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    "slug": "they-call-it-prehab-starting-cancer-patients-on-rehab-before-treatment",
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    "title": {
        "rendered": "Ellos lo llaman Prehab: iniciar a los pacientes con c\u00e1ncer en rehabilitaci\u00f3n antes del tratamiento"
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        "rendered": "<p id=\"U940660907131GtD\">Los pacientes con c\u00e1ncer que comienzan la rehabilitaci\u00f3n antes de comenzar el tratamiento pueden recuperarse m\u00e1s r\u00e1pidamente de la cirug\u00eda, la quimioterapia o la radiaci\u00f3n, dicen algunos especialistas. Pero la cobertura de seguro para la &quot;prehabilitaci\u00f3n&quot;, como se le llama, puede ser irregular, especialmente si el objetivo es prevenir problemas en lugar de tratar los existentes.<\/p>\n<p>Parece intuitivo que la salud de las personas durante y despu\u00e9s de una cirug\u00eda invasiva o un curso t\u00f3xico de quimioterapia o radiaci\u00f3n se puede mejorar estando tan en forma f\u00edsica y psicol\u00f3gica como sea posible. Pero la investigaci\u00f3n para examinar el impacto de prehab es solo en el\u00a0<a title=\"www.ncbi.nlm.nih.gov\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24439570\">etapas iniciales<\/a>.<\/p>\n<p>La prehabilitaci\u00f3n se asocia com\u00fanmente con operaciones ortop\u00e9dicas, como reemplazos de rodilla y cadera o procedimientos card\u00edacos. Ahora existe un inter\u00e9s creciente en utilizar tambi\u00e9n la prehabilitaci\u00f3n en la atenci\u00f3n del c\u00e1ncer para prepararse para el tratamiento y minimizar algunos de sus posibles impedimentos f\u00edsicos a largo plazo, como problemas card\u00edacos y de equilibrio.<\/p>\n<p>\u201cEs realmente la filosof\u00eda de la rehabilitaci\u00f3n, rebautizada\u201d, dice Samman Shahpar, fisiatra del Instituto de Rehabilitaci\u00f3n de Chicago. (Los fisiatras son m\u00e9dicos que se especializan en medicina f\u00edsica y rehabilitaci\u00f3n).<\/p>\n<p id=\"U940660907131c1F\">El componente principal de la prehabilitaci\u00f3n del c\u00e1ncer suele ser un programa estructurado de ejercicios para mejorar la resistencia, la fuerza o la salud cardiorrespiratoria del paciente. El m\u00e9dico establece medidas de referencia, como determinar cu\u00e1nto puede caminar un paciente en una cinta rodante en seis minutos, y puede establecer una meta de mejora. Tambi\u00e9n eval\u00faa y aborda las deficiencias f\u00edsicas, como la movilidad limitada del hombro, que podr\u00eda ser problem\u00e1tica para una paciente con c\u00e1ncer de mama que necesitar\u00e1 sostener su hombro en una posici\u00f3n particular para la radiaci\u00f3n. Seg\u00fan el programa, los pacientes tambi\u00e9n pueden recibir asesoramiento psicol\u00f3gico y nutricional u otros servicios.<\/p>\n<p>Alguno\u00a0<a title=\"www.ncbi.nlm.nih.gov\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25076007\">la investigaci\u00f3n preliminar sugiere<\/a>\u00a0prehab puede mejorar la capacidad de las personas para tolerar el tratamiento del c\u00e1ncer y volver al funcionamiento f\u00edsico normal m\u00e1s r\u00e1pidamente. En un ensayo controlado aleatorizado, 77 personas que esperaban una cirug\u00eda por c\u00e1ncer colorrectal participaron en un programa de ejercicio, relajaci\u00f3n y asesoramiento nutricional. La mitad pas\u00f3 por el programa en las cuatro semanas previas a la cirug\u00eda y la otra mitad en las ocho semanas posteriores.<\/p>\n<p>Ocho semanas despu\u00e9s de la cirug\u00eda, el 84 % de los pacientes de rehabilitaci\u00f3n igualaron o superaron su rendimiento inicial en una prueba de caminata de seis minutos, en comparaci\u00f3n con el 62 % de los pacientes de rehabilitaci\u00f3n.<\/p>\n<p id=\"U9406609071315zC\">\u201cLa prehabilitaci\u00f3n podr\u00eda ser una forma relativamente econ\u00f3mica de preparar a las personas para el tratamiento y la cirug\u00eda del c\u00e1ncer, ambos factores estresantes\u201d, dice el coautor del estudio Francesco Carli, profesor de anestesiolog\u00eda en la Universidad McGill en Montreal.<\/p>\n<p>Se necesitan m\u00e1s estudios para determinar si la rehabilitaci\u00f3n en realidad mejora los resultados de los pacientes con c\u00e1ncer, dicen los expertos.<\/p>\n<p>\u201cHay algunos fisiatras que no creen en la prehabilitaci\u00f3n\u201d, dice Catherine Alfano, vicepresidenta de supervivencia de la Sociedad Estadounidense del C\u00e1ncer. \u201cSienten que la ciencia a\u00fan no ha llegado\u201d.<\/p>\n<p id=\"U940660907131W6G\">Los planes de seguro suelen cubrir servicios de rehabilitaci\u00f3n como fisioterapia y terapia ocupacional. Pero los pacientes pueden enfrentar problemas de cobertura, como requisitos de autorizaci\u00f3n previa y l\u00edmites en las visitas.<\/p>\n<p>Este art\u00edculo se produce a trav\u00e9s de una colaboraci\u00f3n entre The Washington Post y\u00a0<a href=\"https:\/\/www.kaiserhealthnews.org\/\">Noticias de salud de Kaiser<\/a>, un servicio de noticias editorialmente independiente que es un programa de Kaiser Family Foundation.\u00a0<a href=\"https:\/\/www.washingtonpost.com\/national\/health-science\/they-call-it-prehab-starting-cancer-patients-on-rehab-before-treatment\/2015\/07\/31\/a61ff408-3553-11e5-94ce-834ad8f5c50e_story.html\">Haga clic aqu\u00ed para verlo en su forma original<\/a>.<\/p>",
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        "rendered": "<p>Los pacientes con c\u00e1ncer que comienzan la rehabilitaci\u00f3n antes de comenzar el tratamiento pueden recuperarse m\u00e1s r\u00e1pidamente de la cirug\u00eda, la quimioterapia o la radiaci\u00f3n, dicen algunos especialistas. Pero la cobertura de seguro para [\u2026]<\/p>",
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