Evidence map›Paper›PMID 27592401›Full record

ArticleArchives of physical medicine and rehabilitation2017

How Receptive Are Patients With Late Stage Cancer to Rehabilitation Services and What Are the Sources of Their Resistance?

Andrea L Cheville, Lori Rhudy, Jeffrey R Basford, Joan M Griffin, Ann Marie Flores

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Exercise prescription for symptoms and quality of life improvements in lung cancer patients: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  3. Home-based rehabilitation in inoperable non-small cell lung cancer-the patient experience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Trial
  4. Trial
  5. Review
  6. Patient-initiated rehabilitation after radiotherapy: gender and sociodemographic differences despite standardized support - a German retrospective single-center study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Reasons for non-participation in cancer rehabilitation: a scoping literature review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  11. Article
  12. Observational
  13. Article
  14. Patient Comments on a Hospital- and University-Based Exercise Oncology Program.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  15. Predictors of cancer rehabilitation medicine referral and utilization based on the Moving Through Cancer physical activity screening assessment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Andrea L ChevilleDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN. Electronic address: Cheville.andrea@mayo.edu.
Lori RhudyDepartment of Nursing, Mayo Clinic, Rochester, MN; School of Nursing, University of Minnesota, Minneapolis, MN.
Jeffrey R BasfordDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN.
Joan M GriffinDepartment of Health Sciences Research, Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN.
Ann Marie FloresDepartment of Physical Therapy, Movement and Rehabilitation Sciences, Northeastern University, Boston, MA.

Funding

Computerized Adaptive Testing to Direct Delivery of Hospital-Based RehabilitationR01HD079439 · NICHD · MAYO CLINIC ROCHESTER · PI CHEVILLE, ANDREA LYNNE · 2015 to 2019
$3.7M
COllaborative Care to Preserve PErformance in Cancer (COPE) TrialR01CA163803 · NCI · MAYO CLINIC ROCHESTER · PI CHEVILLE, ANDREA LYNNE · 2012 to 2016
$3.1M
NCI NIH HHS R01 CA163803NICHD NIH HHS R01 HD079439
6 · The paper itself

Abstract

objectiveTo describe the proportion and characteristics of patients with late stage cancer that are and are not receptive to receiving rehabilitation services, and the rationale for their level of interest.

designProspective mixed-methods study.

settingComprehensive cancer center in a quaternary medical center.

participantsAdults with stage IIIC or IV non-small cell or extensive stage small cell lung cancer (N=311).

interventionsNot applicable.

main outcome measuresTelephone-acquired responses to the administration of (1) the Activity Measure for Post Acute Care Computer Adaptive Test (AM-PAC-CAT); (2) numerical rating scales for pain, dyspnea, fatigue, general emotional distress, and distress associated with functional limitations; (3) a query regarding receptivity to receipt of rehabilitation services, and (4) a query about rationale for nonreceptivity.

resultsOverall, 99 (31.8%) of the study's 311 participants expressed interest in receiving rehabilitation services: 38 at the time of enrollment and an additional 61 during at least 1 subsequent contact. Participants expressing interest were more likely to have a child as primary caregiver (18.18% vs 9.91%, P=.04) and a musculoskeletal comorbidity (42.4% vs 31.6%, P=.05). Function-related distress was highly associated with receptivity, as were lower AM-PAC-CAT scores. Reasons provided for lack of interest in receiving services included a perception of their limited benefit, being too busy, and prioritization below more pressing tasks/concerns.

conclusionsOne-third of patients with late stage lung cancer are likely to be interested in receiving rehabilitation services despite high levels of disability and related distress. These findings suggest that patient misperception of the role of rehabilitation services may be a barrier to improved function and quality of life. Efforts to educate patients on the benefits of rehabilitation and to more formally integrate rehabilitation as part of comprehensive care may curb these missed opportunities.

Indexed as

AgedCancer Care FacilitiesCaregiversComorbidityFemaleHealth StatusHumansLung NeoplasmsMaleMental HealthMiddle AgedNeoplasm StagingProspective StudiesQuality of LifeStress, PsychologicalSubacute CareAttitudeNeoplasmsPatient preferencePhysical medicine and rehabilitationPhysical therapy modalitiesQualitative researchRehabilitation

Identifiers

PMID27592401
PMCPMC5627763

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.