(17/20) #ThesisThread 🔥Take Home Message 🔥
➡️A pathway could serve as method to bridge the gap between guidelines, #rehabilitation interventions, and routine practice
➡️#Exercise component of the pathway can be expanded to men in a more advanced stage
#prostatecancer
(16/20)
We should also address implementation gap at different levels.
For instance, benefits of #exercise and #cancer are clear @exerciseworks. Why is this not funded? 🤞we can change something with our national work group #exerciseoncology collaboration @Stkstichting👊
(15/20)
2⃣ involvement of #primary health care setting is limited and also this setting should play a role in #supportive care interventions in people living with and beyond #cancer
(14/20)
Is the pathway finished?
Nope, we can definitely make some more improvements
For instance, 1⃣ #sedentary behavior 🪑 was not tackled but is also important in this population.
(13/20)
What about men in a more advanced stage, receiving second line hormone therapy?
In our final phase 1 study we expanded our patient group. #exercise is also perceived tolerable in men in more advanced disease stage but with a lower start exercise dose prescription
(12/20)
All good and well but what about the #men participating in the pathway?
Men were positive and mentioned several important elements, such as #peersupport (e.g. reducing isolation). (pathway was group-based)
Ilustration with a quote from our qualitative study⬇️
(10/20)
Looks fancy, but does it work your pathway?
Yes😃
After pathway implementation
✅risk screenings were more frequently applied
✅ advice on strategies preventing or managing therapy induced side effects was more provided.
(9/20)
How?
We developed🛠️ a clinical pathway according to 7phase framework of @krisvanhaecht for #men with #prostatecancer receiving #hormone therapy including a set of #rehabilitation interventions to combat therapy-induced side effects.
Have a look at the pathway⬇️
(7/20) #ThesisThread
Situation in 🇧🇪? 65% of our hospitals had access to #CancerRehabilitation.
BUT
❌Not well spread geographically
❌Dominated by 1 or 2 tumor groups
❌No. of slots was not enough ➡️#exercise should be offered as standard therapy for all @exerciseworks
(5/20)
❌No!
Let's say there is room for improvement.
For instance, our European survey showed that only ¼ of physicians performed an osteoporotic and cardiometabolic risk assessment.
(4/20)
Do we implement these #rehabilitation interventions in daily practice🏥?
Which btw are well described and advised in international guidelines and recommendations. #prostatecancer
(3/20)
➡️Implementing #rehabilitation interventions, combination of screening and management
✅bone & cardiometabolic screening
✅ adequate calcium & vitamin D, optimal nutrition & diet, physical activity & exercise, psychosocial care
(2/20)
💉💊Hormone therapy (or #ADT) is one of the cornerstones in the treatment in men with locally advanced and metastatic #prostatecancer. Despite survival improvement, side effects occur and impact health-related quality of life #HRQoL
What can we do to combat this ?🤔⬇️