지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 477 - 482 (6page)
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초록· 키워드
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Objective To analyze patient characteristics of cancer rehabilitation and outcomes at our hospital.Methods This retrospective study analyzed 580 patients, who underwent cancer rehabilitation at our hospital and rehabilitation outcome after therapy were investigated. The relationship between the initial Barthel index and discharge outcomes was investigated, with a special focus on cancer patients with bone metastasis. The Barthel index and performance status (Eastern Cooperative Oncology Group) before and after rehabilitation were analyzed, and threshold value of home discharge was calculated from a receiver operating characteristic curve (ROC). General criteria for home discharge from our hospital included independence in performing basic activities of daily living such as bathing, feeding, and toileting or availability of home support from a family member/caregiver.Results The outcomes after rehabilitation among all the patients were as follows: discharge home 59%, death 13%, and others 27%. Statistical differences were observed between the initial and final values of the Barthel index in patients with bone metastasis, who could be discharged home (p=0.012). ROC analysis of the initial Barthel index for predicting home discharge revealed a threshold value of 60, sensitivity of 0.76, and specificity of 0.72.Conclusion The patients with bone metastasis had a lower rate of home discharge and a higher rate of mortality than all the study patients who underwent cancer rehabilitation at our hospital. It is proposed that at the time of initiation of rehabilitation for patients with bone metastasis, an initial Barthel index lower than 60 might predict a worse outcome than home discharge.
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참고문헌 (13)
참고문헌 신청
Bunting RW / 2001 / Bone metastasis and rehabilitation / Cancer 92(4 Suppl):1020~1028
Lehmann JF / 1978 / Cancer rehabilitation: assessment of need, development, and evaluation of a model of care / Arch Phys Med Rehabil 59:410~419
Harvey RF / 1982 / Cancer rehabilitation: an analysis of 36 program approaches / JAMA 247:2127~2131
Dietz JH / 1969 / Rehabilitation of the cancer patient / Med Clin North Am 53:607~624
Miyashita M / 2009 / Discharge from a palliative care unit: prevalence and related factors from a retrospective study in Japan / J Palliat Med 12:142~149
Lehmann JF / 1978 / Cancer rehabilitation: assessment of need, development, and evaluation of a model of care / Arch Phys Med Rehabil 59:410~419
Harvey RF / 1982 / Cancer rehabilitation: an analysis of 36 program approaches / JAMA 247:2127~2131
Dietz JH / 1969 / Rehabilitation of the cancer patient / Med Clin North Am 53:607~624
Miyashita M / 2009 / Discharge from a palliative care unit: prevalence and related factors from a retrospective study in Japan / J Palliat Med 12:142~149
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