Financial burden of cancer care under the Affordable Care Act: Analysis of MEPS-Experiences with Cancer Survivorship 2011 and 2016
ConclusionsThe ACA was associated with reduced OOP for health services but increased premium contributions, resulting in no significant impact on perceived financial burden among non-elderly cancer survivors.Implications for cancer survivorsThe financial hardship of cancer survivorship points to the need for the development of provisions that help cancer patients reduce both perceived and materialized burden of cancer care under ongoing health reform. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - June 10, 2019 Category: Cancer & Oncology Source Type: research

Racial and socioeconomic disparities in adherence to preventive health services for ovarian cancer survivors
AbstractPurposeTo examine ovarian cancer survivors ’ adherence to evidence-based guidelines for preventive health care.MethodsA case-control, retrospective study of Medicare fee-for-service beneficiaries diagnosed with stage I, II, or III epithelial ovarian cancer from 2001 to 2010 using the Surveillance, Epidemiology, and End Results-Medicare database. Survivors were matched 1:1 to non-cancer controls from the 5% Medicare Beneficiary file on age, race, state of residence, and follow-up time. Receipt of flu vaccination, mammography, and bone density tests were examined in accordance with national guidelines. Adherenc...
Source: Journal of Cancer Survivorship - June 6, 2019 Category: Cancer & Oncology Source Type: research

Mobility in survivors with chemotherapy-induced peripheral neuropathy and utility of the 6-min walk test
This study aimed to determine the utility of the 6MWT as an assessment of mobility deficits in a CIPN cohort and utilize the 6MWT to compare mobility data from CIPN patients to those of healthy and clinical populations.MethodsCancer survivors exposed to neurotoxic chemotherapies (N = 100; mean 17 ± 13 months post-treatment; mean age 59 ± 13 years) completed a single cross-sectional assessment of patient-reported and objective CIPN, mobility (6MWT), and disability.ResultsCIPN symptoms were reported in the majority of the cohort (87%). Increasing age, patient-...
Source: Journal of Cancer Survivorship - June 6, 2019 Category: Cancer & Oncology Source Type: research

The survivorship experience for patients with metastatic melanoma on immune checkpoint and BRAF-MEK inhibitors
ConclusionMM survivors experience chronic treatment toxicities and frequently report psychological concerns.Implications for Cancer SurvivorsSurvivors may benefit from discussions regarding long-term toxicities and tailored psychological supports. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - June 4, 2019 Category: Cancer & Oncology Source Type: research

Race, financial hardship, and limiting care due to cost in a diverse cohort of cancer survivors
AbstractPurposeEstimate prevalence of types of cancer-related financial hardship by race and test whether they are associated with limiting care due to cost.MethodsWe used data from 994 participants (411 white, 583 African American) in a hospital-based cohort study of survivors diagnosed with breast, colorectal, lung, or prostate cancer since January 1, 2013. Financial hardship included decreased income, borrowing money, cancer-related debt, and accessing assets to pay for cancer care. Limiting care included skipping doses of prescribed medication, refusing treatment, or not seeing a doctor when needed due to cost. Logisti...
Source: Journal of Cancer Survivorship - May 29, 2019 Category: Cancer & Oncology Source Type: research

Breast cancer survivors reduce accelerometer-measured sedentary time in an exercise intervention
AbstractPurposeCancer survivors are highly sedentary and have low physical activity. How physical activity interventions impact sedentary behavior remains unclear. This secondary analysis examined changes in sedentary behavior among breast cancer survivors participating in a physical activity intervention that significantly increased moderate-to-vigorous physical activity (MVPA).MethodsInsufficiently active breast cancer survivors were randomized to a 12-week physical activity intervention (exercise arm) or control arm. The intervention focused solely on increasing MVPA with no content targeting sedentary behavior. Total s...
Source: Journal of Cancer Survivorship - May 29, 2019 Category: Cancer & Oncology Source Type: research

Correction to: Health care services use among long-term breast cancer survivors: a systematic review
The article Health care services use among long-term breast cancer survivors: a systematic review, written by Anna Jansana, Margarita Posso, Inmaculada Guerrero, Alexandra Prados-Torres, Maria Isabel Del Cura, Xavier Castells and Maria Sala, was originally published electronically. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - May 27, 2019 Category: Cancer & Oncology Source Type: research

