1
|
Olsson Möller U, Beck I, Rydén L, Malmström M. A comprehensive approach to rehabilitation interventions following breast cancer treatment - a systematic review of systematic reviews. BMC Cancer 2019; 19:472. [PMID: 31109309 PMCID: PMC6528312 DOI: 10.1186/s12885-019-5648-7] [Citation(s) in RCA: 81] [Impact Index Per Article: 16.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2018] [Accepted: 04/26/2019] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Breast cancer (BC) is the most common type of cancer in women worldwide. Post-treatment, patients suffer from side effects and have various rehabilitation needs, which means that individualization is fundamental for optimal rehabilitation. This systematic review (SR) of SRs aims to evaluate the current evidence on rehabilitation interventions in female patients following BC treatment. METHODS Full-text SRs published in English from 2009 were searched in Embase, PubMed, Cinahl Complete, PsycINFO, AMED, SCOPUS, and Cochrane Library. INCLUSION CRITERIA SRs of randomized or non-randomized controlled trials investigating the effects of rehabilitation interventions in women following BC treatment. All outcomes were considered. Methodological quality was evaluated using the AMSTAR 2 tool and interrater agreement was evaluated. Out of 1269 citations retrieved, 37 SRs were included. RESULTS Five rehabilitation areas were identified: exercise and physical activity (PA), complementary and alternative medicine (CAM), yoga, lymphoedema treatment, and psychosocial interventions. The most solid evidence was found in exercise/PA and yoga. Exercise interventions improved outcomes such as shoulder mobility, lymphoedema, pain, fatigue and quality of life (QoL). Effects of yoga were shown on QoL, anxiety, depression, sleep disturbance, fatigue and gastrointestinal symptoms. The effect of CAM was shown on nausea, pain, fatigue, anger and anxiety but these results need to be interpreted with caution because of low methodological quality in included studies in the SRs. Among the lymphoedema treatments, positive effects were seen for resistance training on volume reduction and muscle strength and psychosocial interventions such as cognitive behavioural therapy had positive effects on QoL, anxiety, depression and mood disturbance. CONCLUSIONS This SR of SRs show solid positive effects of exercise/PA and yoga for women following BC treatment, and provides extended knowledge of the effects of CAM, yoga, lymphoedema treatment and psychosocial interventions. It is evident that more than one intervention could have positive effects on a specific symptom and that the effects depend not only on intervention type but also on how and when the intervention is provided. The results can be used as a foundation for individualized rehabilitation and aid health care professionals in meeting patients' individual needs and preferences. TRIAL REGISTRATION PROSPERO ( CRD42017060912 ).
Collapse
Affiliation(s)
- U Olsson Möller
- Department of Nursing and Integrated Health Sciences, Faculty of Medicine, Kristianstad University, Kristianstad, Sweden
| | - I Beck
- Department of Nursing and Integrated Health Sciences, Faculty of Medicine, Kristianstad University, Kristianstad, Sweden.,The Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.,Department of Clinical Sciences in Lund, Oncology and Pathology, Lund University, Lund, Sweden
| | - L Rydén
- Department of Clinical Sciences Lund, Surgery, Lund University, Skåne University Hospital, Medicon Village 406, 223 81, Lund, Sweden.
