Outcome Trends of Adult Cancer Patients Receiving Inpatient Rehabilitation: A 13-year review

AbstractObjectiveThis study describes characteristics and trends of inpatient rehabilitation among cancer patients within the United States over a 13-year period.DesignThis was a retrospective study of data from the Uniform Data System for Medical Rehabilitation (UDSMR®) from 2002 to 2014. Patients over the age of 17 admitted to inpatient rehabilitation facilities with a diagnosis of malignant cancer were included. Trends of rehabilitation outcomes including length of stay, Functional Independence Measure (FIM®) Instrument scores, and discharge location were examined.ResultsData from 115,570 cancer patients was evaluated. Mean age was 66 ±14 and 49% were female. Mean length of stay decreased over time (2002: 14 days to 2014:13 days, p70%) were discharged to the community.ConclusionCancer patients receiving acute inpatient rehabilitation demonstrated significant improvements in functional outcomes from admission to discharge. Cancer patients became more independent in important activities of daily living, thereby potentially reducing caregiver burden and ensuring safer discharges back to the community. This study suggests potential benefit of inpatient rehabilitation for appropriate cancer patients. Objective This study describes characteristics and trends of inpatient rehabilitation among cancer patients within the United States over a 13-year period. Design This was a retrospective study of data from the Uniform Data System for Medical Rehabilitation (UDSMR®) from 2002 to 2014. Patients over the age of 17 admitted to inpatient rehabilitation facilities with a diagnosis of malignant cancer were included. Trends of rehabilitation outcomes including length of stay, Functional Independence Measure (FIM®) Instrument scores, and discharge location were examined. Results Data from 115,570 cancer patients was evaluated. Mean age was 66 ±14 and 49% were female. Mean length of stay decreased over time (2002: 14 days to 2014:13 days, p70%) were discharged to the community. Conclusion Cancer patients receiving acute inpatient rehabilitation demonstrated significant improvements in functional outcomes from admission to discharge. Cancer patients became more independent in important activities of daily living, thereby potentially reducing caregiver burden and ensuring safer discharges back to the community. This study suggests potential benefit of inpatient rehabilitation for appropriate cancer patients. Corresponding Author: Jeffrey C. Schneider, 300 1st Avenue, Charlestown, MA 02129. jcschneider@partners.org Disclosures: None Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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