofincreases in the number of cancer survivors. Although few argue with the need to restore function and quality of life to patientsaffected by cancer and its treatments, differences exist between European countries with regard to the funding, accessibility, andeven the definition of cancer rehabilitation services. In the United States, there is tremendous variability in the provision of rehabilita-tion services resulting from a variety of factors, including a lack of highly trained cancer rehabilitation physicians and therapists aswell as a lack of comprehensive cancer rehabilitation programs, even at the majority of top cancer centers. Although studies evaluat-ing the effectiveness of rehabilitation programs in the cancer setting, particularly exercise, have influenced clinical decision-making inboth Europe and the United States for some time, this emerging evidence base also is now starting to influence guideline and policymaking. Coordinated research efforts are essential to establish a robust framework to support future investigation and establishshared initiatives. Determining the best way forward for cancer survivors will require investment in large-scale prospective cohortstudies that sufficiently describe their rehabilitation needs through the continuum of the survivorship experience.
KW - cancer
KW - exercise
KW - rehabilitation
KW - survivor
UR - http://www.scopus.com/inward/record.url?eid=2-s2.0-84877981028&partnerID=MN8TOARS
U2 - 10.1002/cncr.28059
DO - 10.1002/cncr.28059
M3 - Article
SN - 0008-543X
VL - 119
SP - 2170
EP - 2178
JO - Cancer
JF - Cancer
IS - S11
ER -