The social and economic toll of cancer survivorship: a complex web of financial sacrifice
ConclusionsOur analysis demonstrates both the frequency with which cancer survivors and families must make financial sacrifices as a result of their cancer, and the variety of forms that this sacrifice can take, even for individuals who have health insurance. The many types of financial hardship create challenges that are unique to each survivor and family.Implications for Cancer SurvivorsInterventions that allow for personalized assistance with the specific financial and social needs of cancer survivors and their families have the potential to address a critical aspect of the long-term wellbeing of this important populati...
Source: Journal of Cancer Survivorship - May 23, 2019 Category: Cancer & Oncology Source Type: research

An ecological momentary assessment of self-management in prostate cancer survivors
ConclusionOur findings reinforce the importance of having access to tailored, timely and person-centred supported self-management care plans. Real-time monitoring data can provide helpful information to facilitate tailored recommendations for self-management.Implications for Cancer SurvivorsProstate cancer survivors can experience unmet supportive care needs which may increase men ’s demands to perform self-management of their condition. Future clinical intervention studies aimed at utilising the remote exchange of real-time data serves to optimise tailored supported self-management. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - May 21, 2019 Category: Cancer & Oncology Source Type: research

Socioeconomic disparities in health-related quality of life among colorectal cancer survivors
ConclusionsSubstantial socioeconomic disparities in HRQoL were observed in this diverse population of CRC survivors.Implications for Cancer SurvivorsDesigning supportive care interventions to improve HRQoL among low-income and Medicaid-insured CRC survivors is critical for eliminating disparities in CRC outcomes. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - May 20, 2019 Category: Cancer & Oncology Source Type: research

Motivations for cancer history disclosure among young adult cancer survivors
AbstractPurposeTo gain an in-depth understanding of the motivations for cancer history disclosure and/or non-disclosure among young adult cancer survivors.MethodsUsing a constructivist grounded theory approach, semi-structured telephone interviews were conducted with breast and testicular cancer survivors diagnosed between the ages of 18 and 39 from across Canada.FindingsTwenty-eight young adult cancer survivors (16 female; 12 male) participated in this study. Analysis of the interviews revealed two basic motivational systems for disclosure at play: approach-focused motivations geared towards a positive outcome (desire for...
Source: Journal of Cancer Survivorship - May 17, 2019 Category: Cancer & Oncology Source Type: research

Use of complementary/integrative methods: cancer survivors ’ misconceptions about recurrence prevention
ConclusionsApproximately 1/7 of survivors who use CAM have unrealistic expectations about CAM reducing recurrence risk. This expectation is strongly associated with the use of biologically based CAM.Implications for Cancer SurvivorsPatient education should support informed decisions and realistic expectations regarding any complementary/integrative or mainstream/conventional clinical intervention. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - May 8, 2019 Category: Cancer & Oncology Source Type: research

Contraceptive utilization and counseling among breast cancer survivors
ConclusionsBreast cancer survivors in this study remained sexually active across the cancer care continuum and predominantly used condoms as their contraceptive method during treatment. Breast cancer patients would prefer contraceptive counseling from their oncologist at the time of their cancer diagnosis.Implication for Cancer SurvivorsEducation efforts in the future should focus on initiatives to improve comprehensive contraceptive counseling at the time of diagnosis by an oncologist. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - May 8, 2019 Category: Cancer & Oncology Source Type: research

Clinical ascertainment of health outcomes in Asian survivors of childhood cancer: a systematic review
ConclusionsWe recommend developing collaborative initiatives to build a regional repository of systematically assessed health outcomes and biospecimens to investigate treatment, social-environmental and genetic predictors, and interventions for late effects in this population.Implications for Cancer SurvivorsThe existing types of chronic health problems identified in this review suggest the need for active screening, better access to survivorship care, and promotion of protective health behavior in Asia. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - May 4, 2019 Category: Cancer & Oncology Source Type: research

