Journal Article

DKFZ-2021-01372

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Inpatient rehabilitation therapy among colorectal cancer patients - utilization and association with prognosis: a cohort study.

Scherer-Trame, S. (First author)DKFZ* ; Jansen, L.DKFZ* ; Arndt, V.DKFZ* ; Chang-Claude, J.DKFZ* ; Hoffmeister, M.DKFZ* ; Brenner, H. (Last author)DKFZ*

2021
Taylor & Francis Group Abingdon

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Please use a persistent id in citations: doi:10.1080/0284186X.2021.1940274

Abstract: Inpatient rehabilitation therapy (IRT) is commonly offered to cancer patients during or after cancer treatment in Germany. However, little is known about utilization and long-term effects of this offer in colorectal cancer (CRC) patients. We aimed to assess IRT utilization, determinants of utilization and the association between IRT and survival in CRC patients.CRC patients diagnosed in 2005-2014 recruited in the population-based DACHS study in South West Germany were included. Determinants of IRT utilization were assessed by multivariable logistic regression. Hazard ratios (HRs) of the association of IRT with overall and disease-specific survival were estimated by adjusted Cox proportional hazards models. Modified landmark approach was applied to avoid immortal time biased results.Among the included CRC patients (n = 3704), 43.6% underwent IRT. Patients who did not live in a relationship with a partner, worked as employee and who reported higher levels of physical activity were more likely to undergo IRT. Patients were less likely to undergo IRT if they had private health insurance, were diagnosed with cancer stage IV, received no or laparoscopic cancer surgery or were treated in a hospital with medium vs. high surgical volume. The median follow-up time was 4.4 years (post-landmark). Utilization of IRT was associated with better overall (HR 0.81, 95% confidence interval 0.72-0.92) and disease-specific survival (HR 0.72, 95% confidence interval 0.61-0.85).Almost every other CRC patient underwent IRT. Next to clinical characteristics, identified social and lifestyle characteristics seemed to play an essential role in the decision-making. Use of IRT was associated with better overall and disease-specific survival.

Keyword(s): Inpatient rehabilitation ; cancer rehabilitation ; colorectal cancer ; survival ; utilization

Note: #EA:C071#LA:C070# / 2021 Aug;60(8):1000-1010

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Contributing Institute(s):

1. Präventive Onkologie (C120)
2. C070 Klinische Epidemiologie und Alternf. (C070)
3. M110 Epidemiologisches Krebsregister Baden-Württemberg (M110)
4. C020 Epidemiologie von Krebs (C020)
5. DKTK HD zentral (HD01)

Research Program(s):

1. 313 - Krebsrisikofaktoren und Prävention (POF4-313) (POF4-313)

Appears in the scientific report 2021

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Database coverage:
; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Current Contents - Life Sciences ; Ebsco Academic Search ; Essential Science Indicators ; IF < 5 ; JCR ; Nationallizenz ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection

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