Changes in and Associations Among Functional Status and Perceived Quality of Life of Patients With Metastatic/Locally Advanced Cancer Receiving Rehabilitation for General Disability

Am J Hosp Palliat Care. 2015 Nov;32(7):695-702. doi: 10.1177/1049909114537871. Epub 2014 Jun 5.

Abstract

The primary aims were to clarify the changes in the functional status and quality of life of patients with metastatic/locally advanced cancer who received rehabilitation therapy. This is a cohort study, and all consecutive patients who received rehabilitation therapy were evaluated before and 2 weeks after. Outcome measures were the Functional Independence Measure (FIM), perceived independence, and overall quality of life (European Organization for Research and Treatment of Cancer C30). A total of 128 patients were included. Although the FIM score significantly decreased, the overall quality of life significantly increased. Even in the patients with deteriorated FIM scores, the overall quality of life was maintained despite a significantly decreased perceived independence. Terminally ill patients with cancer who received a rehabilitation program maintained their overall quality of life despite an objective decline in the physical functional status.

Keywords: cohort; palliative care; quality of life; rehabilitation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Cohort Studies
  • Disability Evaluation
  • Female
  • Humans
  • Length of Stay
  • Male
  • Neoplasm Metastasis
  • Neoplasms / physiopathology
  • Neoplasms / rehabilitation*
  • Perception
  • Quality of Life*
  • Recovery of Function
  • Rehabilitation Centers