An exercise oncology clinical pathway: Screening and referral for personalized interventions
Nicole L. Stout,Nicole L. Stout,Justin C. Brown,Anna L. Schwartz,Timothy Marshall,Anna Campbell,Larissa Nekhlyudov,David S. Zucker,Karen Basen-Engquist,Grace Campbell,Jeffrey A. Meyerhardt,Andrea L. Cheville,Kelley R. Covington,Jennifer A. Ligibel,Jonas M. Sokolof,Kathryn H. Schmitz,Catherine M. Alfano +16 more
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This research highlights the need to understand more fully the role of emotion in the decision-making process and the role that emotion plays in the development of new treatments for depression.Abstract:
There are approximately 17 million cancer survivors living in the United States and by 2040 this estimate is predicted to increase to 26.1 million.1 Exercise provides a myriad of health benefits to individuals during and after cancer treatment by reducing treatment-related symptoms, improving functional status and quality of life, and lowering risk of disease recurrence.2,3 Despite the established benefits, an individual’s level of physical activity often decreases during treatment and does not return to pre-diagnosis levels after treatment completion.4,5 While exercise is regarded as safe and beneficial for individuals with cancer, promoting exercise for this population is complex. A patient-centered pathway is needed that can guide oncology and primary care professionals in efficient assessment of an individual’s condition and enable personalized referrals for exercise interventions that promote physical activity. The purpose of this manuscript is to provide a framework for clinical decision making that enables personalized condition assessment, risk stratification, and referral to optimal settings for exercise promotion for cancer survivors. Implementation strategies are also offered to support the integration of this model into an oncology clinical workflow.
With guidance from their medical provider, individuals are more likely to engage in exercise and maintain levels of physical activity during cancer treatments.6 However, the number of individuals with cancer who report receiving exercise-specific guidance from their health care providers is low.7 Of particular concern is the lack of knowledge and training among health care professionals about exercise prescription for this complex population.8read more
Citations
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American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control.
Alpa V. Patel,Christine M. Friedenreich,Steven C. Moore,Sandra C. Hayes,Julie K. Silver,Kristin L. Campbell,Kerri M. Winters-Stone,Lynn H. Gerber,Stephanie M. George,Janet E. Fulton,Crystal S. Denlinger,G. Stephen Morris,Trisha F. Hue,Kathryn H. Schmitz,Charles E. Matthews +14 more
TL;DR: There is consistent, compelling evidence that physical activity plays a role in preventing many types of cancer and for improving longevity among cancer survivors, although the evidence related to higher risk of melanoma demonstrates the importance of sun safe practices while being physically active.
A prospective surveillance model for rehabilitation for women with breast cancer
Nicole L. Stout,Jill M. Binkley,Kathryn H. Schmitz,Kimberly S. Andrews,Sandra C. Hayes,Kristin L. Campbell,Margaret L. McNeely,Peter W. Soballe,Ann M. Berger,Andrea L. Cheville,Carol J. Fabian,Lynn H. Gerber,Susan R. Harris,Karin Johansson,Andrea L. Pusic,Robert G. Prosnitz,Robert A. Smith +16 more
TL;DR: A prospective surveillance model for physical rehabilitation and exercise that can be integrated with disease treatment to create a more comprehensive approach to survivorship health care is proposed.
Journal ArticleDOI
American Cancer Society nutrition and physical activity guideline for cancer survivors
Cheryl L. Rock,E. Thomson,Kristen Sullivan,Carol L. Howe,Lawrence H. Kushi,Bette J. Caan,Marian L. Neuhouser,Elisa V. Bandera,Ying Wang,Kim Robien,Karen Basen-Engquist,Justin C. Brown,Kerry S. Courneya,Tracy E. Crane,David O. Garcia,Barbara L. Grant,Kathryn K. Hamilton,Sheri J. Hartman,Stacey A. Kenfield,Maria Elena Martinez,Jeffrey A. Meyerhardt,Larissa Nekhlyudov,Linda Overholser,Alpa V. Patel,Bernardine M. Pinto,Mary E. Platek,Erika Rees-Punia,Colleen Spees,Susan M. Gapstur,Marjorie L. McCullough +29 more
TL;DR: The authors include information on the relationship between health‐related behaviors and comorbidities, long‐term sequelae and patient‐reported outcomes, and health disparities, with attention to enabling survivors' ability to adhere to recommendations.
