Predictors of cancer rehabilitation medicine referral and utilization based on the Moving Through Cancer physical activity screening assessment.
Predictors of cancer rehabilitation medicine referral and utilization based on the Moving Through Cancer physical activity screening assessment.
复制标题
DOI：
10.1007/s00520-023-07679-6
复制
发表时间：
2023-03-16
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
癌症幸存者经历了经常得不到解决的高运动率。我的健康检查计划(MWC)是一个集成了EHR的筛查和转诊系统，包括监测体力活动和对癌症康复医学服务进行分类。这项研究考察了体力活动的评估和随后转诊至癌症康复医学的情况。对2021年4月至2022年1月期间完成MWC的幸存者进行了二次分析。单变量和多变量Logistic回归模拟了体力活动转诊合格和提供者完成癌症康复医学转诊的决定因素。转介是基于对通过癌症的调查问卷的回答。计算调整后的优势比(AOR)和相应的95%可信区间(95%CI)。共有1174名幸存者完成了评估，其中46%(n=540)报告了缺乏体力活动的情况。在控制了群体差异后，中度到重度身体功能障碍(AOR：1.750；95%CI：1.137，2.693)的个体有更高的几率，而自我报告的西班牙裔或拉丁裔种族(AOR：0.720；CI：0.556，0.932)发生身体不活动的几率较低。只有31%(n=168)的患者在发现缺乏运动后获得了癌症康复医学的完整医生转介。没有患者水平的因素与接受医生转诊相关。转诊后，8%(n=13)的人使用癌症康复医学服务。患者水平和临床因素可以预测体力活动转诊的资格；然而，它们似乎不能预测癌症康复医学的转诊完成情况。未来的研究应该侧重于潜在的提供者和组织层面的因素，这些因素相互作用并影响获得癌症康复医疗服务的机会。
Cancer survivors experience high rates of physical inactivity that often go unaddressed. The My Wellness Check program (MWC) is an EHR-integrated screening and referral system that includes surveillance of physical activity and triage to cancer rehabilitation medicine services. This study examined assessment of physical activity and subsequent referrals to cancer rehabilitation medicine. A secondary analysis was performed for survivors who completed the MWC between April 2021 and January 2022. Univariable and multivariable logistic regression modeled determinants of qualification for a physical activity referral and provider completion of referral to cancer rehabilitation medicine. Referral was based on responses to the Moving Through Cancer questionnaire. Adjusted odds ratios (aOR) and corresponding 95% confidence intervals (95% CI) were calculated. There were 1,174 survivors who completed the assessment, of which 46% (n = 540) reported physical inactivity. After controlling for group differences, individuals with moderate-severe physical dysfunction (aOR: 1.750; 95% CI: 1.137, 2.693) had higher odds, and self-reporting Hispanic or Latino ethnicity (aOR: 0.720; CI: 0.556, 0.932) had lower odds of physical inactivity. Only 31% (n = 168) received a completed physician referral to cancer rehabilitation medicine following identification of physical inactivity. No patient-level factors were associated with receiving a physician referral. Following referral, 8% (n = 13) utilized cancer rehabilitation medicine services. Patient-level and clinical factors may predict qualification for physical activity referrals; however, they don’t appear to predict referral completion to cancer rehabilitation medicine. Future research should focus on potential provider- and organization-level factors that interact and influence access to cancer rehabilitation medicine services.
登录
查看更多内容
影响因子：
4
作者：
通讯作者：
--
DOI：
10.14694/edbk_156164
发表时间：
2016-01-01
期刊：
American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting
影响因子：
--
作者：
Alfano, Catherine M;Cheville, Andrea L;Mustian, Karen
通讯作者：
Mustian, Karen
影响因子：
45.3
作者：
Ligibel, Jennifer A.;Bohlke, Kari;Alfano, Catherine M.
通讯作者：
Alfano, Catherine M.
DOI：
10.1177/1539449219844749
发表时间：
2019-10-01
期刊：
OTJR-OCCUPATION PARTICIPATION AND HEALTH
影响因子：
--
作者：
Newman, Robin M.;Alfano, Catherine M.;Lyons, Kathleen Doyle
通讯作者：
Lyons, Kathleen Doyle
影响因子：
2.9
作者：
Hunter, Elizabeth G.;Gibson, Robert W.;D'Amico, Mariana
通讯作者：
D'Amico, Mariana