What treatment options exist for cancer?
People with cancer may undergo a variety of different treatment regimes. Treatment choice may vary depending on the patient’s age, functional performance status (e.g. ECOG score), co-morbidities and goals of treatment (curative versus palliative).
Common treatments include:
These treatments have a wide range of implications for exercise prescription for people with cancer.
See below the table of common cancer treatments and their implications for rehabilitation.
Further guidance related to common cancer treatment protocols can be found at EviQ.
COMMON CANCER TREATMENTS AND IMPLICATIONS FOR REHABILITATION
|System||Side Effect||Surgery||Chemotherapy||Radiotherapy||Hormone Therapy||Targeted Immunotherapy|
|Endocrine||Decreased bone health||Y||Y||Y|
|Increased body weight||Y||Y|
|Decreased body weight||Y||Y||Y||Y||Y|
|Decreased muscle mass||Y||Y||Y||Y||Y|
|Altered GI function||Y||Y||Y|
|Immune||Immunocompromise +/- anaemia||Y||Y||Y||Y|
|Metabolic||Increased risk metabolic syndrome||Y||Y||Y|
|Cognitive Changes||Y (brain)||Y||Y||Y|
|Pulmonary||Decreased lung function or pneumonitis||Y (lung)||Y||Y|
|Cardiac||Increased CVD risk or cardiac damages||Y||Y||Y||Y|
|Lymphatic||Lymphodema or axillary web syndrome||Y||Y|
Source: Adapted from Campbell KL, et al 2019 Med Sci Sport Exerc, 2375-2390.