Abstract
Purpose: Patients with human papillomavirus (HPV)-related head and neck cancer (HNC) have a better prognosis relative to other types of HNC, making survivorship an emerging and critical issue. Exercise is a core component of survivorship care, but little is known about how many survivors of HPV-related HNC can safely be advised to start exercising on their own, as opposed to needing further evaluation or supervised exercise. Methods: We utilized guidelines to identify health issues that would indicate value of further evaluation prior to being safely prescribed unsupervised exercise. We performed a retrospective chart review of 150 patients with HPV-related HNC to assess health issues 6 months after completing definitive therapy. Patients with at least one health issue were deemed appropriate to receive further evaluation prior to prescription for unsupervised exercise. We utilized logistic regression to identify clinical and demographic factors associated with the need for further evaluation, likely performed by outpatient rehabilitation clinicians. Results: In this cohort of patients, 39.3% could safely be prescribed unsupervised exercise 6 months after completing definitive therapy. On multivariable regression, older age, BMI >30, and receipt of radiation were associated with an increased likelihood for requiring further evaluation or supervised exercise. Conclusions: Over half of patients with HPV-related HNC would benefit from referral to physical therapy or an exercise professional for further evaluation to determine the most appropriate level of exercise supervision, based upon current guidelines. Implications for cancer survivors: Development of such referral systems will be essential to enhance survivorship outcomes for patients who have completed treatment.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 462-468 |
| Number of pages | 7 |
| Journal | Journal of Cancer Survivorship |
| Volume | 11 |
| Issue number | 4 |
| DOIs | |
| State | Published - Aug 1 2017 |
Fingerprint
All Science Journal Classification (ASJC) codes
- Oncology
- Oncology(nursing)
Cite this
}
Unsupervised exercise in survivors of human papillomavirus related head and neck cancer : how many can go it alone? / Bauml, Joshua; Kim, Jiyoung; Zhang, Xiaochen; Aggarwal, Charu; Cohen, Roger B.; Schmitz, Kathryn.
In: Journal of Cancer Survivorship, Vol. 11, No. 4, 01.08.2017, p. 462-468.Research output: Contribution to journal › Article
TY - JOUR
T1 - Unsupervised exercise in survivors of human papillomavirus related head and neck cancer
T2 - how many can go it alone?
AU - Bauml, Joshua
AU - Kim, Jiyoung
AU - Zhang, Xiaochen
AU - Aggarwal, Charu
AU - Cohen, Roger B.
AU - Schmitz, Kathryn
PY - 2017/8/1
Y1 - 2017/8/1
N2 - Purpose: Patients with human papillomavirus (HPV)-related head and neck cancer (HNC) have a better prognosis relative to other types of HNC, making survivorship an emerging and critical issue. Exercise is a core component of survivorship care, but little is known about how many survivors of HPV-related HNC can safely be advised to start exercising on their own, as opposed to needing further evaluation or supervised exercise. Methods: We utilized guidelines to identify health issues that would indicate value of further evaluation prior to being safely prescribed unsupervised exercise. We performed a retrospective chart review of 150 patients with HPV-related HNC to assess health issues 6 months after completing definitive therapy. Patients with at least one health issue were deemed appropriate to receive further evaluation prior to prescription for unsupervised exercise. We utilized logistic regression to identify clinical and demographic factors associated with the need for further evaluation, likely performed by outpatient rehabilitation clinicians. Results: In this cohort of patients, 39.3% could safely be prescribed unsupervised exercise 6 months after completing definitive therapy. On multivariable regression, older age, BMI >30, and receipt of radiation were associated with an increased likelihood for requiring further evaluation or supervised exercise. Conclusions: Over half of patients with HPV-related HNC would benefit from referral to physical therapy or an exercise professional for further evaluation to determine the most appropriate level of exercise supervision, based upon current guidelines. Implications for cancer survivors: Development of such referral systems will be essential to enhance survivorship outcomes for patients who have completed treatment.
AB - Purpose: Patients with human papillomavirus (HPV)-related head and neck cancer (HNC) have a better prognosis relative to other types of HNC, making survivorship an emerging and critical issue. Exercise is a core component of survivorship care, but little is known about how many survivors of HPV-related HNC can safely be advised to start exercising on their own, as opposed to needing further evaluation or supervised exercise. Methods: We utilized guidelines to identify health issues that would indicate value of further evaluation prior to being safely prescribed unsupervised exercise. We performed a retrospective chart review of 150 patients with HPV-related HNC to assess health issues 6 months after completing definitive therapy. Patients with at least one health issue were deemed appropriate to receive further evaluation prior to prescription for unsupervised exercise. We utilized logistic regression to identify clinical and demographic factors associated with the need for further evaluation, likely performed by outpatient rehabilitation clinicians. Results: In this cohort of patients, 39.3% could safely be prescribed unsupervised exercise 6 months after completing definitive therapy. On multivariable regression, older age, BMI >30, and receipt of radiation were associated with an increased likelihood for requiring further evaluation or supervised exercise. Conclusions: Over half of patients with HPV-related HNC would benefit from referral to physical therapy or an exercise professional for further evaluation to determine the most appropriate level of exercise supervision, based upon current guidelines. Implications for cancer survivors: Development of such referral systems will be essential to enhance survivorship outcomes for patients who have completed treatment.
UR - http://www.scopus.com/inward/record.url?scp=85012254101&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85012254101&partnerID=8YFLogxK
U2 - 10.1007/s11764-017-0604-5
DO - 10.1007/s11764-017-0604-5
M3 - Article
C2 - 28194641
AN - SCOPUS:85012254101
VL - 11
SP - 462
EP - 468
JO - Journal of Cancer Survivorship
JF - Journal of Cancer Survivorship
SN - 1932-2259
IS - 4
ER -