Abstract
Purpose of Review
The population of breast cancer (BC) survivors is growing due to earlier diagnosis and effective combined treatments. A scoping review was performed to explore the role of rehabilitation in BC survivorship and the major issues in BC survivors with International Classification of Functioning Disability and Health (ICF) perspective.
Recent Findings
The authors searched PubMed from January 1, 2018, up until November 9, 2021. The 65 selected publications were analyzed with the Comprehensive ICF BC Core Set (CCS) perspective and assigned to the categories of the CCS components along with the 3 areas of health (physical, mental, and social health). The multidimensional aspects of BC survivor disability are evident, whereas the topics of the articles concern several categories of the ICF BC CCS and all 3 areas of health. However, the current ICF BC CCS does not include certain categories related to emerging issues of BC survivorship recurring in the papers.
Summary
Rehabilitation is crucial in BC survivorship management to give personalized answers to women beyond BC, and the ICF BC CCS remains an essential tool in rehabilitation assessment for BC survivors although it needs updating.
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Introduction
Breast cancer (BC) is the most frequent cancer in women worldwide, accounting for 11.7% of total cases, with 2.3 million cases newly diagnosed in 2020 [1•]. Due to earlier diagnoses and more effective treatment, the 5-year survival rate has continued to improve over the last two decades and is now 86% in Italy and Turkey [2]. Male BC cases are less than 1% of all diagnosed breast cancers [3, 4•]; therefore, where not specified, we refer to female BC patients.
With improving survival rates globally [5,6,7], many survivors experience short-term, long-term, and late effects from both the cancer and cancer-related treatments. These effects may result in mental, physical, and social health–related issues not only while in active treatment but also during long-term survivorship phase [8, 9]. In the last two decades, distinguished authors have addressed cancer survivorship [10, 11, 12•, 13,14,15] with both American Cancer Society and the American Society of Clinical Oncology publishing Breast Cancer Survivorship Care Guidelines [16] to support clinicians in the care for BC survivors. With growing population of BC survivors, the individual, family, and societal challenges for women beyond BC are becoming a critical issue in public health system and require an in-depth reorganization of survivorship care at the local, regional, and national levels. Survivorship care is a significant challenge for the future of BC and all cancers. Rehabilitation medicine is the most appropriate medical specialty for treating cancer survivors suffering from disability related to cancer itself and long-term side effects of treatments [17•].
Rehabilitation can be thought of both as “a general health strategy” [18] and as “a set of interventions” focused on enabling persons at risk or with physical and/or mental health disabling conditions to achieve and maintain optimal functioning and to pursue the best health-related quality of life in their family and social context [18, 19].
According to the International Classification of Functioning Disability and Health (ICF) [20] adopted by the World Health Organization (WHO) in 2001, cancer and its treatments affect body structures and influence body functions, activities, and participation, as well as environmental factors. Specific Comprehensive and Brief ICF Core Sets were subsequently developed for BC to describe function and disability [21].
Therefore, the aim of this scoping review is to define the role of rehabilitation in the BC survivorship within the context of the current ICF BC Core Sets, increase awareness of the needs in BC survivors, and support stakeholders, health professionals and governments to provide optimal care as well as contain healthcare costs.
Methods
The authors, with the assistance of the librarian of the National Cancer Institute in Naples, provided a review of indexed PubMed articles from January 1, 2018, to November 9, 2021, using the keywords “breast cancer,” “survivorship,” and “rehabilitation.” Exclusion criteria were articles not in English (both text and abstract); published prior to 2018; including pharmaceutical interventions for cancer and/or treatment-related conditions (e.g., osteoporosis); including population without cancer (excluding non-cancer population as control group); nonhuman studies; letters to the editor, protocols, or preliminary results of major ongoing studies; including survivors with various cancer diagnoses together with BC, unless the results reported by specific cancer types; sample size less than 50 BC patients; specific for a subgroup of BC patients as such as BC and type 2 diabetes; and considering survivorship even during the active treatment phase and/or time after active treatment less than 1 year. Secondly, two of the authors hand-searched PubMed, based on their experience, for additional relevant literature about survivorship care although unrelated to rehabilitation, including the guidelines for BC survivorship and BC Survivorship Care Plans (BC SCPs).
Two reviewers independently extracted data from included studies using a customized data extraction table in Microsoft Excel. In case of disagreement, consensus was achieved by the decision of another reviewer. The following data were extracted: (1) first author, (2) publication year, (3) journal, (4) nationality, (5) type of study, and (6) patient-reported outcome measures.
All the included publications were analyzed with the Comprehensive ICF BC Core Set (CCS) perspective, and were considered related to the Body Structure category, 3rd level s6302 breast and nipple. Therefore, considering the main topics of each paper, the selected articles were assigned to one or more of the ICF BC CCS major components (body function, activity and participation, environmental factors) and linked to specific categories. Finally, the same selected papers were assigned to one or more of the 3 areas of Health: Physical Health, Mental Health and Social Health (Fig. 1).
Results
A total of 181 publications were searched on PubMed. Following the exclusion criteria in the “Methods” section, 63 articles were selected and 118 were excluded. An additional 2 articles were selected by hand-searching; ultimately, 65 papers [22,23,24,25,26,27,28,29,30, 31••, 32,33,34,35,36,37, 38••, 39, 40, 41•, 42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61, 62•, 63,64,65,66, 67•, 68,69,70, 71•, 72•, 73,74,75, 76•, 77, 78•, 79,80,81,82,83, 84•, 85, 86] in total have been reviewed to extract the main topics and survivors needs (Table 1).
Included Publications Per Country Per Year
Sixteen [22,23,24,25,26,27,28,29,30, 31••, 32,33,34,35,36,37] were published in 2018, twenty-three [38••, 39, 40, 41•, 42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60] in 2019, sixteen in 2020 [61, 62•, 63,64,65,66, 67•, 68,69,70, 71•, 72•, 73,74,75, 76•], and ten in 2021 [77, 78•, 79,80,81,82,83, 84•, 85, 86]. Twenty-eight studies were conducted in the USA [23, 27,28,29, 31••, 32, 37, 38••, 43,44,45, 49, 52, 56,57,58,59, 64, 68, 70, 71•, 72•, 73, 75, 76•, 77, 81, 82, 86], six in Australia [22, 39, 40, 41•, 63, 80], five in Canada [24, 35, 36, 48, 84•], four in Italy [25, 30, 66, 67•], three in Japan [42, 47, 74], two in Spain [26,27,28,29,30, 31••, 32,33,34,35,36,37, 38••, 39, 40, 41•, 42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60], two in South Korea [33, 85], two in Germany [44, 83], two in the Netherlands [46, 54], two in Israel [53, 61], one in Singapore [34], one in Denmark [50], one in China [51], one in Iran [55], one in Hong Kong [62•], one in Taiwan [65], one in Switzerland [69], one in Ireland [78•], and lastly one in Sweden [79].
