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Follow the trail: Using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation |
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| Authors: | Kathleen D Lyons ScD Lynne S Padgett PhD Timothy F Marshall PhD Joseph A Greer PhD Julie K Silver MD Vishwa S Raj MD David S Zucker MD PhD Jack B Fu MD Mackenzi Pergolotti PhD Alix G Sleight PhD OTD MPH OTR/L Catherine M Alfano PhD |
| Affiliation: | 1. Scientist, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH;2. Health Psychologist, Washington DC Veterans Affairs Medical Center, Washington, DC;3. Assistant Professor, School of Physical Therapy, Kean University, Union, NJ;4. Program Director, Center for Psychiatric Oncology & Behavioral Sciences, Massachusetts General Hospital, Boston, MA
Assistant Professor of Psychology, Harvard Medical School, Boston, MA;5. Associate Professor, Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA Associate in Physiatry, Massachusetts General Hospital and Brigham and Women’s Hospital, Boston, MA;6. Associate Professor, Director of Oncology Rehabilitation, Department of Physical Medicine and Rehabilitation, Carolinas Rehabilitation, Department of Supportive Care, Levine Cancer Institute, Atrium Health, Charlotte, NC;7. Medical Director & Program Leader, Cancer Rehabilitation Services, Swedish Cancer Institute, Swedish Medical Center, Seattle, WA;8. Associate Professor, Division of Cancer Medicine, Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX;9. Director of Research, ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA;10. Postdoctoral Fellow, Keck School of Medicine, Department of Preventive Medicine, University of Southern California, Los Angeles, CA;11. Vice President, Survivorship, American Cancer Society, Atlanta, GA |
| Abstract: | Despite research explicating the benefits of cancer rehabilitation interventions to optimize physical, social, emotional, and vocational functioning, many reports document low rates of referral to and uptake of rehabilitation in oncology. Cancer rehabilitation clinicians, researchers, and policy makers could learn from the multidisciplinary specialty of palliative care, which has benefited from a growth strategy and has garnered national recognition as an important and necessary aspect of oncology care. The purpose of this article is to explore the actions that have increased the uptake and integration of palliative care to yield insights and multimodal strategies for the development and growth of cancer rehabilitation. After examining the history of palliative care and its growth, the authors highlight 5 key strategies that may benefit the field of cancer rehabilitation: 1) stimulating the science in specific gap areas; 2) creating clinical practice guidelines; 3) building clinical capacity; 4) ascertaining and responding to public opinion; and 5) advocating for public policy change. Coordinated and simultaneous advances on these 5 strategies may catalyze the growth, utilization, and effectiveness of patient screening, timely referrals, and delivery of appropriate cancer rehabilitation care that reduces disability and improves quality of life for cancer survivors who need these services. |
| Keywords: | evidence-based practice neoplasms policy public opinion rehabilitation science |
