Chiara Falcicchio1, Domenico Di Lallo2, Alessandra Fabi3, Alessandro Bonucci4, Maria Perrone4, Andrea Pace5, Ambra Corti6, Luca Giacomelli6, Patrizia Pugliese4. 1. Psychology Unit, IRCCS Istituto Nazionale Tumori Regina Elena Roma, Rome, Italy. Chiara.falcicchio@ifo.gov.it. 2. Direzione Regionale Salute ed Integrazione Socio-Sanitaria, Regione Lazio, Italy. 3. Medical Oncology 1 Unit, IRCCS Istituto Nazionale Tumori Regina Elena Roma, Rome, Italy. 4. Psychology Unit, IRCCS Istituto Nazionale Tumori Regina Elena Roma, Rome, Italy. 5. Neuroncology Unit, IRCCS Istituto Nazionale Tumori Regina Elena Roma, Rome, Italy. 6. Polistudium srl, Milan, Italy.
Abstract
BACKGROUND: Breast cancer (BC) presents important physical and psychological challenges that should be appropriately addressed through continuous, integrated and individualized rehabilitation programs after treatment. In this study, we aimed to collect more information on the rehabilitation patterns and utilization of healthcare services by women with BC. METHODS: We retrospectively analyzed data from two archives of the Lazio Regional Health System Database to assess rehabilitation patterns in women diagnosed with BC in the Lazio region (Italy) in 2008. RESULTS: A total of 5538 women diagnosed with BC were considered in the present study. Most patients (81.7%) received outpatient rehabilitative care, consisting mainly of pathology-related interventions and, more rarely, disability-related interventions (mainly motor rehabilitation and rarely cognitive or psychological therapy). Few patients followed an inpatient (1.3%) or an intensive outpatient rehabilitation program (1.0%). CONCLUSION: Most patients do not receive adequate rehabilitation care during the first year after diagnosis. More information and better rehabilitation services should be provided to help patients with BC access rehabilitation programs. The study also suggests the importance of psychosocial and cognitive interventions, which is a major unmet need in women with BC.
BACKGROUND:Breast cancer (BC) presents important physical and psychological challenges that should be appropriately addressed through continuous, integrated and individualized rehabilitation programs after treatment. In this study, we aimed to collect more information on the rehabilitation patterns and utilization of healthcare services by women with BC. METHODS: We retrospectively analyzed data from two archives of the Lazio Regional Health System Database to assess rehabilitation patterns in women diagnosed with BC in the Lazio region (Italy) in 2008. RESULTS: A total of 5538 women diagnosed with BC were considered in the present study. Most patients (81.7%) received outpatient rehabilitative care, consisting mainly of pathology-related interventions and, more rarely, disability-related interventions (mainly motor rehabilitation and rarely cognitive or psychological therapy). Few patients followed an inpatient (1.3%) or an intensive outpatient rehabilitation program (1.0%). CONCLUSION: Most patients do not receive adequate rehabilitation care during the first year after diagnosis. More information and better rehabilitation services should be provided to help patients with BC access rehabilitation programs. The study also suggests the importance of psychosocial and cognitive interventions, which is a major unmet need in women with BC.
Entities:
Keywords:
Breast cancer; Cognitive; Inpatient; Multidisciplinary; Outpatient; Psychosocial; Rehabilitation
Authors: Nick Gebruers; Melissa Camberlin; Fleur Theunissen; Wiebren Tjalma; Hanne Verbelen; Timia Van Soom; Eric van Breda Journal: Support Care Cancer Date: 2018-10-09 Impact factor: 3.603