Design of the Included Studies
There were sixteen cross-sectional studies [24, 27, 29, 32, 34, 35, 43,44,45,46, 53, 54, 65, 69, 70, 83], nine randomized control trials (RCT) [22, 23, 26, 28, 58,59,60, 67•, 82], nine reviews [25, 31••, 38••, 52, 66, 71•, 72•, 77, 86], nine cohort studies [30, 36, 39, 42, 48, 57], five RCT protocols [40, 41•, 50, 61, 62•], three case–control studies [49, 55, 68], two interviews [33, 74], two retrospective studies [56, 81], two longitudinal studies [63, 84•], two content analysis [73, 75], two scoping reviews [80, 85], one qualitative study [37], one validity study [51], one pilot study [64], one systematic review [78•], and finally one narrative study [79] (see Table 1 for further details).
Topics of the Included Publications According to Comprehensive ICF BC Core Set
Table 2 depicts second-level categories of the ICF BC CCS and highlights those related to the topics of the selected publications.
Among the component Body functions, the most explored categories in the papers, in order of frequency, are b455 Exercise tolerance functions (28 papers), b730 Muscle power functions (16 papers), b740 Muscle endurance functions (15 papers), b530 Weight maintenance functions (14 papers), b435 Immunological system functions including b435.2 and b435.3 related to lymphedema (9 papers), b640 Sexual functions (6 papers), and b650 Menstruation functions (2 papers).
Among the component Activities and participation, the most explored categories, in order of frequency, are d240 Handling stress and other psychological demands (18 papers), d230 Carrying out daily routine (11 papers), d850 Remunerative employment (8 papers), d920 Recreation and leisure (5 papers), d445 Hand and arm use (4 papers); d550 Eating (2 papers), d177 Making decisions (2 papers), d770 Intimate relationships (2 papers), d620 Acquisition of goods and services (1 paper), d630 Preparing meals (1 paper), and d640 Doing housework (1 paper).
Moreover, among the component Environmental factors, the most explored categories are e580 Health services, systems and policies (32 papers); e590 Labor and employment services, systems, and policies (10 papers); e355 Health professionals (8 papers); e570 Social security services, systems, and policies (6 papers); e110 Products or substances for personal consumption (1 paper); e450 Individual attitudes of health professionals (1 paper); and e425 Individual attitudes of acquaintances, peers, colleagues, neighbors, and community members (1 paper).
Considering the three areas of health, 8 articles cover all the 3 areas of health, another 8 cover both physical and mental health, 1 covers both physical and social health, 2 cover both mental and social health, 9 cover physical health, 7 cover mental health, and 15 cover social health. The authors also considered 15 papers that are not matched with any area of health but concern health system and policy.
Discussion
Given the presented studies, it is clear that rehabilitation is an essential part of cancer care in all phases of disease, and especially in survivorship, when the priority of interventions is focused on persons who experienced cancer and need to return to their family and social life. This is a common goal across all types of cancer, and there are many high-quality studies on assessing survivorship in a mixed populations of a variety of cancer diagnoses. However, there is no international consensus on the time framework of survivorship care.
We focused our attention on early or long-term survivorship at least 1 year after the end of active treatments considering the rehabilitation strategy prevalent in the posttreatment phase better than in the acute phase when cancer curative strategy is the main goal [87]. To guarantee the continuum of care beyond diagnosis and active treatment until survivorship, the Survivorship Care Plan (SCP) model was developed. In several countries, oncologists have adopted this model involving general practitioners (GPs) and primary care physicians (PCPs) in the survivorship care. The SCP provides information on cancer and related treatments along with instructions for follow up care; however, equally detailed post-treatment side effects are less frequently included. Despite the recommendations from major bodies and scientific societies (American Cancer Society, American College of Surgeon, and others) to implement the SCPs, there is no strong evidence that SCPs positively impact on level of outcomes in cancer survivors [88•, 89•]. Specific BC SCPs are available including a brief clinical summary and the follow-up planning rather than recommendations to support survivors and their family in carrying out daily life, adopting healthy behaviors, and following rehabilitation programs if indicated [75]. This strategy is still far from optimal. GPs and PCPs have limited time and resources to provide appropriate interventions for a cancer survivor’s physical, mental, and social health needs, including education and empowerment, while continuing to provide comprehensive medical care. However, the addition of the involvement of a physiatrist’s focus on rehabilitation needs and function could specifically address a survivor’s physical, mental, and social health needs.
The multidimensional aspect of BC-related disability is evident considering the assignment of the selected papers to the major components of ICF BC CCS and included categories based on the topics of each paper. A paper is commonly assigned to a couple or more categories of the ICF BC CCS major components but less frequently to 2 or 3 of the areas of health. Out of the 65 selected articles, 31 papers cover a single area of health and 15 are not matched with any area of health because they concern health system and policy.
However, many categories of the ICF BC CCS are not linked to the items of selected papers. On the other hand, the ICF BC CCS does not include many categories recurring in the analyzed papers. In our opinion, the ICF BC Comprehensive and Brief Core Sets are a valuable tool, but they need to be updated. Significant categories are lacking in the BC CCS such as b144 Memory function, b164 High level cognitive function, e125 Products and technology for communication, e130 Products and technology for education, e135 Products and technology for employment, and e140 Products and technology for culture, recreation, and sports. Memory loss and cognitive decline are frequent complaints from BC survivors and can strongly impact their return to work and the maintenance of the same level of pay.
There is a growing interest in the use of computer technology and social media to support BC survivors by providing resources and information regarding physical activity, healthy behavior, cognitive enhancement, and vocational training. Financial burden and loss of work opportunity are strategic issues for individuals and families as well as for society. There are notable disparities in survivors returning to work and sustaining financial burden between developed and underdeveloped countries as well as various socioeconomic groups and geographic (rural versus urban) areas of the same country. Items included between “body functions” and “activity and participation” are traceable to the areas of physical and mental health. Among these problems, some issues have been very well represented for decades such as b435 Lymphedema, fatigue; b455 Exercise tolerance functions; and b740 Muscle endurance functions, psychological needs (d240 Handling stress and other psychological demands). However, new needs are emerging including weight management, sexual and intimate life difficulties, and daily challenges that have been less reported in previous rehabilitation studies. These issues are evident in many studies on quality of life (QoL) which is a significant outcome in cancer care and a substantial endpoint in many clinical trials. QoL is a powerful indicator for outcomes in all chronic diseases as well as in cancer. Among all QoL measurement scales, the most used remains the MOS 36-item Short-Form Health Survey (SF-36) that is widely validated in several chronic diseases. However, SF-36 is not cancer specific [90]. There are current studies to develop specific cancer survivorship QoL measurement instrument [91•]. In our opinion, it will be successful if QoL measurement becomes an essential step in survivor’s rehabilitation assessment to further highlight the role of rehabilitation in cancer survivorship care. As social health is a key factor to QoL, it will be important to leverage technology to help provide information and support for the self-management of a healthy lifestyle including nutrition and physical activity.
