Long-term effects of a multidisciplinary optimisation program in a cancer population
- Author(s)
- Young, J; Lu, A; Slattery, R; Marston, C; Fitzgerald, M; Beaumont, A; Holmes, O;
- Details
- Publication Year 2023,Volume 6,Issue #1,Page 9-16
- Journal Title
- Journal of Cancer Rehabilitation
- Publication Type
- Research article
- Abstract
- Background/Aims; The ‘Optimisation Clinic’ is a multidisciplinary program designed to ; optimise physical function, nutritional status, fatigue and quality of life ; prior to, during and after cancer treatment. There is a paucity of evidence on ; the efficacy of multidisciplinary cancer programs and the aims of this study ; are to investigate the long-term impact of a multidisciplinary program and ; to discuss the challenges with implementation of the Optimisation Clinic. ; This study will also investigate the prevalence of cancer-related pain in this ; cohort.; Methods; This study was a retrospective audit and a prospective cohort study. ; Participants were recruited from a list of patients who had attended the ; Optimisation Clinic and phone calls for follow-up were at least 3 months ; post intervention. Outcome measures included the Australian Modified ; Karnofsky Score, Brief Fatigue Inventory, International Physical Activity ; Questionnaire, Patient Health Questionnaire 4 and the Patient-Generated ; Subjective Global Assessment. In addition, questions about cancer-related ; pain including the presence of cancer pain, its duration, location and impact ; were asked. ; Results; There was a total of 83 participants who attended the Optimisation Clinic ; and a majority of the participants were diagnosed with lung cancer. At ; follow-up, 21 participants were contacted by phone. Post completion of the ; Optimisation Clinic program, there was a similar percentage of participants ; who still required occasional assistance and less people were inactive. There ; were 40% of participants who were assessed as well nourished. On follow-up ; the majority of participants were able to perform activities with minor effort, ; fatigue had also improved and inactivity was reduced at follow-up.; Conclusions; This study also shows that there are improvements in physical activity, ; nutritional status, self-care and fatigue management, up to at least 3 ; months post program completion. In addition, chronic pain was found to ; be prevalent in this cohort and should therefore be considered in all cancer ; participants.
- Department(s)
- Anaesthetics; Physiotherapy; Nutrition and Speech Pathology; Psychosocial Oncology; Occupational Therapy
- Publisher's Version
- https://doi.org/10.48252/JCR71
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- Refer to copyright notice on published article.
Creation Date: 2024-08-20 06:18:08
Last Modified: 2024-08-20 06:56:39