Medical Science
Revolutionizing Breast Cancer Care: The CORE Program
2025-04-29

A recent study highlights the potential of a novel program designed to integrate exercise and rehabilitation services into the care continuum for breast cancer patients. This clinical trial, conducted over 24 weeks, demonstrates that connecting patients to these services from diagnosis onward is not only feasible but also highly beneficial. Participants praised the program for its positive impact on their physical function and engagement in physical activity. These findings support broader efforts to incorporate such services into standard cancer care protocols.

Integrating Exercise and Rehabilitation Services

The Comprehensive Oncology Rehabilitation and Exercise (CORE) program offers a structured approach to triaging breast cancer patients based on their self-reported exercise habits and functional status. Through this system, participants were directed toward either an exercise service, a rehabilitation service, or independent exercise management. The exercise service included a hospital-based oncology program, while the rehabilitation service focused on addressing complex deficits in neurological, musculoskeletal, or cardiopulmonary systems.

This innovative program ensures that patients receive personalized support tailored to their specific needs at any stage of their cancer journey. By integrating both exercise and rehabilitation services, CORE addresses functional deficits, enhances fitness levels, and strengthens overall well-being. The trial demonstrated that 93% of participants successfully completed the initial triage process, indicating the program's practicality. Furthermore, 62% of those referred to a service completed it, underscoring its effectiveness. This workflow algorithm provides a valuable model for other institutions aiming to enhance their cancer care offerings.

Patient Feedback and Broader Implications

Participants in the focus groups expressed overwhelmingly positive feedback regarding the CORE program. They noted significant improvements in managing symptoms post-treatment and highlighted the lasting benefits of continuous access to exercise and rehabilitation services throughout their care. This feedback underscores the importance of integrating such services into routine cancer care practices.

The success of the CORE program aligns with national initiatives led by the American College of Sports Medicine to promote the inclusion of exercise and rehabilitation services in cancer treatment plans. For institutions lacking embedded programs, the CORE algorithm and triaging tool can serve as a guide when coordinating with external resources like the Moving Through Cancer Exercise Program Directory. As evidenced by the study, adopting such strategies could lead to improved patient outcomes and enhanced quality of life. This research supports the growing consensus that proactive integration of supportive services is essential for comprehensive cancer care.

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