BC survivors are asking for support from the health care systems and policies; however, these systems are still far from offering satisfactory support to patients and families. The reality of cancer care is changing with increasing prevalence of BC survivors, needing interventions covering aspects of physical, mental, and social health even after their active treatment and surveillance have completed. Rehabilitation services could be the bridge between the comprehensive cancer center–based model and primary care–based model, offering each cancer survivor a tailored treatment along with an individual rehabilitative plan including and not excluding the model of SCP. This paper is far from giving a certain answer on how to manage cancer survivorship, but we hope to identify the need for supporting policy and health system changes to bridge the gap between active treatment and survivorship beyond cancer.
Conclusions
The findings of this scoping review report that BC survivors are a growing population with emerging issues that strongly impact their life. The ICF BC CCS, along with its brief version, remains an essential tool in rehabilitation assessment for BC survivors even though it needs updating and to be associated with quality of life evaluation scales. The role of rehabilitation is crucial in BC survivorship both to give personalized answers to women beyond BC and to support the proper allocation of available resources for survivorship in each country within their means.
Data Availability Statement
Data and material are available at https://zenodo.org/record/6372904#.Yj61FXMLIU acceded on 21/03/2022.
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
Sharma R. Global, regional, national burden of breast cancer in 185 countries: evidence from GLOBOCAN 2018. Breast Cancer Res Treat. 2021 Jun;187(2):557–567. https://doi.org/10.1007/s10549-020-06083-6. Epub 2021 Jan 30. PMID: 33515396. This publication presents the updated data on the incidence and prevalence of different types of cancer in the world.
Institute of Medicine and National Research Council of the National Academies: From cancer patient to cancer survivor: lost in transition. Committee on Cancer Survivorship: Improving Care and Quality of Life, National Cancer Policy Board. Washington, DC, The National Academies Press, 2005
Dafni U, Tsourti Z, Alatsathianos I. Breast cancer statistics in the European Union: incidence and survival across European countries. Breast Care (Basel). 2019;14(6):344–53. https://doi.org/10.1159/000503219.
Özmen V, Özmen T, Doğru V. Breast cancer in Turkey: an analysis of 20.000 patients with breast cancer. Eur J Breast Health. 2019 Jul 1;15(3):141–146. https://doi.org/10.5152/ejbh.2019.4890. This study provides detailed data on a very large population of women with breast cancer in Turkey.
de Sire A, Losco L, Cigna E, Lippi L, Gimigliano F, Gennari A, Cisari C, Chen HC, Fusco N, Invernizzi M. Three-dimensional laser scanning as a reliable and reproducible diagnostic tool in breast cancer related lymphedema rehabilitation: a proof-of-principle study. Eur Rev Med Pharmacol Sci. 2020 Apr;24(8):4476–4485. https://doi.org/10.26355/eurrev_202004_21030.
Losco L, Cigna E. Aesthetic refinements in C-V flap: raising a perfect cylinder. Aesthet Surg J. 2018 Feb 17;38(2):NP26-NP28.
B Singh RR Spence ML Steele CX Sandler JM Peake SC Hayes 2018 Dec A systematic review and meta-analysis of the safety, feasibility, and effect of exercise in women with stage II+ breast cancer Arch Phys Med Rehabil 99 12 2621 2636. https://doi.org/10.1016/j.apmr.2018.03.026 Epub 2018 May 4 PMID: 29730319
llen JD, Savadatti S, Levy AG. The transition from breast cancer ‘patient’ to ‘survivor’. Psychooncology. 2009 Jan;18(1):71–8. https://doi.org/10.1002/pon.1380. PMID: 18613299.
Marcasciano M, Kaciulyte J, Mori FLR, Lo Torto F, Barellini L, Loreti A, Fanelli B, De Vita R, Redi U, Marcasciano F, Di Cesare F, Dal Prà G, Conversi A, Elia L, Montemari G, Vaia N, Bernini M, Sordi S, Luridiana G, D'Ermo G, Monti M, De Luca A, Ricci F, Mazzocchi M, Gentilucci M, Greco M, Losco L, Valdatta LA, Raposio E, Giudice G, Maruccia M, Di Benedetto G, Cigna E, Casella D, Ribuffo D. Breast surgeons updating on the thresholds of COVID-19 era: results of a multicenter collaborative study evaluating the role of online videos and multimedia sources on breast surgeons education and training. Eur Rev Med Pharmacol Sci. 2020 Jul;24(14):7845–7854. https://doi.org/10.26355/eurrev_202007_22289. PMID: 32744712.
American Cancer Society. Key statistic for breast cancer in Men. January 2021. Available at https://www.cancer.org/cancer/breast-cancer-in-men/about/key-statistics.html.
Ganz PA. Survivorship: adult cancer survivors. Prim Care. 2009;36(4):721–41. https://doi.org/10.1016/j.pop.2009.08.001 (PMID: 19913184).
de Sire A, Ferrillo M, Gennari A, Cisari C, Pasqua S, Foglio Bonda PL, Invernizzi M, Migliario M. Bone health, vitamin D status and oral hygiene screening in breast cancer women before starting osteoporosis treatment: a cross-sectional study. J Biol Regul Homeost Agents. 2021 Jan-Feb;35(1):397–402. https://doi.org/10.23812/20-686-L. Bone health is a growing issue among breast cancer women undergoing hormonal blockage for up to 10 years.
Ganz PA, Earle CC, Goodwin PJ. Journal of Clinical Oncology update on progress in cancer survivorship care and research. J Clin Oncol. 2012;30(30):3655–6. https://doi.org/10.1200/JCO.2012.45.3886 (Epub 2012 Sep 24 PMID: 23008327).
de Sire A, Invernizzi M, Lippi L, Cisari C, Özçakar L, Franchignoni F. Blurred lines between axillary web syndrome and Mondor’s disease after breast cancer surgery: a case report. Ann Phys Rehabil Med. 2020;63(4):365–7. https://doi.org/10.1016/j.rehab.2019.04.007 (Epub 2019 May 20 PMID: 31121334).
de Sire A, Losco L, Cisari C, Gennari A, Boldorini R, Fusco N, Cigna E, Invernizzi M. Axillary web syndrome in women after breast cancer surgery referred to an Oncological Rehabilitation Unit: which are the main risk factors? A retrospective case-control study. Eur Rev Med Pharmacol Sci. 2020 Aug;24(15):8028–8035. https://doi.org/10.26355/eurrev_202008_22486. PMID: 32767329.
