Cancer Centers Often Misinform Patients About Supportive Care Services

Contact: Sarah Avery Phone: 919-660-1306 Email:sarah.avery@duke.eduhttps://www.dukehealth.orgFOR IMMEDIATE RELEASE on Tuesday, Sept. 6, 2016DURHAM, N.C. – Using a “mystery shopper” approach, researchers atDuke Cancer Institute anonymously called most of the nation ’s comprehensive cancer centers to ask whether palliative care was available, and found barriers to accurate information nearly 40 percent of the time.Reporting their findings during the press program at the 2016 Palliative Care in Oncology Symposium, the researchers said front-line misinformation can impede access to supportive services that patients overwhelmingly seek out.“We know that patients and caregivers make decisions based on the availability of supportive care services, and that these services make a difference both in how patients feel and how well they do,” said lead authorArif Kamal, M.D., assistant professor of medicine at Duke. “It’s important that patients know about and have access to these services at every level.”Palliative care is not end-of-life care, although it can be a component of hospice. Instead, it focuses on providing necessary medications and services to ease the symptoms and stress of a serious illness.Kamal and colleagues, including lead author Kathryn Hutchins, sought to determine how well palliative care was presented to potential patients seeking care at comprehensive cancer centers, which are designated by the National Cancer ...
Source: DukeHealth.org: Duke Health Features - Category: Pediatrics Tags: Duke Medicine Source Type: news

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Abstract OBJECTIVES: To explore the impact of a Mindfulness-Based Stress Reduction (MBSR) intervention for people with metastatic cancer integrated in Early Palliative Care (EPC). DESIGN: Mixed-method study. SETTINGS/LOCATION: EPC Service integrated with Oncology Unit, Carpi General Hospital, Italy from January to October 2017. The MBSR intervention took place inside the hospital. SUBJECTS: Study participation was offered to 25 consecutive people referred to the EPC service. INCLUSION CRITERIA: people with metastatic cancer between 18 and 75 years old; informed consent. EXCLUSION CRITERIA: Performance Status
Source: Complementary Therapies in Medicine - Category: Complementary Medicine Authors: Tags: Complement Ther Med Source Type: research
CONCLUSION: Treatment with 177Lu-PSMA has emerged as a promising systemic modality, which involves the delivery of targeted radiation therapy in the form of β-particles to sites of tumour tissue. Therapy is provided on an outpatient basis, is well tolerated with relatively few side effects and has a positive effect on overall survival and quality of life. At present, it is used mostly in the setting of advanced, castrate-resistant cancer. Patients are selected (amongst other criteria) based on the prior PSMA-based SPECT/PET/CT imaging (99mTc-,68Ga- or 18F-PSMA), which should demonstrate sufficient receptor expression ...
Source: South African Journal of Surgery - Category: Surgery Tags: S Afr J Surg Source Type: research
AbstractPurposeWe designed a novel, manualized intervention called Emotion And Symptom-focused Engagement (EASE) for acute leukemia (AL) and report here on a phase II randomized controlled trial (RCT) to assess its feasibility and preliminary efficacy.MethodsPatients were recruited within 1  month of hospital admission and randomized to EASE plus usual care (UC) or UC alone. EASE includes (1) EASE-psy, a tailored psychotherapy delivered over 8 weeks, and (2) EASE-phys, weekly physical symptom screening over 8 weeks to trigger early palliative care. The primary outcome was traumatic stress symptoms; secondary...
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
AbstractA 48-year-old male was referred to our hospital for evaluation of motor speech disorders and difficulty in the movement of both the hands. The clinical diagnosis was Trousseau ’s syndrome due to advanced gallbladder cancer (cT3aN1M0). The patient received anticoagulation therapy and systemic chemotherapy (gemcitabine and cisplatin). Motor speech disorders and difficulty in movement of both hands were recovered. After 2 courses of chemotherapy, the primary tumor develope d a massive hepatic invasion and the peripheral blood eosinophils increased gradually. The patient was admitted to our hospital for abdominal...
Source: International Cancer Conference Journal - Category: Cancer & Oncology Source Type: research
Abstract OBJECTIVE: The purpose was to describe the physical, psychological, social, and spiritual needs of patients with non-cancer serious illness diagnoses compared to those of patients with cancer. METHOD: We conducted a retrospective chart review of all patients with a non-cancer diagnosis admitted to a tertiary palliative care unit between January 2008 and December 2017 and compared their needs to those of a matched cohort of patients with cancer diagnoses. The prevalence of needs within the following four main concerns was recorded and the data analyzed using descriptive statistics and content analysis...
Source: Palliative and Supportive Care - Category: Palliative Care Authors: Tags: Palliat Support Care Source Type: research
AbstractCurrently, there are no recommendations or guidelines concerning the preferred diameter of esophageal stents for palliative treatment, owing to the lack of adequate evidence. We therefore conducted a retrospective cohort study to evaluate whether 18  mm stents would achieve a similar function of dysphagia relief with fewer complications and longer survival compared to 20 mm stents. Esophageal cancer patients who underwent 125 iodine seed-loaded stent placement with a diameter of either 18 mm (n = 103) or 20 mm (n = 54) were included at five hospitals in China. The sta...
Source: Dysphagia - Category: Speech-Language Pathology Source Type: research
AbstractPurpose of ReviewThe purpose of this article is to describe the concepts of ablation techniques for pain relief in symptomatic oncologic patients. Controversies concerning techniques and products will be addressed.Recent FindingsDespite conventional pain palliative techniques, cancer patients often endorse unresolved somatic and neuropathic pain that can present as a great burden to quality of life. In non-operative patients, several techniques have been applied to minimize opioid dependence. While radiotherapy is often considered as a non-invasive option, percutaneous ablation has been advanced as a minimally-inva...
Source: Current Oncology Reports - Category: Cancer & Oncology Source Type: research
We examined wether coping strategy influences QOL in patients with depressive or anxiety symptoms.Materials and Methods: We conducted a multi-centre cross-sectional study o f patients with advanced lung cancer. 125 patients completed assessments of AOL (QLQ-C15-PAL), depressive and anxiety symptoms (HADS) and coming (brief COPE questionnaire). The data were analyzed by descreptive statistics. To determine whether coping strategy has a moderating effect on the relationship between mood and QOL, the interaction term between mood and coping strategy was added in a multiple regression model.Results: Positive reframing correlat...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Lung cancer Source Type: research
Introduction: Quality of life (QoL) has become a major concern in thoracic oncology. The aim of this study was to evaluate QoL in patients with lung cancer and determine the main factors associated with its deterioration.Methods: QLQ-C30 is a 30-item questionnaire that describes symptoms and 5 functional scales including : physical, psychological, cognitive functioning and life roles. A high score for a functional scale or for the global health status or QoL represents a high level of functioning and quality of life but the opposite for the symptom scale. EQ-5D-3L describes 5 dimensions and global health state.Results: 95 ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Lung cancer Source Type: research
Conclusion: It is feasible to continuously monitor ventilation noninvasively using combined SpO2 and TcCO2 to detect hypoventilation in the palliative care setting. Patients with advanced cancer administered opioids in palliative care are at risk of manifesting hypercapnia and hypoxemia.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Rehabilitation and chronic care Source Type: research
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