Improvement of quality of life and psychological distress after inpatient cancer rehabilitation

Onkolog. Rehabilitation St. Veit im Pongau Aussenansicht 5.jpg

One of the authors is Prim. Prof. Dr. Thomas Licht who is the medical director of the Oncological Rehabilitation Clinic in St. Veit in Pongau– a healthcare facility of VAMED

 

Results of a longitudinal observational study

David Riedl · Johannes M. Giesinger · Lisa M. Wintner · Fanny L. Loth · Gerhard Rumpold · Richard Greil · Alain Nickels · Thomas Licht · Bernhard Holzner

For an overview chart in German language, please click here!

Background

With the growing number of cancer survivors worldwide the need for high quality cancer rehabilitation after primary treatment is steadily increasing. The aim of the present study was to investigate change of psychological distress and healthrelated quality of life (HRQOL) during multidisciplinary inpatient cancer rehabilitation in a large sample of cancer survivors suffering from different cancer entities.

Methods

We analyzed data from routine HRQOL and distress monitoring at a cancer inpatient rehabilitation center. Cancer survivors completed the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) and the Hospital Anxiety and Depression Scale (HADS) before and after multidisciplinary rehabilitation treatment. Changes of patients’ functioning and symptoms were analyzed using repeated measures analysis of variance (ANOVA) and effect sizes (Cohens’ d). Patients’ pretreatment and posttreatment scores were compared to reference data from the German general Population.

Results

A total of 939 patients (mean age 58.6 years, SD 11.9 years; 59.9% women) who attended rehabilitation from January 2014 to September 2015 were included in the analysis. We found clinically meaningful improvement in almost all domains of the EORTC QLQ-C30 as well as in anxiety and depression (HADS). The largest improvements were found for the QLQC30 subscales emotional functioning (d = 0.78), fatigue (d = 0.65), and social functioning (d = 0.56).

Conclusions

We found clinically meaningful improvements of patients’ HRQOL, anxiety and depression during an oncological inpatient rehabilitation treatment. Our results warrant further prospective controlled studies to evaluate the long-term effectiveness of inpatient Rehabilitation.

To read the long version of the results of this study, please click here!

 

The article was published at “Wiener klinische Wochenzeitschrift“
October 2017, Volume 129, Issue 19–20, pp 692–701
Rights Link: http://bit.ly/2grQODR

 

Publisher: Springer
Published online: 15th September 2017
https://link.springer.com/article/10.1007%2Fs00508-017-1266-z

 

Author

Prim. Prof. Dr. Thomas Licht Onkologische Rehabilitation St. Veit im Pongau

St. Veiter Straße 48 5621 St. Veit im Pongau
E-Mail