Acceptability and implementation directions for the EXCEEDS algorithm: Results of a Delphi study. (990398)

Cancer-related treatment burden, disability, and mortality are serious and costly problems that will continue to grow without improved coordination between oncology and rehabilitation and/or exercise interventions. Risk-stratified care pathways have been recommended by researchers and clinical organizations to improve care coordination, including many recommendations specific to rehabilitation or exercise intervention triage needs. Yet, there is little consensus on how to support decision-making for referrals to high vs. low specialized interventions. To facilitate consensus and support decision making for triage to cancer rehabilitation and exercise, we developed the Exercise in Cancer Evaluation and Decision Support (EXCEEDS) tool algorithm in 2019. In this symposium we describe the findings of our recent Delphi study, including consensus on the acceptability of the preliminary EXCEEDS algorithm and recommendations for integration into existing clinical workflow and digital platforms to support decision making.