Navigation Links
Prospective surveillance model emerges as standard of care for breast cancer treatment

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
American Physical Therapy Association

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
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:
(Date:11/24/2015)... ... November 24, 2015 , ... ... announces Fragrance by Marcelle, a cosmetic invention which offers a combination of natural ... Market in the US is worth $3 billion annually," says Scott Cooper, CEO ...
(Date:11/24/2015)... , ... November 24, 2015 , ... ... the Business Action on Health Awards, bestowed annually to the world’s best corporate-supported ... commended companies at Global Health Council’s Landscape Symposium held in Washington D.C and ...
(Date:11/24/2015)... ... November 24, 2015 , ... The OSHA Training ... Institute Education Center in Northern California, is calling on retail employers to implement ... As the volume of sales and shoppers rapidly expands, retailers are strongly ...
(Date:11/24/2015)... ... 24, 2015 , ... There’s nothing better than giving the gift of green ... enjoy. , This year, gardens are popping up in the most unexpected places. ... , Vita Gardens’ African Keyhole Garden Bed ($499) , Water conscious gardeners – and ...
(Date:11/24/2015)... ... November 24, 2015 , ... Wireless Analytics, ... today announced new 24-hour weekday support capability. The “all hours” offering was ... Analytics’ international customers, and to enhance after-hours support available in the US. , ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... -- The uptake of recently approved and pipeline premium products ... market growth to 2021, says GBI Research . ... for Type 1 Diabetes Mellitus (T1DM), will be a key driver of ... --> The uptake of recently approved and pipeline premium ... of market growth to 2021, says GBI Research ...
(Date:11/24/2015)... 24, 2015   Renowned ... deliver s advice and insights on ... More than 50% of Dubai ... according to the DHA   femMED launches comprehensive solutions for ... Dubai residents are not consuming enough to keep ...
(Date:11/24/2015)...  Freudenberg Medical has developed specialty tubing for an inexpensive, ... facilities. Africa and ... Nevertheless, prompt diagnosis is important to treat those affected and ... the help of a portable mini-lab or "lab on a ... affected areas and perform rapid testing for HIV. They do ...
Breaking Medicine Technology: