SarahVdPl

[Renée Bultijnck @ReneeBultijnck]

(19/20)

6 months of my PhD fellowship was @Sydney_Uni @UsydPsych #internationalPhD 🇦🇺blessed with the supervision of the fab2 @hagsie @jasmineyee_ funded by @FWOVlaanderen and collaboration is still ongoing

👊Read my experience abroad ➡️https://t.co/wtKefgDQlv

[Renée Bultijnck @ReneeBultijnck]

(18/20)

It's a wrap #rehabilitation interventions in men #prostatecancer

Big thanks to my fab supervisors @piet_ost Benedicte Deforche & team @ugent_fge @uzgent

thanks @FWOVlaanderen 🙏to support my research ☺️ & all patients for participating in our studies

[Renée Bultijnck @ReneeBultijnck]

(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

[Renée Bultijnck @ReneeBultijnck]

(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👊

[Renée Bultijnck @ReneeBultijnck]

(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

[Renée Bultijnck @ReneeBultijnck]

(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.

[Renée Bultijnck @ReneeBultijnck]

(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

[Renée Bultijnck @ReneeBultijnck]

(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⬇️

[Renée Bultijnck @ReneeBultijnck]

(11/20)
How did men find their way into the pathway?

Several reasons #qualitativeresearch #patientexperiences

One of the main reasons ➡️ physician/specialist 🩺 referral

📢Call to all physicians recognize your referral role in #supportivecare #rehabiliation #exerciseoncology

[Renée Bultijnck @ReneeBultijnck]

(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.

[Renée Bultijnck @ReneeBultijnck]

(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⬇️

[Renée Bultijnck @ReneeBultijnck]

(8/20)

Interim summary 🤓

#rehabilitation interventions can improve #HRQoL in #men with #ProstateCancer. But implementation in practice should improve. #implementationscience @HealthUGent

[Renée Bultijnck @ReneeBultijnck]

(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

[Renée Bultijnck @ReneeBultijnck]

(6/20)

Another example from our Belgium survey,89% of physicians believe in the role of #exercise, but only 1/3 prescribes it as strategy to combat therapy-induced side effects. #intentionbehaviorgap

Work to do!🔥@Exerciseworks @ExerciseOncol @isbnpa_cpm #CancerRehabilitation

[Renée Bultijnck @ReneeBultijnck]

(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.

[Renée Bultijnck @ReneeBultijnck]

(4/20)

Do we implement these #rehabilitation interventions in daily practice🏥?

Which btw are well described and advised in international guidelines and recommendations. #prostatecancer

[Renée Bultijnck @ReneeBultijnck]

(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

[Renée Bultijnck @ReneeBultijnck]

(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 ?🤔⬇️

[Renée Bultijnck @ReneeBultijnck]

(1/20) #ThesisThread @ugent_fge @uzgent @crighent @DS_UGent #SciComm

Hi twitter folks!

In May I defended my #PhD🎓on Optimizing #rehabilitation interventions in men with #prostatecancer receiving androgen deprivation therapy

Following 🧵summarizes most important findings

[SarahVdPl @SarahVdPl]

@Justmex390 Het is dit jaar een prijzig resort 😜 Weet je nog een paar jaar geleden, toen ze precies is een airbnb zaten 😏