Abstract：
There is growing evidence about how physical activity can improve cancer care. Unfortunately, exercise is still not widely prescribed to oncology patients, despite the benefit it brings. For this to occur, it is necessary for a multidisciplinary approach involving different types of healthcare professionals, given that each treatment be tailored for each single case. Besides incorporating appropriate infrastructures and referral pathways, we need to integrate exercise into healthcare practice, which ameliorates patients\' quality of life and treatment side effects. From the Spanish Society of Medical Oncology (SEOM), and through the Exercise and Cancer Working Group, we indicate considerations, analyze patient care scenarios, and propose a referral pathway algorithm for exercise prescription, taking in account the patient\'s needs. In later sections of this paper, we describe how this algorithm could be implemented, and how the exercise programs should be built, including the physical activity contents, the settings, and the delivery mode. We conclude that professionals, infrastructures, and organizations should be available at every assistance level to create programs providing adequate exercise training for cancer patients.
摘要：
越来越多的证据表明身体活动如何改善癌症护理。不幸的是,运动仍未广泛用于肿瘤患者，尽管它带来了好处。为了发生这种情况，有必要采用涉及不同类型医疗保健专业人员的多学科方法，考虑到每种治疗都是针对每种情况量身定制的。除了纳入适当的基础设施和转诊途径，我们需要将锻炼融入医疗实践，改善患者的生活质量和治疗副作用。来自西班牙医学肿瘤学会（SEOM），并通过运动和癌症工作组，我们指出了注意事项，分析患者护理方案，并提出了一种运动处方的转诊路径算法，考虑到病人的需要。在本文的后面部分，我们描述了如何实现这个算法，以及如何建立锻炼计划，包括身体活动内容，设置，和交付模式。我们得出结论，专业人士，基础设施,和组织应该在每一个援助水平上创建计划，为癌症患者提供足够的运动训练。
