From: A scoping review examining the integration of exercise services in clinical oncology settings
Author Country | Study | Population | Healthcare setting | Exercise service | Service description | Implementation outcomes |
---|---|---|---|---|---|---|
Dennett 2021 [27]; Dennett 2021 [28] Australia | Design: Prospective pre-post designQualitative exploration Evaluation: 6 months | Adult cancer survivors (n = 64) currently receiving or preparing for cancer treatment (curative or palliative) admitted as an inpatient or outpatient Age: 63 ± 11yrs Gender: Male: n = 41; 56%; Female: n = 32, 44% | Cancer unit — inpatient oncology ward + outpatient day oncology center offering chemotherapy — embedded in a publicly funded tertiary hospital | Exercise-based rehabilitation within a hospital-based cancer treatment center | Individually tailored, physiotherapist-led group-based circuit exercise class Frequency: 1-2x/wk Duration: 8 weeks | All |
Kennedy 2020 [29]; Newton 2020 [30] Australia | Design: Retrospective evaluation Evaluation: 50 months | Individuals (n = 73) receiving radiation therapy and/or chemotherapy Median age: 58.5; IQR: 48-67) Gender: Female: n = 43, 67.2%; male: n = 21, 32.8% Cancer type: Breast: n = 39, 60.9%; Prostate: n = 13, 20.3%; Colorectal: n = 3, 4.7%; Lung: n = 3, 4.7%; Other: n = 6, 9.4% Secondary cancer report: n = 3, 4.8% Treatment type: Radiation: n = 55, 85.9%; Chemo: n = 4, 6.3%); Radio + chemo: n = 5, 7.8% | Private oncology care clinic (GenesisCare) providing primarily outpatient-based radiation therapy and medical oncology treatments | Exercise service Clinic (Co-LEC) established in 2013 by researchers from Edit Cowan University, in partnership with GenesisCare | Patient tailored (progressive)/group-based resistance (2-3 sets; 6-12 reps) + aerobic exercise (20mins; 60%-80% estimated HRmax) delivered by an AEP Frequency: 60mins/session; 2-3x/wk Duration: Throughout treatment course (Average: 13wks) | All |
Dalzell 2017 [31] Canada | Design: Prospective Evaluation: 60 months | 234 new and follow-up cancer patients e.g., sample demographics for sample 2 months evaluation (multiple cancer types;) Mean Age: 52 ± 15.5yrs Female: 65% Patients on active treatment: 52% Patients with advanced disease or metastatic cancer: 35.5% Bone metastasis: 16% Bone metastasis: 16% | Integrated oncology and palliative care center within a publicly funded general hospital | Multimodal rehabilitation care model with hospital-based exercise oncology referral component (ActivOnco) embedded in a cancer center | Individualized plus group-based multicomponent exercise with patient education, exercise counseling, and self-management | All but sustainability and cost |
Dennett 2017 [32] Australia | Design: Ex post facto design using mixed methods approachEvaluation: 2 wks | Patients with different cancer diagnoses, disease stages, and treatment status | Public and private hospitals/cancer centers across 6 states/territories | 31 eligible programs identified from 56 public settings and 9 private settings | Individualized exercise program (Block = 14 programs; rolling = 17 programs) comprising mainly a combination of aerobic, resistance, and flexibility exercise 6-10 patients/session Frequency/duration: Outpatient: 2x/wk for 8wks; inpatient: 2x/day for the duration of inpatient stay (~ 2 wks) | All but sustainability and cost |