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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},
}