Table 1 Adapted National Comprehensive Cancer Network triage approach based on risk of exercise-induced adverse events [3, 24]
Description of Patients | Evaluation, prescription, and programming recommendations |
|---|---|
No comorbidities | No further pre-exercise medical evaluation. Follow general exercise recommendations |
Peripheral neuropathy, arthritis/musculoskeletal issues, poor bone health (e.g., osteopenia or osteoporosis), lymphoedema | Pre-exercise medical evaluation recommended. Modify general exercise recommendations based on assessments. Consider referral to trained personnel. |
Lung or abdominal surgery, ostomy, cardiopulmonary disease, ataxia, extreme fatigue, severe nutritional deficiencies, worsening/changing physical condition (e.g., lymphoedema exacerbation), bone metastases* | Pre-exercise medical evaluation and clearance by a physician before commencing exercise. Referral to trained personnel. |