Runowicz CD, Leach CR, Henry NL, Henry KS, Mackey HT, Cowens-Alvarado RL, Cannady RS, Pratt-Chapman ML, Edge SB, Jacobs LA, Hurria A, Marks LB, LaMonte SJ, Warner E, Lyman GH, Ganz PA. American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guidelines. J Clin Oncol. 2016;34(6):611–35. https://doi.org/10.1200/JCO.2015.64.3809 (Epub 2015 Dec 7 PMID: 26644543).
Invernizzi M, de Sire A, Lippi L, Venetis K, Sajjadi E, Gimigliano F, Gennari A, Criscitiello C, Cisari C, Fusco N. Impact of Rehabilitation on Breast Cancer Related Fatigue: A Pilot Study. Front Oncol. 2020 Oct 21;10:556718. https://doi.org/10.3389/fonc.2020.556718. PMID: 33194622; PMCID: PMC7609789. This study points out the central role of rehabilitation in treating fatigue which is one of the most disabling issues related to cancer and cancer treatments.
Meyer T, Gutenbrunner C, Bickenbach J, Cieza A, Melvin J, Stucki G. Towards a conceptual description of rehabilitation as a health strategy. J Rehabil Med. 2011;43(9):765–9. https://doi.org/10.2340/16501977-0865 (PMID: 21826389).
Gimigliano F, de Sire A, Gastaldo M, Maghini I, Paoletta M, Pasquini A, Boldrini P, Selb M, Prodinger B; SIMFER Residents Section Group. Use of the International Classification of Functioning, Disability and Health Generic-30 Set for the characterization of outpatients: Italian Society of Physical and Rehabilitative Medicine Residents Section Project. Eur J Phys Rehabil Med. 2019 Apr;55(2):258–264. https://doi.org/10.23736/S1973-9087.18.05324-8.
Stucki G, Melvin J. The International Classification of Functioning, Disability and Health: a unifying model for the conceptual description of physical and rehabilitation medicine. J Rehabil Med. 2007;39(4):286–92. https://doi.org/10.2340/16501977-0044 (PMID: 17468800).
Brach M, Cieza A, Stucki G, Füssl M, Cole A, Ellerin B, Fialka-Moser V, Kostanjsek N, Melvin J. ICF Core Sets for breast cancer. J Rehabil Med. 2004 Jul;(44 Suppl):121–7. https://doi.org/10.1080/16501960410016811. PMID: 15370759.
Chapman J, Fletcher C, Flight I, Wilson C. Pilot randomized trial of a volitional help sheet-based tool to increase leisure time physical activity in breast cancer survivors. Br J Health Psychol. 2018;23(3):723–40. https://doi.org/10.1111/bjhp.12313 (Epub 2018 May 16 PMID: 29770553).
Bail JR, Frugé AD, Cases MG, De Los Santos JF, Locher JL, Smith KP, Cantor AB, Cohen HJ, Demark-Wahnefried W. A home-based mentored vegetable gardening intervention demonstrates feasibility and improvements in physical activity and performance among breast cancer survivors. Cancer. 2018 Aug;124(16):3427–3435. https://doi.org/10.1002/cncr.31559. Epub 2018 Jun 22. PMID: 29932460; PMCID: PMC6108896.
Fong AJ, Jones JM, Faulkner G, Sabiston CM. Exploring cancer centres for physical activity and sedentary behaviour support for breast cancer survivors. Curr Oncol. 2018 Oct;25(5):e365-e372. https://doi.org/10.3747/co.25.3858. Epub 2018 Oct 31. PMID: 30464686; PMCID: PMC6209561.
Ghizzani A, Bruni S, Luisi S. The sex life of women surviving breast cancer. Gynecol Endocrinol. 2018;34(10):821–5. https://doi.org/10.1080/09513590.2018.1467401 (Epub 2018 Apr 27 PMID: 29703097).
Gonzalez-Hernandez E, Romero R, Campos D, Burychka D, Diego-Pedro R, Baños R, Negi LT, Cebolla A. Cognitively-Based Compassion Training (CBCT®) in breast cancer survivors: a randomized clinical trial study. Integr Cancer Ther. 2018 Sep;17(3):684–696. https://doi.org/10.1177/1534735418772095. Epub 2018 Apr 22. PMID: 29681185; PMCID: PMC6142100.
Eaglehouse YL, Shao S, Chan W, Brown D, Manjelievskaia J, Shriver CD, Zhu K. The continuum of breast cancer care and outcomes in the U.S. Military Health System: an analysis by benefit type and care source. J Cancer Surviv. 2018 Jun;12(3):407–416. https://doi.org/10.1007/s11764-018-0680-1. Epub 2018 Feb 17. PMID: 29455447.
,Dieli-Conwright CM, Courneya KS, Demark-Wahnefried W, Sami N, Lee K, Buchanan TA, Spicer DV, Tripathy D, Bernstein L, Mortimer JE. Effects of aerobic and resistance exercise on metabolic syndrome, sarcopenic obesity, and circulating biomarkers in overweight or obese survivors of breast cancer: a randomized controlled trial. J Clin Oncol. 2018 Mar 20;36(9):875–883. https://doi.org/10.1200/JCO.2017.75.7526. Epub 2018 Jan 22. Erratum in: J Clin Oncol. 2020 Apr 20;38(12):1370. Erratum in: J Clin Oncol. 2020 Jun 20;38(18):2115. PMID: 29356607; PMCID: PMC5858524.
Igwebuike LT, Zhang X, Brown JC, Schmitz KH. Applying pre-participation exercise screening to breast cancer survivors: a cross-sectional study. Support Care Cancer. 2018 Jun;26(6):1825–1831. https://doi.org/10.1007/s00520-017-4020-1. Epub 2017 Dec 19. PMID: 29260391; PMCID: PMC5924412.
Mirandola D, Miccinesi G, Muraca MG, Belardi S, Giuggioli R, Sgambati E, Manetti M, Monaci M, Marini M. Longitudinal assessment of the impact of adapted physical activity on upper limb disability and quality of life in breast cancer survivors from an Italian cohort. Support Care Cancer. 2018;26(2):329–32. https://doi.org/10.1007/s00520-017-3930-2 (Epub 2017 Oct 17 PMID: 29043460).
Stout NL, Alfano CM, Belter CW, Nitkin R, Cernich A, Lohmann Siegel K, Chan L. A bibliometric analysis of the landscape of cancer rehabilitation research (1992–2016). J Natl Cancer Inst. 2018 Aug 1;110(8):815–824. https://doi.org/10.1093/jnci/djy108. PMID: 29982543; PMCID: PMC6279275. This study provides a review of PubMed indexed articles and highlights that there are many studies on the topics of psychological interventions while there is a lack of studies on physical rehabilitation.
