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Survivorship care plan outcomes for primary care physicians, cancer survivors, and systems: a scoping review
ConclusionsBased on the findings of this review, SCPs may benefit providers and health care systems, but the benefits to patients remain unclear. Further research on the potential benefits of SCPs to particular patient populations is warranted.Implications for Cancer SurvivorsSCPs appear to be beneficial to PCPs in improving overall quality of care. However, more work needs to be done to understand the direct impact on cancer survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 13, 2018 Category: Cancer & Oncology Source Type: research

Health status of older cancer survivors —results of the PolSenior study
AbstractPurposeThe purpose of this study is to characterize health status of older cancer survivors using data from the population-based PolSenior study.MethodsWe compared cancer survivors and non-cancer subjects according to comorbidities, functional status, mental health, and sociodemographic factors.ResultsThere were 286 (5.8%) cancer survivors in a population of 4943 adults aged 65  years and older. The mean age of cancer survivors was 79.4 ± 8.2 years and the median time since cancer diagnosis was 8.5 years (Q1–Q3: 4–16 years). After adjustment for age, sex, educati...
Source: Journal of Cancer Survivorship - January 9, 2018 Category: Cancer & Oncology Source Type: research

Fractures in a nationwide population-based cohort of users of breast cancer hormonal therapy
ConclusionsAlthough total nonvertebral fracture risk was higher among AI users, differences in hip fractures were not significant in a large population-based cohort of older women.Implications for Cancer SurvivorsUse of aromatase inhibitors by older women is associated with high risk for nonvertebral fracture that is increased compared with use of tamoxifen. Fracture risk should be assessed among patients taking these medications. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 15, 2017 Category: Cancer & Oncology Source Type: research

Healthcare system barriers to long-term follow-up for adult survivors of childhood cancer in British Columbia, Canada: a qualitative study
ConclusionsStructural, informational, and interpersonal/relational healthcare system factors often prevent CCS from initially accessing LTFU after discharge from pediatric oncology programs as well as adversely affecting engagement in ongoing screening, surveillance, and management of late effects.Implications for Cancer SurvivorsUnderstanding the issues faced by adult CCS will provide insight necessary to developing patient-centered healthcare solutions that are key to accessible, acceptable, appropriate, and effective healthcare. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 8, 2017 Category: Cancer & Oncology Source Type: research

Tai Chi and Qigong for cancer-related symptoms and quality of life: a systematic review and meta-analysis
This study aims to summarize and critically evaluate the effects of Tai Chi and Qigong (TCQ) mind –body exercises on symptoms and quality of life (QOL) in cancer survivors.MethodsA systematic search in four electronic databases targeted randomized and non-randomized clinical studies evaluating TCQ for fatigue, sleep difficulty, depression, pain, and QOL in cancer patients, published through August 2016. Meta-analysis was used to estimate effect sizes (ES, Hedges ’g) and publication bias for randomized controlled trials (RCTs). Methodological bias in RCTs was assessed.ResultsOur search identified 22 studies, inc...
Source: Journal of Cancer Survivorship - December 8, 2017 Category: Cancer & Oncology Source Type: research

Relationship between self-reported cognitive funciton and work-related outcomes in breast cancer survivors
ConclusionsEmployed BCS with negative perceptions of cognitive function reported poorer work outcomes with the exception of the intent to leave employment. In contrast, positive views of one ’s cognitive abilities were related to improved ratings of work outcomes again with the exception of intent to leave employment.Implications for Cancer SurvivorsHealthcare providers need to assess and address perceived cognitive functioning to promote work-related outcomes in BCS. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 8, 2017 Category: Cancer & Oncology Source Type: research

An investigation of survivorship clinic attendance among childhood cancer survivors living in a five-state rural region
ConclusionSurvivorship clinics are not widely attended by survivors in this catchment region. Efforts should be made to recruit survivors aged ≥ 31 and diagnosed with CNS tumors. Distance has a complex association with attendance, which could be attributed to the limited availability of preventative services in regions>  100 mi from the clinic.Implications for Cancer SurvivorsSurvivors living in this catchment region may not be receiving care necessary to prevent severe late effects. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - November 29, 2017 Category: Cancer & Oncology Source Type: research

