Evaluation of a rehabilitation planning consult for survivors of head and neck cancer.

Autor: McEwen SE; Sunnybrook Research Institute, St. John's Rehab Research Program, Toronto, Ontario, Canada.; Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.; Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada., Dunphy C; University Health Network, Cancer Survivorship Program, Toronto, Ontario, Canada., Rios JN; Sunnybrook Research Institute, St. John's Rehab Research Program, Toronto, Ontario, Canada., Davis AM; Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.; Krembil Research Institute, Toronto, Ontario, Canada.; Department of Management and Evaluation, University of Toronto, Institute of Health Policy, Toronto, Ontario, Canada., Jones J; University Health Network, Cancer Survivorship Program, Toronto, Ontario, Canada.; University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario, Canada., Martino R; Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.; Krembil Research Institute, Toronto, Ontario, Canada.; Department of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada.; Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada., Poon I; Department of Radiation Oncology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.; University of Toronto, Faculty of Medicine, Toronto, Ontario, Canada., Ringash J; University of Toronto, Faculty of Medicine, Toronto, Ontario, Canada.; Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2018 Jul; Vol. 40 (7), pp. 1415-1424. Date of Electronic Publication: 2018 Mar 22.
DOI: 10.1002/hed.25113
Abstrakt: Background: The rehabilitation planning consult (RPC) is a novel, transdisciplinary rehabilitation intervention for survivors of head and neck cancer. The study aimed to: (1) estimate recruitment and withdrawal rates, and adverse events; and (2) estimate the effect on rehabilitation indicators in survivors of head and neck cancer.
Methods: A single group pre-post study with follow-up was conducted with survivors of head and neck cancer who had completed treatment within 18 months. Outcome measures included goal attainment and quality of life indicators.
Results: Thirty participants (30) completed the RPC, and 20 completed follow-up. The average age was 59.8 years (SD 13.3), 23 were men, and 23 set rehabilitation goals. At follow-up, there was a large effect on goal performance (d = 1.5) and satisfaction (d = 1.5), and on the Short Form Health Survey-36 (SF-36) physical role and social functioning subscales (d = 1.0 and 0.8). There was a small to moderate effect on most other outcomes.
Conclusion: The RPC is a promising transdisciplinary rehabilitation intervention warranting further study with a controlled trial.
(© 2018 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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