Delphi Study to Determine Rehabilitation Research Priorities for Older Adults With Cancer

Area of Science:

• Geriatric Oncology
• Rehabilitation Medicine
• Cancer Survivorship Research

Background:

• Cancer rehabilitation for older adults requires focused research to optimize outcomes.
• Identifying research priorities is crucial for advancing care for this growing population.

Purpose of the Study:

• To establish expert consensus on critical research questions for improving cancer rehabilitation in older adults.
• To prioritize research areas essential for enhancing the quality of life and functional recovery of older cancer survivors.

Main Methods:

• A Delphi method involving a national panel of 32 experts from the American Congress of Rehabilitation Medicine was employed.
• Three web-based surveys were used to elicit, refine, and prioritize research questions concerning cancer rehabilitation for older adults.

Main Results:

• Top research priorities include the epidemiology and measurement of function/disability in older cancer survivors.
• Further research is needed on the impact of rehabilitation interventions on falls, participation, survival, costs, and healthcare utilization.
• Developing and testing integrated care models for seamless oncology-to-rehabilitation referrals is a key priority.

Conclusions:

• Addressing identified research gaps requires a multifaceted strategy, including dedicated funding and expert-guided initiatives.
• Establishing a research network and fostering advocacy for funding and policy change are essential for progress.
• Coordinated efforts are necessary to implement evidence-based practices and improve cancer rehabilitation for older adults.