Impact of chemotherapy-induced neurotoxicities on adult cancer survivors ’ symptom burden and quality of life
AbstractPurposeLimited information is available on the impact of chemotherapy (CTX)-induced neurotoxicity on adult survivors ’ symptom experience and quality of life (QOL). Purposes were to describe occurrence of hearing loss and tinnitus and evaluate for differences in phenotypic characteristics and measures of sensation, balance, perceived stress, symptom burden, and QOL between survivors who received neurotoxic CTX a nd did (i.e., neurotoxicity group) and did not (i.e., no neurotoxicity group) develop neurotoxicity. Neurotoxicity was defined as the presence of chemotherapy-induced neuropathy (CIN), hearing loss, a...
Source: Journal of Cancer Survivorship - November 20, 2017 Category: Cancer & Oncology Source Type: research

Biospecimen donation among black and white breast cancer survivors: opportunities to promote precision medicine
This report assessed factors that influence receipt of buccal cells via saliva kits.MethodsThis prospective study recruited women with confirmed hormonal-positive (HR+) breast cancer (BC). A standardized telephone survey collected sociodemographic, socio-cultural (e.g., religiosity), and healthcare process factors. Clinical information was abstracted from medical records. After the baseline survey, return postage-paid envelopes and mouthwash collection kits were mailed. Univariate and adjusted logistic regression models estimated the probability of biospecimen donation.ResultsSeventy percent of the sample provided buccal c...
Source: Journal of Cancer Survivorship - November 16, 2017 Category: Cancer & Oncology Source Type: research

Bright light therapy improves cancer-related fatigue in cancer survivors: a randomized controlled trial
AbstractPurposeCancer-related fatigue (CRF) is a common and distressing symptom that can persist after cancer treatment has concluded. Bright light therapy has shown preliminary efficacy in reducing CRF, but its impact on other psychosocial factors is unclear. The purpose was to examine the impact of a 1-month light therapy intervention on fatigue, mood, and quality of life in cancer survivors with fatigue.MethodsThis 4-week blinded randomized controlled trial recruited cancer survivors who met diagnostic criteria for CRF. Participants were randomly assigned to receive a light therapy device that produced either bright whi...
Source: Journal of Cancer Survivorship - November 10, 2017 Category: Cancer & Oncology Source Type: research

Modifiable correlates of perceived cognitive function in breast cancer survivors up to 10  years after chemotherapy completion
AbstractBackgroundCognitive changes following breast cancer treatment are likely multifactorial and have been linked to emotional factors, biophysiological factors, and fatigue, among others. Little is known about the contributions of modifiable factors such as stress, loneliness, and sleep quality. The purpose of this study was to explore the direct and indirect effects of perceived stress, loneliness, and sleep quality on perceived cognitive function (PCF) in breast cancer survivors (BCS) after chemotherapy completion.MethodsIn this observational study, BCS 6  months to 10 years post chemotherapy were recruited...
Source: Journal of Cancer Survivorship - November 7, 2017 Category: Cancer & Oncology Source Type: research

Posttraumatic stress-related psychological functioning in adult survivors of childhood cancer
AbstractPurposeThe majority of research examining posttraumatic stress symptoms/disorder (PTSS/PTSD) among adult survivors of childhood cancer has been oriented to cancer, assuming that cancer has been the most traumatic experience in their lives. Whether that assumption is valid, and how it might impact assessment of PTSS, is unknown.MethodsSurvivors in the St. Jude Lifetime Cohort study completed an assessment of PTSS without cancer orientation, global psychological functioning, perceived stress, and cancer-related anxiety.ResultsParticipants (n = 2969; Mage = 32.5 ± 8.5 years, 2...
Source: Journal of Cancer Survivorship - November 3, 2017 Category: Cancer & Oncology Source Type: research

Randomized trial of a clinic-based weight loss intervention in cancer survivors
AbstractBackgroundThis trial examined the efficacy of a clinic-based weight loss intervention in cancer survivors.MethodsThis single-center phase II trial randomized survivors of solid tumors and hematologic malignancies to a 15-week group-based weight loss intervention that included caloric restriction and physical activity (n = 30) or a wait-list control intervention (n = 30). The primary study outcome was body mass. Secondary study outcomes included body composition using dual-energy X-ray absorptiometry, physical fitness using the 6-min walk test (6MWT), and concentrations of serum biomarkers.Result...
Source: Journal of Cancer Survivorship - November 3, 2017 Category: Cancer & Oncology Source Type: research

