Abstract
Rehabilitation for cancer patients aims at reducing the impact of disabling and limiting conditions resulting from cancer and its treatment in order to enable patients to regain social integration and participation. Given current trends in cancer incidence and survival along with progress in medical treatment, cancer rehabilitation is becoming increasingly important in contemporary health care. Although not without limitations, the International Classification of Functioning, Disability and Health (ICF) provides a valuable perspective for cancer rehabilitation in understanding impairments in functioning and activity as the result of an interaction between a health condition and contextual factors. The structure of cancer rehabilitation varies across countries as a function of their healthcare systems and social security legislations, although there is a broad consensus with respect to its principal goals. Cancer rehabilitation requires a careful assessment of the individual patient’s rehabilitation needs and a multidisciplinary team of health professionals. A variety of rehabilitation interventions exist, including psycho-oncological and psycho-educational approaches. Research on the effectiveness of cancer rehabilitation provides evidence of improvements in relevant outcome parameters, but faces some methodological challenges as well.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, Filiberti A, Flechtner H, Fleishman SB, de Haes JCJM, Kaasa S, Klee MC, Osoba D, Razavi D, Rofe PB, Schraub S, Sneeuw KCA, Sullivan M, Takeda F (1993) The European Organisation for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85:365–376
Alfano CM, Ganz PA, Rowland JH, Hahn EE (2012) Cancer survivorship and cancer rehabilitation: revitalizing the link. J Clin Oncol 30:904–906. doi:10.1200/JCO.2011.37.1674
Antonovsky A (1993) The structure and properties of the sense of coherence scale. Soc Sci Med 36:725–733
Bartsch HH, Weis J, Moser M (2003) Cancer-related fatigue in patients attending oncological rehabilitation programs: prevalence, patterns and predictors. Onkologie 26:51–57
Baumann FT (2013) Physical exercise programs following cancer treatment. Eur Rev Aging Phys Act 10(1):57–59. doi:10.1007/s11556-012-0111-7
Beck AT, Steer RA, Ball R, Ranieri W (1996) Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess 67(3):588–597
Becker S, Kirchberger I, Cieza A, Berghaus A, Harréus U, Reichel O, Tschiesner U (2010) Content validation of the comprehensive ICF core set for head and neck cancer (HNC): the perspective of psychologists. Psychooncology 19:594–605. doi:10.1002/pon.1608
Bengel J, Wirtz M, Zwingmann C (2008) Diagnostische Verfahren in der Rehabilitation. (Diagnostik für Klinik und Praxis – Band 5). Hogrefe, Göttingen
Bergelt C, Koch U (2002) Rehabilitation bei Tumorpatienten In Schwarzer R, Jerusalem M, Weber H Gesundheitspsychologie von A – Z. Hogrefe, Göttingen, pp 455–458
Bjelland I, Dahl AA, Haug TT, Neckelmann D (2002) The validity of the Hospital anxiety and depression scale. an updated literature review. J Psychosom Res 52(2):69–77
Bornbaum CC, Doyle PC, Skarakis-Doyle E, Theurer JA (2013) A critical exploration of the international classification of functioning, disability, and health (ICF) framework from the perspective of oncology: recommendations for revision. J Multidiscip Healthc 6:75–686. doi:10.2147/JMDH.S40020
Brach M, Cieza A, Stucki G, Füßl M, Cole A, Ellerin B, Fialka-Moser V, Kostanjsek N, Melvin J (2004) ICF core sets for breast cancer. J. Rehabil Med Suppl. 44:121–127
Bray F, Jemal A, Grey N, Ferlay J, Forman D (2012) Global cancer transitions according to the Human Development Index (2008–2030): a population-based study. Lancet Oncol 13:790–801. doi:10.1016/S1470-2045(12)70211-5