Dean LT, Schmitz KH, Frick KD, Nicholas LH, Zhang Y, Subramanian SV, Visvanathan K. Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA. J Cancer Surviv. 2018 Jun;12(3):306–315. https://doi.org/10.1007/s11764-017-0669-1. Epub 2018 Jan 25. PMID: 29372485; PMCID: PMC5955811.
Lee H, Uhm KE, Cheong IY, Yoo JS, Chung SH, Park YH, Lee JY, Hwang JH. Patient satisfaction with mobile health (mHealth) application for exercise intervention in breast cancer survivors. J Med Syst. 2018;42(12):254. https://doi.org/10.1007/s10916-018-1096-1 (PMID: 30402781).
Cheng KKF, Cheng HL, Wong W, Koh C. A mixed methods study to explore the supportive care needs of breast cancer survivors. Psychooncology. 2018;27(1):265–71. https://doi.org/10.1002/pon.4503 (Epub 2017 Aug 18 PMID: 28727224).
Sabiston CM, Lacombe J, Faulkner G, Jones J, Trinh L. Profiling sedentary behavior in breast cancer survivors: Links with depression symptoms during the early survivorship period. Psychooncology. 2018;27(2):569–75. https://doi.org/10.1002/pon.4520 (Epub 2017 Aug 31 PMID: 28763129).
Pullen T, Sharp P, Bottorff JL, Sabiston CM, Campbell KL, Ellard SL, Gotay C, Fitzpatrick K, Caperchione CM. Acceptability and satisfaction of project MOVE: a pragmatic feasibility trial aimed at increasing physical activity in female breast cancer survivors. Psychooncology. 2018 Apr;27(4):1251–1256. https://doi.org/10.1002/pon.4662. Epub 2018 Mar 1. PMID: 29409128; PMCID: PMC5947748.
Tsai E, Robertson MC, Lyons EJ, Swartz MC, Basen-Engquist K. Physical activity and exercise self-regulation in cancer survivors: A qualitative study. Psychooncology. 2018 Feb;27(2):563–568. https://doi.org/10.1002/pon.4519. Epub 2017 Sep 29. PMID: 28763133; PMCID: PMC5929476.
Cheville AL, McLaughlin SA, Haddad TC, Lyons KD, Newman R, Ruddy KJ. Integrated rehabilitation for breast cancer survivors. Am J Phys Med Rehabil. 2019 Feb;98(2):154–164. https://doi.org/10.1097/PHM.0000000000001017. PMID: 30119087. This paper emphasizes the role of screening and prevention activities to mitigate the impact of impairments related to cancer treatments and the relevance of integrated rehabilitative programs to offer survivors vocation- and avocation-directed services.
Caperchione CM, Sabiston CM, Stolp S, Bottorff JL, Campbell KL, Eves ND, Ellard SL, Gotay C, Sharp P, Pullen T, Fitzpatrick KM. A preliminary trial examining a “real world” approach for increasing physical activity among breast cancer survivors: findings from project MOVE. BMC Cancer. 2019;19(1):272. https://doi.org/10.1186/s12885-019-5470-2.PMID:30917793;PMCID:PMC6438029.
Singleton A, Partridge SR, Raeside R, Regimbal M, Hyun KK, Chow CK, Sherman K, Elder E, Redfern J. A text message intervention to support women’s physical and mental health after breast cancer treatments (EMPOWER-SMS): a randomised controlled trial protocol. BMC Cancer. 2019;19(1):660. https://doi.org/10.1186/s12885-019-5886-8.PMID:31272399;PMCID:PMC6610900.
Sheppard DM, Frost D, Jefford M, O’Connor M, Halkett G. ‘Beyond cancer’: a study protocol of a multimodal occupational rehabilitation programme to support breast cancer survivors to return work. BMJ Open. 2019;9(12): e032505. https://doi.org/10.1136/bmjopen-2019-032505.PMID:31843840;PMCID:PMC6924857.
Suzuki H, Seki A, Hosaka T, Matsumoto N, Tomita M, Takahashi M, Yamauchi H. Effects of a structured group intervention on obesity among breast cancer survivors. Breast Cancer. 2020;27(2):236–42. https://doi.org/10.1007/s12282-019-01013-x (Epub 2019 Oct 15 PMID: 31617073).
Sleight AG, Lyons KD, Vigen C, Macdonald H, Clark F. The association of health-related quality of life with unmet supportive care needs and sociodemographic factors in low-income Latina breast cancer survivors: a single-centre pilot study. Disabil Rehabil. 2019;41(26):3151–6. https://doi.org/10.1080/09638288.2018.1485179 (Epub 2018 Jul 27 PMID: 30052478).
Schmidt ME, Scherer S, Wiskemann J, Steindorf K. Return to work after breast cancer: the role of treatment-related side effects and potential impact on quality of life. Eur J Cancer Care (Engl). 2019 Jul;28(4):e13051. https://doi.org/10.1111/ecc.13051. Epub 2019 Apr 29. PMID: 31033073.
Springfield S, Odoms-Young A, Tussing-Humphreys L, Freels S, Stolley M. Adherence to American Cancer Society and American Institute of Cancer Research dietary guidelines in overweight African American breast cancer survivors. J Cancer Surviv. 2019 Apr;13(2):257–268. https://doi.org/10.1007/s11764-019-00748-y. Epub 2019 Apr 13. PMID: 30982113; PMCID: PMC6612676.
Tamminga SJ, Coenen P, Paalman C, de Boer AGEM, Aaronson NK, Oldenburg HSA, van Leeuwen FE, van der Beek AJ, Duijts SFA, Schaapveld M. Factors associated with an adverse work outcome in breast cancer survivors 5–10 years after diagnosis: a cross-sectional study. J Cancer Surviv. 2019;13(1):108–16. https://doi.org/10.1007/s11764-018-0731-7 (Epub 2019 Jan 14 PMID: 30637577).
Hamood R, Hamood H, Merhasin I, Keinan-Boker L. 2019 Apr Risk of cardiovascular disease after radiotherapy in survivors of breast cancer: A case-cohort study J Cardiol 73 4 280 291 https://doi.org/10.1016/j.jjcc.2018.10.009 Epub 2018 Dec 23 PMID: 30587455
Sabiston CM, Fong AJ, O’Loughlin EK, Meterissian S. A mixed-methods evaluation of a community physical activity program for breast cancer survivors. J Transl Med. 2019;17(1):206. https://doi.org/10.1186/s12967-019-1958-4.PMID:31217021;PMCID:PMC6585098.