A qualitative exploration of the experiences, needs, and roles of caregivers during and after cancer treatment: “That’s what I say. I’m a relative survivor”
ConclusionsDiscussions revealed aspects of caregiving that created difficulties for the caregiver themselves or between the caregiver and the cancer survivor. Caregiver experiences and needs may warrant explicit attention as survivors and caregivers are adjusting to a “new normal” that is no longer centered on getting through treatment.Implications for cancer survivorsPatients and informal caregivers are often conceptualized as a “unit of care”; consideration of the needs of both is important for the provision of appropriate and effective health services. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - November 3, 2017 Category: Cancer & Oncology Source Type: research

Perceived cognitive impairment in people with colorectal cancer who do and do not receive chemotherapy
ConclusionsNo association was seen between total FACT-COG or PCI, and neuropsychological domains. A weak-moderate association was found between PCA and attention/executive function and visual memory.Trial registrationThe study was registered withclinicaltrials.gov (trial registration: NCT00188331).Implications for cancer survivorsCognitive symptoms are associated with fatigue, anxiety/depression, and poorer quality of life, and do not appear to be related to actual cognitive performance. Rates were lower than that reported in breast cancer survivors. Cognitive symptoms were greatest in those who received chemotherapy, with...
Source: Journal of Cancer Survivorship - October 27, 2017 Category: Cancer & Oncology Source Type: research

Predictors for earlier return to work of cancer patients
This study aims to investigate how perceived work ability, job self-efficacy, value of work, and fatigue predict return to work (RTW) in cancer patients who received chemotherapy.MethodsData of a before-after study on a multidisciplinary intervention that aimed to enhance RTW was used, consisting of four assessments up to 18  months. Time to partial and full RTW of 76 and 81 participants, respectively, was analyzed in Cox proportional hazard analysis with time-dependent variables. Univariate analyses of work ability, job self-efficacy, value of work, or fatigue as covariates were succeeded by multivariate analyses of ...
Source: Journal of Cancer Survivorship - October 26, 2017 Category: Cancer & Oncology Source Type: research

Coping and adjustment in men with prostate cancer: a systematic review of qualitative studies
ConclusionsA range of coping strategies were reported by men with PCa. Some of these strategies appear to be partially influenced by gender roles and masculinities. Coping meta-themes reported in this review have also been found in other research on men ’s coping. Strategies relating to flexible interpretation of gender roles/masculinities may be a particularly relevant category of coping responses due to the hypothesised beneficial impact of flexibility on psychological well-being.Implications for cancer survivorsPCa survivors utilise a range of coping strategies, and the types of strategies used may have implicatio...
Source: Journal of Cancer Survivorship - October 23, 2017 Category: Cancer & Oncology Source Type: research

Changes in cerebellar functional connectivity and autonomic regulation in cancer patients treated with the Neuro Emotional Technique for traumatic stress symptoms
ConclusionsThis study is an initial step towards establishing a neurological signature of treatment effect for the NET intervention. Specifically, functional connectivity between the cerebellum and the amygdala and prefrontal cortex appear to be associated with a reduction in autonomic reactivity in response to distressing cancer-related memories.Implications for cancer survivorsThis study contributes to the understanding of possible mechanisms by which interventions like NET may help reduce emotional distress in cancer patients who suffer from traumatic stress symptoms. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 19, 2017 Category: Cancer & Oncology Source Type: research

Body mass index (BMI), postoperative appearance satisfaction, and sexual function in breast cancer survivorship
ConclusionsGreater post-treatment BMI is inversely related to postoperative appearance satisfaction, particularly in those undergoing mastectomy with reconstruction. The role of the breast in intimacy is greatest in overweight women, but decreases postoperatively in all BMI groups.Implications for cancer survivorsPostoperative appearance satisfaction and sexual function seems to be correlated to post-treatment BMI, which highlights the need to encourage perioperative weight management for improved survivorship outcomes. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 17, 2017 Category: Cancer & Oncology Source Type: research

