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IDENTIFYING CLINICALLY IMPORTANT FUNCTIONAL IMPAIRMENTS AND REHABILITATION NEEDS IN CANCER SURVIVORS AND A PILOT VALIDATION OF THE CANCER REHABILITATION QUESTIONNAIRE

OBJECTIVES: Despite the availability of cancer rehabilitation, utilization at our institution was low. We designed the Cancer Rehabilitation Questionnaire (CRQ) to investigate the prevalence of functional impairments amongst cancer survivors and attitudes towards rehabilitation participation. We eva...

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Autores principales: Yen, Jia Min, Tang, Ning, Tong, Shuk In, Chew, Effie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical Journals Sweden AB 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793783/
https://www.ncbi.nlm.nih.gov/pubmed/36524559
http://dx.doi.org/10.2340/jrm.v54.1379
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author Yen, Jia Min
Tang, Ning
Tong, Shuk In
Chew, Effie
author_facet Yen, Jia Min
Tang, Ning
Tong, Shuk In
Chew, Effie
author_sort Yen, Jia Min
collection PubMed
description OBJECTIVES: Despite the availability of cancer rehabilitation, utilization at our institution was low. We designed the Cancer Rehabilitation Questionnaire (CRQ) to investigate the prevalence of functional impairments amongst cancer survivors and attitudes towards rehabilitation participation. We evaluated the performance of CRQ as a screening tool for detecting clinically important physical dysfunction. DESIGN: A cross-sectional study was performed, recruiting cancer survivors at a university outpatient oncology clinic. Cancer survivors completed the CRQ and European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire – Core 30 Questionnaires. Descriptive statistical analysis and receiver operator characteristics analysis were performed to assess the ability of the CRQ to detect clinically important physical dysfunction, as measured by the EORTC QLQ-C30. RESULTS: Of 204 participants, 87.3% reported impairments in at least 1 CRQ domain. Pain and weakness were most common. The number of positive items correlated with EORTC global health status and functional scales. A cut-off of ≥  4 on the CRQ predicted clinically important physical dysfunction (sensitivity 61.8%, specificity 75.5%). Of those with impairments, 53.9% were unwilling to participate in rehabilitation. Transportation, need for caregivers, and cost were the main barriers. CONCLUSION: Our findings will guide resource allocation to overcome barriers to participation. The CRQ can help to stratify cancer survivors requiring further rehabilitation interventions. LAY ABSTRACT Functional impairments due to cancer and its treatment are common, and can be effectively addressed with rehabilitation. To better provide cancer rehabilitation, the Cancer Rehabilitation Questionnaire was designed to investigate what functional problems cancer survivors have and their attitudes towards participation in rehabilitation. We compared the cancer rehabilitation questionnaire with the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30) to see if it could be used as a screening tool for rehabilitation needs. Of 204 participants, 87.3% reported functional impairments in at least 1 Cancer Rehabilitation Questionnaire domain. Pain and weakness were most common. The number of positive Cancer Rehabilitation Questionnaire items correlated with EORTC scales: ≥ 4 positive items in the Cancer Rehabilitation Questionnaire indicated that the number of physical impairments was clinically significant. Among participants with impairments, 53.9% were unwilling to participate in rehabilitation. Transportation, need for caregivers, and cost were cited as barriers. A simple screening tool, such as the Cancer Rehabilitation Questionnaire can help to stratify cancer patients requiring further rehabilitation and intervention.