Prescribing fitness apps for people with cancer: a preliminary assessment of content and quality of commercially available apps
ConclusionOnly a fifth of retrieved physical activity apps contained potentially suitable content for people affected by cancer. Overall, most apps we reviewed appeared to perform well in terms of their objective quality, but less well at promoting knowledge and awareness or help seeking related to physical activity.Implications for Cancer SurvivorsMany physical activity apps are available but the combined use of MARS and BCTT suggests that not all of them are suitable to the needs is a promising and feasible approach for assessing the applicability, usability and content of physical activity of apps employed by cancer sur...
Source: Journal of Cancer Survivorship - April 28, 2019 Category: Cancer & Oncology Source Type: research

Impact of lymphoma survivorship clinic visit on patient-centered outcomes
ConclusionsParticipation in the lymphoma SC improved patient education on survivorship issues, particularly health behaviors. There may be a particular benefit in younger patients. However, there were no differences in QOL or distress. Further study is needed to determine if improved survivorship education and SCP delivery leads to long-term health benefits in cancer survivors.Implications for Cancer SurvivorsOur study evaluates the clinical impact of a SC in patients treated for lymphoma. We demonstrate that a SC visit improves patient education regarding health behaviors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - April 26, 2019 Category: Cancer & Oncology Source Type: research

Reproductive outcomes following treatment for a gynecological cancer diagnosis: a systematic review
The objective of this study was to report reproductive outcomes following fertility-sparing treatment for a gynaecological cancer.MethodsElectronic databases were searched to identify studies that reported on reproductive outcomes after treatment for a gynecological malignancy.ResultsIn total, 77 studies were included which reported on reproductive outcomes after treatment for cervical cancer, endometrial cancer, gestational trophoblastic disease, and ovarian cancer. The main treatments included vaginal or abdominal radical trachelectomy, progestin therapy, salpingo-oophorectomy, and chemotherapy. The mean age at diagnosis...
Source: Journal of Cancer Survivorship - April 17, 2019 Category: Cancer & Oncology Source Type: research

Limited evidence of non-response bias despite modest response rate in a nationwide survey of long-term cancer survivors —results from the NOR-CAYACS study
ConclusionDespite a modest response rate, we found little evidence for a response bias in our study.Implications for Cancer SurvivorsSurveys of survivor-reported outcomes with low response rates may still be valuable and generalizable to the total survivor population. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - April 16, 2019 Category: Cancer & Oncology Source Type: research

Adherence to multiple health behaviours in cancer survivors: a systematic review and meta-analysis
ConclusionAdherence to physical activity, dietary, and multiple lifestyle behaviours recommendations was low amongst cancer survivors. Recent cancer survivors were relatively more adherent to WCRF/AICR recommendations compared to long-term survivors.Implications for Cancer SurvivorsHealth promotion programs help support healthy lifestyle behaviours of cancer survivors.PROSPERO registration number: CRD42018091663 (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - April 16, 2019 Category: Cancer & Oncology Source Type: research

Adherence to American Cancer Society and American Institute of Cancer Research dietary guidelines in overweight African American breast cancer survivors
AbstractPurposeThe American Cancer Society (ACS) and the American Institute for Cancer Research (AICR) each created dietary and physical activity guidelines to improve cancer survivorship. Despite African American breast cancer survivors (AABCS) having the lowest survival rates of any racial or ethnic group, limited information exists on their adherence to cancer-specific lifestyle recommendations. The study ’s purpose was to measure adherence to ACS/AICR dietary recommendations in AABCS.MethodsTwo hundred ten AABCS enrolled in the Moving Forward intervention trial, a randomized, community-based, 6-month weight loss ...
Source: Journal of Cancer Survivorship - April 13, 2019 Category: Cancer & Oncology Source Type: research

Health care services use among long-term breast cancer survivors: a systematic review
ConclusionsLong-term breast cancer survivors differ in their health services use with regard to the frequency of visits as well as the health providers seen. Our results indicate the need for active surveillance through primary care providers in coordination with specialized care.Implications for cancer survivorsThis review could help to standardize the management of breast cancer survivors and decision-makers to adapt their guidelines and clinical protocols. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - April 9, 2019 Category: Cancer & Oncology Source Type: research

Associations between e-cigarette and combustible cigarette use among U.S. cancer survivors: implications for research and practice
ConclusionAmong cancer survivors in the USA, e-cigarette use had a positive and highly significant association with combustible cigarette smoking.Implications for Cancer SurvivorsIn order to prevent multiple and substitute use of nicotine-delivery products, prevention interventions and cessation programs designed for cancer survivors should specifically target both current combustible cigarette smokers and non-smokers who report former and current e-cigarette use. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - April 6, 2019 Category: Cancer & Oncology Source Type: research

