Physical activity communication between oncology providers and patients with early‐stage breast, colon, or prostate cancer
Open accessAbstract
BACKGROUND: National guidelines recommend that patients with a cancer diagnosis engage in regular physical activity to reduce cancer‐related fatigue, maintain quality of life and physical function, and improve overall prognosis and survival. This study investigates oncology provider communications about physical activity during routine clinic visits with patients with early‐stage breast, colon, or prostate cancer. METHODS: This study used a retrospective chart review for documentation of inquiries or recommendations pertaining to physical activity in clinician notes and after‐visit patient summaries. RESULTS: In a 1‐month period, 55 oncology providers had 361 encounters (clinic visits) with early‐stage cancer patients. Thirty‐five percent of these encounters included a provider communication about “physical activity,” “exercise,” or “activity.” Encounters with a medical oncologist resulted in a physical activity communication 55% of the time, whereas encounters with other clinician specialties did so 20% of the time (P < .0001). The likelihood of a physical activity communication increased with patient age (P < .001). When the encounter was with a patient who was being seen for surveillance, chemotherapy, or endocrine treatment, the rate of physical activity communications was significantly higher (46%, 37%, and 58%, respectively) than the rate when the visit was during radiation treatment or surgery (6% and 19%, respectively; P < .0001). CONCLUSIONS: This study shows that it is feasible for oncology providers to have physical activity communications during routine clinic visits; however, the frequency of physical activity communications varies among providers. Interventions are needed to remind and encourage all oncology providers to encourage their patients with early‐stage cancer to be physically active. Cancer 2016;122:470–476. © 2015 American Cancer Society.
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Studies suggest that 9% of nurses and from 19% to 23% of oncology physicians refer patients with cancer to exercise programming.
“studies suggest that 9% of nurses and from 19% to 23% of oncology physicians refer patients with cancer to exercise programming.13,17,21,22”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [17]
There is clear evidence that patients are more likely to exercise if their oncologist tells them to do so.
“there is clear evidence that patients are more likely to exercise if their oncologist tells them to do so.16,17,36”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [17]
Reasons for a lack of regular exercise among people living with and beyond cancer are multifactorial, but multiple studies have documented a lack of recommendation from an oncology clinician.
“Reasons for a lack of regular exercise among people living with and beyond cancer are multifactorial, but multiple studies have documented a lack of recommendation from an oncology clinician.15-17”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [17]
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- Authors
- Nyrop, K. A., Deal, A. M., Williams, G. R., Guerard, E. J., Pergolotti, M., & Muss, H. B.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Nyrop, Kirsten A.
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2015-11-13
- Volume
- 122
- Issue
- 3
- Pages
- 470-476
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- PMC
- PMC4948282
- OpenAlex
- W2157497047
- Cited by
- 69
- References
- 35
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 3 · 2023: 7 · 2022: 7 · 2021: 11 · 2020: 8 · 2019: 7 · 2018: 5 · 2017: 7 · 2016: 4
- FWCI
- 2.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (2k12ca120780-16)
- National Cancer Institute (K12-CA120780, R25CA116339)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- physical activity, cancer survivorship, early breast cancer, early colon cancer, early-stage prostate cancer, medical oncologists, after-visit summary, cancer-related fatigue
- MeSH terms
- Aged, Aged, 80 and over, Ambulatory Care, Breast Neoplasms, Colonic Neoplasms, Communication, Female, Health Personnel, Humans, Male, Medical Records, Middle Aged, Motor Activity, Neoplasm Staging, Nurse Practitioners, Physicians, Physician Assistants, Prostatic Neoplasms, Quality of Life, Retrospective Studies, Exercise
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