The Pathways fertility preservation decision aid website for women with cancer: development and field testing
ConclusionsThePathways decision aid is a usable and acceptable tool to help women learn about fertility preservation.Implications for Cancer SurvivorsThePathways decision aid may help women make well-informed values-based decisions and prevent future infertility-related distress. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 15, 2017 Category: Cancer & Oncology Source Type: research

SurvivorCHESS to increase physical activity in colon cancer survivors: can we get them moving?
ConclusionsPhysical activity did increase over time in both groups and was not significantly different with the use of the eHealth intervention, SurvivorCHESS, compared to the control group. The amount of SurvivorCHESS use was not associated with physical activity.Implications for cancer survivorsIncreasing physical activity in colon cancer survivors has the potential to improve quality of life and reduce recurrences. Using smartphone-tracking devices may be useful in helping to change this health behavior. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 9, 2017 Category: Cancer & Oncology Source Type: research

Sexual function in adolescents and young adults diagnosed with cancer: A systematic review
ConclusionsAmong adolescent and young adult males, there is evidence that cancer has detrimental effects on erection, ejaculation, and orgasm. Among adolescent and young adult females, cancer is associated with decreased desire, but there appear to be mixed findings with respect to arousal, orgasm, and satisfaction. Directions for future research are discussed.Implications for Cancer SurvivorsA better understanding of the effects of cancer and its treatment during adolescence and young adulthood on sexual function could increase attention paid to sexual health in oncology settings and lead to improved psychosexual services...
Source: Journal of Cancer Survivorship - October 7, 2017 Category: Cancer & Oncology Source Type: research

Chronic neuropathic pain negatively associated with employment retention of cancer survivors: evidence from a national French survey
ConclusionImproving CNP screening and management is necessary to reduce its impact on cancer survivors ’ professional lives.Implications for cancer survivorsHealthcare policy and medical cancer survivor ’s follow-up must take into account the importance of the substantial impact of CNP on cancer survivors’ daily lives. Therefore, in order to ensure greater employment retention for cancer survivors, raising awareness of care providers about diagnosis and management of CNP is needed. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 4, 2017 Category: Cancer & Oncology Source Type: research

Agreement between self-reported and register-based cardiovascular events among Danish breast cancer survivors
ConclusionsBreast cancer survivors seem to report absence of CVD accurately, but they both over-report and under-report specific cardiovascular diagnoses. Using a broader definition of CVDs improves the agreement between self-reported and NPR data.Implications for cancer survivorsDetermining how cancer treatments affect the risk of cardiovascular morbidities is essential, and the development of high-quality methods for collecting such data is critical. While self-reported data are adequate for assessing the presence of any CVD condition, medical record review will yield higher quality data on specific CVD conditions. (Sour...
Source: Journal of Cancer Survivorship - September 29, 2017 Category: Cancer & Oncology Source Type: research

Feasibility of RetinoQuest: e-health application to facilitate and improve additional care for retinoblastoma survivors
ConclusionsRetinoQuest is a feasible e-health application to monitor HRQoL in retinoblastoma survivors in clinical practice.Implications for cancer survivorsThis tool allows for open and structured communication which can lead to early detection of psychosocial impacts on quality of life and referral of the retinoblastoma survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 25, 2017 Category: Cancer & Oncology Source Type: research

Introduction to special section on digital technology and cancer survivorship
(Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 14, 2017 Category: Cancer & Oncology Source Type: research

An international review and meta-analysis of prehabilitation compared to usual care for cancer patients
ConclusionsPrehabilitation appears to benefit cancer patients. Rigorous trials are needed to investigate the effectiveness of prehabilitation among other cancer sites and other related effects. The cost-effectiveness of prehabilitation remains unanswered.Implications for cancer survivorsProviding interventions earlier in the care pathway may lead to better outcomes for patients during survivorship. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 12, 2017 Category: Cancer & Oncology Source Type: research

Identifying the subtypes of cancer-related fatigue: results from the population-based PROFILES registry
ConclusionsThree distinct classes of CRF were identified which could be differentiated with sleep quality, anxiety, anhedonia, and lifestyle factors.Implications for cancer survivorsThe identification of CRF subtypes with distinct characteristics suggests that interventions should be targeted to the CRF subtype. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 9, 2017 Category: Cancer & Oncology Source Type: research

