Physical therapy and chiropractic use among childhood cancer survivors with chronic disease

Impact on health-related quality of life

Michele Montgomery, Sujuan Huang, Cheryl L. Cox, Wendy M. Leisenring, Kevin C. Oeffinger, Melissa M. Hudson, Jill Ginsberg, Gregory Armstrong, Leslie L. Robison, Kirsten K. Ness

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Introduction: The use of rehabilitation services to address musculoskeletal, neurological and cardiovascular late effects among childhood cancer survivors could improve physical function and health-related quality-of-life (HRQL). We describe physical therapy (PT) and chiropractic utilization among childhood cancer survivors and their association with HRQL. Methods: The sample included 5+ year survivors from the Childhood Cancer Survivor Study (N=9,289). Questions addressing use of PT or chiropractic services and HRQL (Medical Outcomes Survey Short Form (SF-36)) were evaluated. Multivariable regression models compared PT and/or chiropractic utilization between survivors and siblings, and by diagnosis, treatment and demographic characteristics; associations between chronic disease, PT/chiropractic use, and HRQL were similarly evaluated. Results: Survivors were not more likely to use PT (OR 1.0; 95% CI 0.8-1.2) or chiropractic (OR 0.8; 95% CI 0.7-1.0) services than siblings. More survivors reported using chiropractic (12.4%) than PT (9.2%) services. Older age and having health insurance were associated with utilization of either PT or chiropractic services. Grade 3-4 chronic conditions and a CNS tumor or sarcoma history were associated with PT but not with chiropractic service utilization. Survivors with musculoskeletal (OR 1.8; 95% CI 1.1-2.9), neurological (OR 3.4; 95% CI 1.6-6.9), or cardiovascular (OR 3.3; 95% CI 1.6-6.9) chronic conditions who used PT/chiropractic services were more likely to report poor physical health than survivors who did not use services. Conclusions: The reported prevalence of PT/chiropractic among survivors is consistent with that reported by siblings. Severity of late effects is associated with service use and with reporting poor physical health. Implications for Cancer Survivors: Long-term childhood cancer survivors do not appear to utilize rehabilitation services to optimize physical function and support increased HRQL.

Original languageEnglish (US)
Pages (from-to)73-81
Number of pages9
JournalJournal of Cancer Survivorship
Volume5
Issue number1
DOIs
StatePublished - Jan 1 2011

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Chiropractic
Survivors
Chronic Disease
Quality of Life
Neoplasms
Therapeutics
Siblings
Rehabilitation
Health
Health Insurance
Sarcoma

All Science Journal Classification (ASJC) codes

  • Oncology
  • Oncology(nursing)

Cite this

Physical therapy and chiropractic use among childhood cancer survivors with chronic disease : Impact on health-related quality of life. / Montgomery, Michele; Huang, Sujuan; Cox, Cheryl L.; Leisenring, Wendy M.; Oeffinger, Kevin C.; Hudson, Melissa M.; Ginsberg, Jill; Armstrong, Gregory; Robison, Leslie L.; Ness, Kirsten K.

In: Journal of Cancer Survivorship, Vol. 5, No. 1, 01.01.2011, p. 73-81.

Research output: Contribution to journalArticle

Montgomery, M, Huang, S, Cox, CL, Leisenring, WM, Oeffinger, KC, Hudson, MM, Ginsberg, J, Armstrong, G, Robison, LL & Ness, KK 2011, 'Physical therapy and chiropractic use among childhood cancer survivors with chronic disease: Impact on health-related quality of life', Journal of Cancer Survivorship, vol. 5, no. 1, pp. 73-81. https://doi.org/10.1007/s11764-010-0151-9
Montgomery, Michele ; Huang, Sujuan ; Cox, Cheryl L. ; Leisenring, Wendy M. ; Oeffinger, Kevin C. ; Hudson, Melissa M. ; Ginsberg, Jill ; Armstrong, Gregory ; Robison, Leslie L. ; Ness, Kirsten K. / Physical therapy and chiropractic use among childhood cancer survivors with chronic disease : Impact on health-related quality of life. In: Journal of Cancer Survivorship. 2011 ; Vol. 5, No. 1. pp. 73-81.
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abstract = "Introduction: The use of rehabilitation services to address musculoskeletal, neurological and cardiovascular late effects among childhood cancer survivors could improve physical function and health-related quality-of-life (HRQL). We describe physical therapy (PT) and chiropractic utilization among childhood cancer survivors and their association with HRQL. Methods: The sample included 5+ year survivors from the Childhood Cancer Survivor Study (N=9,289). Questions addressing use of PT or chiropractic services and HRQL (Medical Outcomes Survey Short Form (SF-36)) were evaluated. Multivariable regression models compared PT and/or chiropractic utilization between survivors and siblings, and by diagnosis, treatment and demographic characteristics; associations between chronic disease, PT/chiropractic use, and HRQL were similarly evaluated. Results: Survivors were not more likely to use PT (OR 1.0; 95{\%} CI 0.8-1.2) or chiropractic (OR 0.8; 95{\%} CI 0.7-1.0) services than siblings. More survivors reported using chiropractic (12.4{\%}) than PT (9.2{\%}) services. Older age and having health insurance were associated with utilization of either PT or chiropractic services. Grade 3-4 chronic conditions and a CNS tumor or sarcoma history were associated with PT but not with chiropractic service utilization. Survivors with musculoskeletal (OR 1.8; 95{\%} CI 1.1-2.9), neurological (OR 3.4; 95{\%} CI 1.6-6.9), or cardiovascular (OR 3.3; 95{\%} CI 1.6-6.9) chronic conditions who used PT/chiropractic services were more likely to report poor physical health than survivors who did not use services. Conclusions: The reported prevalence of PT/chiropractic among survivors is consistent with that reported by siblings. Severity of late effects is associated with service use and with reporting poor physical health. Implications for Cancer Survivors: Long-term childhood cancer survivors do not appear to utilize rehabilitation services to optimize physical function and support increased HRQL.",
author = "Michele Montgomery and Sujuan Huang and Cox, {Cheryl L.} and Leisenring, {Wendy M.} and Oeffinger, {Kevin C.} and Hudson, {Melissa M.} and Jill Ginsberg and Gregory Armstrong and Robison, {Leslie L.} and Ness, {Kirsten K.}",
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T2 - Impact on health-related quality of life