Cognitive functioning in thyroid cancer survivors: a systematic review and meta-analysis
AbstractBackgroundSome thyroid cancer (TC) survivors experience cognitive symptoms.PurposeThe purpose of this study is to perform a systematic literature review and meta-analysis comparing cognitive performance in TC survivors to controls.MethodsWe performed a seven-database electronic search and hand-search. We performed duplicate independent reviews and data abstraction. Random effects meta-analyses reported standardized mean differences (SMDs) with 95% confidence intervals (CIs), where a negative value implies worse performance in the TC group.ResultsWe reviewed 1174 unique citations and 10 full-text papers. We included...
Source: Journal of Cancer Survivorship - April 4, 2019 Category: Cancer & Oncology Source Type: research

Breast cancer survivors ’ preferences for mHealth physical activity interventions: findings from a mixed methods study
ConclusionsBreast cancer survivors are interested in mHealth physical activity promotion interventions, but preferences varied around themes of relevance, ease of use, and enhancing personal motivation.Implications for cancer survivorsEngaging survivors in developing and implementing remotely delivered mHealth activity promotion interventions may enhance their effectiveness. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 26, 2019 Category: Cancer & Oncology Source Type: research

High-intensity exercise during chemotherapy induces beneficial effects 12  months into breast cancer survivorship
ConclusionThese findings emphasize the beneficial effects of supervised high-intensity exercise during chemotherapy to improve the health and to reduce societal costs associated with prolonged sick leave for patients with breast cancer several months following chemotherapy.Implications for Cancer SurvivorsThese findings provide important information with substantial positive consequences for breast cancer survivorship. High-intensity exercise programs during chemotherapy and support to maintain physical activity can be a powerful strategy to manage or prevent many of the short- and long-term adverse effects of treatment fo...
Source: Journal of Cancer Survivorship - March 25, 2019 Category: Cancer & Oncology Source Type: research

Translation and perceptions of the French version of the Cancer Survivor Profile-Breast Cancer (CSPro-BC): a tool to identify and manage unmet needs
ConclusionsCSPro-BC(French) is a credible tool for assessment in Francophone nations. Our study provides an important perspective in the translation method, including both survivors and HCP perspectives. Further research is required to evaluate its psychometric qualities, sensitivity to change and its clinical signification.Implications for cancer survivorsAccess to assessment tools specific to French-speaking cancer survivors having a potential to improve support from HCP and self-management capacity for BCS. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 23, 2019 Category: Cancer & Oncology Source Type: research

Work after prostate cancer: a systematic review
ConclusionThe limited research investigating the long-term implications of prostate cancer indicates that there may be problems related to job retention and early unwanted retirement. Facilitators and barriers to employment after prostate cancer are identified and implications for vocational interventions and further research are discussed.Implications for Cancer SurvivorsThis review helps to shed light on the barriers and facilitators to employment among prostate cancer survivors, as well as the need for further research and development in vocational rehabilitation interventions for this population. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 21, 2019 Category: Cancer & Oncology Source Type: research

Finding sexual health aids after cancer: are cancer centers supporting survivors ’ needs?
ConclusionsThe large majority of cancer centers reported having no sexual aids or other sexual health resources available for men or women.Implications for Cancer SurvivorsResults underscore the widespread lack of resources to promote sexual health rehabilitation at major cancer centers, both for male and female survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 27, 2019 Category: Cancer & Oncology Source Type: research

High-intensity interval training in the therapy and aftercare of cancer patients: a systematic review with meta-analysis
AbstractPurposeThis review and meta-analysis aimed to evaluate the effects of high-intensity interval training (HIIT) compared to usual care (UC) or moderate-intensity training (MIE) on physical fitness and health-related outcomes in cancer patients across all stages of therapy and aftercare.MethodsDatabases were systematically searched in accordance with the PRISMA guidelines until October 4th, 2018. Eligibility criteria included adult patients of various cancer types, performing HIIT vs. UC or MIE. Outcomes of interest included physical fitness (cardiorespiratory fitness [VO2peak] and functional capacity) and health-rela...
Source: Journal of Cancer Survivorship - February 26, 2019 Category: Cancer & Oncology Source Type: research

