Cancer patients' rehabilitation needs and their fulfillment status

Aims: Advances in cancer treatment have improved patients' survival rates; however, longer survival brings physical and psychosocial challenges. Cancer rehabilitation aims to mitigate these issues, preserving functionality and quality of life. This study aimed to evaluate the rehabilitation needs of oncology inpatients and the extent to which these needs are met, thereby raising awareness. Methods: This cross-sectional, single-center study included 200 inpatients from the medical oncology service who voluntarily participated. A literature-based questionnaire was administered to assess patients' demographic and clinical characteristics, physical activity levels, and symptoms that may require rehabilitation. Performance status was determined using the Eastern Cooperative Oncology Group (ECOG) scale. Electronic patient records were reviewed to identify those who received a physical therapy and rehabilitation (PTR) consultation. The characteristics of patients who received and did not receive PTR consultation were statistically compared (p<0.05 significance level). Results: The median age of the study participants was 61 years, with 59% being male. The most common symptoms requiring rehabilitation were fatigue (86%), pain (35%), and ambulation difficulty (32.5%). ECOG performance score was 2 and above in 41.5% of the patients. Only 27 patients (13.5%) received PTR consultation. Patients who received PTR consultation had significantly higher ECOG scores (p<0.001), higher rates of metastatic disease (p=0.047), and lower rates of independent feeding (p<0.001). Conclusion: Although symptoms such as fatigue, pain, and mobility issues that require rehabilitation are common among oncology patients, referral rates to PTR clinics and access to rehabilitation services remain low. Identifying and addressing these needs is crucial for improving patient outcomes. Therefore, increasing awareness and strengthening collaboration between oncology and rehabilitation clinics is essential.