Cancer Research UK (2014) World Cancer fact sheet. World Cancer burden (2012). http://publications.cancerresearchuk.org/downloads/Product/CS_REPORT_WORLD.pdf. Accessed Jan 21 2017)
Carver CS, Scheier MF, Weintraub JK (1989) Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 56:267–283
Derogatis LR, Melisaratos N (1983) The brief symptom inventory: an introductory report. Psychol Med 13(3):595–605
Derogatis LR, Savitz KL (1999) The SCL-90-R, brief symptom inventory, and matching clinical rating scales. In Maruish ME (ed) The use of psychological testing for treatment planning and outcome assessment, 2nd edn. Erlbaum, Mahwah, pp 679–724
Du S, Hu L, Dong J, Xu G, Jin S, Zhang H, Yin H (2015) Patient education programs for cancer-related fatigue: a systematic review. Patient Educ Couns 98(11):1308–1319
Edwards AG, Hulbert-Williams N, Neal RD (2008) Psychological interventions for women with metastatic breast cancer. Cochrane Database Syst Rev 16: CD004253. doi:10.1002/14651858.CD004253.pub3
Ercoli LM, Petersen L, Hunter AM (2015) Cognitive rehabilitation group intervention for breast cancer survivors: results of a randomized clinical trial. Psycho-Oncology 24:1360–1367. doi:10.1002/pon.3769
Eriksson M, Lindström B (2006) Antonovsky’s sense of coherence scale and the relation with health: a systematic review. J Epidemiol Community Health 60(5):376–381
Ervik M, Lam F, Ferlay J, Mery L, Soerjomataram I, Bray F (2016) Cancer today. Lyon, France: International Agency for Research on Cancer. Cancer Today. Available from http://gco.iarc.fr/today. Accessed Jan 21 2017
Faller H, Schuler M, Richard M, Heckl U, Weis J, Küffner R (2013) Effects of psycho-oncologic interventions on emotional distress and quality of life in adult patients with cancer: systematic review and meta-analysis. J Clin Oncol 31(6):782–793. doi:10.1200/JCO.2011.40.8922
Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136(5):E359–E386. doi:10.1002/ijc.29210
Fialka-Moser V, Crevenna R, Korpan M, Quittan M (2003) Cancer rehabilitation. Particularly with aspects on physical impairment. J Rehabil Med 35:153–162
Folkman S (2013) Ways of coping checklist (WCCL). In: Gellman MD, Turner JR (eds) Encyclopedia of behavioral medicine. Springer, New York, p 2041–2042
Gamble GL, Gerber LH, Spill GR, Paul KL (2011) The future of cancer rehabilitation: emerging subspecialty. Am J Phys Med Rehabil 90(5 Suppl 1):S76–S87. doi:10.1097/PHM.0b013e31820be0d1
Ganz PA, Schag CA, Lee JJ, Sim MS (1992) The CARES: a generic measure of health-related quality of life for patients with cancer. Qual Life Res 1:19–29
Gerber L (2001) Cancer rehabilitation in the future. Cancer 92, 4 (Suppl.):975–979
Gerber L, Vargo M, Smith R (2005) Rehabilitation of the cancer patient. In: DeVita V et al (eds) Cancer: principles and practice of oncology, 7th edn. Lippincott William Philadelphia, pp 3089–3110
German Institute of Medical Documentation and Information (2005) Internationale Klassifikation der Funktionsfähigkeit. Behinderung und Gesundheit, WHO, Geneva
German Statutory Pension Insurance (2015) Reha-Bericht 2015. Die medizinische und berufliche Rehabilitation der Rentenversicherung im Licht der Statistik. DRV Bund, Berlin
German Statutory Pension Insurance (2016) Reha-Therapiestandards Brustkrebs. DRV Bund, Berlin
Gilchrist LS, Galantino ML, Wampler M, Marchese VG, Morris GS, Ness KK (2009) A framework for assessment in oncology rehabilitation. Phys Ther 89:286–306. doi:10.2522/ptj.20070309
Glaessel A, Kirchberger I, Stucki G, Cieza A (2011) Does the comprehensive international classification of functioning, disability and health (ICF) core set for breast cancer capture the problems in functioning treated by physiotherapists in women with breast cancer? Physiotherapy 97:33–46. doi:10.1016/j.physio.2010.08.010