Hospitalization rate in offspring of cancer survivors: a national cohort study
ConclusionOur study suggests that children of cancer survivors might experience a significantly increased rate of hospitalization, which calls for further studies.Implications for Cancer SurvivorsCancer survivors might be aware that the risk of hospitalization due to various diseases might be higher in their children as compared to the normal population. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 18, 2019 Category: Cancer & Oncology Source Type: research

Receipt of a survivorship care plan and self-reported health behaviors among cancer survivors
ConclusionsThis study provides preliminary evidence that SCPs may be helpful in promoting health behaviors among cancer survivors, including attending a regular medical appointment, mammography screening, exercise, and abstinence from smoking. Additionally, the low rates of SCP provision highlight an important missed opportunity and area for intervention.Implications for Cancer SurvivorsProviding survivors with SCPs may help to increase important health behaviors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 14, 2019 Category: Cancer & Oncology Source Type: research

Trends of online patient-provider communication among cancer survivors from 2008 to 2017: a digital divide perspective
ConclusionsThis study illustrates an increasing trend in OPPC use among cancer survivors. Significant digital divide barriers also exist in the adoption and diffusion of OPPC.Implications for Cancer SurvivorsOPPC is an important communication channel for cancer survivors and will become more important in the digital era. Targeted interventions to address the digital divide barriers affecting OPPC could be developed to benefit underserved cancer survivors and to bridge health disparities. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 12, 2019 Category: Cancer & Oncology Source Type: research

Prostate cancer and subsequent nutritional outcomes: the role of diagnosis and treatment
AbstractPurposeTo comprehensively explore the role of a prostate cancer diagnosis and its treatment to several outcomes including diet, Hemoglobin A1c, and weight status, in a large, nationally representative, cross-sectional study.MethodsThis analysis used five cross sections from the publicly available National Health and Nutrition Evaluation Survey (NHANES) from 2001 to 2010. A sample of 289 men with a history of prostate cancer was matched to a comparison group of 655 men with elevated prostate-specific antigen (>  4 ng/mL) but no reported diagnosis of prostate cancer. Analyses were stratified by diabeti...
Source: Journal of Cancer Survivorship - February 7, 2019 Category: Cancer & Oncology Source Type: research

Living with and beyond cancer with comorbid illness: a qualitative systematic review and evidence synthesis
ConclusionsIn addition to a better understanding of the complex experience of cancer and comorbidity, the review will combine with research prioritisation work with consumers to inform an interview study with the defined patient group.Implications for Cancer SurvivorsExpanding this evidence base will help to illuminate developing models of cancer patient-centred follow-up care for the large proportion of patients with comorbid conditions. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 26, 2019 Category: Cancer & Oncology Source Type: research

Dual cigarette and e-cigarette use in cancer survivors: an analysis using Population Assessment of Tobacco Health (PATH) data
ConclusionsOur study found that among smokers, cancer survivors were using e-cigarettes at similar rates as never-diagnosed smokers and both groups used e-cigarettes largely for perceived health-related reasons.Implications for cancer survivorsClinicians who treat cancer survivors may need to routinely ask their patients who smoke about e-cigarette use and address the limited research on the efficacy of e-cigarettes as a cessation aid as compared to other evidence-based options. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 24, 2019 Category: Cancer & Oncology Source Type: research

Chinese translation of a measure of symptom burden, functional limitations, lifestyle, and health care –seeking skills in breast cancer survivors: the Cancer Survivor Profile
ConclusionsThe translation resulted in a valid and reliable self-assessment tool for identifying common non-medical problems in breast cancer patients ’ post-cancer treatment.Implications for Cancer SurvivorsA culturally sensitive measure of symptoms, functional limitations, lifestyle, and health care –seeking skills in Chinese-speaking breast cancer survivors is available for further testing. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 16, 2019 Category: Cancer & Oncology Source Type: research