AU - Montgomery, Michele

AU - Huang, Sujuan

AU - Cox, Cheryl L.

AU - Leisenring, Wendy M.

AU - Oeffinger, Kevin C.

AU - Hudson, Melissa M.

AU - Ginsberg, Jill

AU - Armstrong, Gregory

AU - Robison, Leslie L.

AU - Ness, Kirsten K.

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N2 - Introduction: The use of rehabilitation services to address musculoskeletal, neurological and cardiovascular late effects among childhood cancer survivors could improve physical function and health-related quality-of-life (HRQL). We describe physical therapy (PT) and chiropractic utilization among childhood cancer survivors and their association with HRQL. Methods: The sample included 5+ year survivors from the Childhood Cancer Survivor Study (N=9,289). Questions addressing use of PT or chiropractic services and HRQL (Medical Outcomes Survey Short Form (SF-36)) were evaluated. Multivariable regression models compared PT and/or chiropractic utilization between survivors and siblings, and by diagnosis, treatment and demographic characteristics; associations between chronic disease, PT/chiropractic use, and HRQL were similarly evaluated. Results: Survivors were not more likely to use PT (OR 1.0; 95% CI 0.8-1.2) or chiropractic (OR 0.8; 95% CI 0.7-1.0) services than siblings. More survivors reported using chiropractic (12.4%) than PT (9.2%) services. Older age and having health insurance were associated with utilization of either PT or chiropractic services. Grade 3-4 chronic conditions and a CNS tumor or sarcoma history were associated with PT but not with chiropractic service utilization. Survivors with musculoskeletal (OR 1.8; 95% CI 1.1-2.9), neurological (OR 3.4; 95% CI 1.6-6.9), or cardiovascular (OR 3.3; 95% CI 1.6-6.9) chronic conditions who used PT/chiropractic services were more likely to report poor physical health than survivors who did not use services. Conclusions: The reported prevalence of PT/chiropractic among survivors is consistent with that reported by siblings. Severity of late effects is associated with service use and with reporting poor physical health. Implications for Cancer Survivors: Long-term childhood cancer survivors do not appear to utilize rehabilitation services to optimize physical function and support increased HRQL.

AB - Introduction: The use of rehabilitation services to address musculoskeletal, neurological and cardiovascular late effects among childhood cancer survivors could improve physical function and health-related quality-of-life (HRQL). We describe physical therapy (PT) and chiropractic utilization among childhood cancer survivors and their association with HRQL. Methods: The sample included 5+ year survivors from the Childhood Cancer Survivor Study (N=9,289). Questions addressing use of PT or chiropractic services and HRQL (Medical Outcomes Survey Short Form (SF-36)) were evaluated. Multivariable regression models compared PT and/or chiropractic utilization between survivors and siblings, and by diagnosis, treatment and demographic characteristics; associations between chronic disease, PT/chiropractic use, and HRQL were similarly evaluated. Results: Survivors were not more likely to use PT (OR 1.0; 95% CI 0.8-1.2) or chiropractic (OR 0.8; 95% CI 0.7-1.0) services than siblings. More survivors reported using chiropractic (12.4%) than PT (9.2%) services. Older age and having health insurance were associated with utilization of either PT or chiropractic services. Grade 3-4 chronic conditions and a CNS tumor or sarcoma history were associated with PT but not with chiropractic service utilization. Survivors with musculoskeletal (OR 1.8; 95% CI 1.1-2.9), neurological (OR 3.4; 95% CI 1.6-6.9), or cardiovascular (OR 3.3; 95% CI 1.6-6.9) chronic conditions who used PT/chiropractic services were more likely to report poor physical health than survivors who did not use services. Conclusions: The reported prevalence of PT/chiropractic among survivors is consistent with that reported by siblings. Severity of late effects is associated with service use and with reporting poor physical health. Implications for Cancer Survivors: Long-term childhood cancer survivors do not appear to utilize rehabilitation services to optimize physical function and support increased HRQL.

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