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A prospective surveillance model for rehabilitation for women with breast cancer.
Cancer 2012; 118(8 Suppl):2191-200C

Abstract

BACKGROUND

The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Breast cancer treatment sequelae can lead to physical impairments and functional limitations. Common impairments include pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Evidence supports prospective surveillance for early identification and treatment as a means to prevent or mitigate many of these concerns. This article proposes a prospective surveillance model for physical rehabilitation and exercise that can be integrated with disease treatment to create a more comprehensive approach to survivorship health care. The goals of the model are to promote surveillance for common physical impairments and functional limitations associated with breast cancer treatment; to provide education to facilitate early identification of impairments; to introduce rehabilitation and exercise intervention when physical impairments are identified; and to promote and support physical activity and exercise behaviors through the trajectory of disease treatment and survivorship.

METHODS

The model is the result of a multidisciplinary meeting of research and clinical experts in breast cancer survivorship and representatives of relevant professional and advocacy organizations.

RESULTS/CONCLUSIONS

The proposed model identifies time points during breast cancer care for assessment of and education about physical impairments. Ultimately, implementation of the model may influence incidence and severity of breast cancer treatment-related physical impairments. As such, the model seeks to optimize function during and after treatment and positively influence a growing survivorship community.

Authors+Show Affiliations

National Naval Medical Center, Bethesda, Maryland, USA. nicole.stout@med.navy.milNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22488693

Citation

Stout, Nicole L., et al. "A Prospective Surveillance Model for Rehabilitation for Women With Breast Cancer." Cancer, vol. 118, no. 8 Suppl, 2012, pp. 2191-200.
Stout NL, Binkley JM, Schmitz KH, et al. A prospective surveillance model for rehabilitation for women with breast cancer. Cancer. 2012;118(8 Suppl):2191-200.
Stout, N. L., Binkley, J. M., Schmitz, K. H., Andrews, K., Hayes, S. C., Campbell, K. L., ... Smith, R. A. (2012). A prospective surveillance model for rehabilitation for women with breast cancer. Cancer, 118(8 Suppl), pp. 2191-200. doi:10.1002/cncr.27476.
Stout NL, et al. A Prospective Surveillance Model for Rehabilitation for Women With Breast Cancer. Cancer. 2012 Apr 15;118(8 Suppl):2191-200. PubMed PMID: 22488693.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A prospective surveillance model for rehabilitation for women with breast cancer. AU - Stout,Nicole L, AU - Binkley,Jill M, AU - Schmitz,Kathryn H, AU - Andrews,Kimberly, AU - Hayes,Sandra C, AU - Campbell,Kristin L, AU - McNeely,Margaret L, AU - Soballe,Peter W, AU - Berger,Ann M, AU - Cheville,Andrea L, AU - Fabian,Carol, AU - Gerber,Lynn H, AU - Harris,Susan R, AU - Johansson,Karin, AU - Pusic,Andrea L, AU - Prosnitz,Robert G, AU - Smith,Robert A, PY - 2012/4/11/entrez PY - 2012/4/18/pubmed PY - 2012/5/31/medline SP - 2191 EP - 200 JF - Cancer JO - Cancer VL - 118 IS - 8 Suppl N2 - BACKGROUND: The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Breast cancer treatment sequelae can lead to physical impairments and functional limitations. Common impairments include pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Evidence supports prospective surveillance for early identification and treatment as a means to prevent or mitigate many of these concerns. This article proposes a prospective surveillance model for physical rehabilitation and exercise that can be integrated with disease treatment to create a more comprehensive approach to survivorship health care. The goals of the model are to promote surveillance for common physical impairments and functional limitations associated with breast cancer treatment; to provide education to facilitate early identification of impairments; to introduce rehabilitation and exercise intervention when physical impairments are identified; and to promote and support physical activity and exercise behaviors through the trajectory of disease treatment and survivorship. METHODS: The model is the result of a multidisciplinary meeting of research and clinical experts in breast cancer survivorship and representatives of relevant professional and advocacy organizations. RESULTS/CONCLUSIONS: The proposed model identifies time points during breast cancer care for assessment of and education about physical impairments. Ultimately, implementation of the model may influence incidence and severity of breast cancer treatment-related physical impairments. As such, the model seeks to optimize function during and after treatment and positively influence a growing survivorship community. SN - 1097-0142 UR - https://www.unboundmedicine.com/medline/citation/22488693/A_prospective_surveillance_model_for_rehabilitation_for_women_with_breast_cancer_ L2 - https://doi.org/10.1002/cncr.27476 DB - PRIME DP - Unbound Medicine ER -