Prehabilitation services for people diagnosed with cancer in Scotland - Current practice, barriers and challenges to implementation.
Surgeon
; 20(5): 284-290, 2022 Oct.
Article
in En
| MEDLINE
| ID: mdl-34535399
ABSTRACT
BACKGROUND:
Prehabilitation is the practice of enhancing a patient's functional and psychological capacity before treatment commences. It is of interest in the cancer context because of the impact of treatments on quality of life and cancer survivorship. This work aims to document current practice, barriers and challenges to implementing prehabilitation to inform the development of a national framework.METHODS:
A mixed-methods approach was applied an on-line survey was sent to stakeholders in cancer care across Scotland, supplemented by in-depth interviews. Key domains explored were the perceived importance of prehabilitation, availability, delivery and content of services, outcome measures, referral processes and funding.FINDINGS:
A total of 295 survey responses were obtained and 11 interviews completed. Perceived importance of prehabilitation was rated highly. There was uncertainty over the definition of prehabilitation and most respondents did not know if local services were available. Where services were described, a range of health professionals were involved, different outcome measures were utilised and frequency of referrals varied. Respondents highlighted short time frames between referral and treatment, concerns about patient engagement, the evidence base for action and funding priorities. Respondents also commented on which context a referral should be made and to whom, and the need for equity of service across the country.CONCLUSIONS:
The current work found clear evidence of the perceived importance of prehabilitation in cancer patients. However, issues and key gaps were identified within current services (including issues arising from COVID-19) which must be addressed to enable wide-spread development and implementation of equitable programmes.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
COVID-19
/
Neoplasms
Type of study:
Diagnostic_studies
/
Prognostic_studies
/
Qualitative_research
Aspects:
Implementation_research
/
Patient_preference
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Surgeon
Year:
2022
Document type:
Article
Affiliation country:
Reino Unido