Late Breaking Research Poster 1841575| Volume 103, ISSUE 3, e44, March 2022

Neuro-Oncology Rehabilitation Triage Clinic – Developing a Rehabilitation Decision Making Framework within the Cancer Care System

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      Research Objectives

      To determine triage criteria for neuro-oncology patients into exercise oncology versus other rehabilitation programming (i.e. physiotherapy, occupational therapy, and physiatry) based on a Rehabilitation Triage Clinic (RTC) assessment. It was hypothesized that the RTC assessments would determine effective referral into exercise or rehabilitation programs.


      The study was a prospective cohort study.


      Patients were referred from the Tom Baker Cancer Center into the publicly funded Cancer Rehabilitation program.


      Neuro-oncology patients >18 years and treated at the Tom Baker Cancer Centre in Calgary, Alberta, were referred into the RTC.


      The Rehabilitation Triage Clinic (RTC) was an assessment clinic designed to assess patients using a standard set of criteria, and determine appropriate referral for rehabilitation services.

      Main Outcome Measures

      A medical history, neurologic examination, Short Physical Performance Battery (SPPB), Eastern Cooperative Oncology Group (ECOG) status, and Karnofsky Performance Score (KPS) were used to determine triage. Triage criteria were based on pre-determined criteria including an ECOG <3, KPS >50, SPPB >10, and no new or unmanaged medical or neurological issues. Recruitment is ongoing.


      To date, 19 out of 32 eligible patients have been recruited, with an average of 57.2(±81.1) months since diagnosis. The mean SPPB score was 9.6 (±2.1, range 5 to 12), below cut-off, while the average KPS was 65 (±7.1, range 60-90), and ECOG score was 1.3 (±0.6, range 2 to 0), both above cut-off. Most patients were referred to multiple programs, including 2/19 patients to physiatry, 17/19 to physiotherapy, and 8/19 to occupational therapy. All 19 patients were referred to and have tolerated the exercise oncology program.


      The RTC has been valuable in identifying functional deficits and informing appropriate triage criteria to further tailor rehabilitation and exercise program referral. This initial data will inform the ongoing triage of neuro-oncology patients in Calgary, Alberta.

      Author(s) Disclosures

      No conflict of interest to disclose.


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