title: Effects of a step-by-step inpatient rehabilitation programme on quality of life in breast cancer patients. A prospective randomised study.
abstract: BACKGROUND
  The aim of this study was to compare a conventional oncological inpatient rehabilitation programme with an inpatient step-by-step rehabilitation programme with regard to quality of life in breast cancer patients.
  
  
  METHODS
  Women with the diagnosis of breast cancer were randomly assigned to either the step-by-step programme (group A: 3-week rehabilitation plus 4 and 8 months later a 1-week sojourn each time) or the conventional rehabilitation programme (group B: 4- week stay and no further interventions afterwards). Quality of life was assessed with the QLQ-C30 of the EORTC at t0 (beginning of the study), t1 (end of 3- or 4-week stay) and t2 (12 months after t0, end of study).
  
  
  RESULTS
  Between t0 and t1, a tendency (0.1 > p = 0.05) could be shown in group B towards better improvement in global quality of life and emotional function. In the subgroup of patients that had impaired functions of quality of life at t0, superiority in group B reached significance (p < 0.05) for emotional and cognitive function at t1. Between t1 and t2, cognitive function improved further in group A, but diminished in group B. For the subgroup of patients with impaired cognitive function at t0, this difference between both groups became significant (p = 0.0098).
  
  
  CONCLUSIONS
  Although not generally superior to conventional inpatient rehabilitation programmes, the analysed step-by- step rehabilitation provided marked benefits for patients with cognitive impairments.
authors: Reha-Klinik Am Kurpark, Bad Kissingen, Deutschland. u.hartmann@rehaklinik-am-kurpark.de
authors: Ute
authors: U
authors: Hartmann
authors: Rainer
authors: R
authors: Muche
authors: Monika
authors: M
authors: Reuss-Borst
mesh_terms: D000328:Adult; D000359:Aftercare; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology / Q000534:rehabilitation*; D003072:Cognition Disorders / Q000534:rehabilitation; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D010359:Patient Readmission; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires