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Exercise after colon cancer has a hazard ratio a drug would be licensed on. It is in the guidelines and in almost no budgets, because it is a staffed service rather than a product.
The end of treatment should produce a prescription, not a leaflet: a named programme, a named provider, a start date and a funded course. The components are already evidenced. Supervised aerobic and resistance training at the dose the American College of Sports Medicine roundtable specifies. Cognitive behavioural therapy for insomnia and for fatigue. Decongestive therapy and supervised resistance training for lymphoedema. Vocational rehabilitation where someone intends to return to work. Dietetic input where there is malnutrition or sarcopenia.
What is missing is the financing instrument. A drug has a marketing authorisation, a payment code and a tariff; an exercise programme with CHALLENGE's hazard ratio has none of those, so it is recommended by every guideline and delivered by whoever has spare capacity. The specific proposal here is narrower than a general call for more rehabilitation: create a reimbursable bundle triggered by the completion of curative treatment, with the components fixed, uptake audited, and the audit published by provider.
The cost is real and should be stated. A supervised programme is staff time, and the workforce that would deliver it is already short. The counterargument is the trial evidence and the 2.4 million follow-up oncology appointments England recorded in a single year, a large share of which exist to reassure rather than to find anything.
Shares Vocational rehabilitation integrated into cancer care so survivors can return to work, Structured exercise programmes after curative treatment, The exercise prescription after cancer: the dose the guidelines state, Survivorship and late effects are neglected and the tags rejuvenation, survivorship, rehabilitation.
Shares Rehabilitation is recommended everywhere and commissioned almost nowhere, The exercise prescription after cancer: the dose the guidelines state, Recovery and rejuvenation roadmap: cure is not enough → survivorship gets a name → the cohorts that measured the cost → exercise proven as treatment → biological ageing measured and sold → repair, if anyone funds it and the tags rejuvenation, survivorship, open-problem, rehabilitation.
Shares Vocational rehabilitation integrated into cancer care so survivors can return to work, Survivorship and late effects are neglected and the tags rejuvenation, survivorship, rehabilitation.
Shares Rehabilitation is recommended everywhere and commissioned almost nowhere, Going back to work after cancer: the rates, and the programmes that change them, Structured exercise programmes after curative treatment, The exercise prescription after cancer: the dose the guidelines state and the tags rejuvenation, survivorship.
Shares Vocational rehabilitation integrated into cancer care so survivors can return to work, Survivorship and late effects are neglected and the tags rejuvenation, survivorship, rehabilitation.
Shares The exercise prescription after cancer: the dose the guidelines state, Survivorship and late effects are neglected and the tags rejuvenation, survivorship, rehabilitation.
Shares The exercise prescription after cancer: the dose the guidelines state, Survivorship and late effects are neglected and the tags rejuvenation, survivorship, rehabilitation.
Shares The exercise prescription after cancer: the dose the guidelines state, Survivorship and late effects are neglected and the tags rejuvenation, survivorship, rehabilitation.