| | - M Malmström
- The Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.,Department of Health Sciences, Lund University, Lund, Sweden
| |
Collapse
|
2
|
Nemli A, Tekinsoy Kartin P. Effects of exercise training and follow-up calls at home on physical activity and quality of life after a mastectomy. Jpn J Nurs Sci 2018; 16:322-328. [DOI: 10.1111/jjns.12243] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Revised: 08/06/2018] [Accepted: 09/19/2018] [Indexed: 01/02/2023]
Affiliation(s)
- Asli Nemli
- Department of Nursing, Faculty of Health Sciences; Kayseri Turkey
| | - Pinar Tekinsoy Kartin
- Department of Nursing, Faculty of Health Sciences; Erciyes University; Kayseri Turkey
| |
Collapse
|
3
|
Zhu Z, Yang Y, Guo J, Yan Y, Li K, Wang J, Yu J, Zhu Y. Practice of occupational therapy in Tai Chi diagram: Adopted from traditional Chinese culture. WORLD FEDERATION OF OCCUPATIONAL THERAPISTS BULLETIN 2018. [DOI: 10.1080/14473828.2018.1455386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Zhaojin Zhu
- Rehabilitation Department, Yixing Jiuru Rehabilitation Hospital, Wuxi, People’s Republic of China
- Second Clinical Medical School, Nanjing University of Traditional Chinese Medicine, Nanjing, People’s Republic of China
| | - Yujie Yang
- Second Clinical Medical School, Nanjing University of Traditional Chinese Medicine, Nanjing, People’s Republic of China
| | - Jiabao Guo
- Second Clinical Medical School, Nanjing University of Traditional Chinese Medicine, Nanjing, People’s Republic of China
| | - Yanning Yan
- Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang, People’s Republic of China
| | - Kuicheng Li
- Rehabilitation Department, Yixing Jiuru Rehabilitation Hospital, Wuxi, People’s Republic of China
| | - Jun Wang
- Department of Rehabilitation Medicine, Wuxi Ninth People’s Hospital, Wuxi, People’s Republic of China
| | - Jun Yu
- Department of Rehabilitation Medicine, Wuxi Ninth People’s Hospital, Wuxi, People’s Republic of China
| | - Yi Zhu
- Rehabilitation Department, The Second Affiliated Hospital of Hainan Medical University, Haikou, People’s Republic of China
| |
Collapse
|
4
|
Sharifi N, Jalili L, Khazaeian S, Nia ASN. The Relationship between Physical Activity and General Health among Menopausal Women in Ahvaz, Iran. Electron Physician 2017; 9:3639-3645. [PMID: 28243418 PMCID: PMC5308506 DOI: 10.19082/3639] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2016] [Accepted: 09/22/2016] [Indexed: 01/29/2023] Open
Abstract
Introduction Most women experience significant changes in their general health status during menopause, which negatively affects their quality of life. Physical activity has also been shown to enhance quality of life. However, little is known about the effect of physical activity on women’s health during the menopausal transition. This study aimed to determine the relationship between physical activity and general health among menopausal women in Ahvaz, Iran. Methods This cross sectional study was carried out on 600 menopausal women using cluster random sampling during 2013–2014. Data collection tools were three questionnaires; women’s demographic characteristics, the Goldenberg’s questionnaire, and International physical activity questionnaire (IPAQ). Data were analyzed using descriptive and inferential statistics through SPSS version 19. The statistical tests were performed at the 95% confidence interval. Results There was a significant relationship between the total score of physical activity and physical health, social functioning, anxiety and depression (p<0.05), but no significant relationship was found between subscales related to physical activity and general health (p>0.05). Conclusion Physical activity is effective in improving general health in menopausal women. Proper training and effective interventions for regular physical activity can be important steps to promote the general health of menopausal women.
