{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:12:37Z","timestamp":1791821557141,"version":"4.3.4"},"reference-count":59,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:00:00Z","timestamp":1759968000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Background: Adults with cancer who are pre-frail or frail are at risk of poor outcomes. Geriatric assessment (GA) is recommended to assess and manage vulnerability and risk of frailty in older adults with cancer (\u226565) and to inform referrals in supportive services, including rehabilitation. Yet, adoption of the GA in community oncology practice lags, and frailty among adults younger than 65 often goes undetected and\/or unaddressed. We evaluated the feasibility of a GA-guided rehabilitation care model and assessed changes in patient-reported and performance-based outcomes after rehabilitation. Methods: Adults (\u226518 years) starting systemic therapy at a community oncology practice enrolled in the study. The GA was administered online and monthly for one year. Frailty\/pre-frailty was identified using a previously validated 44-item index. The oncology team was notified of frail\/pre-frail patients and then made referrals to outpatient rehabilitation. Feasibility outcomes (recruitment, retention, fidelity) and participant acceptability [7 items, 0\u20135 Likert scale] were analyzed descriptively. Patient-reported and performance-based outcomes were examined using the paired t-test. Results: 48% of eligible patients enrolled (N = 141), and 83% completed at least one GA. Frailty\/pre-frailty was identified in 40% of the GAs, resulting in 282 referrals to rehabilitation (99% fidelity). Acceptability scores ranged from 3.5 \u00b1 1.7 to 4.7 \u00b1 0.6. Participants who attended rehabilitation (52%) improved significantly in outcomes measuring health-related quality of life, mobility, aerobic capacity, and strength (all p &lt; 0.05). Conclusion: Implementing a GA-guided rehabilitation care model was feasible and acceptable to patients receiving systemic treatment. Those who attended rehabilitation experienced significant improvement in patient-reported and performance-based outcomes.<\/jats:p>","DOI":"10.3390\/cancers17193274","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:54:31Z","timestamp":1760028871000},"page":"3274","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Implementing a Geriatric Assessment-Guided Rehabilitation Care Model in Community Oncology Care: Feasibility and Impact on Patient-Reported and Performance-Based Outcomes"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6493-6965","authenticated-orcid":false,"given":"Mackenzi","family":"Pergolotti","sequence":"first","affiliation":[{"name":"ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA 17055, USA"},{"name":"Department of Occupational Therapy, University of North Carolina, Chapel Hill, NC 27599, USA"},{"name":"Department of Occupational Therapy, Colorado State University, Fort Collins, CO 80523, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5453-2414","authenticated-orcid":false,"given":"Kelley C.","family":"Wood","sequence":"additional","affiliation":[{"name":"ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA 17055, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2829-1551","authenticated-orcid":false,"given":"Mary","family":"Hidde","sequence":"additional","affiliation":[{"name":"ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA 17055, USA"},{"name":"Medpace, Inc., Denver, CO 80202, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany D.","family":"Kendig","sequence":"additional","affiliation":[{"name":"ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA 17055, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deanna","family":"Meehan","sequence":"additional","affiliation":[{"name":"Kessler Rehabilitation Center, Kessler Institute for Rehabilitation, Select Medical, Chester, NJ 07930, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Hutzayluk","sequence":"additional","affiliation":[{"name":"Kessler Rehabilitation Center, Kessler Institute for Rehabilitation, Select Medical, Chester, NJ 07930, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaina M.","family":"Newell","sequence":"additional","affiliation":[{"name":"ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA 17055, USA"},{"name":"Department of Physical Therapy, South College, Knoxville, TN 37909, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Bertram","sequence":"additional","affiliation":[{"name":"Outpatient Division, Baylor Scott and White Institute for Rehabilitation, Dallas, TX 75246, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Lightner","sequence":"additional","affiliation":[{"name":"ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA 17055, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacye","family":"Mayo","sequence":"additional","affiliation":[{"name":"ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA 17055, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina","family":"Hedaya","sequence":"additional","affiliation":[{"name":"ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA 17055, USA"},{"name":"Kessler Rehabilitation Center, Kessler Institute for Rehabilitation, Select Medical, Chester, NJ 07930, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smith","family":"Giri","sequence":"additional","affiliation":[{"name":"Institute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL 35233, USA"},{"name":"Lewis and Faye Manderson Cancer Center, Tuscaloosa, AL 35401, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4294-5232","authenticated-orcid":false,"given":"Grant R.","family":"Williams","sequence":"additional","affiliation":[{"name":"Institute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL 35233, USA"},{"name":"Lewis and Faye Manderson Cancer Center, Tuscaloosa, AL 35401, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"505","DOI":"10.2147\/CIA.S365494","article-title":"Frailty and cancer: Current perspectives on assessment and monitoring","volume":"18","author":"Goede","year":"2023","journal-title":"Clin. 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