A prospective surveillance model for rehabilitation for women with breast cancer

Nicole L. Stout, Jill M. Binkley, Kathryn H. Schmitz, Kimberly Andrews, Sandra C. Hayes, Kristin L. Campbell, Margaret L. McNeely, Peter W. Soballe, Ann M. Berger, Andrea L. Cheville, Carol Fabian, Lynn H. Gerber, Susan R. Harris, Karin Johansson, Andrea L. Pusic, Robert G. Prosnitz, Robert A. Smith

Research output: Contribution to journalReview articlepeer-review

160 Scopus citations

Abstract

BACKGROUND: The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Breast cancer treatment sequelae can lead to physical impairments and functional limitations. Common impairments include pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Evidence supports prospective surveillance for early identification and treatment as a means to prevent or mitigate many of these concerns.This article proposes 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.The goals of the model are to promote surveillance for common physical impairments and functional limitations associated with breast cancer treatment; to provide education to facilitate early identification of impairments; to introduce rehabilitation and exercise intervention when physical impairments are identified; and to promote and support physical activity and exercise behaviors through the trajectory of disease treatment and survivorship. METHODS: The model is the result of a multidisciplinary meeting of research and clinical experts in breast cancer survivorship and representatives of relevant professional and advocacy organizations. RESULTS/CONCLUSIONS: The proposed model identifies time points during breast cancer care for assessment of and education about physical impairments. Ultimately, implementation of the model may influence incidence and severity of breast cancer treatment-related physical impairments. As such, the model seeks to optimize function during and after treatment and positively influence a growing survivorship community.

Original languageEnglish (US)
Pages (from-to)2191-2200
Number of pages10
JournalCancer
Volume118
Issue numberSUPPL.8
DOIs
StatePublished - Apr 15 2012

Keywords

  • Breast cancer
  • Rehabilitation
  • Surveillance model
  • Survivorship care

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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