The impact of the survivorship care plan on health care use: 2-year follow-up results of the ROGY care trial
AbstractPurposeThe purpose of this paper was to assess the impact of survivorship care plan (SCP) provision and moderating factors on health care use following endometrial cancer treatment.MethodsWomen newly diagnosed with endometrial cancer were included in a pragmatic cluster randomized trial at 12 hospitals in the Netherlands and were randomly assigned to SCP or usual care (n = 221; 75% response). The SCP was generated using the web-based Registrationsystem Oncological GYnecology (ROGY) and provided tailored information regarding disease, treatment, and possible late-effects. Cancer-related use of general prac...
Source: Journal of Cancer Survivorship - September 5, 2017 Category: Cancer & Oncology Source Type: research

Examining the accessibility of high-quality physical activity behaviour change support freely available online for men with prostate cancer
ConclusionThere are some good-quality physical activity websites accessible to men with prostate cancer. However, they may be difficult to find and/or require updating to include complete recommendations and more behaviour change support.Implications for cancer survivorsEfforts to improve physical activity information online and strategies to direct prostate cancer survivors to higher-quality websites and support services are needed to ensure safety and efficacy. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 4, 2017 Category: Cancer & Oncology Source Type: research

Face-to-face vs. online peer support groups for prostate cancer: A cross-sectional comparison study
AbstractBackgroundAs social media are evolving rapidly online support groups (OSG) are becoming increasingly important for patients. Therefore, the aim of our study was to compare the users of traditional face-to-face support groups and OSG.Patients and methodsWe performed a cross-sectional comparison study of all regional face-to-face support groups and the largest OSG in Germany. By applying validated instruments, the survey covered sociodemographic and disease-related information, decision-making habits, psychological aspects, and quality of life.ResultsWe analyzed the complete data of 955 patients visiting face-to-face...
Source: Journal of Cancer Survivorship - August 31, 2017 Category: Cancer & Oncology Source Type: research

Exploring barriers to the receipt of necessary medical care among cancer survivors under age 65  years
This study aims to identify financial, psychosocial, and cancer-related barriers to the receipt of medical care, tests, or treatments deemed necessary by the doctor or patient for cancer among cancer survivors age
Source: Journal of Cancer Survivorship - August 29, 2017 Category: Cancer & Oncology Source Type: research

Intervention for patient reported urinary symptoms in prostate cancer survivors: Systematic review
This study aimed to evaluate the effects of subjective measurement of symptom management interventions for patients with prostate cancer receiving treatment.MethodsWe used PubMed, EMBASE, CINAHL, PsycInfo, and Cochrane Library CENTRAL to systematically search for randomized controlled trials published in English, through January 2017.ResultsWe found and systematically reviewed 14 studies for symptom management intervention content, mode of delivery, session, and provider. We then conducted a meta-analysis of seven randomized controlled trials involving 846 participants, comparing symptom management with usual care. There w...
Source: Journal of Cancer Survivorship - August 22, 2017 Category: Cancer & Oncology Source Type: research

Colorectal cancer patient ’s self-efficacy for managing illness-related problems in the first 2 years after diagnosis, results from the ColoREctal Well-being (CREW) study
ConclusionAround 40% of patients had suboptimal levels of confidence to manage illness-related problems with little change from the time of diagnosis across the four groups.Implications for cancer survivorsScreening for self-efficacy at diagnosis would enable targeted, early intervention which could in turn enhance health-related quality of life. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - August 19, 2017 Category: Cancer & Oncology Source Type: research

Impact of depression treatment on health-related quality of life among adults with cancer and depression: a population-level analysis
We examined the association between depression treatment and HRQoL among US adults with cancer and depression.MethodsPatients age 18 and above, with self-reported cancer and depression diagnoses were identified from Medical Expenditure Panel Survey database for 2006 –2013. Baseline depression treatment was categorized as antidepressants only, psychotherapy with or without antidepressant use, and no reported use of antidepressants or psychotherapy. HRQoL was measured using SF-12 physical component summary (PCS) and mental component summary (MCS) scores. Adjust ed ordinary least squares regressions estimated the associ...
Source: Journal of Cancer Survivorship - August 10, 2017 Category: Cancer & Oncology Source Type: research

