Ekta Gupta, Gabriel Lopez, Santhosshi Narayanan, Jegy M Tennison, Imran Elahi, Aline Rozman de Moraes, Bryan M Fellman, Eduardo Bruera
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Descriptive summary statistics and logistic regression were used to analyze the data.</p><p><strong>Results: </strong>Out of 1196 inpatient rehabilitation admissions, 100 (8.4%) were referred to IO. The Activity Measure for Post-Acute Care \"6 clicks\" basic mobility admission scores were significant at a 1-point difference between the intervention and control group (39.5 vs 40.8, <i>P</i> < .05); both scores equate to a ˃50% degree of functional impairment. Referred patients were younger (62, <i>P</i> = .02) and Hispanics or Latinos (<i>P</i> = .02). The top symptoms for IO consultation included pain (N = 73), integrative approach (N = 41), relaxation (N = 38), and stress/anxiety (N = 33). Patients who reported a baseline symptom score ≥ 1 in the ESAS-FS, had both statistically (<i>P</i> < .05) and clinically significant improvements (≥1 point change) for pain, fatigue, well-being, anxiety, and sleep after massage therapy.</p><p><strong>Conclusion: </strong>Cancer rehabilitation inpatients were commonly referred to IO to address pain, with observed improvements across multiple symptoms with massage therapy. Lower mobility scores and younger patients received significantly higher referrals to IO. 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引用次数: 0
摘要
背景：中西医结合肿瘤学（IO）干预可减少与癌症及其治疗相关的生理、心理和社会困扰。人们对癌症康复住院病人转诊接受 IO 治疗以控制症状的频率和预测因素知之甚少：方法：我们对 2016 年 5 月至 2020 年 3 月期间在一家专业的三级癌症中心接受住院康复治疗的癌症患者进行了回顾性研究。研究人员提取了患者的人口统计学特征和IO咨询细节，包括使用ESAS-FS测量的患者报告的症状负担结果和使用急性期后护理活动测量 "6次点击 "测量的患者报告的功能状态。采用描述性简要统计和逻辑回归分析数据：在入院的 1196 例住院康复患者中，有 100 例（8.4%）转入 IO。干预组与对照组（39.5 vs 40.8, P P = .02）和西班牙裔或拉丁裔（P = .02）之间的 "急性期后护理活动测量"（Activity Measure for Post-Acute Care "6 clicks" basic mobility admission scores）1分差异显著。接受 IO 咨询的主要症状包括疼痛（73 例）、综合方法（41 例）、放松（38 例）和压力/焦虑（33 例）。癌症康复住院病人通常会被转介到 IO 来解决疼痛问题，通过按摩疗法可以观察到多种症状都有所改善。活动能力评分较低和较年轻的患者转诊到 IO 的比例明显较高。需要进行更大规模的试验，以确定IO干预对癌症患者住院康复的影响。
Frequency and Characteristics of Integrative Oncology Referrals for Patients With Cancer Receiving Inpatient Rehabilitation.
Background: Integrative Oncology (IO) interventions may decrease physical, psychological, and social distress related to cancer and its treatments. Little is known about the frequency and predictors of IO referral for symptom management for cancer rehabilitation inpatients.
Methods: A retrospective review was performed of patients with cancer who underwent inpatient rehabilitation at a specialized tertiary cancer center from 5/2016 to 3/2020. Patient demographics and IO consultation details, including patient-reported outcome measures of symptom burden using ESAS-FS and functional status using the Activity Measure for Post-Acute Care "6 clicks," were extracted. Descriptive summary statistics and logistic regression were used to analyze the data.
Results: Out of 1196 inpatient rehabilitation admissions, 100 (8.4%) were referred to IO. The Activity Measure for Post-Acute Care "6 clicks" basic mobility admission scores were significant at a 1-point difference between the intervention and control group (39.5 vs 40.8, P < .05); both scores equate to a ˃50% degree of functional impairment. Referred patients were younger (62, P = .02) and Hispanics or Latinos (P = .02). The top symptoms for IO consultation included pain (N = 73), integrative approach (N = 41), relaxation (N = 38), and stress/anxiety (N = 33). Patients who reported a baseline symptom score ≥ 1 in the ESAS-FS, had both statistically (P < .05) and clinically significant improvements (≥1 point change) for pain, fatigue, well-being, anxiety, and sleep after massage therapy.
Conclusion: Cancer rehabilitation inpatients were commonly referred to IO to address pain, with observed improvements across multiple symptoms with massage therapy. Lower mobility scores and younger patients received significantly higher referrals to IO. Larger trials are needed to characterize the effects of IO interventions on the inpatient rehabilitation of patients with cancer.
期刊介绍：
ICT is the first journal to spearhead and focus on a new and growing movement in cancer treatment. The journal emphasizes scientific understanding of alternative medicine and traditional medicine therapies, and their responsible integration with conventional health care. Integrative care includes therapeutic interventions in diet, lifestyle, exercise, stress care, and nutritional supplements, as well as experimental vaccines, chrono-chemotherapy, and other advanced treatments. Contributors are leading oncologists, researchers, nurses, and health-care professionals.
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