Disclosures: Chanel I. Davidoff, DO: No financial relationships or conflicts of interest

Objective: Describe and compare the functional outcomes in a cohort of metastatic cancer patients undergoing comprehensive inpatient rehabilitation.

Design: Retrospective chart review of patients diagnosed with metastatic cancer who underwent comprehensive inpatient rehabilitation following acute hospitalization.

Setting: Single-center study within an inpatient rehabilitation unit

Participants: 48 patients met inclusion criteria and were further stratified into subgroups based on metastatic location and impairment diagnosis (brain, spinal cord, and non-neurologic dysfunction).

Interventions: No interventions were performed.

Main Outcome Measures: Functional outcome data was collected and reported as admission and discharge GG scores for both mobility and self-care categories. The GG scoring system is a validated and standardized assessment to evaluate individuals’ performance in a post-acute care setting. Change in GG score was calculated by the difference between admission and discharge GG scores for both categories. Other outcome measures included acute rehab LOS and discharge destination. For comparison, aggregate data was extracted for all admissions to our inpatient rehabilitation facility.

Results: Collectively, all metastatic patients improved their GG score, although less than the general rehab population. Compared to the general rehab population, the brain impairment group had significantly less GG change for self-care and mobility, non-neuro impairment group had significantly less GG change for self-care only, and no significant difference in functional change was seen in the Spinal Cord impairment group. No significant difference in rehab LOS in all metastatic patients. Most patients with spinal cord dysfunction were discharged home.

Conclusions: All metastatic cancer patients in our study demonstrated improved functional outcomes, however to a lesser extent compared to the general rehab population. Patients with spinal cord dysfunction from metastatic cancer made comparable functional gains and were more likely to be discharged home. There was no significant difference in length of stay for patients with metastatic cancer undergoing acute inpatient rehabilitation compared to the general inpatient rehab population.

Level of Evidence: Level III

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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/functional-outcomes-of-patients-with-metastatic-cancer-admitted-for-inpatient-rehabilitation-a-retrospective-analysis/