Guideline Program Oncology (German Cancer Society. German Cancer Aid, Association of the Scientific Medical Societies in Germany) (2014) Psychoonkologische Diagnostik, Beratung und Behandlung von erwachsenen Krebspatienten, Langversion 1.1, 2014, AWMF-Registernummer: 032/051OL. http://leitlinienprogramm-onkologie.de/Leitlinien.7.0.html. Accessed 21 Jan 2017
Haaf HG (2005) Ergebnisse zur Wirksamkeit der Rehabilitation. Rehabilitation 44:259–276 (English abstract)
Heim ME, Kunert S, Ozkan I (2001) Effects of inpatient rehabilitation on health-related quality of life in breast cancer patients. Onkologie 24:268–272
Hellbom M, Bergelt C, Bergenmar M, Gijsen B, Loge JH, Rautalahti M, Smaradottir A, Johansen C (2011) Cancer rehabilitation: a Nordic and European perspective. Acta Oncol 50:179–186. doi:10.3109/0284186X.2010.533194
Hergert A, Hofreuter K, Melchior H, Morfeld M, Schulz H, Watzke B, Koch U, Bergelt C (2009) Effektivität von Interventionen in der Rehabilitation bei Prostatakarzinompatienten – Ein systematischer Literaturüberblick. Phys Med Rehab Kuror 19:311–325
Holland JC, Bultz BD, National comprehensive Cancer Network (NCCN) (2007) The NCCN guideline for distress management: a case for making distress the sixth vital sign. J Natl Compr Canc Netw 5(1):3-7
Holland JC, Breitbart WS, Jacobson PB, Loscalzo MJ, McCorkle R, Butow PN (eds) (2015) Psycho-oncology, 3rd edn. Oxford University Press, New York
Hunt SM, McKenna SP, McEwen J, Williams J, Papp E (1981) The Nottingham health profile: subjective health status and medical consultations. Soc Sci Med A 15(3 Pt 1):221–229
Kerns RD, Turk DC, Rudy TE (1985) The West Haven-Yale multidimensional pain inventory (WHYMPI). Pain 23(4):345–356
Khan F, Amatya B, Ng L, Demetrios M, Pallant JF (2012) Relevance and completeness of the international classification of functioning, disability and health (ICF) comprehensive breast cancer core set: the patient perspective in an Australian community cohort. J Rehabil Med 44(7):570–580. doi:10.2340/16501977-0972
Kirschneck M, Sabariego C, Singer S, Tschiesner U (2014) Assessment of functional outcomes in patients with head and neck cancer according to the international classification of functioning, disability and health core sets from the perspective of the multi-professional team: results of 4 Delphi surveys. Head Neck 36(7):954–968. doi:10.1002/hed.23399
Klauer T, Filipp SH (1993) Trierer Skalen zur Krankheitsbewältigung, 1st edn. Göttingen, Hogrefe
Koch U, Morfeld M (2004) Weiterentwicklungsmöglichkeiten der ambulanten Rehabilitation in Deutschland. Rehabiitation 43(5):284–95. (English abstract)
Koch U, Gundelach C, Tiemann F, Mehnert A (2000) Teilstationaere onkologische Rehabilitation – Ergebnisse eines Modellprojektes. Rehabilitation 39:363–372 (English abstract)
Kohlmann T, Bullinger M, Kirchberger-Blumstein I (1997) German version of the Nottingham Health Profile (NHP): translation and psychometric validation. Soz Präventivmed 42:175–185. doi:10.1007/BF01300568
Krüger A, Leibbrand B, Barth J, Berger D, Lehmann C, Koch U, Mehnert A (2009) Verlauf der psychosozialen Belastung und gesundheitsbezogenen Lebensqualität bei Patienten verschiedener Altersgruppen in der onkologischen Rehabilitation. Z Psychosom Med Psychother 55:141–161 (English abstract)
Leib A, Cieza A, Tschiesner U (2012) Perspective of physicians within a multidisciplinary team: content validation of the comprehensive ICF core set for head and neck cancer. Head Neck 34:956–966. doi:10.1002/hed.21844
Lundin A, Hallgren M, Theobald H, Hellgren C, Torgén M (2016) Validity of the 12-item version of the General Health Questionnaire in detecting depression in the general population. Public Health 136:66–74. doi:10.1016/j.puhe.2016.03.005
Merluzzi TV, Nairn RC, Hegde K, Martinez Sanchez MA, Dunn L (2001) Self-efficacy for coping with cancer: revision of the cancer behavior inventory (version 2.0). Psychooncology 10(3):206–217
