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Jay Harness MD, FACS, Chief Medical Officer of Maple Tree Cancer Alliance, Exercise Oncology

Most physicians working with cancer patients are unaware of the results of prospective clinical trials conducted over the past 20+ years on the value of exercise for cancer patients.  Not only were these trials prospective, but many were also randomized. The number of these clinical trials has recently surpassed 2,600!

The hard science and data that have emerged from these clinical trials provides overwhelming evidence of the value of exercise in cancer patients’ pre-treatment, during treatment, and post treatment, as well on long-term survivorship,

Dr. Kathryn (Katie) Schmitz is one of the leading researchers in the United States and globally on Exercise Oncology.

Her recently published book has emerged as a wonderful guide for patients and caregivers:

They state,

Oncology providers should recommend
regular aerobic and resistance exercise
during active treatment with curative intent
to mitigate side effects of cancer treatment.

In published meta-analysis reports, the impact of post diagnosis physical activity on breast cancer survivorship was found to be a 31% reduced risk of  cancer specific mortality, a 22% reduced risk of recurrent disease, and a 45% reduced risk of all-cause mortality.
What are the impacts of Exercise Oncology Programs on physical and psychological outcomes?  One report on 11,248 patients (will all types of cancers) enrolled in multisite Exercise Oncology Programs (run by a national nonprofit) found a 58.7% increase in quality of life, a 15.2% increase in  cardiovascular endurance, a 18.2% increase in muscular endurance, a 31.9% increase in flexibility, a 75.9% increase in more positive feelings, and a 58.7% increase in feelings of support.
What can be the financial impact of organized Exercise Oncology Programs?  An analysis of the same 11,248 patients found that there was meaningful and positive financial impacts including a 6% decrease in the inpatient hospital stays, a 19% decrease in the length of hospital stays, a 27% decrease in ER visits, a 33% decrease in total patient encounters, and a 47% decrease in hospital readmissions.
 
The American Society of Clinical Oncology (ASCO) published their Guidelines on Exercise, Diet & Weight Reduction in 2022.

The ASCO of Australia (COSA) declared in 2018 that “exercise” is a “standard of adjunctive care” for all cancer patients.

The American Cancer Society has a wonderfully crafted statement about exercise entitled “Physical Activity and the Person with Cancer” (https://www.cancer.org/content/dam/CRC/PDF/Public/9540.00.pdf).
The statement was last revised on June 3, 2021.

Multiple national and international medical organizations have supportive statements on the important role of exercise in the management of cancer patients.  However, the full across-the-board implementation of these positive statements has been lacking.

Dr. Harness’ goal is to make Exercise Oncology a standard of adjunctive care for all cancer patients in the US and globally, as it already is in Australia!

 

Dr. Harness spent the first 28 years of his career in academic life at the University of Michigan, Tufts University, and the University of California (Davis, UCSF & UCI).

He received both his MD degree and training in General Surgery at the University of Michigan Medical Center in Ann Arbor. He then remained on the faculty at the University of Michigan and developed one of the first United States academic multidisciplinary breast centers in 1985. Dr. Harness left the University of Michigan in 1989 and spent two years at Tufts University School of Medicine in Boston where he also established a multidisciplinary breast center at St. Elizabeth’s Medical Center.

Subsequently, he came to Oakland, California in 1991 to join the University of California-East Bay Department of Surgery where he was a Professor and Chief of Surgical Oncology at Highland General Hospital. The opportunity to direct his third multidisciplinary breast program at St. Joseph Hospital in Orange, CA came in the summer of 2003. He started his fourth breast surgery program at Northern Inyo Hospital in Bishop, CA in 2016.

He is best known for his work in the fields of endocrine and breast surgery, as well as the use of ultrasound in surgical practice. He is a member of several national and international surgical societies and associations. He is Past-President of The American Society of Breast Surgeons (ASBrS), the American Association of Endocrine Surgeons (AAES), and Breast International (BSI).

Dr. Harness has authored over 100 scientific articles and book chapters and has been the lead editor of 3 textbooks. His most recent books, The Breast Cancer Answers Book and Operative Approaches to Nipple-Sparing Mastectomy: Indications, Techniques, & Outcomes were published in 2016.

He is a co-founder and Medical Director of Breast Cancer Answers (www.breastcanceranswers.com) which is a Social Media video site for breast cancer patients, family members and friends.

ACCEPTS VIRTUAL CLIENTS

All the best!
Jay K. Harness, MD, FACS
Queen Creek, Arizona

November 6, 2023 Filed Under: Accepts virtual clients, Arizona, Exercise and Fitness

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