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CREATE Childhood Cancer Rehabilitation Program development: Increase access through interprofessional collaboration.

Lynn R Tanner1, Susan Sencer2, Nathan Gossai2

  • 1Physical Medicine & Rehabilitation, Children's Minnesota, Minneapolis, Minnesota, USA.

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Summary

A pediatric cancer rehabilitation program improved access to and efficiency of care for children undergoing cancer treatment. The CREATE model enhanced patient recovery and development by integrating services.

Keywords:
cancer rehabilitationchildlate effectsoccupational therapyoncologyphysical therapyquality of lifespeech-language pathologysupport care

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Area of Science:

  • Pediatric Oncology
  • Rehabilitation Medicine
  • Child Development

Background:

  • Cancer and its treatments can cause functional limitations in children and adolescents.
  • A novel pediatric cancer rehabilitation program was developed, integrating evidence-based care into cancer treatment.
  • The CREATE (collaboration, rehabilitation/research, education, assessment, treatment, evaluation) Childhood Cancer Rehabilitation model guides the program.

Purpose of the Study:

  • To describe the structural and process components of the pediatric cancer rehabilitation program.
  • To analyze access to and utilization of rehabilitation services.
  • To evaluate the program's impact on patient outcomes.

Main Methods:

  • A retrospective analysis of new patients with oncologic diagnoses from 2002 to 2019 was conducted.
  • Descriptive data on the timing and type of rehabilitation services within 5 years of diagnosis were collected.
  • Statistical analysis focused on changes in service utilization over time.

Main Results:

  • Out of 1974 children assessed, 1580 (80.0%) received at least one rehabilitation service.
  • Between 2002 and 2018, the utilization of rehabilitation services significantly increased across most disciplines.
  • Integrating therapists improved patient access, reduced wait times, and increased visit attendance.

Conclusions:

  • The CREATE model, a multimodal interprofessional approach, enhances access to and efficiency of rehabilitation services.
  • This integrated approach promotes recovery, supports ongoing development, and improves the quality of life for pediatric cancer patients.