Evaluation of consultation-based rehabilitation for hospitalized cancer patients with functional impairment. |
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| Authors: | S R Sabers J E Kokal J C Girardi C L Philpott J R Basford T M Therneau K D Schmidt G L Gamble |
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| Affiliation: | Department of Physical Medicine and Rehabilitation, Mayo Clinic Rochester, Minn 55905, USA. |
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| Abstract: | OBJECTIVE: To evaluate prospectively the effect of consultation-based interdisciplinary rehabilitation in hospitalized cancer patients. PATIENTS AND METHODS: Three hundred forty-one hospitalized patients with cancer were referred to the Cancer Adaptation Team (interdisciplinary rehabilitation services) over an 8-month period. Functional status at enrollment and dismissal was evaluated with a Barthel Mobility Index and Karnofsky Performance Status scale. Quality-of-life parameters were evaluated with specifically designed questionnaires. RESULTS: Two hundred ninety patients met the inclusion criteria. One hundred eighty-nine survived and completed the study. Significant functional improvement was observed between enrollment and dismissal on both functional indexes (P< or =.001). Quality-of-life questionnaires, while limited by low completion rate, showed significant improvement on multiple parameters. CONCLUSION: Significant functional gains were observed in hospitalized cancer patients who received interdisciplinary rehabilitation services on a consultation basis. |
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