000			03097nam a22005297a 4500
008			170929s20172017 xxu||||| |||| 00| 0 eng d
022			_a1934-1482
040			_aOvid MEDLINE(R)
099			_a28942912
245			_aAn Evolving Role for Cancer Rehabilitation in the Era of Low-Dose Lung Computed Tomography Screening. [Review]
251			_aPm & R. 9(9S2):S407-S414, 2017 Sep
252			_aPM R. 9(9S2):S407-S414, 2017 Sep
253			_aPM & R : the journal of injury, function, and rehabilitation
260			_c2017
260			_fFY2018
266			_d2017-09-29
520			_aLung cancer is the number one cause of cancer-related death worldwide, and is often detected in the later stages. Use of low-dose chest computed tomography in at-risk patients provides earlier detection and is being adopted as the standard screening tool, replacing less precise methods of radiography and sputum cytology. In the past, late detection of disease meant that rehabilitation interventions attempted to salvage function and to improve aerobic capacity to the point where patients could tolerate the sometimes-extensive oncologic treatment, including lobectomy or pneumonectomy. Earlier detection may shift this toward more often addressing specific neuromusculoskeletal impairments, such as postthoracotomy pain or peripheral neuropathy, as patients with early-stage disease may not be as debilitated by chronic disease or metastases as those with late-stage lung cancer. Patients with advanced disease, however, will still require rehabilitation interventions, and this fragile population creates unique challenges. Rehabilitation professionals should look for ways to expand care to lung cancer patients, as both the number of those treated and the 5-year survival rate are expected to increase. Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
546			_aEnglish
650			_a*Early Detection of Cancer/mt [Methods]
650			_a*Lung Neoplasms/di [Diagnosis]
650			_a*Physical Therapy Modalities
650			_a*Radiation Exposure/pc [Prevention & Control]
650			_a*Tomography, X-Ray Computed/mt [Methods]
650			_aAdult
650			_aEarly Detection of Cancer/is [Instrumentation]
650			_aFemale
650			_aHumans
650			_aLung Neoplasms/rh [Rehabilitation]
650			_aMale
650			_aMass Screening/mt [Methods]
650			_aMass Screening/td [Trends]
650			_aMiddle Aged
650			_aPrognosis
650			_aRisk Assessment
650			_aRole
650			_aSurvival Analysis
650			_aTomography, X-Ray Computed/ae [Adverse Effects]
650			_aTreatment Outcome
651			_aMedStar National Rehabilitation Network
657			_aJournal Article
657			_aReview
700			_aKhanna, Ashish
700			_aWisotzky, Eric M
790			_aKhanna A, Smith SR, Wisotzky EM
856			_uhttps://dx.doi.org/10.1016/j.pmrj.2017.06.005 _zhttps://dx.doi.org/10.1016/j.pmrj.2017.06.005
942			_cART _dArticle
999			_c3559 _d3559