Arem H, Lewin D, Cifu G, Bires J, Goldberg E, Kaltman R, Power MC, Mauro LA, Kogan M. A feasibility study of group-delivered behavioral interventions for insomnia among breast cancer survivors: comparing cognitive behavioral therapy for insomnia and a mind-body intervention. J Altern Complement Med. 2019;25(8):840–4. https://doi.org/10.1089/acm.2019.0038 (Epub 2019 Jun 25 PMID: 31237434).
Ellegaard MB, Jensen AB, Lomborg K. Development of a cancer self-management education programme for women with breast cancer at the end of primary treatment. J Cancer Educ. 2019;34(5):882–9. https://doi.org/10.1007/s13187-018-1390-0 (PMID: 30014171).
Cheng ASK, Liu X, Kwok CTT, Chung RCK, Zeng Y, Feuerstein M. Chinese translation of a measure of symptom burden, functional limitations, lifestyle, and health care-seeking skills in breast cancer survivors: the cancer survivor profile. J Cancer Surviv. 2019;13(1):130–47. https://doi.org/10.1007/s11764-019-0733-0 (Epub 2019 Jan 16 PMID: 30648231).
Lovelace DL, McDaniel LR, Golden D. Long-term effects of breast cancer surgery, treatment, and survivor care. J Midwifery Womens Health. 2019;64(6):713–24. https://doi.org/10.1111/jmwh.13012 (Epub 2019 Jul 19 PMID: 31322834).
Hamood R, Hamood H, Merhasin I, Keinan-Boker L. Work transitions in breast cancer survivors and effects on quality of life. J Occup Rehabil. 2019;29(2):336–49. https://doi.org/10.1007/s10926-018-9789-3 (PMID: 29948472).
Wolvers MDJ, Leensen MCJ, Groeneveld IF, Frings-Dresen MHW, De Boer AGEM. 2019 Sep Longitudinal associations between fatigue and perceived work ability in cancer survivors J Occup Rehabil 29 3 540 549 https://doi.org/10.1007/s10926-018-9814-6.PMID:30406343;PMCID:PMC6675773
,Jalambadani Z, Borji A. Effectiveness of mindfulness-based art therapy on healthy quality of life in women with breast cancer. Asia Pac J Oncol Nurs. 2019 Apr-Jun;6(2):193–197. https://doi.org/10.4103/apjon.apjon_36_18. PMID: 30931365; PMCID: PMC6371662.
Coletta AM, Marquez G, Thomas P, Thoman W, Bevers T, Brewster AM, Hawk E, Basen-Engquist K, Gilchrist SC. Clinical factors associated with adherence to aerobic and resistance physical activity guidelines among cancer prevention patients and survivors. PLoS ONE. 2019;14(8): e0220814. https://doi.org/10.1371/journal.pone.0220814.PMID:31369653;PMCID:PMC6675393.
Von Hippel C, Rosenberg SM, Austin SB, Sprunck-Harrild K, Ruddy KJ, Schapira L, Come S, Borges VF, Partridge AH. Identifying distinct trajectories of change in young breast cancer survivors’ sexual functioning. Psychooncology. 2019;28(5):1033–40. https://doi.org/10.1002/pon.5047 (Epub 2019 Mar 13 PMID: 30817075).
Myers JS, Mitchell M, Krigel S, Steinhoff A, Boyce-White A, Van Goethem K, Valla M, Dai J, He J, Liu W, Sereika SM, Bender CM. Qigong intervention for breast cancer survivors with complaints of decreased cognitive function. Support Care Cancer. 2019 Apr;27(4):1395–1403. https://doi.org/10.1007/s00520-018-4430-8. Epub 2018 Aug 21. PMID: 30128855; PMCID: PMC7084167.
Smith SK, MacDermott K, Amarasekara S, Pan W, Mayer D, Hockenberry M. Reimagine: a randomized controlled trial of an online, symptom self-management curriculum among breast cancer survivors. Support Care Cancer. 2019;27(5):1775–81. https://doi.org/10.1007/s00520-018-4431-7 (Epub 2018 Aug 27 PMID: 30146666).
Lozano-Lozano M, Martín-Martín L, Galiano-Castillo N, Fernández-Lao C, Cantarero-Villanueva I, López-Barajas IB, Arroyo-Morales M. Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors: randomized controlled trial. Ann Phys Rehabil Med. 2020;63(4):316–24. https://doi.org/10.1016/j.rehab.2019.07.007 (Epub 2019 Aug 24 PMID: 31454561).
Czamanski-Cohen J, Wiley J, Weihs KL. Protocol for the REPAT study: role of emotional processing in art therapy for breast cancer palliative care patients. BMJ Open. 2020;10(11): e037521. https://doi.org/10.1136/bmjopen-2020-037521.PMID:33444178;PMCID:PMC7678396.
Cheng ASK, Liu X, Ng PHF, Kwok CTT, Zeng Y, Feuerstein M. Breast cancer application protocol: a randomised controlled trial to evaluate a self-management app for breast cancer survivors. BMJ Open. 2020 Jul 5;10(7):e034655. https://doi.org/10.1136/bmjopen-2019-034655. PMID: 32624468; PMCID: PMC7337895. Self-management and communication are significant goals in cancer rehabilitation. This study shows the opportunities provided by new media in the field of rehabilitation.
Tollosa DN, Holliday E, Hure A, Tavener M, James EL. A 15-year follow-up study on long-term adherence to health behaviour recommendations in women diagnosed with breast cancer. Breast Cancer Res Treat. 2020;182(3):727–38. https://doi.org/10.1007/s10549-020-05704-4 (Epub 2020 Jun 13 PMID: 32535764).
Krok-Schoen JL, Naughton MJ, Noonan AM, Pisegna J, DeSalvo J, Lustberg MB. Perspectives of survivorship care plans among older breast cancer survivors: a pilot study. Cancer Control. 2020 Jan-Dec;27(1):1073274820917208. https://doi.org/10.1177/1073274820917208. PMID: 32233798; PMCID: PMC7143997.
Shih IH, Lin CY, Fang SY. Prioritizing care for women with breast cancer based on survival stage: a study examining the association between physical symptoms, psychological distress and unmet needs. Eur J Oncol Nurs. 2020;48: 101816. https://doi.org/10.1016/j.ejon.2020.101816 (Epub 2020 Jul 25 PMID: 32937261).
Invernizzi M, Kim J, Fusco N. Editorial: Quality of life in breast cancer patients and survivors. Front Oncol. 2020;18(10): 620574. https://doi.org/10.3389/fonc.2020.620574.PMID:33312961;PMCID:PMC7708334.
