ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024
An initiative to implement a triage and referral system to make exercise and rehabilitation referrals standard of care in oncology.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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.
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Who cites it
12 citing papers in PubMed, 18 citations in OpenAlex.
- Trial
- Assessment of Physical Activity Engagement and Promotion Among Cancer Survivors in Cardio-Oncology Care: Qualitative Study.JMIR cancer · 2026Article
- Facilitators to the implementation of exercise into cancer care: a systematic review.Journal of cancer survivorship : research and practice · 2026Review
- Preliminary Effectiveness of the Comprehensive Oncology Rehabilitation and Exercise (CORE) Clinical Workflow Algorithm on Health Outcomes During Nonmetastatic Breast Cancer Care.International journal of breast cancer · 2026Article
- Feasibility of a Physiatry Assessment Clinic to Address Physical Impairment in Head and Neck Cancer Patients Following Neck Resection and Free Flap Reconstruction.Current oncology (Toronto, Ont.) · 2025Article
- The Use of Physiotherapy Navigators in Acute Cancer Care Settings: A Scoping Review.Archives of rehabilitation research and clinical translation · 2025Review
- Perceptions about oncological physiotherapy among health and social care professionals and cancer care managers: a co-design approach for implementation strategies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Triage tools to inform the prioritisation of physical health services following a diagnosis of cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Implementing the Personalised Exercise Rehabilitation in Cancer Survivorship (PERCS) Triage and Referral System in Ireland: Protocol for a Qualitative Stakeholder Study.HRB open research · 2025Article
- Personalized exercise programs in oncology.Oncology reviews · 2025Review
- The reliability and validity of a novel clinical tool for distributing rehabilitation patients: a multicenter cross-sectional study in China.Scientific reports · 2024Article
- Adopting a systems-thinking approach to optimise dietary and exercise referral practices for cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundClinical guidelines suggest that patients should be referred to exercise while undergoing cancer treatment. Oncology clinicians report being supportive of exercise referrals but not having the time to make referrals. Toward the goal of making exercise referrals standard of care, we implemented and evaluated a novel clinical workflow.
methodsFor this QI project, a rehabilitation navigator was inserted in chemotherapy infusion clinics. Patients were offered a validated electronic triage survey. Exercise or rehabilitation recommendations were communicated to patients during a brief counseling visit by the rehabilitation navigator. The implementation approach was guided by the EPIS framework. Acceptability and feasibility were assessed.
resultsInitial meetings with nursing and cancer center leadership ensured buy-in (exploration). The education of medical assistants contributed to the adoption of the triage process (preparation). Audit and feedback ensured leadership was aware of medical assistants' performance (implementation). 100% of medical assistants participated in implementing the triage tool. A total of 587 patients visited the infusion clinics during the 6-month period when this QI project was conducted. Of these, 501 (85.3%) were offered the triage survey and 391 (78%) completed the survey (acceptability). A total of 176 (45%) of triaged patients accepted a referral to exercise or rehabilitation interventions (feasibility).
conclusionsImplementation of a validated triage tool by medical assistants and brief counseling by a rehabilitation navigator resulted in 45% of infusion patients accepting a referral to exercise or rehabilitation. The triage process showed promise for making exercise referrals standard of care for patients undergoing cancer treatment.
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What OpenQuestion holds
Registered trials
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.