title: Barriers to rehabilitation of colorectal cancer patients.
abstract: BACKGROUND
  Colorectal cancer is one of the most common cancers in the United States. Since 1993 there has been a decrease in colorectal cancer mortality. Thus, there are more cancer survivors. In this manuscript potential barriers encountered during the rehabilitation of the colorectal cancer patient will be discussed.
  
  
  METHODS
  A literature review of manuscripts dealing with the rehabilitation and quality of life of the colorectal cancer patient was performed with specific emphasis on barriers for rehabilitation.
  
  
  RESULTS
  There is not much literature regarding barriers to the rehabilitation of the colorectal cancer patient. The rehabilitation of the colorectal cancer patient is a complex continuum. In order to maximize the potential for rehabilitation a team approach where the patient, family, friends and health care providers participate actively should be undertaken. The most common barriers are in the domains of knowledge, patient, health care system, and therapy. The impact of these barriers will vary from patient to patient.
  
  
  CONCLUSIONS
  There is a paucity of literature regarding barriers to the rehabilitation of the colorectal cancer patient. Prospective databases as well as prospective longitudinal studies need to be established so that the barriers that colorectal cancer patients encounter during their rehabilitation are more clearly identified and understood.
authors.affiliation: Department of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77230-1402, USA. mrodbig@mdanderson.org
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Rodriguez-Bigas
authors.forename: George J
authors.initials: GJ
authors.lastname: Chang
authors.forename: John M
authors.initials: JM
authors.lastname: Skibber
mesh_terms: D022126:Access to Information; D000203:Activities of Daily Living; D015179:Colorectal Neoplasms / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery; D006297:Health Services Accessibility; D006801:Humans; D007348:Insurance, Health; D010348:Patient Care Team; D011788:Quality of Life; D019145:Rehabilitation Nursing; D012917:Social Adjustment; D054047:Surgical Stomas / Q000502:physiology