Abstract:
OBJECTIVE:To determine the proportion of endometrial cancer patients who can be safely prescribed community/home based unsupervised exercise. A better understanding of the physical dysfunction secondary to comorbidities among endometrial cancer patients would assist clinicians in delineating which patients to send to medically-based supervised rehabilitation versus a community/home based unsupervised exercise program. METHODS:A literature review identified health issues which could impede patients from successfully completing an unsupervised exercise program after a cancer diagnosis. The charts of 479 endometrial cancer patients treated between 2006 and 2010 were reviewed to determine the health status at the time of diagnosis and the type and percentage of health-issues that could preclude an unsupervised exercise program in this population. Univariable modeling and multivariable modeling were used to evaluate the association of demographic, cancer-related characteristics and clinical variables with ability to participate in unsupervised exercise. RESULTS:We determined that 14.2% of endometrial cancer patients were able to exercise without supervision based on their health status at the time of diagnosis. After excluding common comorbidities (hypertension, diabetes and morbid obesity) from the identified health-issues, the proportion increased to 20.5%. Older at diagnosis (P=0.007) and higher BMI (P<0.001) are more likely to exclude patients from community/home based unsupervised exercise program. CONCLUSIONS:Only 14.2% to 20.5% of endometrial cancer patients were deemed able to exercise without supervision based on their health status at diagnosis. Our data suggest that approximately 80% of endometrial cancer patients would benefit from a referral to a medically-based supervised exercise program.
journal_name
Gynecol Oncoljournal_title
Gynecologic oncologyauthors
Zhang X,Haggerty AF,Brown JC,Giuntoli R 2nd,Lin L,Simpkins F,Dean LT,Ko E,Morgan MA,Schmitz KHdoi
10.1016/j.ygyno.2015.08.007subject
Has Abstractpub_date
2015-10-01 00:00:00pages
155-9issue
1eissn
0090-8258issn
1095-6859pii
S0090-8258(15)30100-1journal_volume
139pub_type
杂志文章abstract:OBJECTIVE:Since 1999, patients with low risk endometrial cancer (EC) as defined by the Mayo criteria have preferably not undergone lymphadenectomy (LND) at our institution. Here we prospectively assess survival, sites of recurrence, morbidity, and cost in this low risk cohort. METHODS:Cause-specific survival (CSS) was...
journal_title:Gynecologic oncology
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abstract:BACKGROUND:Nongestational pure ovarian choriocarcinoma is a rare malignancy with only 29 cases described to date. CASE:We describe a case associated with mature cystic teratoma of the contralateral ovary. Details of all 30 cases including clinical features, associations, surgicopathological findings, operative procedu...
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journal_title:Gynecologic oncology
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journal_title:Gynecologic oncology
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更新日期:1998-05-01 00:00:00
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journal_title:Gynecologic oncology
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1006/gyno.1994.1019
更新日期:1994-01-01 00:00:00
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journal_title:Gynecologic oncology
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doi:10.1006/gyno.1998.5148
更新日期:1998-11-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1006/gyno.2000.6068
更新日期:2001-02-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1016/j.ygyno.2010.08.033
更新日期:2010-12-01 00:00:00
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doi:10.1016/j.ygyno.2018.01.008
更新日期:2018-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2001-09-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 杂志文章,评审
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更新日期:2019-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ygyno.2004.01.014
更新日期:2004-04-01 00:00:00