Specialized survivor clinic attendance increases adherence to cardiomyopathy screening guidelines in adult survivors of childhood cancer
ConclusionsIn a model of specialized survivor care, increased clinic utilization is associated with improved patient adherence to COG LTFU cardiomyopathy screening guidelines.Implications for cancer survivorsSpecialized survivor clinics may improve health outcomes in survivors through improved adherence to screening. However, rates of adherence remain suboptimal and further multifacetted strategies need to be explored to improve overall rates of screening in adult survivors of childhood cancer. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - August 7, 2017 Category: Cancer & Oncology Source Type: research

Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: a systematic review and meta-analysis
ConclusionsDBCIs may improve PA and BMI among cancer survivors, and there is mixed evidence for diet. The number of included studies is small, and risk of bias and heterogeneity was high. Future research should address these limitations with large, high-quality RCTs, with objective measures of PA and sedentary time.Implications for cancer survivorsDigital technologies offer a promising approach to encourage health behaviour change among cancer survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - August 4, 2017 Category: Cancer & Oncology Source Type: research

Benefits of marriage on relative and conditional relative cancer survival differ between males and females in the USA
ConclusionFive-year relative survival rates improve with time already survived. The benefits of marriage on conditional relative survival are greater for less lethal cancers. Greater 5-year conditional relative survival rates in females narrow with time already survived and are less pronounced in married patients.Implications for Cancer SurvivorsConditional relative survival rates of cancer can lead to more informed decisions and understanding regarding treatment and prognosis. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - August 2, 2017 Category: Cancer & Oncology Source Type: research

A user-centred approach to developing bWell, a mobile app for arm and shoulder exercises after breast cancer treatment
ConclusionsbWell, a novel app for arm and shoulder exercises, was developed by breast cancer patients, health care professionals and academics. Further research is warranted to confirm its clinical effectiveness.Implications for cancer survivorsMobile health has great potential to provide patients with information specific to their needs. bWell is a promising way to support breast cancer patients with exercise routines after treatment and may improve future self-management of clinical care. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - July 24, 2017 Category: Cancer & Oncology Source Type: research

Outcomes of preexisting diabetes mellitus in breast, colorectal, and prostate cancer
Conclusions and implicationsThere is no evidence that incident cancer had an adverse impact on the long-term outcomes of preexisting diabetes.Implications for Cancer SurvivorsThese findings are important for cancer survivors with preexisting diabetes because they suggest that substantial improvements in the relative survival of several of the most common types of cancer are not undermined by excess diabetes morbidity and mortality. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - July 22, 2017 Category: Cancer & Oncology Source Type: research

The pervasive nature of uncertainty —a qualitative study of patients with advanced cancer and their informal caregivers
ConclusionsBoth patients and their informal caregivers were challenged by the uncertainties around living with advanced cancer and the lack of a defined trajectory. This impacted many diverse areas of life. Although distressing, dyads seldom discussed these concerns with each other.Implications for Cancer SurvivorsUncertainty is a recurrent issue for cancer survivors and their families impacting broad aspects of their lives and their ability to move forward; however, patients and caregivers in this study rarely discussed these concerns together. Uncertainty should be discussed periodically, together, and healthcare profess...
Source: Journal of Cancer Survivorship - July 18, 2017 Category: Cancer & Oncology Source Type: research

Employers ’ experience of employees with cancer: trajectories of complex communication
ConclusionsThe employers interviewed stated that dealing with an employee with cancer is demanding and that the extensive Dutch legislation on RTW did not offer all the support needed. We recommend providing them with easily accessible information on communication and leadership training to better support employees with cancer.Implications for cancer survivors• Supporting employers by training communication and decision-making skills and providing information on cancer will contribute to improving RTW support for employees with cancer.• Knowing that the employer will usually be empathic when an employee reveals t...
Source: Journal of Cancer Survivorship - July 14, 2017 Category: Cancer & Oncology Source Type: research

Long-term effectiveness and moderators of a web-based tailored intervention for cancer survivors on social and emotional functioning, depression, and fatigue: randomized controlled trial
ConclusionsThe intervention gave cancer patients a head start to psychological recovery after the end of cancer treatment. The control group caught up in the long run.Implications for cancer survivorsThe Cancer Aftercare Guide expedited recovery after cancer treatment. Being a low intensity, easy accessible, and relatively low cost intervention, it could serve as a relevant step in recovery and stepped care. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - July 11, 2017 Category: Cancer & Oncology Source Type: research

