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Conducting Maximal and Submaximal Endurance Exercise Testing to Measure Physiological and Biological Responses to Acute Exercise in Humans
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Development of the Exercise in Cancer Evaluation and Decision Support (EXCEEDS) algorithm.

Kelley R Covington1,2, Timothy Marshall3, Grace Campbell4,5,6

  • 1ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA, USA. krcov@colostate.edu.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
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PubMed
Summary

The Exercise in Cancer Evaluation and Decision Support (EXCEEDS) algorithm helps match cancer survivors with appropriate exercise and rehabilitation services. This evidence-based tool aids in personalized care navigation and improves coordination across the cancer continuum.

Keywords:
CancerClinical pathwayDecision supportExerciseSurvivorshipTriage

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Area of Science:

  • Oncology
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Exercise and rehabilitation are crucial for optimizing health and well-being in cancer survivors.
  • Identifying individual needs and navigating complex service options pose significant barriers to effective care.
  • A standardized approach is needed to connect survivors with the right services at the right time.

Purpose of the Study:

  • To define levels of exercise/rehabilitation services for cancer survivors.
  • To present a conceptual model for understanding individual needs.
  • To describe the development of the Exercise in Cancer Evaluation and Decision Support (EXCEEDS) algorithm.

Main Methods:

  • Literature review to synthesize service and individual characteristics.
  • Development of a visual model for care needs conceptualization.
  • Creation of a risk-stratified algorithm through iterative expert panel review.

Main Results:

  • Identified eight defining features across four levels of exercise/rehabilitation services.
  • Developed a conceptual model for individualized navigation.
  • The EXCEEDS algorithm comprises eleven dichotomous questions across ten domains.

Conclusions:

  • EXCEEDS is an evidence-based decision support tool for cancer exercise/rehabilitation.
  • It provides a common language, a model for needs assessment, and decision guidance.
  • Implementation can enhance care coordination for cancer survivors.