Montagnese C, Porciello G, Vitale S, Palumbo E, Crispo A, Grimaldi M, Calabrese I, Pica R, Prete M, Falzone L, Libra M, Cubisino S, Poletto L, Martinuzzo V, Coluccia S, Esindi N, Nocerino F, Minopoli A, Grilli B, Fiorillo PC, Cuomo M, Cavalcanti E, Thomas G, Cianniello D, Pinto M, De Laurentiis M, Pacilio C, Rinaldo M, D'Aiuto M, Serraino D, Massarut S, Caggiari L, Evangelista C, Steffan A, Catalano F, Banna GL, Scandurra G, Ferraù F, Rossello R, Antonelli G, Guerra G, Farina A, Messina F, Riccardi G, Gatti D, Jenkins DJA, Celentano E, Botti G, Augustin LSA. Quality of life in women diagnosed with breast cancer after a 12-month treatment of lifestyle modifications. Nutrients. 2020 Dec 31;13(1):136. https://doi.org/10.3390/nu13010136. PMID: 33396551; PMCID: PMC7824271. Nutrition and physical activity are needs frequently reported by breast cancer survivors. This study shows that a healthy lifestyle, including Mediterranean diet and exercise, impacts positively on quality of life in breast cancer survivors.
Scott SB, Mogle JA, Sliwinski MJ, Jim HSL, Small BJ. Memory lapses in daily life among breast cancer survivors and women without cancer history. Psychooncology. 2020;29(5):861–8. https://doi.org/10.1002/pon.5357 (Epub 2020 Feb 21 PMID: 32040229).
Schmidt F, Ribi K, Haslbeck J, Urech C, Holm K, Eicher M. Adapting a peer-led self-management program for breast cancer survivors in Switzerland using a co-creative approach. Patient Educ Couns. 2020;103(9):1780–9. https://doi.org/10.1016/j.pec.2020.03.028 (Epub 2020 Apr 17 PMID: 32345575).
Palmer NR, Avis NE, Fino NF, Tooze JA, Weaver KE. Rural cancer survivors’ health information needs post-treatment. Patient Educ Couns. 2020 Aug;103(8):1606–1614. https://doi.org/10.1016/j.pec.2020.02.034. Epub 2020 Feb 27. PMID: 32147307; PMCID: PMC7311274.
Davies C, Levenhagen K, Ryans K, Perdomo M, Gilchrist L. Interventions for breast cancer-related lymphedema: clinical practice guideline from the Academy of Oncologic Physical Therapy of APTA. Phys Ther. 2020 Jul 19;100(7):1163–1179. https://doi.org/10.1093/ptj/pzaa087. PMID: 32589208; PMCID: PMC7412854. This working group from the American Physical Therapy Association presents the Clinical Practice Guideline for Breast Cancer-Related Lymphedema, a detailed and updated guideline to support clinicians and health professionals throughout the lymphedema care trajectory.
Harrington SE, Stout NL, Hile E, Fisher MI, Eden M, Marchese V, Pfalzer LA. Cancer rehabilitation publications (2008–2018) with a focus on physical function: a scoping review. Phys Ther. 2020 Mar 10;100(3):363–415. https://doi.org/10.1093/ptj/pzz184. PMID: 32043151; PMCID: PMC8204886. This article presents a review of Cancer Rehabilitation publications from 2008 to 2018 and reports a lack in the literature regarding measurements tools used to assess physical function.
Krok-Schoen JL, DeSalvo J, Klemanski D, Stephens C, Noonan AM, Brill S, Lustberg MB. Primary care physicians’ perspectives of the survivorship care for older breast cancer survivors: a pilot study. Support Care Cancer. 2020;28(2):645–52. https://doi.org/10.1007/s00520-019-04855-5 (Epub 2019 May 22 PMID: 31119461).
Matsuoka YJ, Okubo R, Shimizu Y, Tsuji K, Narisawa T, Sasaki J, Sasai H, Akashi-Tanaka S, Hamaguchi T, Iwasa T, Iwata S, Kato T, Kurotani K, Maruyama D, Mori A, Ogawa A, Sakurai N, Shimazu T, Shimizu C, Tabuchi T, Takahashi M, Takano T, Tatematsu N, Uchitomi Y, Watanabe C, Fukui T. Developing the structure of Japan’s cancer survivorship guidelines using an expert panel and modified Delphi method. J Cancer Surviv. 2020;14(3):273–83. https://doi.org/10.1007/s11764-019-00840-3 (Epub 2019 Dec 6 PMID: 31811478).
Choi Y, Smith KC, Shukla A, Blackford AL, Wolff AC, Thorner E, Peairs KS, El Ayass W, Njoku P, Papathakis K, Riley CD, Zafman N, Asrari F, Camp M, Wright JL, Mayonado NJ, White SM, Snyder CF. Breast cancer survivorship care plans: what are they covering and how well do they align with national guidelines? Breast Cancer Res Treat. 2020;179(2):415–24. https://doi.org/10.1007/s10549-019-05480-w (Epub 2019 Oct 24 PMID: 31650346).
Cheville A, Lee M, Moynihan T, Schmitz KH, Lynch M, De Choudens FR, Dean L, Basford J, Therneau T. The impact of arm lymphedema on healthcare utilization during long-term breast cancer survivorship: a population-based cohort study. J Cancer Surviv. 2020 Jun;14(3):347–355. https://doi.org/10.1007/s11764-019-00851-0. Epub 2020 Mar 14. PMID: 32172321. Lymphedema is a significant and long-lasting issue among breast cancer survivors. This article examines this problem with the perspective of healthcare utilization.
Comander A, Frates B, Tollefson M. PAVING the path to wellness for breast cancer survivors: lifestyle medicine education and group interventions. Am J Lifestyle Med. 2021;15(3):242–8. https://doi.org/10.1177/1559827620986066.PMID:34025314;PMCID:PMC8120622.
Algeo N, Bennett K, Connolly D. Rehabilitation interventions to support return to work for women with breast cancer: a systematic review and meta-analysis. BMC Cancer. 2021 Aug 5;21(1):895. https://doi.org/10.1186/s12885-021-08613-x. PMID: 34353286; PMCID: PMC8340442. This review highlights the lack of effective rehabilitation interventions to support return to work for women beyond breast cancer; therefore, the development of vocation focused programs is crucial.
Mohlin Å, Bernhardsson K. Narratives of survivorship: a study of breast cancer pathographies and their place in cancer rehabilitation. Curr Oncol. 2021;28(4):2840–51. https://doi.org/10.3390/curroncol28040249.PMID:34436015;PMCID:PMC8395399.
Lewis J, Mackenzie L. Cognitive changes after breast cancer: a scoping review to identify problems encountered by women when returning to work. Disabil Rehabil. 2021 May 11:1–19. https://doi.org/10.1080/09638288.2021.1919216. Epub ahead of print. PMID: 33974469.