Journal ArticleDOI
A systematic review of rehabilitation and exercise recommendations in oncology guidelines
Nicole L. Stout,Nicole L. Stout,Daniel Santa Mina,Daniel Santa Mina,Kathleen Doyle Lyons,Kathleen Doyle Lyons,Karen Robb,Julie K. Silver +7 more
TL;DR: Findings identify guidelines that recommend rehabilitation services across many cancer types and for various consequences of cancer treatment signifying that rehabilitation is a recognized component of oncology care, at odds with clinical reports of low rehabilitation utilization rates suggesting that guideline recommendations may be overlooked.
Journal ArticleDOI
Moving through cancer: Setting the agenda to make exercise standard in oncology practice
Kathryn H. Schmitz,Nicole L. Stout,Melissa Maitin-Shepard,Anna Campbell,Anna L. Schwartz,Chloe Grimmett,Jeffrey A. Meyerhardt,Jonas M. Sokolof +7 more
TL;DR: The agenda of the newly formed Moving Through Cancer initiative is described, which has a primary objective of making exercise standard practice in oncology by 2029.
References
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Journal ArticleDOI
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Andrea L. Cheville,Kathleen J. Yost,Dirk R. Larson,Katiuska Dos Santos,Megan M. O’Byrne,Megan Chang,Terry M. Therneau,Felix E. Diehn,Ping Yang +8 more
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Book ChapterDOI
Exercise for older cancer patients: feasible and helpful?.
TL;DR: Results from limited elderly-specific trials suggest that physical activity interventions are safe and effective in older cancer survivors, with prostate cancer survivors representing the best studied cohort of older persons with cancer.
Journal ArticleDOI
Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA
Lorraine T. Dean,Kathryn H. Schmitz,Kevin D. Frick,Lauren Hersch Nicholas,Yuehan Zhang,S. V. Subramanian,Kala Visvanathan +6 more
TL;DR: This exploratory analysis establishes the premise for consumer credit as a marker of economic burden and health for breast cancer survivors and suggests it may be a potential intervention point for mitigating economic burden after breast cancer.
Journal ArticleDOI
Exercise for breast cancer survivors: bridging the gap between evidence and practice
TL;DR: A model of breast cancer care that incorporates exercise prescription as a key component but also integrates the need for surveillance and management for common breast cancer treatment-related morbidities, as well as education is proposed.
Journal ArticleDOI
Long-Term Survivorship Care After Cancer Treatment: A New Emphasis on the Role of Rehabilitation Services
TL;DR: This 2018 report provides a specific set of recommendations for improving symptom management and rehabilitation that suggest the integration of rehabilitation services at the point of cancer diagnosis and throughout the continuum of cancer care to effectively screen for and manage the anticipated functional morbidity associated with cancer treatment.
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Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable
Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer.
Kathryn H. Schmitz,Anna Campbell,Martijn M. Stuiver,Martijn M. Stuiver,Martijn M. Stuiver,Bernardine M. Pinto,Anna L. Schwartz,G. Stephen Morris,Jennifer A. Ligibel,Andrea L. Cheville,Daniel A. Galvão,Catherine M. Alfano,Alpa V. Patel,Trisha F. Hue,Lynn H. Gerber,Robert E. Sallis,Niraj J. Gusani,Nicole L. Stout,Leighton Chan,Fiona Flowers,Colleen Doyle,Susan Helmrich,William Bain,Jonas M. Sokolof,Kerri M. Winters-Stone,Kristin L. Campbell,Charles E. Matthews +26 more