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Availability of prostate cancer rehabilitation resources and practice patterns: Results of a national survey
8th European Multidisciplinary Meeting on Urological Cancers, 24-27 November 2016, Milan, Italy
P098
Availability of prostate cancer rehabilitation resources and practice patterns: Results of a national survey Eur Urol Suppl 2016; 15(13);e1682
Bultijnck R.1, Van Ruymbeke B.2, Everaert S.3, Rammant E.1, Fonteyne V.1, Lumen N.3, Decaestecker K.3, Ost P.1 1
University Hospital Ghent, Dept. of Radiation Oncology and Experimental Cancer Research, Ghent, Belgium, 2University Hospital Ghent, Dept. of Physical and Rehabilitation Medicine, Ghent, Belgium, 3 University Hospital Ghent, Dept. of Urology, Ghent, Belgium INTRODUCTION & OBJECTIVES: Physical rehabilitation is recommended for Prostate Cancer (PCa) patients treated with Androgen Deprivation Therapy (ADT). The objective of this study was to assess the availability of hospital-based rehabilitation resources and national practice patterns for PCa patients in Belgium. MATERIAL & METHODS: A telephone-based survey was conducted from Apr 1-Jun 21, 2016 with (oncological) physical therapists from Belgian hospitals. The subjects of the survey were stage III-IV PCa patients with an indication for ADT. The 18-item questionnaire covered PCa rehabilitation program availability and characteristics. Reported practices patterns were compared with the American College of Sports Medicine guidelines. Prevalence data of PCa in Belgium was obtained from the Belgian Cancer Registry Institute. Attitudes of Belgian physicians in physical activity were obtained from our European survey. Following data collection, descriptive statistics were used for analysis. RESULTS: In total 98 Belgian hospitals with a urology department were included. We had a 100% response rate. Only 33% of the PCa population in Belgium had access to a PCa specific rehabilitation program spread over 13 out of 43 Belgian districts (figure 1). The occupational rate of all rehabilitation slots was 69%. The two main perceived barriers for physical therapists to organize specific PCa rehabilitation were the existence of a general rehabilitation program (40%) (e.g. program open for all tumour groups) and a low number of referrals (18%). One hundred percent of the rehabilitation programs consisted of aerobic and resistance exercise and 62% included flexibility. The minimal criteria for frequency per week and duration per session were followed in 83%. The majority (89%) of physicians believed in the positive effects of a supervised rehabilitation program. Figure 1: One-year prevalence (2013) of PCa (stage III-IV) in Belgium and availability of specific PCa rehabilitation. * Districts with hospitals with individual rehabilitation ° Districts without hospitals
Eur Urol Suppl 2016; 15(13);e1682
8th European Multidisciplinary Meeting on Urological Cancers, 24-27 November 2016, Milan, Italy
P098
Availability of prostate cancer rehabilitation resources and practice patterns: Results of a national survey Eur Urol Suppl 2016; 15(13);e1683
CONCLUSIONS: The majority of the PCa rehabilitation programs follow the evidence-based guidelines except for flexibility exercises. Only a minority of Belgian PCa patients has access to a specific rehabilitation programs. However availability is not the only barrier to enhance physical activity, because one out of three slots are not occupied. A possible factor could be communication between physicians and physical therapist. Therefore future interventions are indicated to bridge the gap.
Eur Urol Suppl 2016; 15(13);e1683 Powered by TCPDF (www.tcpdf.org)
P098
Availability of prostate cancer rehabilitation resources and practice patterns: Results of a national survey Eur Urol Suppl 2016; 15(13);e1682
Bultijnck R.1, Van Ruymbeke B.2, Everaert S.3, Rammant E.1, Fonteyne V.1, Lumen N.3, Decaestecker K.3, Ost P.1 1
University Hospital Ghent, Dept. of Radiation Oncology and Experimental Cancer Research, Ghent, Belgium, 2University Hospital Ghent, Dept. of Physical and Rehabilitation Medicine, Ghent, Belgium, 3 University Hospital Ghent, Dept. of Urology, Ghent, Belgium INTRODUCTION & OBJECTIVES: Physical rehabilitation is recommended for Prostate Cancer (PCa) patients treated with Androgen Deprivation Therapy (ADT). The objective of this study was to assess the availability of hospital-based rehabilitation resources and national practice patterns for PCa patients in Belgium. MATERIAL & METHODS: A telephone-based survey was conducted from Apr 1-Jun 21, 2016 with (oncological) physical therapists from Belgian hospitals. The subjects of the survey were stage III-IV PCa patients with an indication for ADT. The 18-item questionnaire covered PCa rehabilitation program availability and characteristics. Reported practices patterns were compared with the American College of Sports Medicine guidelines. Prevalence data of PCa in Belgium was obtained from the Belgian Cancer Registry Institute. Attitudes of Belgian physicians in physical activity were obtained from our European survey. Following data collection, descriptive statistics were used for analysis. RESULTS: In total 98 Belgian hospitals with a urology department were included. We had a 100% response rate. Only 33% of the PCa population in Belgium had access to a PCa specific rehabilitation program spread over 13 out of 43 Belgian districts (figure 1). The occupational rate of all rehabilitation slots was 69%. The two main perceived barriers for physical therapists to organize specific PCa rehabilitation were the existence of a general rehabilitation program (40%) (e.g. program open for all tumour groups) and a low number of referrals (18%). One hundred percent of the rehabilitation programs consisted of aerobic and resistance exercise and 62% included flexibility. The minimal criteria for frequency per week and duration per session were followed in 83%. The majority (89%) of physicians believed in the positive effects of a supervised rehabilitation program. Figure 1: One-year prevalence (2013) of PCa (stage III-IV) in Belgium and availability of specific PCa rehabilitation. * Districts with hospitals with individual rehabilitation ° Districts without hospitals
Eur Urol Suppl 2016; 15(13);e1682
8th European Multidisciplinary Meeting on Urological Cancers, 24-27 November 2016, Milan, Italy
P098
Availability of prostate cancer rehabilitation resources and practice patterns: Results of a national survey Eur Urol Suppl 2016; 15(13);e1683
CONCLUSIONS: The majority of the PCa rehabilitation programs follow the evidence-based guidelines except for flexibility exercises. Only a minority of Belgian PCa patients has access to a specific rehabilitation programs. However availability is not the only barrier to enhance physical activity, because one out of three slots are not occupied. A possible factor could be communication between physicians and physical therapist. Therefore future interventions are indicated to bridge the gap.
Eur Urol Suppl 2016; 15(13);e1683 Powered by TCPDF (www.tcpdf.org)