Radiotherapy side effects: integrating a survivorship clinical lens to better serve patients.

Radiotherapy side effects: integrating a survivorship clinical lens to better serve patients. Curr Oncol. 2020 Apr;27(2):107-112 Authors: Dilalla V, Chaput G, Williams T, Sultanem K Abstract The Canadian Cancer Society estimated that 220,400 new cases of cancer would be diagnosed in 2019. Of the affected patients, more than 60% will survive for 5 years or longer after their cancer diagnosis. Furthermore, nearly 40% will receive at least 1 course of radiotherapy (rt). Radiotherapy is used with both curative and palliative intent: to treat early-stage or locally advanced tumours (curative) and for symptom management in advanced disease (palliative). It can be delivered systemically (external-beam rt) or internally (brachytherapy). Although technique improvements have drastically reduced the occurrence of rt-related toxicity, most patients still experience burdensome rt side effects (seffs). Radiotherapy seffs are local or locoregional, and manifest in tissues or organs that were irradiated. Side effects manifesting within weeks after rt completion are termed "early seffs," and those occurring months or years after treatment are termed "late seffs." In addition to radiation oncologists, general practitioners in oncology and primary care providers are involved in survivorship care and management of rt seffs. Here, we present an overview of common seffs and their respective management: anxiety, depression, fatigue, and effects related to th...
Source: Current Oncology - Category: Cancer & Oncology Tags: Curr Oncol Source Type: research

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AbstractObjectivesTo assess patient needs and concerns after head and neck squamous cell carcinoma (HNSCC) treatment and their possible correlations with long-term quality of life (QoL) and to examine the potential impact of psychological distress on these results.MethodsAlive and disease-free HNSCC patients at least 1  year after treatment were enrolled in this cross-sectional multicentric study and completed the EORTC QLQ-C30 and H&N35 QoL questionnaires, the head and neck cancer-specific patient concerns inventory (PCI-HN) questionnaire and the hospital anxiety and depression scale (HADS). Correlations between QoL ...
Source: European Archives of Oto-Rhino-Laryngology - Category: ENT & OMF Source Type: research
Objective: The aim of this study was to evaluate the quality of life and anxiety in patients diagnosed with head and neck cancer. Method: A cross-sectional study was carried out from January 2017 to May 2018 in individuals with a diagnosis of head and neck cancer. The socioeconomic and clinical data were collected on a specific form from the medical record, and the quality of life evaluation was performed through the University of Washington Quality of Life Questionnaire (UW-QoL), version 4. The evaluation of anxiety was done through the Hospital Anxiety and Depression Scale (HADS).
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Tags: 20190241 Source Type: research
AbstractResidency, in particular oncology residency, is a challenging time with extensive academic demands, long working hours, and uncertainty about the future. Our study aimed to evaluate the prevalence and factors associated with burnout, anxiety and depression among oncology residents at a tertiary cancer centre. An anonymised questionnaire-based study was conducted among medical, surgical, paediatric and radiation oncology resident doctors at a tertiary cancer centre in April 2019. We used Copenhagen Burnout Index (CBI) to assess burnout (which includes personal, work-related and patient-related burnout), Patient Heal...
Source: Indian Journal of Surgical Oncology - Category: Cancer & Oncology Source Type: research
Conclusions: Clinically relevant affective symptoms were present in more than half of all patients with head-and-neck cancer and dysphagia. Surprisingly, a significant negative association was found between the presence of aspiration and these affective symptoms. Gender was also significantly associated with affective symptoms. These results suggest that there is a need for further investigation into the impact of psychological distress on patients with head-and-neck cancer and dysphagia.Folia Phoniatr Logop
Source: Folia Phoniatrica et Logopaedica - Category: Speech-Language Pathology Source Type: research
CONCLUSION The educational intervention based on building self-management skills favored quality of life and reduced anxiety and depression. Brazilian Registry of Clinical Trials (RBR 2q53ct).Resumen OBJETIVO Evaluar un programa educativo basado en los principios de la autogesti ón con programa educativo convencional, mediante instrumentos de calidad de vida, ansiedad y depresión en período de 12 meses transcurridos desde el inicio del tratamiento. MÉTODO Estudio experimental, randomizado controlado, llevado a cabo con pacientes con cáncer de cabeza y cuello, tratados en hospital universi...
Source: Revista da Escola de Enfermagem da USP - Category: Nursing Source Type: research
The objectives of this study were to 1) determine the incidence rates of depression and anxiety and evaluate QOL both before and at various time points following completion of treatment in HNC patients, and 2) measure patient interest in several proposed interventions.
Source: International Journal of Radiation Oncology * Biology * Physics - Category: Radiology Authors: Tags: Toxicity, Quality of Life, Survivorship, Costs of Care Source Type: research
ConclusionThe association between the psychological and nutritional status found in this pilot study and the options for intervention warrants further clarification in a larger prospective trial.
Source: European Archives of Oto-Rhino-Laryngology - Category: ENT & OMF Source Type: research
Conclusion The diagnosis and treatment of laryngeal cancer impacts the caregiver's psychological well-being, particularly that of female caregivers. This should be taken into consideration when the patients begin the hospital treatment pathway. However, larger studies are needed to target resources more appropriately. [...] Thieme Revinter Publicações Ltda Rio de Janeiro, BrazilArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text
Source: International Archives of Otorhinolaryngology - Category: ENT & OMF Authors: Tags: Original Research Source Type: research
Conclusions: Our results showed that all parameters (functioning scales, symptoms scales, and G-HAD subscales) worsen from the start to the end treatment and tend to revert to their pretreatment values after a 3-month period.
Source: Indian Journal of Palliative Care - Category: Palliative Care Authors: Source Type: research
The dangers of alcohol begin at the first sip of the first drink. Although most responsible drinking habits shouldn’t be cause for major concern, everyone who drinks runs the risk of encountering the negative effects of alcohol. The Dietary Guidelines for Americans defines moderate drinking as up to 1 drink per day for women and up to 2 drinks per day for men.  A single drink is considered as: 12 ounces of beer (5% alcohol content) 8 ounces of malt liquor (7% alcohol content) 5 ounces of wine (12% alcohol content) 1.5 ounces of 80-proof (40% alcohol content) distilled spirits or liquor (e.g., gin, rum, vodka, ...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Alcohol Alcohol Rehab Information Alcoholism alcohol abuse alcohol dependence alcohol dependency alcohol detox alcohol treatment alcohol treatment center alcohol treatment facility Alcoholics Anonymous Source Type: blogs
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