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An Interprofessional Palliative Care Oncology Rehabilitation Program: Effects on Function and Predictors of Program Completion
Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
Open AccessArticle

A Prospective Evaluation of an Interdisciplinary Nutrition–Rehabilitation Program for Patients with Advanced Cancer

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Department of Family Medicine and Emergency Medicine, Université Laval, Centre de recherché du Le Centre hospitalier universitaire de Québec, Quebec City, QC, Canada
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Division of Clinical Epidemiology, McGill University Health Centre, Royal Victoria Hospital, Montreal, QC, Canada
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Ingram School of Nursing, Faculty of Medicine, McGill University, Montreal, QC, Canada
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School of Occupational Therapy, Faculty of Medicine, University of Montreal, Montreal, QC, Canada
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Cancer Rehabilitation Service, McGill University Health Centre, Montreal General Hospital, Montreal, QC, Canada
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Smoking Cessation Program, McGill University Health Centre, Montreal Chest Institute, Montreal, QC, Canada
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Psychosocial Oncology Program, McGill University Health Centre, Montreal General Hospital, Montreal, QC, Canada
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Division of Palliative Care, University of Ottawa, Ottawa, ON, Canada
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Palliative Rehabilitation Program, Élisabeth Bruyère Hospital, Ottawa, ON, Canada
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Department of Oncology, Faculty of Medicine, McGill University, Montreal, QC, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2013, 20(6), 310-318; https://doi.org/10.3747/co.20.1612
Received: 10 September 2013 / Revised: 12 October 2013 / Accepted: 15 November 2013 / Published: 1 December 2013
Background: Cancer can affect many dimensions of a patient’s life, and in turn, it should be targeted using a multimodal approach. We tested the extent to which an interdisciplinary nutrition–rehabilitation program can improve the well-being of patients with advanced cancer. Methods: Between January 10, 2007, and September 29, 2010, 188 patients with advanced cancer enrolled in the 10–12-week program. Body weight, physical function, symptom severity, fatigue dimensions, distress level, coping ability, and overall quality of life were assessed at the start and end of the program. Results: Of the enrolled patients, 70% completed the program. Patients experienced strong improvements in the physical and activity dimensions of fatigue (effect sizes: 0.8–1.1). They also experienced moderate reductions in the severity of weakness, depression, nervousness, shortness of breath, and distress (effect sizes: 0.5–0.7), and moderate improvements in Six Minute Walk Test distance, maximal gait speed, coping ability, and quality of life (effect sizes: 0.5–0.7) Furthermore, 77% of patients either maintained or increased their body weight. Conclusions: Interdisciplinary nutrition–rehabilitation can be advantageous for patients with advanced cancer and should be considered an integrated part of standard palliative care.
Keywords: neoplasms; rehabilitation; patient care team; symptom assessment; palliative care; quality of life neoplasms; rehabilitation; patient care team; symptom assessment; palliative care; quality of life
MDPI and ACS Style

Gagnon, B.; Murphy, J.; Eades, M.; Lemoignan, J.; Jelowicki, M.; Carney, S.; Amdouni, S.; Di Dio, P.; Chasen, M.; MacDonald, N. A Prospective Evaluation of an Interdisciplinary Nutrition–Rehabilitation Program for Patients with Advanced Cancer. Curr. Oncol. 2013, 20, 310-318. https://doi.org/10.3747/co.20.1612

AMA Style

Gagnon B, Murphy J, Eades M, Lemoignan J, Jelowicki M, Carney S, Amdouni S, Di Dio P, Chasen M, MacDonald N. A Prospective Evaluation of an Interdisciplinary Nutrition–Rehabilitation Program for Patients with Advanced Cancer. Current Oncology. 2013; 20(6):310-318. https://doi.org/10.3747/co.20.1612

Chicago/Turabian Style

Gagnon, B.; Murphy, J.; Eades, M.; Lemoignan, J.; Jelowicki, M.; Carney, S.; Amdouni, S.; Di Dio, P.; Chasen, M.; MacDonald, N. 2013. "A Prospective Evaluation of an Interdisciplinary Nutrition–Rehabilitation Program for Patients with Advanced Cancer" Curr. Oncol. 20, no. 6: 310-318. https://doi.org/10.3747/co.20.1612

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