Evaluation of a survivorship needs assessment planning tool for head and neck cancer survivor-caregiver dyads
The objectives of this study were to test the acceptability and feasibility of a survivorship needs assessment planning (SNAP) tool for head and neck cancer (HNC) survivors and caregivers, evaluate short-term changes in psychosocial outcomes after completing the SNAP session, and develop strategies for system refinement.MethodsWe used a prospective one-group design and mixed methods with HNC survivors and caregivers (N = 25 dyads). Participants completed baseline and 6-week surveys before and after completing a SNAP clinic visit to assess psychosocial outcomes and acceptability. Intervention sessions included...
Source: Journal of Cancer Survivorship - January 15, 2019 Category: Cancer & Oncology Source Type: research

Factors associated with an adverse work outcome in breast cancer survivors 5 –10 years after diagnosis: a cross-sectional study
ConclusionsPredominantly, work-related factors are associated with adverse work outcomes 5 –10 years after diagnosis, whereas clinical factors are not. Our results need validation in prospective cohort studies, after which supportive interventions could be developed.Implications for Cancer SurvivorsWork-related factors should be considered in future interventions to prevent adverse work outcome 5 –10 years after diagnosis. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 14, 2019 Category: Cancer & Oncology Source Type: research

The effectiveness of mHealth for self-management in improving pain, psychological distress, fatigue, and sleep in cancer survivors: a systematic review
ConclusionsThere is emerging evidence that mHealth interventions that support self-management can improve pain and fatigue outcomes in cancer survivors, and some promise for psychological distress and sleep outcomes. Further development and investigation of mHealth is needed, incorporating targeted, evidence-based models of care into app design.Implications for Cancer SurvivorsmHealth interventions can improve outcomes for cancer survivors and have significant potential to benefit this growing population due to their reach. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 11, 2019 Category: Cancer & Oncology Source Type: research

Smoking cessation attitudes and practices among cancer survivors – United States, 2015
AbstractPurposeThe prevalence of smoking among cancer survivors is similar to the general population. However, there is little evidence on the prevalence of specific smoking cessation behaviors among adult cancer survivors.MethodsThe 2015 National Health Interview Survey (NHIS) data were analyzed to examine the prevalence of smoking cessation behaviors and use of treatments among cancer survivors. Weighted self-reported prevalence estimates and 95% confidence intervals were calculated using a sample of 2527 cancer survivors.ResultsAmong this sample of US cancer survivors, 12% were current smokers, 37% were former smokers, ...
Source: Journal of Cancer Survivorship - January 5, 2019 Category: Cancer & Oncology Source Type: research

A systematic review of the feasibility, acceptability, and efficacy of online supportive care interventions targeting men with a history of prostate cancer
ConclusionWe found good preliminary evidence for online supportive care among PCS, but little high level evidence. Generally, the samples were small and unrepresentative. Further, inadequate acceptability measures made it difficult to determine actual PCS acceptability and satisfaction, and lack of control groups precluded strong conclusions regarding efficacy. Translation also appears minimal; few interventions are still publicly available. Larger trials with appropriate control groups and greater emphasis on translation of effective interventions is recommended.Implications for Cancer SurvivorsProstate cancer survivors h...
Source: Journal of Cancer Survivorship - January 4, 2019 Category: Cancer & Oncology Source Type: research

Survivorship needs of adolescent and young adult cancer survivors: a concept mapping analysis
ConclusionsAYA cancer survivors continue to have a myriad of issues beyond the immediate treatment phase. Despite a complex list of challenges, these issues largely remained unaddressed by their oncology provider and left patients feeling overwhelmingly ill-prepared to manage their transition to survivorship.Implications for Cancer SurvivorsAYA cancer survivors have many unaddressed concerns as they transition out of active cancer treatment, largely related to developmental issues they are facing. Survivorship care for these patients would benefit from care planning that takes these unique concerns into account. (Source: J...
Source: Journal of Cancer Survivorship - January 2, 2019 Category: Cancer & Oncology Source Type: research

Survivor clinic attendance among pediatric- and adolescent-aged survivors of childhood cancer
AbstractPurposeChildhood cancer survivors need regular, risk-adapted, long-term survivor care. This retrospective study describes the proportion of survivors seen for an initial survivor clinic visit within a large pediatric oncology program.MethodsPatients diagnosed with non-central nervous system childhood malignancies from 2007 to 2012 were followed from the time of survivor clinic eligibility (2  years following completion of therapy) through their initial survivor clinic visit or end of study. Demographic, cancer-related, and logistical factors related to clinic attendance were examined using Kaplan-Meier curves ...
Source: Journal of Cancer Survivorship - December 17, 2018 Category: Cancer & Oncology Source Type: research

