Cancer Prevention and Rehabilitation

Cancer Prevention and Rehabilitation


In the last decade, impressive results have been obtained in the diagnosis and treatment of breast cancers. Today, over 80% of patients show a survival rate of over 5 years, and most of them recover completely. Nonetheless, these patients can suffer severe cardiovascular complications that have a negative impact on their quality of life and life expectancy, particularly if they have undergone treatment with specific drugs. Eliminating the risk factors (particularly alcohol and smoking), following a healthy diet, and practicing regular physical exercise can substantially reduce these complications.

In the UPMC Institute for Health Chianciano Terme rehabilitation program, offered under an agreement with the Italian NHS for residents of the “Area Vasta Sud Est” [provinces of Arezzo, Grosseto and Siena] a multidisciplinary team combines physical activity and education plans on healthy diet and stress management, providing patients with the necessary tools to recover and maintain a physical and psychological well-being, preserving their quality of life in the community.

In the short run, the cancer rehabilitation program helps to:

  • Optimize first-surgery outcomes and pursue clinical stability
  • Limit physiological and psychological consequences of cancer
  • Generally improve the functional capacity, with a positive impact on the autonomy, independence and quality of life

In the long run, the cancer rehabilitation program helps to:

  • Protect the heart and prevent the onset of cardiovascular complications associated with the therapies
  • Reduce the risk of mortality or future cardiovascular events
  • Reduce possibilities of breast cancer relapses

What does the cancer rehabilitation program include?

  • Initial clinical, cardiology and physiotherapy assessment
  • Personalized physical activity plan
  • Nutrition education and healthy cooking classes
  • Integrative therapies

Who is the cancer rehabilitation program targeted to?

Cancer patients in therapy with:

  • Anthracyclines
  • Trastuzumab, Pertuzumab, Taxanes
  • Aromatase inhibitors
  • Local regional radiation therapy
  • Any chemo or radiation therapy in patients with the following cardiovascular risk factors:
    • at least two of the following: smoking, hypertension, dyslipidemia, diabetes or obesity
    • over 60-year-old when starting the therapy
    • reduced cardiac performance under basal conditions, previous ischemic myocardial infarction, moderate/medium valvulopathy

Patients with complications and comorbidities hindering the OPC rehabilitation (e.g., ejection fraction ≤ 40%) will not be included in the program.

How to reach us

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At the UPMC Institute for Health Chianciano Terme, we offer preventive medicine services for gastrointestinal, pancreatic, and cardiac diseases, metabolic syndrome, and diabetes. In other words, we take care of you.


The Italian division of the University of Pittsburgh Medical Center with facilities in Rome (UPMC Hillman Cancer Center at San Pietro FBF, oncology radiotherapy and UPMC Salvator Mundi International Hospital), Palermo (ISMETT IRCCS, organ transplants and highly specialized therapies and Ri.MED Foundation, research), Chianciano Terme (UPMC Institute for Health, preventive medicine and Medical Gym), Mirabella Eclano (UPMC Hillman Cancer Center at Villa Maria, oncology radiotherapy).


UPMC is an integrated global health enterprise headquartered in Pittsburgh, PA, USA. Its deep clinical, operational, and managerial expertise, combined with real-world experience, has made UPMC a leading health care provider in the United States. UPMC International shares clinical, technological, and managerial knowledge and expertise with partners across the globe customizing solutions to build the best possible health care for patients, close to home.

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