Access Challenges in Cancer Rehabilitation for Survivors Highlighted by New Research

Despite the significant increase in cancer rehabilitation programs across Australia over the past decade, many survivors still face substantial barriers to accessing essential support services, recent research at La Trobe University reveals. The number of programs has more than doubled from 31 in 2015 to 76 in 2024, reflecting growing recognition of the importance of post-cancer care. Nevertheless, only about 1 in 65 Australian cancer survivors are able to participate in oncology rehabilitation each year, indicating a significant gap between demand and availability.

A comprehensive study published in the Asia-Pacific Journal of Clinical Oncology, based on data from 173 hospitals and cancer centers nationwide, analyzed trends and challenges in delivering cancer rehabilitation. The research underscores the critical role of exercise in aiding recovery, managing fatigue, improving mood, and enhancing physical function and quality of life for survivors. However, access remains limited, with nearly half of respondents citing insufficient funding as a major obstacle to program sustainability.

The study highlights that the typical cancer rehabilitation programs are conducted three times weekly over an average of 11 weeks, incorporating exercise, nutritional education, fatigue management, and self-management strategies. While initially prioritized as face-to-face interventions, many programs now incorporate telehealth options such as video conferencing (45%) and telephone support (53%), significantly improving access for rural and regional patients who face travel challenges.

Dr. Amy Dennett from La Trobe University emphasizes that the integration of exercise into cancer care is vital and supported by mounting evidence. She notes that, despite clear guidelines by the Clinical Oncology Society of Australia since 2018, the implementation of oncology rehabilitation remains inadequate. Currently, there are approximately only six oncology programs compared to nearly 400 cardiac and pulmonary rehabilitation services across the country.

The research points to the urgent need for increased funding, better training, and streamlined referral pathways to ensure more cancer survivors can benefit from these tailored interventions. As cancer is now considered a chronic disease with over half a million five-year survivors in Australia, establishing comprehensive rehabilitation services is essential. The study advocates for rehabilitation to be integrated as a central component of cancer treatment, rather than an optional add-on.

This development underscores the importance of expanding access and infrastructure to support survivorship and long-term health outcomes. For more insights, the full study can be accessed through the DOI: 10.1111/ajco.70003. Source: https://medicalxpress.com/news/2025-10-survivors-struggle-access-cancer.html