Current Practice and Barriers in Cancer Rehabilitation: Perspectives of Korean Physiatrists
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Purpose The purpose of this study was to assess clinical practice and barriers associated with cancer rehabilitation from the perspective of Korean physiatrists. Materials and Methods All active members of the Korean Academy of Rehabilitation Medicine were invited to complete an online survey developed after focus group discussions. Results A total of 97 physiatrists (72 males and 25 females) in Korea completed the survey. Of these, 77% reported familiarity with the term 'cancer survivors.' More than 50% of respondents reported that they provided rehabilitation services for patients with breast cancer (61.9%), brain tumors (64.9%), and spinal tumors (63.9%), whereas 86.6% of respondents reported that they had never or rarely provided rehabilitation programs for patients with gynecological, colorectal, or prostate cancer. Physiatrists who received referrals from a well-organized cooperative referral system reported providing services such as exercise programs for patients with gynecological cancer (odds ratio [OR], 2.16; p=0.044) as well as education regarding lymphedema (OR, 1.81; p=0.047) and neuropathic pain (OR, 1.96; p=0.026). Conclusion Although most of the physiatrists surveyed believed that they should contribute to the management of cancer patients, they considered themselves ill equipped to provide appropriate rehabilitation services. This lack of understanding of the effectiveness of rehabilitation services for cancer patients and absence of a cooperative referral system are the major barriers to providing rehabilitation services to cancer survivors in Korea.
Abstract
Purpose The purpose of this study was to assess clinical practice and barriers associated with cancer rehabilitation from the perspective of Korean physiatrists. Materials and Methods All active members of the Korean Academy of Rehabilitation Medicine were invited to complete an online survey developed after focus group discussions. Results A total of 97 physiatrists (72 males and 25 females) in Korea completed the survey. Of these, 77% reported familiarity with the term 'cancer survivors.' More than 50% of respondents reported that they provided rehabilitation services for patients with breast cancer (61.9%), brain tumors (64.9%), and spinal tumors (63.9%), whereas 86.6% of respondents reported that they had never or rarely provided rehabilitation programs for patients with gynecological, colorectal, or prostate cancer. Physiatrists who received referrals from a well-organized cooperative referral system reported providing services such as exercise programs for patients with gynecological cancer (odds ratio [OR], 2.16; p=0.044) as well as education regarding lymphedema (OR, 1.81; p=0.047) and neuropathic pain (OR, 1.96; p=0.026). Conclusion Although most of the physiatrists surveyed believed that they should contribute to the management of cancer patients, they considered themselves ill equipped to provide appropriate rehabilitation services. This lack of understanding of the effectiveness of rehabilitation services for cancer patients and absence of a cooperative referral system are the major barriers to providing rehabilitation services to cancer survivors in Korea.
참고문헌 (24)
- Lehmann JF, "Cancer rehabilitation : assessment of need, development, and evaluation of a model of care", Arch Phys Med Rehabil, 59, pp.410~419 (1978)
- Cherny NI, "Attitudes of medical oncologists toward palliative care for patients with advanced and incurable cancer: report on a survery by the European Society of Medical Oncology Taskforce on Palliative and Supportive Care", Cancer, 98, pp.2502~2510 (2003)
- Cheville AL, "Cancer-related fatigue", Phys Med Rehabil Clin N Am, 20, pp.405~416 (2009)
- Slade A, "A randomised controlled trial to determine the effect of intensity of therapy upon length of stay in a neurological rehabilitation setting", J Rehabil Med, 34, pp.260~266 (2002)
- Fredericson M, "On the horizon : defining the future of sports medicine and the role of the physiatrist", PM R, 4, pp.707~710 (2012)
- Whyte J, "Advancing the evidence base of rehabilitation treatments: a developmental approach", Arch Phys Med Rehabil, 93(8 Suppl), pp.S101~110 (2012)
- New PW, "International comparison of the organisation of rehabilitation services and systems of care for patients with spinal cord injury", Spinal Cord, 51, pp.33~39 (2013)
- Cheung WY, "Associations among cancer survivorship discussions, patient and physician expectations, and receipt of follow-up care", J Clin Oncol, 28, pp.2577~2583 (2010)
- Morey MC, "Effects of home-based diet and exercise on functional outcomes among older, overweight long-term cancer survivors. RENEW: a randomized controlled trial", JAMA, 301, pp.1883~1891 (2009)
- Johnson CE, "Cancer specialists'palliative care referral practices and perceptions : results of a national survey", Palliat Med, 22, pp.51~57 (2008)
- Movsas SB, "Rehabilitation needs of an inpatient medical oncology unit", Arch Phys Med Rehabil, 84, pp.1642~1646 (2003)
- Cheville AL, "The detection and treatment of cancer-related functional problems in an outpatient setting", Support Care Cancer, 17, pp.61~67 (2009)
- Sabers SR, "Evaluation of consultation-based rehabilitation for hospitalized cancer patients with functional impairment", Mayo Clin Proc, 74, pp.855~861 (1999)
- Ganz PA, "Late effects of cancer and its treatment", Semin Oncol Nurs, 17, pp.241~248 (2001)
- Turner D, "Partners and close family members of long-term cancer survivors : health status, psychosocial well-being and unmet supportive care needs", Psychooncology, 22, pp.12~19 (2013)
- Jung Mi Jo, "The Need of Cancer Patients for Rehabilitation Services", Annals of Rehabilitation Medicine, 34(6), pp.691~700 (2010), 대한재활의학회
- Brennan ME, "Survivorship care after breast cancer : follow-up practices of Australian health professionals and attitudes to a survivorship care plan", Asia Pac J Clin Oncol, 6, pp.116~125 (2010)
- Cheville AL, "Barriers to rehabilitation following surgery for primary breast cancer", J Surg Oncol, 95, pp.409~418 (2007)
- Reigle BS, "The prevention of disablement : a framework for the breast cancer trajectory", Rehabil Nurs, 31, pp.174~179 (2006)
- Al-Chalabi BM, "Potential effect of olanzapine on total antioxidant status and lipid peroxidation in schizophrenic patients", Neuropsychobiology, 59, pp.8~11 (2009)
- Scott KM, "Geographical clustering of amyotrophic lateral sclerosis in South-East England : a population study", Neuroepidemiology, 32, pp.81~88 (2009)
- Ahmed N, "Systematic review of the problems and issues of accessing specialist palliative care by patients, carers and health and social care professionals", Palliat Med, 18, pp.525~542 (2004)
- Grunfeld E., "Looking beyond survival: how are we looking at survivorship?", J Clin Oncol, 24, pp.5166~5169 (2006)
- Bartolo M, "Improving neuro-oncological patients care : basic and practical concepts for nurse specialist in neurorehabilitation", J Exp Clin Cancer Res, 31, pp.82~ (2012)