Cha L, Tevaarwerk AJ, Smith EM, Chandereng T, Huenerberg KJ, Seaborne LA, Carroll CB, Sesto ME. Reported concerns and acceptance of information or referrals among breast cancer survivors seen for care planning visits: results from the University of Wisconsin Carbone Cancer Center Survivorship Program. J Cancer Educ. 2021 Apr 26:https://doi.org/10.1007/s13187-021-02015-0. https://doi.org/10.1007/s13187-021-02015-0. Epub ahead of print. PMID: 33904118; PMCID: PMC8546027.
Vega JN, Albert KM, Mayer IA, Taylor WD, Newhouse PA. Subjective cognition and mood in persistent chemotherapy-related cognitive impairment. J Cancer Surviv. 2021 May 11. https://doi.org/10.1007/s11764-021-01055-1. Epub ahead of print. PMID: 33973154.
Hiltrop K, Heidkamp P, Breidenbach C, Kowalski C, Streibelt M, Ernstmann N. Conflicting demands, coping, and adjustment: a grounded theory to understand rehabilitation processes in long-term breast cancer survivors. Psychooncology. 2021;30(11):1957–64. https://doi.org/10.1002/pon.5769 (Epub 2021 Jul 27 PMID: 34272908).
Doré I, Plante A, Peck SS, Bedrossian N, Sabiston CM. Physical activity and sedentary time: associations with fatigue, pain, and depressive symptoms over 4 years post-treatment among breast cancer survivors. Support Care Cancer. 2021 Jan;30(1):785–792. https://doi.org/10.1007/s00520-021-06469-2. Epub 2021 Aug 13. PMID: 34387728. This study highlights the role of rehabilitation to reduce sedentary time and the positive association of moderate-to-vigorous physical activity with low scores of depressive syptoms.
Sohn, Kate J.; Park, Sun-Young; Kim, Sue A scoping review of return to work decision-making and experiences of breast cancer survivors in Korea. Supportive Care in Cancer . Apr 2021, Vol. 29 Issue 4, p1741–1751. 11p. https://doi.org/10.1007/s00520-020-05817-y
Ryans K, Perdomo M, Davies CC, Levenhagen K, Gilchrist L. Rehabilitation interventions for the management of breast cancer-related lymphedema: developing a patient-centered, evidence-based plan of care throughout survivorship. J Cancer Surviv. 2021 Jan 22. https://doi.org/10.1007/s11764-021-00991-2. Epub ahead of print. PMID: 33481161. Lymphedema
Rauch A, Cieza A, Stucki G. How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. Eur J Phys Rehabil Med. 2008;44(3):329–42 (PMID: 18762742).
Jacobsen PB, DeRosa AP, Henderson TO, Mayer DK, Moskowitz CS, Paskett ED, Rowland JH. Systematic review of the impact of cancer survivorship care plans on health outcomes and health care delivery. J Clin Oncol. 2018 Jul 10;36(20):2088–2100. https://doi.org/10.1200/JCO.2018.77.7482. Epub 2018 May 18. PMID: 29775389; PMCID: PMC6036622. This systematic review reports little evidence that SCPs improve health outcomes and health care delivery. The authors hope future studies to explore how to ensure that the SCP recommendations are acted on as current care.
Austin JD, Allicock M, Atem F, Lee SC, Fernandez ME, Balasubramanian BA. A structural equation modeling approach to understanding pathways linking survivorship care plans to survivor-level outcomes. J Cancer Surviv. 2020 Dec;14(6):834–846. https://doi.org/10.1007/s11764-020-00896-6. Epub 2020 May 30. PMID: 32474862; PMCID: PMC7577951. This study supports that receiving a survivorship care plan alone is unlikely to influence outcomes. There is a need to establish comprehensive models of survivorship care including SCPs together with actions to promote communication, health self-efficacy, and changes in health behaviors.
Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473–83. PMID: 1593914.
van Leeuwen M, Husson O, Alberti P, Arraras JI, Chinot OL, Costantini A, Darlington AS, Dirven L, Eichler M, Hammerlid EB, Holzner B, Johnson CD, Kontogianni M, Kjær TK, Morag O, Nolte S, Nordin A, Pace A, Pinto M, Polz K, Ramage J, Reijneveld JC, Serpentini S, Tomaszewski KA, Vassiliou V, Verdonck-de Leeuw IM, Vistad I, Young TE, Aaronson NK, van de Poll-Franse LV; EORTC QLG. Understanding the quality of life (QOL) issues in survivors of cancer: towards the development of an EORTC QOL cancer survivorship questionnaire. Health Qual Life Outcomes. 2018 Jun 4;16(1):114. https://doi.org/10.1186/s12955-018-0920-0. PMID: 29866185; PMCID: PMC5987570. This study aims to develop a questionnaire to evaluate the perceived quality of life in cancer survivors. It enrolled 575 disease-free cancer survivors with different types of cancer including breast cancer, across 14 European countries, and provides a provisional list of issues and site-specific questionnaire modules.
Acknowledgements
We are grateful to Dr. Alessandra Trocino, Librarian at the IRCCS National Cancer Institute Pascale of Naples, for providing excellent bibliographic service and assistance; and to Maura Tracey, Rehabilitation Nurse at the IRCCS National Cancer Institute Pascale of Naples, for providing English revision of the text.
Funding
This research has received funding by the Italian Ministry of Health (MoH) through the funds assigned to the project M5/12 (2017) Un approccio multimodale alla Fatigue in Oncologia (A multimodal approach to Fatigue in Cancer).
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Study design and conceptualization: MP, AdS; literature search: MP, AdS, with the support of Dr. A. Trocino librarian at the National Cancer Institute of Naples; data extraction and visualization: DC, MC; manuscript drafting and critical revision: MP, AdS, OOT, DC, MCP, AdS. All tables and the figure are original. All authors read and approved the final version of the manuscript.
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Monica Pinto declares that she has no conflict of interest. Dario Calafiore declares that he has no conflict of interest. Maria Carmela Piccirillo has received research funding from AstraZeneca and Roche, and has received compensation for contribution to educational activities from Astellas and AstraZeneca. Massimo Costa declares that he has no conflict of interest. Ozden Ozyemisci Taskiran declares that she has no conflict of interest. Alessandro de Sire declares that he has no conflict of interest.
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Pinto, M., Calafiore, D., Piccirillo, M.C. et al. Breast Cancer Survivorship: the Role of Rehabilitation According to the International Classification of Functioning Disability and Health—a Scoping Review. Curr Oncol Rep 24, 1163–1175 (2022). https://doi.org/10.1007/s11912-022-01262-8
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DOI: https://doi.org/10.1007/s11912-022-01262-8