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Secondary analysis of routinely collected cancer rehabilitation data from a specialist service in South Wales, UK

Mari Jones Orcid Logo, Csontos, J, Watts, T, Roche, D

International Conference on Cancer Nursing 2021

Swansea University Author: Mari Jones Orcid Logo

Abstract

Background: Evidence suggests worldwide that cancer rehabilitation has a positive effect on cancer-related health problems, such as fatigue and reduced lung capacity. In South Wales (UK), a specialist cancer rehabilitation service has been collecting outcome data as part of routine assessment since...

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Published in: International Conference on Cancer Nursing 2021
Published: 2019
Online Access: http://orca.cf.ac.uk/id/eprint/126542
URI: https://cronfa.swan.ac.uk/Record/cronfa56252
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2021-02-23T12:13:01.9890274</datestamp><bib-version>v2</bib-version><id>56252</id><entry>2021-02-15</entry><title>Secondary analysis of routinely collected cancer rehabilitation data from a specialist service in South Wales, UK</title><swanseaauthors><author><sid>8e326860810f5f960b088db10ef58906</sid><ORCID>0000-0001-9661-4899</ORCID><firstname>Mari</firstname><surname>Jones</surname><name>Mari Jones</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2021-02-15</date><deptcode>PHAC</deptcode><abstract>Background: Evidence suggests worldwide that cancer rehabilitation has a positive effect on cancer-related health problems, such as fatigue and reduced lung capacity. In South Wales (UK), a specialist cancer rehabilitation service has been collecting outcome data as part of routine assessment since 2014 to monitor changes in people&#x2019;s fatigue and functional status. People are assessed before and after a 12-week therapeutic episode which could comprise hydrotherapy, Tai Chi, exercise classes and individual therapy based on people&#x2019;s needs and preferences. However, the data collected have not yet been comprehensively analysed. The aim of this study was to explore the routinely collected data and investigate change in functional outcomes from 2014 until 2017. Methods: Descriptive statistics were derived from demographic data (cancer site, gender) and outcome measures to explore the data. Pre and post-assessment Functional Assessment of Chronic Illness Therapy &#x2013; Fatigue (FACIT-F), Timed up and go (TUAG), pain, shortness of breath and quality of life visual analogue scale (VAS) were compared with Paired-samples t-test and Wilcoxon signed-rank test to look for significant change. Missing data was listwise deleted. The study was approved by London South &#x2013; East Research Ethics Committee (17/LO/2123). Results: Anonymised records (n=1645) were split into four years (2014, 2015, 2016 and 2017) and up to 12 attendance episodes (Ep1-12). There was significant (two tailed p&lt;0.05) change between pre and post-assessment in most of the outcome measures during episodes 1-3 in each year. Fatigue (e.g.: FACIT-FEp1/2014 n=55, MedianPre=24.00 and MedianPost=31.00 , T=1159, p=0.000, r=0.48), pain (e.g.: PainEp1/2014 n=32, MedianPre=6.25 and MedianPost=3.50 , T=30, p=0.000, r=-0.68) and TUAG (e.g.: TUAGEp1/2014 n=78, MedianPre=7.61 and MedianPost=6.92 , T=665.5, p=0.000, r=-0.49) reduced. This could indicate that cancer rehabilitation provided by a specialist service in South Wales has positive influence on people&#x2019;s health. However, shortness of breath was not significant in most episodes and years. Conclusion(s): Results imply that people could benefit from cancer rehabilitation provided by a specialist service in South Wales. However, change was mostly noticeable during early episodes (Ep1-3). This could indicate that people do not benefit from further interventions. Tailoring therapeutic episodes to individual needs may facilitate more effective use of resources.</abstract><type>Conference Paper/Proceeding/Abstract</type><journal>International Conference on Cancer Nursing 2021</journal><volume/><journalNumber/><paginationStart/><paginationEnd/><publisher/><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic/><keywords/><publishedDay>3</publishedDay><publishedMonth>11</publishedMonth><publishedYear>2019</publishedYear><publishedDate>2019-11-03</publishedDate><doi/><url>http://orca.cf.ac.uk/id/eprint/126542</url><notes/><college>COLLEGE NANME</college><department>Public Health</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PHAC</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2021-02-23T12:13:01.9890274</lastEdited><Created>2021-02-15T06:25:44.5694291</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care</level></path><authors><author><firstname>Mari</firstname><surname>Jones</surname><orcid>0000-0001-9661-4899</orcid><order>1</order></author><author><firstname>Csontos,</firstname><surname>J</surname><order>2</order></author><author><firstname>Watts,</firstname><surname>T</surname><order>3</order></author><author><firstname>Roche,</firstname><surname>D</surname><order>4</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling 2021-02-23T12:13:01.9890274 v2 56252 2021-02-15 Secondary analysis of routinely collected cancer rehabilitation data from a specialist service in South Wales, UK 8e326860810f5f960b088db10ef58906 0000-0001-9661-4899 Mari Jones Mari Jones true false 2021-02-15 PHAC Background: Evidence suggests worldwide that cancer rehabilitation has a positive effect on cancer-related health problems, such as fatigue and reduced lung capacity. In South Wales (UK), a specialist cancer rehabilitation service has been collecting outcome data as part of routine assessment since 2014 to monitor changes in people’s fatigue and functional status. People are assessed before and after a 12-week therapeutic episode which could comprise hydrotherapy, Tai Chi, exercise classes and individual therapy based on people’s needs and preferences. However, the data collected have not yet been comprehensively analysed. The aim of this study was to explore the routinely collected