Skip to main content

Implementation and Effectiveness of a Veterans Affairs-Based Comprehensive Lung Cancer Survivorship Program.

Publication ,  Journal Article
Rabe, BJ; Stafford, JW; Hassinger, AD; Swartzwelder, HS; Shofer, SL
Published in: J Cardiopulm Rehabil Prev
May 1, 2022

PURPOSE: Few programs exist to address persistent impairment in functional status, quality of life, and mental health in lung cancer survivors. We aimed to determine whether a 12-wk multimodal survivorship program imparts clinical benefit. METHODS: Any patient at the Durham Veterans Affairs Medical Center with lung cancer and a Karnofsky score of ≥60 could participate. Chronic obstructive pulmonary disease medications were optimized at the enrollment visit. Participants with a Hospital Anxiety and Depression Scale (HADS) score of >8 were offered pharmacotherapy and mental health referral. Participants did home-based exercise with a goal of 1 hr/d, 5 d/wk. They were called weekly to assess exercise progress and review depression/anxiety symptoms. Participants were offered pharmacotherapy for smoking cessation. RESULTS: Twenty-three (50%) of the first 46 enrollees completed the full 12-wk program. Paired changes from enrollment to completion (mean ± SD) were observed in 6-min walk test (73.6 ± 96.9 m, P = .002), BODE (Body mass index, airflow Obstruction, Dyspnea, and Exercise) index (-1.45 ± 1.64 points, P < .001), Duke Activity Status Index (3.84 ± 7.12 points, P = .02), Fried Frailty Index (-0.588 ± 0.939 points, P = .02), modified Medical Research Council dyspnea scale (-0.619 ± 1.284 points, P = .04), Functional Assessment of Cancer Therapy-Lung Emotional subscale score (1.52 ± 2.96 points, P = .03), HADS total score (-2.63 ± 4.34 points, P = .02), and HADS Anxiety subscale score (-1.47 ± 2.29 points, P = .01). CONCLUSIONS: A comprehensive Lung Cancer Survivorship Program provides clinically meaningful improvements in functional status, quality of life, and mental health.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Cardiopulm Rehabil Prev

DOI

EISSN

1932-751X

Publication Date

May 1, 2022

Volume

42

Issue

3

Start / End Page

196 / 201

Location

United States

Related Subject Headings

  • Veterans
  • Survivorship
  • Quality of Life
  • Pulmonary Disease, Chronic Obstructive
  • Lung Neoplasms
  • Lung
  • Humans
  • Dyspnea
  • Cardiovascular System & Hematology
  • Cancer Survivors
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rabe, B. J., Stafford, J. W., Hassinger, A. D., Swartzwelder, H. S., & Shofer, S. L. (2022). Implementation and Effectiveness of a Veterans Affairs-Based Comprehensive Lung Cancer Survivorship Program. J Cardiopulm Rehabil Prev, 42(3), 196–201. https://doi.org/10.1097/HCR.0000000000000658
Rabe, Brian J., Jordan W. Stafford, Alisa D. Hassinger, Harry S. Swartzwelder, and Scott L. Shofer. “Implementation and Effectiveness of a Veterans Affairs-Based Comprehensive Lung Cancer Survivorship Program.J Cardiopulm Rehabil Prev 42, no. 3 (May 1, 2022): 196–201. https://doi.org/10.1097/HCR.0000000000000658.
Rabe BJ, Stafford JW, Hassinger AD, Swartzwelder HS, Shofer SL. Implementation and Effectiveness of a Veterans Affairs-Based Comprehensive Lung Cancer Survivorship Program. J Cardiopulm Rehabil Prev. 2022 May 1;42(3):196–201.
Rabe, Brian J., et al. “Implementation and Effectiveness of a Veterans Affairs-Based Comprehensive Lung Cancer Survivorship Program.J Cardiopulm Rehabil Prev, vol. 42, no. 3, May 2022, pp. 196–201. Pubmed, doi:10.1097/HCR.0000000000000658.
Rabe BJ, Stafford JW, Hassinger AD, Swartzwelder HS, Shofer SL. Implementation and Effectiveness of a Veterans Affairs-Based Comprehensive Lung Cancer Survivorship Program. J Cardiopulm Rehabil Prev. 2022 May 1;42(3):196–201.

Published In

J Cardiopulm Rehabil Prev

DOI

EISSN

1932-751X

Publication Date

May 1, 2022

Volume

42

Issue

3

Start / End Page

196 / 201

Location

United States

Related Subject Headings

  • Veterans
  • Survivorship
  • Quality of Life
  • Pulmonary Disease, Chronic Obstructive
  • Lung Neoplasms
  • Lung
  • Humans
  • Dyspnea
  • Cardiovascular System & Hematology
  • Cancer Survivors