Long-term effects of a multidisciplinary optimisation program in a cancer population
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
Terms of Use/Rights Notice
Refer to copyright notice on published article.


Creation Date: 2024-08-20 06:18:08
Last Modified: 2024-08-20 06:56:39

© 2024 The Walter and Eliza Hall Institute of Medical Research. Access to this website is subject to our Privacy Policy and Terms of Use

An error has occurred. This application may no longer respond until reloaded. Reload 🗙