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Singapore Med J. 2017 Aug;58(8):502-507. doi: 10.11622/smedj.2016064. Epub 2016 Mar 31.

Clinical characteristics and rehabilitation of hospitalised cancer patients in a Korean tertiary hospital.

Singapore medical journal

Kyeong Eun Uhm, Tae Hee Yoon, Ji Hye Hwang

Affiliations

  1. Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, South Korea.
  2. Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

PMID: 27029806 PMCID: PMC5563531 DOI: 10.11622/smedj.2016064

Abstract

INTRODUCTION: With the increase in the patient survival rates of many types of cancers, a greater proportion of cancer patients live with disease-related problems that diminish their quality of life. This study aimed to investigate the clinical characteristics and rehabilitation of hospitalised cancer patients who were referred to the Department of Physical and Rehabilitation Medicine (PRM) at Samsung Medical Center, a tertiary university hospital in Seoul, Korea.

METHODS: Hospitalised cancer patients aged > 18 years who were referred to the Department of PRM from January to December 2012 were enrolled in this retrospective study. We reviewed the clinical characteristics of the patients, the principal reasons for their referral and relevant details of their rehabilitative management.

RESULTS: A total of 1,340 cases were included. The most common primary cancer was lung cancer (19.0%) and 28.6% of the cases had solid organ metastasis. The most common reason for referral was deconditioning (31.7%), followed by weakness (23.1%) and respiratory problems (14.5%). Bedside exercise was prescribed to 28.4% of the patients, exercise in the rehabilitation therapy unit to 28.0% and pulmonary rehabilitation to 14.3%. Among the 1,340 cases, 107 (8.0%) were transferred to the Department of PRM for comprehensive rehabilitation. The 32 patients with an identifiable Modified Barthel Index score showed significant functional improvement.

CONCLUSION: The findings of the present study contribute to a better understanding of rehabilitation for hospitalised cancer patients. The information obtained will also be helpful in the development of appropriate cancer rehabilitation strategies.

Copyright: © Singapore Medical Association

Keywords: cancer; inpatients; referral and consultation; rehabilitation

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