Integrating self-management into daily life following primary treatment: head and neck cancer survivors ’ perspectives
ConclusionsThis is the first study to describe HNC survivors ’ attempts to integrate self-management into their daily lives following primary treatment. The findings indicate that HNC survivors exhibit highly individualised approaches to self-management integration and abandon self-management strategies that fail to meet their own specific needs.Implications for Cancer SurvivorsSurvivors may benefit from skills training and structured support to assist their transition between in-patient care and having to self-manage after primary treatment, and/or ongoing support to deal with persistent and recurring challenges suc...
Source: Journal of Cancer Survivorship - December 8, 2018 Category: Cancer & Oncology Source Type: research

Unpacking the layers: a meta-ethnography of cancer survivors ’ loneliness
ConclusionsThis meta-ethnography presents an integrated framework of loneliness in cancer survivors as a multi-layered experience. Implications for Cancer Survivors Conceptualizing loneliness from a systemic perspective adds missing pieces to the loneliness puzzle by encouraging assessment and intervention at interacting levels of functioning; considering how individuals respond to and are affected by their social systems can deepen our understanding of cancer survivorship. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - November 9, 2018 Category: Cancer & Oncology Source Type: research

Development of the perceived barriers scale: a new instrument identifying barriers to career development and employment for young adult survivors of pediatric CNS tumors
ConclusionsOverall, the study findings indicate good psychometrics with the brevity of the scale increasing potential application and utilization in both research and clinical settings.Implications for cancer survivorsIdentification of employment barriers for brain tumor survivors provides opportunity for more targeted vocational intervention. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 24, 2018 Category: Cancer & Oncology Source Type: research

Financial toxicity is more than costs of care: the relationship between employment and financial toxicity in long-term cancer survivors
AbstractPurposeThe aim of this study was to examine the relationship between employment and financial toxicity by examining the prevalence of, and factors associated with, financial toxicity among cancer survivors.MethodsWe conducted a secondary analysis of a sub-sample from the Dutch Patient Reported Outcomes Following Initial Treatment and Long-term Evaluation of Survivorship (PROFILES) registry. Descriptive statistics, bivariate analysis and logistic regression were used.ResultsA total of 2931 participants with diverse cancer types were included in the analysis with a mean age of 55  years (range 18 to 65). Nearly ...
Source: Journal of Cancer Survivorship - October 24, 2018 Category: Cancer & Oncology Source Type: research

Correlates of smoking status in cancer survivors
AbstractPurposeTo determine the characteristics associated with cancer survivors which indicate continued cigarette smoking at or around the time of cancer diagnosis.MethodsA total of 631 survivors were recruited in four cancer centers in Memphis, TN, between March 2015 and June 2016. To increase the probability of accurate reporting, surveys were conducted anonymously. A total of 112 respondents reported they were current smokers and 202 reported they were former smokers (n = 314), who comprised the sample.ResultsWe found that the rate of daily e-cigarette use among cancer survivors who smoked was 15.2% vers...
Source: Journal of Cancer Survivorship - October 20, 2018 Category: Cancer & Oncology Source Type: research

Assessing the relationship between fear of cancer recurrence and health care utilization in early-stage breast cancer survivors
ConclusionsFCR was associated with increases in some types of HCU, which may reflect excessive medical reassurance-seeking and lead to unnecessary medical costs.Implications for Cancer SurvivorsFCR is a serious concern that warrants greater attention to reduce distress-related health care utilization. Utilization of mental health services to address FCR may represent higher-value health care. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 19, 2018 Category: Cancer & Oncology Source Type: research

Patterns of medication adherence in a multi-ethnic cohort of prevalent statin users diagnosed with breast, prostate, or colorectal cancer
ConclusionsWe found substantial variation in statin medication adherence following diagnosis by cancer type and race/ethnicity among a large cohort of prevalent statin users in an integrated health care setting.Implications for Cancer SurvivorsImproving our understanding of comorbidity management and polypharmacy across diverse cancer patient populations is warranted to develop tailored interventions that improve medication adherence and reduce disparities in health outcomes. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 18, 2018 Category: Cancer & Oncology Source Type: research