Frequency and Characteristics of Integrative Oncology Referrals for Patients With Cancer Receiving Inpatient Rehabilitation
Background: Integrative Oncology (IO) interventions may decrease physical, psychological, and social distress related to cancer and its treatments. Little is known about the frequency and predictors of IO referral for symptom management for cancer rehabilitation inpatients. Methods: A retrospective...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-11-01
|
| Series: | Integrative Cancer Therapies |
| Online Access: | https://doi.org/10.1177/15347354241296810 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850150115518447616 |
|---|---|
| author | Ekta Gupta MD Gabriel Lopez MD Santhosshi Narayanan MD Jegy M. Tennison MD Imran Elahi BS Aline Rozman de Moraes MD Bryan M. Fellman MS Eduardo Bruera MD |
| author_facet | Ekta Gupta MD Gabriel Lopez MD Santhosshi Narayanan MD Jegy M. Tennison MD Imran Elahi BS Aline Rozman de Moraes MD Bryan M. Fellman MS Eduardo Bruera MD |
| author_sort | Ekta Gupta MD |
| collection | DOAJ |
| description | Background: Integrative Oncology (IO) interventions may decrease physical, psychological, and social distress related to cancer and its treatments. Little is known about the frequency and predictors of IO referral for symptom management for cancer rehabilitation inpatients. Methods: A retrospective review was performed of patients with cancer who underwent inpatient rehabilitation at a specialized tertiary cancer center from 5/2016 to 3/2020. Patient demographics and IO consultation details, including patient-reported outcome measures of symptom burden using ESAS-FS and functional status using the Activity Measure for Post-Acute Care “6 clicks,” were extracted. Descriptive summary statistics and logistic regression were used to analyze the data. Results: Out of 1196 inpatient rehabilitation admissions, 100 (8.4%) were referred to IO. The Activity Measure for Post-Acute Care “6 clicks” basic mobility admission scores were significant at a 1-point difference between the intervention and control group (39.5 vs 40.8, P < .05); both scores equate to a ˃50% degree of functional impairment. Referred patients were younger (62, P = .02) and Hispanics or Latinos ( P = .02). The top symptoms for IO consultation included pain (N = 73), integrative approach (N = 41), relaxation (N = 38), and stress/anxiety (N = 33). Patients who reported a baseline symptom score ≥ 1 in the ESAS-FS, had both statistically ( P < .05) and clinically significant improvements (≥1 point change) for pain, fatigue, well-being, anxiety, and sleep after massage therapy. Conclusion: Cancer rehabilitation inpatients were commonly referred to IO to address pain, with observed improvements across multiple symptoms with massage therapy. Lower mobility scores and younger patients received significantly higher referrals to IO. Larger trials are needed to characterize the effects of IO interventions on the inpatient rehabilitation of patients with cancer. |
| format | Article |
| id | doaj-art-2bfc91eb7a7b4b19afd257cf1e0dd6bc |
| institution | OA Journals |
| issn | 1552-695X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Integrative Cancer Therapies |
| spelling | doaj-art-2bfc91eb7a7b4b19afd257cf1e0dd6bc2025-08-20T02:26:40ZengSAGE PublishingIntegrative Cancer Therapies1552-695X2024-11-012310.1177/15347354241296810Frequency and Characteristics of Integrative Oncology Referrals for Patients With Cancer Receiving Inpatient RehabilitationEkta Gupta MD0Gabriel Lopez MD1Santhosshi Narayanan MD2Jegy M. Tennison MD3Imran Elahi BS4Aline Rozman de Moraes MD5Bryan M. Fellman MS6Eduardo Bruera MD7University of Texas MD Anderson Cancer Center, Houston, TX, USAUniversity of Texas MD Anderson Cancer Center, Houston, TX, USAUniversity of Texas MD Anderson Cancer Center, Houston, TX, USAUniversity of Texas MD Anderson Cancer Center, Houston, TX, USAUniversity of Texas, Austin, TX, USAUniversity of Texas MD Anderson Cancer Center, Houston, TX, USAUniversity of Texas MD Anderson Cancer Center, Houston, TX, USAUniversity of Texas MD Anderson Cancer Center, Houston, TX, USABackground: Integrative Oncology (IO) interventions may decrease