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Exercise in Oncology Patients: A Call for Strategies to Address the Critical Gap Between Evidence-Based
Shannon E Fogh1, Heather Greenlee2, Blake Langley3
1Department of Radiation Oncology, University of Washington School of Medicine, Seattle, WA; Division of Hematology and Oncology, University of Washington School of Medicine, Seattle WA; Division of Clinical Research, Fred Hutchinson Cancer Center, Seattle, WA.
Abstract:
Physical activity has demonstrated positive impact on cancer outcomes, including survival and quality of life, in patients throughout the trajectory of cancer treatment. Government and leading health organizations have included exercise among cancer-prevention guidelines based on substantial evidence demonstrating clear benefits, including reductions in treatment-related side effects, higher chemotherapy completion rates, improved physical fitness and functionality, and increases in health-related quality of life. Despite clear consensus-based recommendations, a gap exists between what is known to benefit patients with cancer and the implementation of an intervention which has consistently demonstrated a positive impact on patient outcomes. It is critical to develop customized programming, reimbursement and thoughtful strategies that consider both patient and provider barriers to implementing exercise as part of cancer treatment.
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