Implementing a Multidisciplinary Lifestyle Medicine Clinic for Cancer Survivorship.

IF 1.8 4区医学 Q3 ONCOLOGY Oncology-New York Pub Date : 2024-11-05 DOI:10.46883/2024.25921030

Rachel A Millstein, Loren Winters, Carol Sullivan, Stephanie Eisenstat, Emily Sorg, Amy Comander

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Abstract

Background: Lifestyle medicine (LM) is increasingly recognized in cancer survivorship guidelines. The 6 LM pillars are physical activity, a predominantly plant diet, restorative sleep, stress management, avoiding risky substance use, and social connections. Through a multidisciplinary LM clinic in oncology, we describe 2 illustrative cases and the implications for broader implementation and dissemination of this clinic model.

Methods: In the multidisciplinary LM clinic in oncology, patients meet with an American College of Lifestyle Medicine (ACLM) board-certified physician or nurse practitioner, a registered dietitian, and, as needed, a clinical psychologist, a psychiatrist, an obesity medicine physician, a physical therapist, and/or a rehabilitation medicine physician.

Results: Patient 1 met with the physician, the registered dietitian, the psychologist, and an affiliated cancer center psychiatrist. Patient 2 met with the nurse practitioner and the registered dietitian. The 2 cases presented illustrate the diversity of LM pillars and strategies to increase health and well-being post cancer treatment.

Conclusion: This paper details the model of implementation of a novel oncology-focused multidisciplinary LM clinic and the clinical focuses of 2 diverse patients. The LM needs of cancer survivors seeking lifestyle consultation are growing, and awareness of the benefits of LM for this population can enhance the quality of life for patients who are survivors of cancer.

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为癌症幸存者开设多学科生活方式医学诊所。

背景：生活方式医学（LM）在癌症幸存者指南中得到越来越多的认可。生活方式医学的 6 大支柱是体育锻炼、以植物为主的饮食、恢复性睡眠、压力管理、避免使用危险物质以及社会联系。通过肿瘤学多学科 LM 诊所，我们描述了两个说明性病例以及对更广泛实施和推广这种诊所模式的影响：在肿瘤学多学科 LM 诊所中，患者与美国生活方式医学学会（ACLM）认证的医师或执业护士、注册营养师会面，并根据需要与临床心理学家、精神科医生、肥胖症医学医生、理疗师和/或康复医学医生会面：患者 1 会见了内科医生、注册营养师、心理学家和附属癌症中心的精神科医生。患者 2 见了执业护士和注册营养师。这两个病例说明了 LM 支柱的多样性以及提高癌症治疗后健康和幸福感的策略：本文详细介绍了以肿瘤学为重点的新型多学科 LM 诊所的实施模式，以及 2 位不同患者的临床重点。寻求生活方式咨询的癌症幸存者对健康管理的需求日益增长，认识到健康管理对这一人群的益处可以提高癌症幸存者的生活质量。

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来源期刊

Oncology-New York 肿瘤学-肿瘤学

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Although laboratory and clinical cancer research need to be closely linked, observations at the basic level often remain removed from medical applications. This journal works to accelerate the translation of experimental results into the clinic, and back again into the laboratory for further investigation. The fundamental purpose of this effort is to advance clinically-relevant knowledge of cancer, and improve the outcome of prevention, diagnosis and treatment of malignant disease. The journal publishes significant clinical studies from cancer programs around the world, along with important translational laboratory findings, mini-reviews (invited and submitted) and in-depth discussions of evolving and controversial topics in the oncology arena. A unique feature of the journal is a new section which focuses on rapid peer-review and subsequent publication of short reports of phase 1 and phase 2 clinical cancer trials, with a goal of insuring that high-quality clinical cancer research quickly enters the public domain, regardless of the trial’s ultimate conclusions regarding efficacy or toxicity.