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@ARTICLE{SchererTrame:169275,
      author       = {S. Scherer-Trame$^*$ and L. Jansen$^*$ and V. Arndt$^*$ and
                      J. Chang-Claude$^*$ and M. Hoffmeister$^*$ and H.
                      Brenner$^*$},
      title        = {{I}npatient rehabilitation therapy among colorectal cancer
                      patients - utilization and association with prognosis: a
                      cohort study.},
      journal      = {Acta oncologica},
      volume       = {60},
      number       = {8},
      issn         = {0001-6926},
      address      = {Abingdon},
      publisher    = {Taylor $\&$ Francis Group},
      reportid     = {DKFZ-2021-01372},
      pages        = {1000-1010},
      year         = {2021},
      note         = {#EA:C071#LA:C070# / 2021 Aug;60(8):1000-1010},
      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.},
      keywords     = {Inpatient rehabilitation (Other) / cancer rehabilitation
                      (Other) / colorectal cancer (Other) / survival (Other) /
                      utilization (Other)},
      cin          = {C120 / C070 / M110 / C020 / HD01},
      ddc          = {610},
      cid          = {I:(DE-He78)C120-20160331 / I:(DE-He78)C070-20160331 /
                      I:(DE-He78)M110-20160331 / I:(DE-He78)C020-20160331 /
                      I:(DE-He78)HD01-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:34137351},
      doi          = {10.1080/0284186X.2021.1940274},
      url          = {https://inrepo02.dkfz.de/record/169275},
}