Use of rehabilitation pathways in women with breast cancer in the first 12 months of the disease: a retrospective study.
Aged
Ambulatory Care
/ statistics & numerical data
Breast Neoplasms
/ rehabilitation
Critical Pathways
/ statistics & numerical data
Female
Hospitalization
/ statistics & numerical data
Humans
Italy
Middle Aged
Patient Acceptance of Health Care
/ statistics & numerical data
Practice Patterns, Physicians'
/ statistics & numerical data
Quality of Life
Retrospective Studies
Breast cancer
Cognitive
Inpatient
Multidisciplinary
Outpatient
Psychosocial
Rehabilitation
Journal
BMC cancer
ISSN: 1471-2407
Titre abrégé: BMC Cancer
Pays: England
ID NLM: 100967800
Informations de publication
Date de publication:
24 Mar 2021
24 Mar 2021
Historique:
received:
13
08
2020
accepted:
17
02
2021
entrez:
25
3
2021
pubmed:
26
3
2021
medline:
4
5
2021
Statut:
epublish
Résumé
Breast cancer (BC) presents important physical and psychological challenges that should be appropriately addressed through continuous, integrated and individualized rehabilitation programs after treatment. In this study, we aimed to collect more information on the rehabilitation patterns and utilization of healthcare services by women with BC. We retrospectively analyzed data from two archives of the Lazio Regional Health System Database to assess rehabilitation patterns in women diagnosed with BC in the Lazio region (Italy) in 2008. A total of 5538 women diagnosed with BC were considered in the present study. Most patients (81.7%) received outpatient rehabilitative care, consisting mainly of pathology-related interventions and, more rarely, disability-related interventions (mainly motor rehabilitation and rarely cognitive or psychological therapy). Few patients followed an inpatient (1.3%) or an intensive outpatient rehabilitation program (1.0%). Most patients do not receive adequate rehabilitation care during the first year after diagnosis. More information and better rehabilitation services should be provided to help patients with BC access rehabilitation programs. The study also suggests the importance of psychosocial and cognitive interventions, which is a major unmet need in women with BC.
Sections du résumé
BACKGROUND
BACKGROUND
Breast cancer (BC) presents important physical and psychological challenges that should be appropriately addressed through continuous, integrated and individualized rehabilitation programs after treatment. In this study, we aimed to collect more information on the rehabilitation patterns and utilization of healthcare services by women with BC.
METHODS
METHODS
We retrospectively analyzed data from two archives of the Lazio Regional Health System Database to assess rehabilitation patterns in women diagnosed with BC in the Lazio region (Italy) in 2008.
RESULTS
RESULTS
A total of 5538 women diagnosed with BC were considered in the present study. Most patients (81.7%) received outpatient rehabilitative care, consisting mainly of pathology-related interventions and, more rarely, disability-related interventions (mainly motor rehabilitation and rarely cognitive or psychological therapy). Few patients followed an inpatient (1.3%) or an intensive outpatient rehabilitation program (1.0%).
CONCLUSION
CONCLUSIONS
Most patients do not receive adequate rehabilitation care during the first year after diagnosis. More information and better rehabilitation services should be provided to help patients with BC access rehabilitation programs. The study also suggests the importance of psychosocial and cognitive interventions, which is a major unmet need in women with BC.
Identifiants
pubmed: 33761916
doi: 10.1186/s12885-021-07927-0
pii: 10.1186/s12885-021-07927-0
pmc: PMC7993006
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
311Références
J Psychosoc Oncol. 2019 Jan-Feb;37(1):50-68
pubmed: 30295567
BMC Cancer. 2008 Nov 11;8:330
pubmed: 19014435
Support Care Cancer. 2019 Jan;27(1):109-122
pubmed: 30302542
J Clin Oncol. 2008 Jul 20;26(21):3536-42
pubmed: 18640935
J Surg Oncol. 2007 Apr 1;95(5):409-18
pubmed: 17457830
Onco Targets Ther. 2016 Apr 13;9:2153-68
pubmed: 27110131
J Pain. 2011 Jul;12(7):725-46
pubmed: 21435953
BMC Health Serv Res. 2012 Aug 28;12:282
pubmed: 22929017
Psychooncology. 2004 Mar;13(3):177-89
pubmed: 15022153
Health Qual Life Outcomes. 2009 Dec 23;7:102
pubmed: 20030832
Work. 2018;61(3):463-476
pubmed: 30400123
BMC Cancer. 2015 Feb 21;15:77
pubmed: 25885168
Rev Med Suisse. 2009 Feb 11;5(190):360-3
pubmed: 19264062
Gesundheitswesen. 2018 Feb;80(2):94-100
pubmed: 27300091
Breast. 2019 Apr;44:59-65
pubmed: 30669032
Breast Care (Basel). 2014 Apr;9(4):230-1
pubmed: 25404880
Breast. 2017 Aug;34:44-52
pubmed: 28500901
Maturitas. 2015 Sep;82(1):100-8
pubmed: 25998574
BMC Cancer. 2019 May 20;19(1):472
pubmed: 31109309
Phys Med Rehabil Clin N Am. 2007 Aug;18(3):521-37, x
pubmed: 17678765
Int J Clin Health Psychol. 2018 Jan-Apr;18(1):27-34
pubmed: 30487907
J Clin Oncol. 2011 Feb 1;29(4):406-12
pubmed: 21172892
J Cancer Educ. 2017 Dec;32(4):790-798
pubmed: 27476073
J Psychosom Res. 2008 Apr;64(4):383-91
pubmed: 18374737
CA Cancer J Clin. 2018 Nov;68(6):394-424
pubmed: 30207593
J Palliat Med. 2012 Aug;15(8):923-30
pubmed: 22731514
Front Oncol. 2018 Jun 14;8:227
pubmed: 29963498