Community-based outpatient cancer rehabilitation services for women with gynecologic cancer: acceptability and impact on patient-reported outcomes

Objective Women with gynecologic cancers often experience functional impairments impacting quality of life. Physical and occupational therapy (PT/OT) treat functional impairment; however, the acceptability and impact of these services for women with gynecologic cancer are unknown. Methods We reviewe...

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Bibliographic Details
Published in:Supportive care in cancer 2022-10, Vol.30 (10), p.8089-8099
Main Authors: Wood, Kelley C., Bertram, Jessica, Kendig, Tiffany, Hidde, Mary, Leiser, Aliza, Buckley de Meritens, Alexandre, Pergolotti, Mackenzi
Format: Article
Language:English
Subjects:
Cancer
Clinical outcomes
Community health care
Endometrial cancer
Gynecology
Medicine
Medicine & Public Health
Nursing
Nursing Research
Occupational therapy
Oncology
Original Article
Ovarian cancer
Pain Medicine
Patient satisfaction
Physical therapy
Quality of life
Rehabilitation
Rehabilitation Medicine
Women
Womens health
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Summary:Objective Women with gynecologic cancers often experience functional impairments impacting quality of life. Physical and occupational therapy (PT/OT) treat functional impairment; however, the acceptability and impact of these services for women with gynecologic cancer are unknown. Methods We reviewed rehabilitation charts of women with gynecologic cancer who received PT/OT (i.e., patients) in 2019 and completed patient-reported outcome measures (PROMs) selected by their therapist at intake (pre) and discharge (post). We calculated descriptive statistics for patient, rehabilitation, and acceptability (0–10) data. For PROM data, we used paired samples t -tests to evaluate pre-post change, and then calculated effect size (Hedge’s g ) and the proportion who achieved a minimal detectable change (MDC). Results PT/OT patients ( N  = 84) were 64.63 ± 11.04 years old with predominant diagnoses of ovarian (41.7%) or endometrial (32.1%) cancer. They attended a median of 13 sessions (IQR = 8.0–19.0). Sessions were predominantly PT (86%) vs. OT (14%). Median acceptability was 10 (IQR = 9.8–10.0). Pre-post improvement was observed for each of the 17 PROMs used by therapists. Significant improvement ( p  
ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-022-07227-8