physical, psychological, and social distress related to cancer and its treatments. Little is known about the frequency and predictors of IO referral for symptom management for cancer rehabilitation inpatients. Methods: A retrospective review was performed of patients with cancer who underwent inpatient rehabilitation at a specialized tertiary cancer center from 5/2016 to 3/2020. Patient demographics and IO consultation details, including patient-reported outcome measures of symptom burden using ESAS-FS and functional status using the Activity Measure for Post-Acute Care “6 clicks,” were extracted. Descriptive summary statistics and logistic regression were used to analyze the data. Results: Out of 1196 inpatient rehabilitation admissions, 100 (8.4%) were referred to IO. The Activity Measure for Post-Acute Care “6 clicks” basic mobility admission scores were significant at a 1-point difference between the intervention and control group (39.5 vs 40.8, P < .05); both scores equate to a ˃50% degree of functional impairment. Referred patients were younger (62, P = .02) and Hispanics or Latinos ( P = .02). The top symptoms for IO consultation included pain (N = 73), integrative approach (N = 41), relaxation (N = 38), and stress/anxiety (N = 33). Patients who reported a baseline symptom score ≥ 1 in the ESAS-FS, had both statistically ( P < .05) and clinically significant improvements (≥1 point change) for pain, fatigue, well-being, anxiety, and sleep after massage therapy. Conclusion: Cancer rehabilitation inpatients were commonly referred to IO to address pain, with observed improvements across multiple symptoms with massage therapy. Lower mobility scores and younger patients received significantly higher referrals to IO. Larger trials are needed to characterize the effects of IO interventions on the inpatient rehabilitation of patients with cancer.https://doi.org/10.1177/15347354241296810 |
| spellingShingle | Ekta Gupta MD Gabriel Lopez MD Santhosshi Narayanan MD Jegy M. Tennison MD Imran Elahi BS Aline Rozman de Moraes MD Bryan M. Fellman MS Eduardo Bruera MD Frequency and Characteristics of Integrative Oncology Referrals for Patients With Cancer Receiving Inpatient Rehabilitation Integrative Cancer Therapies |
| title | Frequency and Characteristics of Integrative Oncology Referrals for Patients With Cancer Receiving Inpatient Rehabilitation |
| title_full | Frequency and Characteristics of Integrative Oncology Referrals for Patients With Cancer Receiving Inpatient Rehabilitation |
| title_fullStr | Frequency and Characteristics of Integrative Oncology Referrals for Patients With Cancer Receiving Inpatient Rehabilitation |
| title_full_unstemmed | Frequency and Characteristics of Integrative Oncology Referrals for Patients With Cancer Receiving Inpatient Rehabilitation |
| title_short | Frequency and Characteristics of Integrative Oncology Referrals for Patients With Cancer Receiving Inpatient Rehabilitation |
| title_sort | frequency and characteristics of integrative oncology referrals for patients with cancer receiving inpatient rehabilitation |
| url | https://doi.org/10.1177/15347354241296810 |
| work_keys_str_mv | AT ektaguptamd frequencyandcharacteristicsofintegrativeoncologyreferralsforpatientswithcancerreceivinginpatientrehabilitation AT gabriellopezmd frequencyandcharacteristicsofintegrativeoncologyreferralsforpatientswithcancerreceivinginpatientrehabilitation AT santhosshinarayananmd frequencyandcharacteristicsofintegrativeoncologyreferralsforpatientswithcancerreceivinginpatientrehabilitation AT jegymtennisonmd frequencyandcharacteristicsofintegrativeoncologyreferralsforpatientswithcancerreceivinginpatientrehabilitation AT imranelahibs frequencyandcharacteristicsofintegrativeoncologyreferralsforpatientswithcancerreceivinginpatientrehabilitation AT alinerozmandemoraesmd frequencyandcharacteristicsofintegrativeoncologyreferralsforpatientswithcancerreceivinginpatientrehabilitation AT bryanmfellmanms frequencyandcharacteristicsofintegrativeoncologyreferralsforpatientswithcancerreceivinginpatientrehabilitation AT eduardobrueramd frequencyandcharacteristicsofintegrativeoncologyreferralsforpatientswithcancerreceivinginpatientrehabilitation |