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The Efficacy of Outpatient Physiatrist Consultation in Cancer Survivors

David T. Harvey, MD FRCP (Hamilton Health Sciences, Hamilton, Canada)

Meeting: AAPM&R Annual Assembly 2019

Session Information

Date: Saturday, November 16, 2019

Session Title: Quality Improvement Case and Research Report

Session Time: 11:15am-12:45pm

Location: Research Hub - Kiosk 8

Disclosures: David T. Harvey, MD FRCP: Nothing to disclose

Objective: To determine whether a full assessment by an expert physiatrist would result in reduced pain and improved symptoms compared to those who did not receive this assessment and recommendations.

Design: Case control

Setting: Academic teaching center Juravinski Hospital, Hamilton Ontario, McMaster University.

Participants: Cancer survivors referred to an outpatient oncology rehabilitation clinic from oncologists in a regional cancer institute.

Interventions: Consultation and recommendations from expert physiatrists and nurse practitioner.

Main Outcome Measures: Edmonton Symptom Assessment Score (ESAS) Brief Pain Inventory (WHO).

Results: Assessment and recommendations from an expert physiatrist results in reduced pain and improvement in symptoms in comparison to those who did not receive this assessment. Those referred to a community based exercise program supervised by an expert nurse practitioner and physiotherapist showed improvement in symptoms and reported high levels of satisfaction with the program.

Conclusions: Consultation with cancer rehabilitation experts may result in reduced pain and improved symptoms.

Level of Evidence: Level III

To cite this abstract in AMA style:

Harvey DT. The Efficacy of Outpatient Physiatrist Consultation in Cancer Survivors [abstract]. PM R. 2019; 11(S2)(suppl 2). https://pmrjabstracts.org/abstract/the-efficacy-of-outpatient-physiatrist-consultation-in-cancer-survivors/. Accessed May 12, 2025.
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