Meyer T, Gutenbrunner C, Bickenbach J, Cieza A, Melvin J, Stucki G (2011) Towards a conceptual description of rehabilitation as a health strategy. J Rehabil Med 43:765–769. doi:10.2340/16501977-0865
Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, Snyder C (2012) Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database Syst Rev 8: CD007566. doi:10.1002/14651858.CD007566.pub2
Mitchell AJ (2007) Pooled results from 38 analyses of the accuracy of distress thermometer and other ultra-short methods of detecting cancer-related mood disorders. J Clin Oncol 25:4670–4681
Morfeld M, Kirchberger I, Bullinger M (2011) SF-36. Fragebogen zum Gesundheitszustand. 2., ergänzte und überarbeitete Auflage 2011. Hogrefe, Göttingen
Moss-Morris R, Weinman J, Petrie KJ, Horne R, Cameron LD, Buick D (2002) The revised illness perception questionnaire (IPQ-R). Psychol Health 17:1–16
Mpofu E, Oakland T (eds) (2010) Rehabilitation and health assessment: applying ICF guidelines. Springer, New York
Muthny FA (1989) Freiburger Fragebogen zur Krankheitsverarbeitung, 1st edn. Weinheim, Beltz
Newell SA, Sanson-Fisher RW, Savolainen NJ (2002) Systematic review of psychological therapies for cancer patients: overview and recommendation for future research. J Natl Cancer Inst 94:558–584
Oeffinger KC, McCabe MS (2006) Models for delivering survivorship care. J Clin Oncol 24:5117–5124
Ong ASJ, Ward C (2005) The construction and validation of a social support measure for sojourners: the Index of Sojourner Social Support (ISSS) scale. J Cross Cult Psychol 36:637–661
Puetz TW, Herring MP (2012) Differential effects of exercise on cancer-related fatigue during and following treatment: a meta-analysis. Am J Prev Med 43:e1–e24. doi:10.1016/j.amepre.2012.04.027
Reese C, Weis J, Schmucker D, Mittag O (2016) Development of practice guidelines for psychological interventions in the rehabilitation of patients with oncological disease (breast, prostate, or colorectal cancer): Methods and results. Psychooncology. doi:10.1002/pon.4322. [Epub ahead of print]
Reichel C, Oehler, G, Burghardt W (2013) Ernährungsmedizin in der Gastroenterologie. In Ernährungsmedizin in der Rehabilitation, Deutsche Rentenversicherung Bund, Abteilung Rehabilitation, ed. (Berlin): 1–217
Ruppert LM Stubblefield MD Stiles J Passik SD (2010) Rehabilitation medicine in Oncology. In: Holland JC Breitbart WS, Jacobson PB, Lederberg MS, Loscalzo MJ, McCorkle R (eds) Psycho-oncology, 2nd edn. Oxford University Press, New York, pp 460–463
Salz T, Oeffinger KC, McCabe MS, Layne TM, Bach PB (2012) Survivorship care plans in research and practice. CA Cancer J Clin. doi:10.3322/caac.20142
Schag CA, Ganz PA, Heinrich RL (1991) Cancer rehabilitation evaluation system–short form (CARES-SF). A cancer specific rehabilitation and quality of life instrument. Cancer 68:1406–1413
Spelten ER, Verbeek JH, Uitterhoeve AL, Ansink AC, van der Lelie J, de Reijke TM, Kammeijer M, de Haes JC, Sprangers MA (2003) Cancer, fatigue and the return of patients to work-a prospective cohort study. Eur J Cancer 39:1562–1567
Spence RR, Heesch KC, Eakin EG, Brown WJ (2007) Randomised controlled trial of a supervised exercise rehabilitation program for colorectal cancer survivors immediately after chemotherapy: study protocol. BMC Cancer 7:154
Stout NL, Binkley JM, Schmitz KH, Andrews K, Hayes SC, Campbell KL, McNeely ML, Soballe PW, Berger AM, Cheville AL, Fabian C, Gerber LH, Harris SR, Johansson K, Pusic AL, Prosnitz RG, Smith RA (2012) A prospective surveillance model for rehabilitation for women with breast cancer. Cancer 118:2191–2200. doi:10.1002/cncr.27476
Stubblefield MD, O’Dell MW (eds) (2009) Cancer rehabilitation: principles and practice. Demos Medical Publishing, New York