Collapse
Affiliation(s)
- Nasibeh Sharifi
- M.Sc. of Midwifery, Menopause Research Center, Department of Midwifery, School of Nursing and Midwifery Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Lida Jalili
- M.Sc. of Midwifery, Menopause Research Center, Department of Midwifery, School of Nursing and Midwifery Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Somayeh Khazaeian
- M.Sc. of Midwifery, Pregnancy Health Research Center, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Anvar-Sadat Nayebi Nia
- M.Sc. of Midwifery, Faculty Member, Department of Midwifery, School of Nursing and Midwifery, Islamic Azad University of Karaj, Karaj, Iran
| |
Collapse
|
5
|
Zhu Z, Yang Y, Guo J, Wang J, Yu J, Zhu Y. Compare and contrast Lifestyle Redesign and Traditional Chinese Medicine Regimen. WORLD FEDERATION OF OCCUPATIONAL THERAPISTS BULLETIN 2016. [DOI: 10.1080/14473828.2016.1218682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
6
|
Chun SY, Park H, Lee TH, Park EC. Do long term cancer survivors have better health-promoting behavior than non-cancer populations?: case-control study in Korea. Asian Pac J Cancer Prev 2015; 16:1415-20. [PMID: 25743808 DOI: 10.7314/apjcp.2015.16.4.1415] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND We compared the health-promoting behavior of long-term cancer survivors with those of the general population to identify necessary behavioral interventions to reduce the health risk among cancer patients. MATERIALS AND METHODS We used data from the 2007 and 2012 Korea National Health and Nutrition Examination Surveys (KNHANES IV [2007~2009] and KNHANES V [2010~2012]) on smoking status, alcohol use, physical exercise, and disease screening. We compared long-term cancer survivors with members of the general population; the controls were matched by propensity score matching. A multiple logistic regression model was used to investigate the association between cancer status and health-promoting behavior. RESULTS Long-term cancer survivors had a lower risk of smoking than the general population controls (OR: 0.42, 95%CI: 0.25-0.71). In addition, the long-term cancer survivors had a lower risk of alcohol use than the general population controls (OR: 0.70, 95%CI: 0.50-0.98). However, in terms of physical exercise and disease screening, no statistically significant differences were detected (physical exercise OR: 1.01, 95%CI: 0.75-1.35; disease screening OR: 1.27, 95%CI: 0.93-1.74). All covariates were adjusted. CONCLUSIONS The long-term cancer survivors had a much lower risk of smoking and alcohol use than the general population controls. However, almost no differences in physical exercise and screening for cancer recurrence or secondary disease were detected between the long-term cancer survivors and general population controls. To reduce the health risks and challenges facing long-term cancer survivors, interventions to encourage physical exercise and screening for cancer recurrence and secondary disease should be implemented.
Collapse
Affiliation(s)
- Sung-Youn Chun
- Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea E-mail :
| | | | | | | |
Collapse
|
7
|
Kang DW, Chung JY, Lee MK, Lee J, Park JH, Kim DI, Jones LW, Ahn JB, Kim NK, Jeon JY. Exercise barriers in Korean colorectal cancer patients. Asian Pac J Cancer Prev 2015; 15:7539-45. [PMID: 25292025 DOI: 10.7314/apjcp.2014.15.18.7539] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND To identify barriers to exercise in Korean colorectal cancer patients and survivors, and to analyze differences in exercise barriers by age, gender, treatment status, and physical activity level. MATERIALS AND METHODS A total of 427 colorectal cancer patients and survivors from different stages and medical status completed a self-administered questionnaire that surveyed their barriers to exercise and exercise participation. RESULTS The greatest perceived exercise barriers for the sampled population as a whole were fatigue, low level of physical fitness, and poor health. Those under 60-years old reported lack of time (p=0.008), whereas those over 60 reported low level of physical fitness (p=0.014) as greater exercise barriers than their counterparts. Women reported fatigue as a greater barrier than men (p<0.001). Those who were receiving treatment rated poor health (p=0.0005) and cancer-related factors as greater exercise barriers compared to those who were not receiving treatment. A multivariate model found that other demographic and medical status were not potential factors that may affect exercise participation. Further, for those who were not participating in physical activity, tendency to be physically inactive (p<0.001) and lack of exercise skill (p<0.001) were highly significant barriers, compared to those who were participating in physical activity. Also, for those who were not meeting ACSM guidelines, cancer-related exercise barriers were additionally reported (p<0.001), compared to those who were. CONCLUSIONS Our study suggests that fatigue, low level of physical fitness, and poor health are most reported exercise barriers for Korean colorectal cancer survivors and there are differences in exercise barriers by age, sex, treatment status, and physical activity level. Therefore, support for cancer patients should be provided considering these variables to increase exercise participation.
