识别癌症幸存者的临床重要功能障碍和康复需求,并进行癌症康复问卷的试点验证。
Identifying Clinically Important Functional Impairments and Rehabilitation Needs in Cancer Survivors and a Pilot Validation of the Cancer Rehabilitation Questionnaire.
发表日期:2022 Dec 16
作者:
Jia Min Yen, Ning Tang, Shuk In Tong, Effie Chew
来源:
JOURNAL OF REHABILITATION MEDICINE
摘要:
尽管癌症康复资源可得,我们机构的利用率仍为低。我们设计了癌症康复问卷(CRQ)来调查癌症幸存者的功能障碍患病率和参与康复的态度。我们评估了CRQ作为筛查工具检测临床重要的身体功能障碍的表现。我们进行了横断面研究,招募了一所大学肿瘤门诊的癌症幸存者。癌症幸存者完成了CRQ和欧洲肿瘤研究与治疗组织(EORTC)生活质量问卷-核心30问卷。进行了描述性统计分析和接收操作特征分析,以评估CRQ检测临床重要身体功能障碍能力,即由EORTC QLQ-C30测量。
在204名参与者中,有87.3%报告至少1个CRQ领域的障碍。疼痛和无力最为常见。肯定的问题数量与EORTC整体健康状况和功能评分相关。CRQ的≥4的截止点预测了临床重要的身体功能障碍(灵敏度61.8%,特异性75.5%)。在受影响者中,有53.9%不愿参加康复。交通,需要照顾者和费用是主要障碍。
我们的发现将指导资源分配以克服参与的障碍。 CRQ可以帮助分层癌症幸存者需要进一步的康复干预。
Despite the availability of cancer rehabilitation, utilization at our institution was low. We designed the Cancer Rehabilitation Questionnaire (CRQ) to investigate the prevalence of functional impairments amongst cancer survivors and attitudes towards rehabilitation participation. We evaluated the performance of CRQ as a screening tool for detecting clinically important physical dysfunction.A cross-sectional study was performed, recruiting cancer survivors at a university outpatient oncology clinic. Cancer survivors completed the CRQ and European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Core 30 Questionnaires. Descriptive statistical analysis and receiver operator characteristics analysis were performed to assess the ability of the CRQ to detect clinically important physical dysfunction, as measured by the EORTC QLQ-C30.Of 204 participants, 87.3% reported impairments in at least 1 CRQ domain. Pain and weakness were most common. The number of positive items correlated with EORTC global health status and functional scales. A cut-off of ≥ 4 on the CRQ predicted clinically important physical dysfunction (sensitivity 61.8%, specificity 75.5%). Of those with impairments, 53.9% were unwilling to participate in rehabilitation. Transportation, need for caregivers, and cost were the main barriers.Our findings will guide resource allocation to overcome barriers to participation. The CRQ can help to stratify cancer survivors requiring further rehabilitation interventions.