Evidence map›Paper›PMID 39257522›Full record

ArticlePhysical therapy research2024

Perioperative Rehabilitation in Collaboration with the Department of Occupational Medicine for Patients with Cholangiocarcinoma: A Case Report.

Hiroaki Teramatsu, Akiko Hachisuka, Masako Nagata, Shiro Kohi, Manabu Hamada, Satoshi Kuhara, Akio Takemoto, Hideaki Itoh, Satoru Saeki

Abstract readCase Reports
In one paragraph

Article in Physical therapy research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Hiroaki TeramatsuDepartment of Rehabilitation, University Hospital of Occupational and Environmental Health, Japan.
Akiko HachisukaDepartment of Rehabilitation Medicine, University of Occupational and Environmental Health, Japan.
Masako NagataDepartment of Occupational Medicine, University of Occupational and Environmental Health, Japan.
Shiro KohiDepartment of Surgery 1, University of Occupational and Environmental Health, Kitakyushu, Japan.
Manabu HamadaDepartment of Rehabilitation, University Hospital of Occupational and Environmental Health, Japan.
Satoshi KuharaDepartment of Rehabilitation, University Hospital of Occupational and Environmental Health, Japan.
Akio TakemotoDepartment of Rehabilitation, University Hospital of Occupational and Environmental Health, Japan.
Hideaki ItohDepartment of Rehabilitation Medicine, University of Occupational and Environmental Health, Japan.
Satoru SaekiDepartment of Rehabilitation Medicine, University of Occupational and Environmental Health, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough the number of cancer survivors has increased, the role of physical therapy in return to work (RTW) for employed patients with cancer remains unclear. CASE PRESENTATION: The patient is a 50-year-old man diagnosed with cholangiocarcinoma who worked as a liquefied petroleum gas station filler. He started perioperative rehabilitation and underwent pancreaticoduodenectomy for cholangiocarcinoma. He developed a postoperative pancreatic fistula, which improved with conservative treatment over 40 days. Although he achieved independence regarding day-to-day activities, his physical condition and workability worsened, as his skeletal muscle index decreased from 8.7 to 7.7, 6-min walk distance from 518 to 460 m, and work ability index (WAI) from 37 to 20 points. His physical therapist was concerned about his RTW and recommended that he receive RTW support from the Department of Occupational Medicine (DOM). The DOM employed a team approach for the RTW strategy, and the primary physician, occupational physician, and company collaborated to support the patient. After the outpatient treatment protocol and RTW support plans were formulated, the patient was discharged. The physical therapist reported declining physical performance and WAI at the DOM's multidisciplinary conference. After consulting with multiple professionals, the team recommended work resumption in stages: part-time for three months and full-time for four months after surgery while undergoing oral adjuvant chemotherapy. The WAI improved to 35 points after RTW.

conclusionThis case report suggests that physical therapists are vital in providing continuous patient support, from perioperative rehabilitation to DOM intervention, to build physical strength for return to work.

Indexed as

CholangiocarcinomaDepartment of Occupational MedicinePerioperative rehabilitationReturn to work

Identifiers

PMID39257522
PMCPMC11382788

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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.