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A prospective surveillance model for rehabilitation for women with breast cancer†‡§

  1. Nicole L. Stout MPT, CLT-LANA1,‖,*,
  2. Jill M. Binkley PT, MClSc, FAAOMPT, CLT2,
  3. Kathryn H. Schmitz PhD, MPH, FACSM3,
  4. Kimberly Andrews4,
  5. Sandra C. Hayes PhD5,
  6. Kristin L. Campbell PT, MSc, PhD6,
  7. Margaret L. McNeely PT, PhD7,
  8. Peter W. Soballe MD8,
  9. Ann M. Berger PhD, RN, AOCNS, FAAN9,
  10. Andrea L. Cheville MD10,
  11. Carol Fabian MD11,
  12. Lynn H. Gerber MD12,
  13. Susan R. Harris PT, PhD6,
  14. Karin Johansson RPT, Dr Med Sci13,
  15. Andrea L. Pusic MD, MHS, FRCSC14,
  16. Robert G. Prosnitz MD, MPH3,
  17. Robert A. Smith PhD4

Article first published online: 6 APR 2012

DOI: 10.1002/cncr.27476

Issue

Cancer

Cancer

Supplement: A Prospective Surveillance Model for Rehabilitation for Women With Breast Cancer

Volume 118, Issue Supplement 8, pages 2191–2200, 15 April 2012

Additional Information

How to Cite

Stout, N. L., Binkley, J. M., Schmitz, K. H., Andrews, K., Hayes, S. C., Campbell, K. L., McNeely, M. L., Soballe, P. W., Berger, A. M., Cheville, A. L., Fabian, C., Gerber, L. H., Harris, S. R., Johansson, K., Pusic, A. L., Prosnitz, R. G. and Smith, R. A. (2012), A prospective surveillance model for rehabilitation for women with breast cancer. Cancer, 118: 2191–2200. doi: 10.1002/cncr.27476

Author Information

  1. 1

    National Naval Medical Center, Bethesda, Maryland

  2. 2

    TurningPoint Women's Healthcare, Alpharetta, Georgia

  3. 3

    University of Pennsylvania, Philadelphia, Pennsylvania

  4. 4

    American Cancer Society, Atlanta, Georgia

  5. 5

    Queensland University of Technology, Institute of Health and Biomedical Innovation, Queensland, Australia

  6. 6

    University of British Columbia, Vancouver, British Columbia, Canada

  7. 7

    University of Alberta and Cross Cancer Institute, Edmonton, Alberta, Canada

  8. 8

    Naval Hospital San Diego, San Diego, California

  9. 9

    University of Nebraska Medical Center, Omaha, Nebraska

  10. 10

    Mayo Clinic, Rochester, Minnesota

  11. 11

    The University of Kansas Medical Center, Kansas City, Kansas

  12. 12

    George Mason University, Fairfax, Virginia

  13. 13

    Skane University Hospital, Lund, Sweden

  14. 14

    Memorial Sloan-Kettering Cancer Center, New York, New York

  1. ‖

    Fax: (301) 295-9076

*Breast Care Center, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Building 19, 3rd Floor, Bethesda, MD 20889

  1. †

    The articles in this supplement were commissioned based on presentations and deliberations at a Roundtable Meeting on a Prospective Model of Care for Breast Cancer Rehabilitation, held February 24-25, 2011, at the American Cancer Society National Home Office, in Atlanta, Georgia.

  2. ‡

    The opinions or views expressed in this supplement are those of the authors, and do not necessarily reflect the opinions or recommendations of the editors or the American Cancer Society.

  3. §

    The views expressed in this article are those of the author(s) and do not necessarily reflect the official policies of the Department of Navy, Department of Defense, nor the US Government.

  4. Re-use of this article is permitted in accordance with the Terms and Conditions set out at http://wileyonlinelibrary.com/onlineopen#OnlineOpen_Terms

  5. ‖

    Fax: (301) 295-9076

Publication History

  1. Issue published online: 6 APR 2012
  2. Article first published online: 6 APR 2012
  3. Manuscript Accepted: 10 AUG 2011
  4. Manuscript Received: 22 JUN 2011

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Keywords:

  • breast cancer;
  • surveillance model;
  • rehabilitation;
  • survivorship care

Abstract

BACKGROUND:

The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Breast cancer treatment sequelae can lead to physical impairments and functional limitations. Common impairments include pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Evidence supports prospective surveillance for early identification and treatment as a means to prevent or mitigate many of these concerns. This article proposes a prospective surveillance model for physical rehabilitation and exercise that can be integrated with disease treatment to create a more comprehensive approach to survivorship health care. The goals of the model are to promote surveillance for common physical impairments and functional limitations associated with breast cancer treatment; to provide education to facilitate early identification of impairments; to introduce rehabilitation and exercise intervention when physical impairments are identified; and to promote and support physical activity and exercise behaviors through the trajectory of disease treatment and survivorship.

METHODS:

The model is the result of a multidisciplinary meeting of research and clinical experts in breast cancer survivorship and representatives of relevant professional and advocacy organizations.

RESULTS/CONCLUSIONS:

The proposed model identifies time points during breast cancer care for assessment of and education about physical impairments. Ultimately, implementation of the model may influence incidence and severity of breast cancer treatment-related physical impairments. As such, the model seeks to optimize function during and after treatment and positively influence a growing survivorship community. Cancer 2012;118(8 suppl):. © 2012 American Cancer Society.

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