Stubblefield MD, Hubbard G, Cheville A, Koch U, Schmitz KH, Dalton SO (2013) Current perspectives and emerging issues on cancer rehabilitation. Cancer 119(Suppl 11):2170–2178. doi:10.1002/cncr.28059
Tait RC, Pollard CA, Margolis RB, Duckro PN, Krause SJ (1987) The pain disability index: psychometric and validity data. Arch Phys Med Rehabil 68(7):438–441
Teichmann JV (2002) Onkologische Rehabilitation: Evaluation der Effektivität stationärer onkologischer Reha-Maßnahmen. Die Rehabilitation 41:48–52 (English abstract)
Tschiesner U, Rogers S, Dietz A, Yueh B, Cieza A (2010) Development of ICF core sets for head and neck cancer. Head Neck 32:210–220. doi:10.1002/hed.21172
Tschiesner U, Oberhauser C, Cieza A (2011) ICF Core Set for head and neck cancer: do the categories discriminate among clinically relevant subgroups of patients? Int J Rehabil Res 34(2):121–130. doi:10.1097/MRR.0b013e328343d4bc
Ullrich A, Mehnert A (2010) Psychometrische Evaluation und Validierung einer 8-Item-Kurzversion der Skalen zur Sozialen Unterstützung bei Krankheit (SSUK) bei Krebspatienten. Klin Diagn Eval 3(4):259–381
van Weert E, Hoekstra-Weebers J, Grol B, Otter R, Arendzen HJ, Postema K, Sanderman R, van der Schans C (2005) A multidimensional cancer rehabilitation program for cancer survivors: effectiveness on health-related quality of life. J Psychosom Res 58(6):485–496
van Weert E, Hoekstra-Weebers J, Otter R, Postema K, Sanderman R, van der Schans C (2006) Cancer-related fatigue: predictors and effects of rehabilitation. Oncologist 11:184–196
van Weert E, May AM, Korstjens I, Post WJ, van der Schans CP, van den Borne B, Mesters I, Ros WJ, Hoekstra-Weebers JE (2010) Cancer-related fatigue and rehabilitation: a randomized controlled multicenter trial comparing physical training combined with cognitive-behavioral therapy with physical training only and with no intervention. Phys Ther 90(10):1413–1425. doi:10.2522/ptj.20090212. Epub 2010 Jul 22. Erratum in: Phys Ther. 2010 Dec; 90(12):1906
Wallston KA, Wallston BS, DeVellis R (1978) Development of the multidimensional health locus of control (MHLC) scales. Health Education Monographs 6:160–170
Ware JE, Kosinski M, Keller SK (1994) SF-36 physical and mental health summary scales: a user’s manual. The Health Institute, Boston
Webster K, Cella D, Yost K (2003) The functional assessment of chronic illness therapy (FACIT) measurement system: properties, applications, and interpretation. Health Qual Life Outcomes 1:79
Weis J, Domann U (2006) Interventionen in der Rehabilitation von Mammakarzinompatientinnen: Eine methodenkritische Uebersicht zum Forschungsstand. Rehabilitation 45:129–142 (English abstract)
Weis J, Moser MT, Bartsch HH (2006) Goal-oriented evaluation of inpatient rehabilitation programs for women with breast cancer (ZESOR –Study). In: Jäckel W, Bengel J, Herdt J (eds) Research in rehabilitation: results of a research network in Southwest Germany. Schattauer Verlag, Stuttgart, pp 162–171
WHO (1981) Disability prevention and rehabilitation. Report of the WHO expert committee on disability prevention and rehabilitation. Technical report series 668. WHO, Geneva
WHO (2001) International classification of functioning, disability and health. WHO, Geneva
Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370. doi:10.1111/j.1600-0447.1983.tb09716.x
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Weis, J., Giesler, J.M. (2018). Rehabilitation for Cancer Patients. In: Goerling, U., Mehnert, A. (eds) Psycho-Oncology. Recent Results in Cancer Research, vol 210. Springer, Cham. https://doi.org/10.1007/978-3-319-64310-6_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-64310-6_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-64309-0
Online ISBN: 978-3-319-64310-6
eBook Packages: MedicineMedicine (R0)