Collapse
Affiliation(s)
- Dong-Woo Kang
- Department of Sport and Leisure Studies, Yonsei University, Seoul, Korea E-mail : ,
| | | | | | | | | | | | | | | | | | | |
Collapse
|
8
|
Loh SY, Musa AN. Methods to improve rehabilitation of patients following breast cancer surgery: a review of systematic reviews. BREAST CANCER-TARGETS AND THERAPY 2015; 7:81-98. [PMID: 25792854 PMCID: PMC4360828 DOI: 10.2147/bctt.s47012] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Context Breast cancer is the most prevalent cancer amongst women but it has the highest survival rates amongst all cancer. Rehabilitation therapy of post-treatment effects from cancer and its treatment is needed to improve functioning and quality of life. This review investigated the range of methods for improving physical, psychosocial, occupational, and social wellbeing in women with breast cancer after receiving breast cancer surgery. Method A search for articles published in English between the years 2009 and 2014 was carried out using The Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, PubMed, and ScienceDirect. Search terms included: ‘breast cancer’, ‘breast carcinoma’, ‘surgery’, ‘mastectomy’, ‘lumpectomy’, ‘breast conservation’, ‘axillary lymph node dissection’, ‘rehabilitation’, ‘therapy’, ‘physiotherapy’, ‘occupational therapy’, ‘psychological’, ‘psychosocial’, ‘psychotherapy’, ‘exercise’, ‘physical activity’, ‘cognitive’, ‘occupational’, ‘alternative’, ‘complementary’, and ‘systematic review’. Study selection Systematic reviews on the effectiveness of rehabilitation methods in improving post-operative physical, and psychological outcomes for breast cancer were selected. Sixteen articles met all the eligibility criteria and were included in the review. Data extraction Included review year, study aim, total number of participants included, and results. Data synthesis Evidence for exercise rehabilitation is predominantly in the improvement of shoulder mobility and limb strength. Inconclusive results exist for a range of rehabilitation methods (physical, psycho-education, nutritional, alternative-complementary methods) for addressing the domains of psychosocial, cognitive, and occupational outcomes. Conclusion There is good evidence for narrowly-focused exercise rehabilitation in improving physical outcome particularly for shoulder mobility and lymphedema. There were inconclusive results for methods to improve psychosocial, cognitive, and occupational outcomes. There were no reviews on broader performance areas and lifestyle factors to enable effective living after treatment. The review suggests that comprehensiveness and effectiveness of post-operative breast cancer rehabilitation should consider patients’ self-management approaches towards lifestyle redesign, and incorporate health promotion aspects, in light of the fact that breast cancer is now taking the form of a chronic illness with longer survivorship years.
Collapse
Affiliation(s)
- Siew Yim Loh
- Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Aisya Nadia Musa
- Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| |
Collapse
|
9
|
Zhou LM. Recreational physical activity and risk of ovarian cancer: a meta-analysis. Asian Pac J Cancer Prev 2014; 15:5161-6. [PMID: 25040968 DOI: 10.7314/apjcp.2014.15.13.5161] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Our aim was to access the association between recreational physical activity (RPA) and risk of ovarian cancer (OC). The studies were retrieved from the PubMed and Embase databases up to February 20th, 2014. Risk ratios (OR) and 95% confidence intervals (CI) were used to estimate effect sizes. Random-effects or fixed-effects models were used to pool the data. The trim and fill method was applied for sensitivity analysis. Begg's rank correlation test and Egger's regression asymmetry test were employed to assess the publication bias. A total of 6 studies (435398 participants including 2983 OC patients) were included in this meta-analysis. The overall estimate indicated that there was weakly inverse association between RPA and OC risk (RR=0.90, 95%CI: 0.72-1.12, p=0.335). Meanwhile, for prospective cohort studies, a result consistent with the overall estimate was obtained (RR=1.12, 95% CI: 0.88-1.42, p=0.356). However, for case control studies, the pooled estimate of RR was 0.76 (95%CI: 0.64-0.90, p=0.002), indicating a clear significant association between RPA and OC risk. In addition, the sensitivity analysis indicated a significant link between RPA and risk of OC after removing Lahmann's study (RR=0.80, 95% CI: 0.68-0.93, p=0.004). No significant publication bias was found (Begg's test: p=1.00; Egger's test: p=0.817). In conclusion, our meta-analysis indicated a weakly inverse relationship between RPA and the occurrence of OC.
Collapse
Affiliation(s)
- Li-Min Zhou
- Competitive Sports School Affiliated to Harbin Institute of Physical Education, Heilongjiang, China E-mail :
| |
Collapse
|