Article

OBJECTIVE: To describe the proportion and characteristics of patients with late
stage cancer that are and are not receptive to receiving rehabilitation services,
and the rationale for their level of interest. DESIGN: Prospective mixed-methods
study. SETTING: Comprehensive cancer center in a quaternary medical center.
PARTICIPANTS: Adults with stage IIIC or IV non-small cell or extensive stage
small cell lung cancer (N=311). INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: Telephone-acquired responses to the administration of (1) the Activity
Measure for Post Acute Care Computer Adaptive Test (AM-PAC-CAT); (2) numerical
rating scales for pain, dyspnea, fatigue, general emotional distress, and
distress associated with functional limitations; (3) a query regarding
receptivity to receipt of rehabilitation services, and (4) a query about
rationale for nonreceptivity. RESULTS: Overall, 99 (31.8%) of the study's 311
participants expressed interest in receiving rehabilitation services: 38 at the
time of enrollment and an additional 61 during at least 1 subsequent contact.
Participants expressing interest were more likely to have a child as primary
caregiver (18.18% vs 9.91%, P=.04) and a musculoskeletal comorbidity (42.4% vs
31.6%, P=.05). Function-related distress was highly associated with receptivity,
as were lower AM-PAC-CAT scores. Reasons provided for lack of interest in
receiving services included a perception of their limited benefit, being too
busy, and prioritization below more pressing tasks/concerns. CONCLUSIONS:
One-third of patients with late stage lung cancer are likely to be interested in
receiving rehabilitation services despite high levels of disability and related
distress. These findings suggest that patient misperception of the role of
rehabilitation services may be a barrier to improved function and quality of
life. Efforts to educate patients on the benefits of rehabilitation and to more
formally integrate rehabilitation as part of comprehensive care may curb these
missed opportunities.
CI - Copyright (c) 2016. Published by Elsevier Inc.

Langue : ANGLAIS