Associations between treatment, scoliosis, pulmonary function, and physical performance in long-term survivors of sarcoma
AbstractPurposeLonger survival for children with sarcoma has led to the recognition of chronic health conditions related to prior therapy. We sought to study the association of sarcoma therapy with the development of scoliosis.MethodsWe reviewed patient demographics, treatment exposures, and functional outcomes for patients surviving>10  years after treatment for sarcoma between 1964 and 2002 at our institution. The diagnosis of scoliosis was determined by imaging. Functional performance and standardized questionnaires were completed in a long-term follow-up clinic.ResultsWe identified 367 patients, with median age...
Source: Journal of Cancer Survivorship - July 1, 2017 Category: Cancer & Oncology Source Type: research

A systematic review of patient perspectives on surveillance after colorectal cancer treatment
ConclusionsPatients ’ perceptions of follow-up after CRC are predominantly positive, although unmet needs included psychosocial support and quality of life.Implications for Cancer Survivors:Survivors perceived follow-up as reassuring, however, surveillance care should be more informative and focused on survivor-specific needs. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - June 22, 2017 Category: Cancer & Oncology Source Type: research

Exercise for improving bone health in women treated for stages I –III breast cancer: a systematic review and meta-analyses
ConclusionsAlthough this review indicated that exercise may result in a clinically important preservation of bone health among pre-menopausal but not post-menopausal women, further studies are needed to confirm whether or not exercise is important in preservation of bone health in women diagnosed with early BC.Implications for cancer survivorsExercise alone may not be sufficient to prevent bone loss in post-menopausal women at high risk of osteoporosis. Further evidence is required to determine if it provides any benefit to pharmacological therapy. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - June 21, 2017 Category: Cancer & Oncology Source Type: research

Development of a survivorship needs assessment planning tool for head and neck cancer survivors and their caregivers: a preliminary study
ConclusionsResults pinpointed optimal end-of-treatment domains for routine assessment and support the feasibility of implementing a SNAP tool in the clinic.Implications for Cancer SurvivorsCapitalizing on technology to direct HNC survivorship care is promising. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - June 21, 2017 Category: Cancer & Oncology Source Type: research

Exploring the digital technology preferences of teenagers and young adults (TYA) with cancer and survivors: a cross-sectional service evaluation questionnaire
ConclusionsYoung people with cancer are digital natives. A significant subgroup expressed a desire for digital resources from oncology services, though existing resources are also highly valued. Digital resources have potential to improve patient experience and engagement.Implications for cancer survivorsThere is considerable scope to develop digital resources with which TYAs can receive information and connect with both professionals and fellow patients, following diagnosis, through treatment and survivorship. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - June 20, 2017 Category: Cancer & Oncology Source Type: research

Social media for breast cancer survivors: a literature review
ConclusionsThe current literature highlights the impact and potential utility of social media for breast cancer survivors. Future studies should consider connecting social media engagement and content to psychosocial, behavioral, and physical health outcomes.Implications for Cancer SurvivorsOnline groups and communities may improve the well-being of breast cancer survivors by providing opportunities to engage with wider social networks, connect with others navigating similar cancer experiences, and obtain cancer-related information. Researchers should consider the potential role of social media in addressing the unmet need...
Source: Journal of Cancer Survivorship - June 10, 2017 Category: Cancer & Oncology Source Type: research

Prostate cancer-related anxiety in long-term survivors after radical prostatectomy
This study intended to examine the parameters influencing anxiety related to prostate-specific antigen (PSA) and PC in long-term survivors after radical prostatectomy.MethodsWe surveyed 4719 PC survivors from the German multicenter prospective database “Familial Prostate Cancer.” We evaluated the association of PC-related anxiety (MAX-PC) with sociodemographic characteristics, family history of PC, global health status/quality of life (EORTC QLQ-C30), depression and anxiety (PHQ-2; GAD-2), latest PSA level, time since radical prostatectomy, an d current therapy.ResultsThe survey participants ’ mean age wa...
Source: Journal of Cancer Survivorship - May 21, 2017 Category: Cancer & Oncology Source Type: research