The Details of Inpatient Cancer Rehabilitation Provided by Designated Cancer Hospitals in Japan

Takuya Fukushima; Tetsuya Tsuji; Jiro Nakano; Shun Ishii; Shinsuke Sugihara; Hiroshi Sato; Juichi Kawakami; Hitoshi Kagaya; Akira Tanuma; Ryuichi Sekine; Keita Mori; Sadamoto Zenda; Akira Kawai

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The Details of Inpatient Cancer Rehabilitation Provided by Designated Cancer Hospitals in Japan

VernacularTitle:がん診療連携拠点病院における入院がんリハビリテーション治療の詳細
Author: Takuya FUKUSHIMA ¹ ; Tetsuya TSUJI ² ; Jiro NAKANO ³ ; Shun ISHII ¹ ; Shinsuke SUGIHARA ⁴ ; Hiroshi SATO ⁵ ; Juichi KAWAKAMI ⁶ ; Hitoshi KAGAYA ⁷ ; Akira TANUMA ⁸ ; Ryuichi SEKINE ⁹ ; Keita MORI ¹⁰ ; Sadamoto ZENDA ¹¹ ; Akira KAWAI ¹²
Author Information

1. Faculty of Rehabilitation, Kansai Medical University
2. Department of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital
3. Department of Rehabilitation Medicine, Keio University School of Medicine
4. Department of Rehabilitation, Michinoo-Miyata Orthopaedic Clinic
5. Department of Orthopedic Oncology and Rehabilitation, National Hospital Organization Shikoku Cancer Center
6. Department of Gastroenterological Surgery, Saitama Medical University International Medical Center
7. Department of Rehabilitation Medicine, Shiga Prefectural Rehabilitation Center
8. Department of Rehabilitation, National Center for Geriatrics and Gerontology
9. Department of Rehabilitation Medicine, Juntendo University Shizuoka Hospital
10. Department of Pain and Palliative Care, Kameda Medical Center
11. Department of Clinical Research Center, Shizuoka Cancer Center
12. Department of Radiation Oncology, National Cancer Center Hospital East
Keywords: inpatient cancer rehabilitation; cancer type; treatment
From:Palliative Care Research 2023;18(2):143-152
CountryJapan
Language:Japanese
Abstract: Objective: This study aimed to clarify the details of inpatient cancer rehabilitation interventions provided by designated cancer hospitals in Japan. Methods: This questionnaire-based survey asked specialists regarding the outline of their facilities’ inpatient cancer rehabilitation, Dietz classification, disease, and intervention details. Results: Restorative interventions were the most common, and the most common cancer was lung cancer followed by colorectal cancer; hematologic malignancy; gastric cancer; and liver, gallbladder, and pancreatic cancer. Intervention proportions for colorectal and gastric cancer were significantly higher in general hospitals than in university hospitals and cancer centers; in contrast, those for hematological malignancy were significantly higher in university hospitals than in general hospitals. For bone and soft tissue sarcomas, intervention proportions in cancer centers were significantly higher than those in university and general hospitals; and for oral, pharyngeal, and laryngeal cancers, they were significantly higher in university hospitals and cancer centers than in general hospitals. The most common intervention was walking training, followed by resistance training, basic motor training, activities of daily living training, and respiratory rehabilitation. Respiratory rehabilitation was performed significantly more frequently in university and general hospitals than in cancer centers.Conclusion: The diseases had differed according to the characteristics of the facilities, and the interventions were considered accordingly. In future, it will be necessary to verify the effectiveness of inpatient cancer rehabilitation according to facility characteristics and to disseminate information on inpatient cancer rehabilitation.