data and investigate change in functional outcomes from 2014 until 2017. Methods: Descriptive statistics were derived from demographic data (cancer site, gender) and outcome measures to explore the data. Pre and post-assessment Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F), Timed up and go (TUAG), pain, shortness of breath and quality of life visual analogue scale (VAS) were compared with Paired-samples t-test and Wilcoxon signed-rank test to look for significant change. Missing data was listwise deleted. The study was approved by London South – East Research Ethics Committee (17/LO/2123). Results: Anonymised records (n=1645) were split into four years (2014, 2015, 2016 and 2017) and up to 12 attendance episodes (Ep1-12). There was significant (two tailed p<0.05) change between pre and post-assessment in most of the outcome measures during episodes 1-3 in each year. Fatigue (e.g.: FACIT-FEp1/2014 n=55, MedianPre=24.00 and MedianPost=31.00 , T=1159, p=0.000, r=0.48), pain (e.g.: PainEp1/2014 n=32, MedianPre=6.25 and MedianPost=3.50 , T=30, p=0.000, r=-0.68) and TUAG (e.g.: TUAGEp1/2014 n=78, MedianPre=7.61 and MedianPost=6.92 , T=665.5, p=0.000, r=-0.49) reduced. This could indicate that cancer rehabilitation provided by a specialist service in South Wales has positive influence on people’s health. However, shortness of breath was not significant in most episodes and years. Conclusion(s): Results imply that people could benefit from cancer rehabilitation provided by a specialist service in South Wales. However, change was mostly noticeable during early episodes (Ep1-3). This could indicate that people do not benefit from further interventions. Tailoring therapeutic episodes to individual needs may facilitate more effective use of resources. Conference Paper/Proceeding/Abstract International Conference on Cancer Nursing 2021 3 11 2019 2019-11-03 http://orca.cf.ac.uk/id/eprint/126542 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University 2021-02-23T12:13:01.9890274 2021-02-15T06:25:44.5694291 Faculty of Medicine, Health and Life Sciences School of Health and Social Care Mari Jones 0000-0001-9661-4899 1 Csontos, J 2 Watts, T 3 Roche, D 4
title Secondary analysis of routinely collected cancer rehabilitation data from a specialist service in South Wales, UK
spellingShingle Secondary analysis of routinely collected cancer rehabilitation data from a specialist service in South Wales, UK
Mari Jones
title_short Secondary analysis of routinely collected cancer rehabilitation data from a specialist service in South Wales, UK
title_full Secondary analysis of routinely collected cancer rehabilitation data from a specialist service in South Wales, UK
title_fullStr Secondary analysis of routinely collected cancer rehabilitation data from a specialist service in South Wales, UK
title_full_unstemmed Secondary analysis of routinely collected cancer rehabilitation data from a specialist service in South Wales, UK
title_sort Secondary analysis of routinely collected cancer rehabilitation data from a specialist service in South Wales, UK
author_id_str_mv 8e326860810f5f960b088db10ef58906
author_id_fullname_str_mv 8e326860810f5f960b088db10ef58906_***_Mari Jones
author Mari Jones
author2 Mari Jones
Csontos, J
Watts, T
Roche, D
format Conference Paper/Proceeding/Abstract
container_title International Conference on Cancer Nursing 2021
publishDate 2019
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care
url http://orca.cf.ac.uk/id/eprint/126542
document_store_str 0
active_str 0
description Background: Evidence suggests worldwide that cancer rehabilitation has a positive effect on cancer-related health problems, such as fatigue and reduced lung capacity. In South Wales (UK), a specialist cancer rehabilitation service has been collecting outcome data as part of routine assessment since 2014 to monitor changes in people’s fatigue and functional status. People are assessed before and after a 12-week therapeutic episode which could comprise hydrotherapy, Tai Chi, exercise classes and individual therapy based on people’s needs and preferences. However, the data collected have not yet been comprehensively analysed. The aim of this study was to explore the routinely collected data and investigate change in functional outcomes from 2014 until 2017. Methods: Descriptive statistics were derived from demographic data (cancer site, gender) and outcome measures to explore the data. Pre and post-assessment Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F), Timed up and go (TUAG), pain, shortness of breath and quality of life visual analogue scale (VAS) were compared with Paired-samples t-test and Wilcoxon signed-rank test to look for significant change. Missing data was listwise deleted. The study was approved by London South – East Research Ethics Committee (17/LO/2123). Results: Anonymised records (n=1645) were split into four years (2014, 2015, 2016 and 2017) and up to 12 attendance episodes (Ep1-12). There was significant (two tailed p<0.05) change between pre and post-assessment in most of the outcome measures during episodes 1-3 in each year. Fatigue (e.g.: FACIT-FEp1/2014 n=55, MedianPre=24.00 and MedianPost=31.00 , T=1159, p=0.000, r=0.48), pain (e.g.: PainEp1/2014 n=32, MedianPre=6.25 and MedianPost=3.50 , T=30, p=0.000, r=-0.68) and TUAG (e.g.: TUAGEp1/2014 n=78, MedianPre=7.61 and MedianPost=6.92 , T=665.5, p=0.000, r=-0.49) reduced. This could indicate that cancer rehabilitation provided by a specialist service in South Wales has positive influence on people’s health. However, shortness of breath was not significant in most episodes and years. Conclusion(s): Results imply that people could benefit from cancer rehabilitation provided by a specialist service in South Wales. However, change was mostly noticeable during early episodes (Ep1-3). This could indicate that people do not benefit from further interventions. Tailoring therapeutic episodes to individual needs may facilitate more effective use of resources.
published_date 2019-11-03T04:11:04Z
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