title: Changes in and Associations Among Functional Status and Perceived Quality of Life of Patients With Metastatic/Locally Advanced Cancer Receiving Rehabilitation for General Disability.
abstract: The primary aims were to clarify the changes in the functional status and quality of life of patients with metastatic/locally advanced cancer who received rehabilitation therapy. This is a cohort study, and all consecutive patients who received rehabilitation therapy were evaluated before and 2 weeks after. Outcome measures were the Functional Independence Measure (FIM), perceived independence, and overall quality of life (European Organization for Research and Treatment of Cancer C30). A total of 128 patients were included. Although the FIM score significantly decreased, the overall quality of life significantly increased. Even in the patients with deteriorated FIM scores, the overall quality of life was maintained despite a significantly decreased perceived independence. Terminally ill patients with cancer who received a rehabilitation program maintained their overall quality of life despite an objective decline in the physical functional status.
authors.affiliation: Department of Pain and Palliative Care, Kameda General Hospital, Kamogawa, Chiba, Japan.
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Sekine
authors.affiliation: Department of Rehabilitation Medicine, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
authors.forename: Masami
authors.initials: M
authors.lastname: Ogata
authors.affiliation: Department of Rehabilitation Medicine, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
authors.forename: Ikuyo
authors.initials: I
authors.lastname: Uchiyama
authors.affiliation: Department of Rehabilitation Medicine, Kameda General Hospital, Kamogawa, Chiba, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Miyakoshi
authors.affiliation: Department of Rehabilitation Medicine, Kameda General Hospital, Kamogawa, Chiba, Japan.
authors.forename: Megumi
authors.initials: M
authors.lastname: Uruma
authors.affiliation: Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Miyashita
authors.affiliation: Department of Palliative and Supportive Care, Palliative Care Team, and Seirei Hospice, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan tmorita@sis.seirei.or.jp.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Morita
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D015331:Cohort Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D009362:Neoplasm Metastasis; D009369:Neoplasms / Q000503:physiopathology / Q000534:rehabilitation*; D010465:Perception; D011788:Quality of Life; D020127:Recovery of Function; D012047:Rehabilitation Centers
keywords: cohort; palliative care; quality of life; rehabilitation