Navigation Links
Prospective surveillance model emerges as standard of care for breast cancer treatment
Date:1/6/2012

Alexandria, VA, January 6, 2012 Early diagnosis and treatment of breast cancer-related lymphedema by a physical therapist can significantly reduce costs and the need for intensive rehabilitation, according to an article published in the January issue of Physical Therapy (PTJ), the scientific journal of the American Physical Therapy Association (APTA).

The study, led by APTA member and spokesperson Nicole Stout, PT, MPT, CLT-LANA, compared a prospective surveillance model with a traditional model of impairment-based care and examined the direct treatment costs associated with each program. Treatment and supply costs were estimated based on the Medicare 2009 physician fee schedule. Researchers estimated that treatment for breast cancer-related lymphedema costs $636.19 a year when the prospective surveillance model was used vs $3,124.92 for traditional treatment of advanced lymphedema.

The goal of a prospective surveillance model for cancer rehabilitation is to identify impairment at the earliest onset to alleviate impairment or prevent it from progressing. Soon after diagnosis, a physical therapist will perform a preoperative examination to establish a baseline level of function. Follow-up examinations are then conducted postoperatively at 1 month and then 3-month intervals, for up to 1 year. In contrast, a traditional model focuses on treating lymphedema once it has progressed and patients already have functional limitations.

"This study begins to paint a picture of evidence showing that prevention of chronic conditions such as lymphedemausing rehabilitation models of caremay result in significant cost savings," said Stout.

Breast cancer-related lymphedema is characterized by abnormal swelling of the arm and hand, which can be disfiguring. A chronic condition, it is associated with decreased arm function, disability, and diminished quality of life. If the condition is not diagnosed early and managed, a patient can be at risk for infection and further shoulder complications.

In place for more than 10 years, the prospective surveillance model was developed at the National Naval Medical Center in Bethesdanow part of the Walter Reed National Military Medical Centerand is the standard of care for all patients diagnosed with breast cancer at the medical center. Several research articles have been published demonstrating clinical effectiveness of the prospective surveillance model in reducing lymphedema, shoulder morbidity, and fatigue, including the February 2010 article in the journal Breast Cancer Research and Treatment.

Although further analysis of indirect costs and utility is necessary to fully assess cost effectiveness, the prospective surveillance model is emerging as the standard of care for breast cancer treatment.


'/>"/>

Contact: Erin Wendel
erinwendel@apta.org
703-706-3397
American Physical Therapy Association
Source:Eurekalert

Related medicine news :

1. Prospective voters and the new health care law
2. Prospective Healthcare Workers: Fully Accredited Healthcare Degree Programs Are Now Offered Through OnlineEducation.com
3. Active Surveillance May Benefit Men With Low-Risk Prostate Cancer
4. IADR/AADR publish study on use of Twitter for public health surveillance of dental pain
5. Elsevier/MEDai enhances real-time clinical surveillance system for hospitals
6. Contaminated Butter Points to Need for Better Surveillance, Study Says
7. Active surveillance for low-risk prostate cancer may offer better quality-of-life
8. Study Backs Active Surveillance for Low-Risk Prostate Cancer
9. Better Hepatitis C Surveillance Helps Public, CDC Finds
10. Bloodstream infection surveillance inconsistent between institutions, U-M study shows
11. Study of bloodstream infections reveals inconsistent surveillance methods and reporting
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/29/2017)... ... March 29, 2017 , ... Hamlin Dental Group, multi-location dental ... offering laser dental treatments. Dental lasers are safe and effective options, and can be ... and can improve the overall quality of care. , Dr. Hamid Reza of Hamlin ...
(Date:3/29/2017)... ... ... AvePoint , the Microsoft Cloud expert, is pleased to announce the official ... Riverfront Plaza, 901 East Byrd Street. AvePoint is celebrating with a ribbon-cutting ceremony on ... of Richmond Levar M. Stoney. , Founded in 2001, AvePoint employs more than 1,400 ...
(Date:3/28/2017)... ... March 28, 2017 , ... For many women, getting birth control isn’t as easy ... meaning they either don’t have access to a health care facility or a pharmacy within ... regions of the United States or for many who are faced with health or personal ...
(Date:3/28/2017)... ... March 28, 2017 , ... ... state legislatures and Congress to protect parental rights and civil liberties, and to ... in America. , The demonstration coincides with a press conference taking place Friday ...
(Date:3/28/2017)... , ... March 28, 2017 , ... ... software and services, is proud to announce it has joined the National Association ... representing the interests of chronically ill, disabled, and dying Americans of all ages ...
Breaking Medicine News(10 mins):
(Date:3/29/2017)...  Glenmark Pharmaceuticals, a global pharmaceutical company, today ... fixed-dose combination of mometasone furoate (25 mcg) and ... nasal spray being studied for the treatment of ... recently completed Phase 3 trial assessing the efficacy ... mometasone, olopatadine or placebo. "We continue ...
(Date:3/29/2017)... New York , March 29, 2017 /PRNewswire/ ... recently published a report, which provides an exhaustive ... to the study, nearly 242 companies are functional ... fragmented and competitive. With the leading companies, such ... Purdue Pharma LP, focusing aggressively on various marketing ...
(Date:3/29/2017)... Research and Markets has announced the addition of the "Global ... ... market to grow at a CAGR of 2.87% during the period ... has been prepared based on an in-depth market analysis with inputs ... growth prospects over the coming years. The report also includes a ...
Breaking Medicine Technology: