{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T07:00:50Z","timestamp":1793343650932,"version":"4.5.0"},"reference-count":46,"publisher":"Wiley","issue":"9S2","license":[{"start":{"date-parts":[[2017,9,21]],"date-time":"2017-09-21T00:00:00Z","timestamp":1505952000000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Breast cancer survivors can experience multiple neuromuscular, musculoskeletal, pain, and functional disorders as a result of their cancer and its treatment. Common disorders include shoulder dysfunction, postmastectomy syndrome, chemotherapy\u2010induced peripheral neuropathy, axillary cording, lymphedema, and a host of others. Cancer rehabilitation is a process that helps breast cancer and other survivors to obtain and maintain the highest possible physical, social, psychological, and vocational functioning within the limits created by cancer and its treatments. There are good data supporting the safety and efficacy of cancer rehabilitation in the treatment of many breast cancer\u2212related impairments, including shoulder dysfunction and lymphedema, among others. Despite the goals and efficacy of cancer rehabilitation, there is a marked underuse of services. The reasons for this phenomenon are many, but broadly result from a lack of knowledge about cancer rehabilitation on the part of patients and referring clinicians, limited access to services, and suboptimal adherence. This article explores underutilization of cancer rehabilitation in breast cancer survivors and provides an opportunity to consider ways to improve this gap in care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.pmrj.2017.05.010","type":"journal-article","created":{"date-parts":[[2017,9,21]],"date-time":"2017-09-21T23:46:09Z","timestamp":1506037569000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":88,"title":["The Underutilization of Rehabilitation to Treat Physical Impairments in Breast Cancer Survivors"],"prefix":"10.1002","volume":"9","author":[{"given":"Michael D.","family":"Stubblefield","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,21]]},"reference":[{"issue":"3","key":"e_1_2_5_2_2","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1002\/1097-0142(19900201)65:3+<742::AID-CNCR2820651319>3.0.CO;2-P","article-title":"Current issues in cancer rehabilitation","volume":"65","author":"Ganz P.A.","year":"1990","journal-title":"Cancer"},{"issue":"8","key":"e_1_2_5_3_2","doi-asserted-by":"crossref","first-page":"2217","DOI":"10.1002\/cncr.27474","article-title":"Prevalence of breast cancer treatment sequelae over 6 years of follow\u2010up: The Pulling Through Study","volume":"118","author":"Schmitz K.H.","year":"2012","journal-title":"Cancer"},{"key":"e_1_2_5_4_2","unstructured":"American Cancer Society.Cancer Treatment & Survivorship Facts & Figures 2016\u20102017 Available athttp:\/\/www.cancer.org\/acs\/groups\/content\/@research\/documents\/document\/acspc\u2010048074.pdf Accessed January 5 2017"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0096748"},{"issue":"8","key":"e_1_2_5_6_2","doi-asserted-by":"crossref","first-page":"2237","DOI":"10.1002\/cncr.27467","article-title":"Upper\u2010body morbidity after breast cancer: Incidence and evidence for evaluation, prevention, and management within a prospective surveillance model of care","volume":"118","author":"Hayes S.C.","year":"2012","journal-title":"Cancer"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.12.3075"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2013.08.605"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20782"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2009.11.003"},{"key":"e_1_2_5_11_2","doi-asserted-by":"crossref","unstructured":"M.L.McNeely K.Campbell M.Ospina et al.Exercise interventions for upper\u2010limb dysfunction due to breast cancer treatment.Cochrane Database Syst Rev2010;Cd005211","DOI":"10.1002\/14651858.CD005211.pub2"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-014-3162-9"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.01.006"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-015-3005-1"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-015-3541-x"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-008-0461-x"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2015-84"},{"key":"e_1_2_5_18_2","volume-title":"From Cancer Patient to Cancer Survivor: Lost in Transition","author":"Hewitt M","year":"2006"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.37.1674"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2011.0217"},{"key":"e_1_2_5_21_2","doi-asserted-by":"crossref","unstructured":"J.K.Silver V.S.Raj J.B.Fu et al.Most National Cancer Institute\u2010designated cancer center websites do not provide survivors with information about cancer rehabilitation services.J Cancer Educ2017 Jan 7[Epub ahead of print]","DOI":"10.1007\/s13187-016-1157-4"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-011-1196-7"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29808"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40064-016-2455-3"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2013.001319"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200609000-00003"},{"key":"e_1_2_5_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000060"},{"key":"e_1_2_5_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2011.09.003"},{"key":"e_1_2_5_29_2","unstructured":"United States Department of Labor Bureau of Labor Statistics Available athttps:\/\/www.bls.gov\/oes\/current\/oes291123.htm#(1) Accessed January 13 2017"},{"key":"e_1_2_5_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2016.08.001"},{"key":"e_1_2_5_31_2","unstructured":"American College of Surgeons Commission on Cancer.Cancer Program Standards: Ensuring Patient\u2010Centered Care Available athttps:\/\/www.facs.org\/\u223c\/media\/files\/quality%20programs\/cancer\/coc\/2016%20coc%20standards%20manual_interactive%20pdf.ashx Accessed January 19 2017"},{"key":"e_1_2_5_32_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-015-1213-1"},{"key":"e_1_2_5_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2011.11.017"},{"key":"e_1_2_5_34_2","doi-asserted-by":"publisher","DOI":"10.1188\/10.ONF.321-330"},{"key":"e_1_2_5_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-014-0085-0"},{"key":"e_1_2_5_36_2","doi-asserted-by":"publisher","DOI":"10.1188\/13.ONF.472-480"},{"key":"e_1_2_5_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2014.07.004"},{"key":"e_1_2_5_38_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-5394.2002.106006.x"},{"key":"e_1_2_5_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-1962-9"},{"key":"e_1_2_5_40_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2567-7"},{"key":"e_1_2_5_41_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e31818e0e1b"},{"key":"e_1_2_5_42_2","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2013.750"},{"key":"e_1_2_5_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2007.03.001"},{"key":"e_1_2_5_44_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-009-0088-z"},{"key":"e_1_2_5_45_2","doi-asserted-by":"publisher","DOI":"10.1177\/0193945910379004"},{"key":"e_1_2_5_46_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12633"},{"key":"e_1_2_5_47_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e318168da45"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.pmrj.2017.05.010","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148217306585?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148217306585?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2017.05.010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T10:36:04Z","timestamp":1694687764000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.pmrj.2017.05.010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9]]},"references-count":46,"journal-issue":{"issue":"9S2","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.1016\/j.pmrj.2017.05.010"],"URL":"https:\/\/doi.org\/10.1016\/j.pmrj.2017.05.010","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9]]},"assertion":[{"value":"2017-02-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-05-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-09-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}