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spelling pubmed-97937832023-02-08 IDENTIFYING CLINICALLY IMPORTANT FUNCTIONAL IMPAIRMENTS AND REHABILITATION NEEDS IN CANCER SURVIVORS AND A PILOT VALIDATION OF THE CANCER REHABILITATION QUESTIONNAIRE Yen, Jia Min Tang, Ning Tong, Shuk In Chew, Effie J Rehabil Med Original Report OBJECTIVES: Despite the availability of cancer rehabilitation, utilization at our institution was low. We designed the Cancer Rehabilitation Questionnaire (CRQ) to investigate the prevalence of functional impairments amongst cancer survivors and attitudes towards rehabilitation participation. We evaluated the performance of CRQ as a screening tool for detecting clinically important physical dysfunction. DESIGN: A cross-sectional study was performed, recruiting cancer survivors at a university outpatient oncology clinic. Cancer survivors completed the CRQ and European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire – Core 30 Questionnaires. Descriptive statistical analysis and receiver operator characteristics analysis were performed to assess the ability of the CRQ to detect clinically important physical dysfunction, as measured by the EORTC QLQ-C30. RESULTS: Of 204 participants, 87.3% reported impairments in at least 1 CRQ domain. Pain and weakness were most common. The number of positive items correlated with EORTC global health status and functional scales. A cut-off of ≥  4 on the CRQ predicted clinically important physical dysfunction (sensitivity 61.8%, specificity 75.5%). Of those with impairments, 53.9% were unwilling to participate in rehabilitation. Transportation, need for caregivers, and cost were the main barriers. CONCLUSION: Our findings will guide resource allocation to overcome barriers to participation. The CRQ can help to stratify cancer survivors requiring further rehabilitation interventions. LAY ABSTRACT Functional impairments due to cancer and its treatment are common, and can be effectively addressed with rehabilitation. To better provide cancer rehabilitation, the Cancer Rehabilitation Questionnaire was designed to investigate what functional problems cancer survivors have and their attitudes towards participation in rehabilitation. We compared the cancer rehabilitation questionnaire with the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30) to see if it could be used as a screening tool for rehabilitation needs. Of 204 participants, 87.3% reported functional impairments in at least 1 Cancer Rehabilitation Questionnaire domain. Pain and weakness were most common. The number of positive Cancer Rehabilitation Questionnaire items correlated with EORTC scales: ≥ 4 positive items in the Cancer Rehabilitation Questionnaire indicated that the number of physical impairments was clinically significant. Among participants with impairments, 53.9% were unwilling to participate in rehabilitation. Transportation, need for caregivers, and cost were cited as barriers. A simple screening tool, such as the Cancer Rehabilitation Questionnaire can help to stratify cancer patients requiring further rehabilitation and intervention. Medical Journals Sweden AB 2022-12-16 /pmc/articles/PMC9793783/ /pubmed/36524559 http://dx.doi.org/10.2340/jrm.v54.1379 Text en © Published by Medical Journals Sweden, on behalf of the Foundation for Rehabilitation Information https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Original Report
Yen, Jia Min
Tang, Ning
Tong, Shuk In
Chew, Effie
IDENTIFYING CLINICALLY IMPORTANT FUNCTIONAL IMPAIRMENTS AND REHABILITATION NEEDS IN CANCER SURVIVORS AND A PILOT VALIDATION OF THE CANCER REHABILITATION QUESTIONNAIRE
title IDENTIFYING CLINICALLY IMPORTANT FUNCTIONAL IMPAIRMENTS AND REHABILITATION NEEDS IN CANCER SURVIVORS AND A PILOT VALIDATION OF THE CANCER REHABILITATION QUESTIONNAIRE
title_full IDENTIFYING CLINICALLY IMPORTANT FUNCTIONAL IMPAIRMENTS AND REHABILITATION NEEDS IN CANCER SURVIVORS AND A PILOT VALIDATION OF THE CANCER REHABILITATION QUESTIONNAIRE
title_fullStr IDENTIFYING CLINICALLY IMPORTANT FUNCTIONAL IMPAIRMENTS AND REHABILITATION NEEDS IN CANCER SURVIVORS AND A PILOT VALIDATION OF THE CANCER REHABILITATION QUESTIONNAIRE
title_full_unstemmed IDENTIFYING CLINICALLY IMPORTANT FUNCTIONAL IMPAIRMENTS AND REHABILITATION NEEDS IN CANCER SURVIVORS AND A PILOT VALIDATION OF THE CANCER REHABILITATION QUESTIONNAIRE
title_short IDENTIFYING CLINICALLY IMPORTANT FUNCTIONAL IMPAIRMENTS AND REHABILITATION NEEDS IN CANCER SURVIVORS AND A PILOT VALIDATION OF THE CANCER REHABILITATION QUESTIONNAIRE
title_sort identifying clinically important functional impairments and rehabilitation needs in cancer survivors and a pilot validation of the cancer rehabilitation questionnaire
topic Original Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793783/
https://www.ncbi.nlm.nih.gov/pubmed/36524559
http://dx.doi.org/10.2340/jrm.v54.1379
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