Identifying barriers to cancer survivors sharing their survivorship care plans with their healthcare provider
ConclusionsSurvivor satisfaction with SCPs was high, but there was a disconnect in the number of satisfied survivors and the number of survivors planning to share their SCP with their HCP. To bridge this gap, additional prompts that HCPs are expecting this information should be added to the care plans.Implications for Cancer SurvivorsOne of the primary functions of survivorship care plans is to improve communication between survivor and healthcare provider. While survivors are overwhelmingly satisfied with their SCP, additional steps are necessary to get survivors to share their SCP with their HCP. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - July 3, 2018 Category: Cancer & Oncology Source Type: research

Correction to: A systematic review of patient perspectives on surveillance after colorectal cancer treatment
The original version of this article unfortunately contained a mistake. The online supplementary files are missing. The complete version of online supplementary materials are published with this erratum. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - June 27, 2018 Category: Cancer & Oncology Source Type: research

Long-term survivors of childhood cancer: cure and care —the Erice Statement (2006) revised after 10 years (2016)
Conclusions and implication for cancer survivorsSome members of the previous expert panel, as well as new invited experts, met again in Erice to review the Erice Statement, producing a revised version including update and integration of each of the ten points. In addition, a declaration has been prepared, by the Childhood Cancer International Survivors Network in Dublin on October 2016 (see Annex  1). (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - June 26, 2018 Category: Cancer & Oncology Source Type: research

Insurance, chronic health conditions, and utilization of primary and specialty outpatient services: a Childhood Cancer Survivor Study report
ConclusionMost childhood cancer survivors received outpatient care from a PCP, but a minority received care from a survivorship clinic provider. Having health insurance increased the likelihood of outpatient care.Implications for Cancer SurvivorsTargeted interventions in the primary care setting may improve risk-based, survivor-focused care for this vulnerable population. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - June 25, 2018 Category: Cancer & Oncology Source Type: research

Creation and evaluation of a cancer survivorship curriculum for pediatric resident physicians
We examined the efficacy of this curriculum following program completion.MethodsA case-based curriculum was created and integrated within existing educational structures using Kern ’s model. We utilized the retrospective pre-posttest method to evaluate participating residents’ knowledge, clinical skills, and attitudes towards cancer survivorship topics before and after receiving the curriculum. Pre-posttest items were compared using pairedt tests and one-sided binomial tests. We analyzed free-response question items for major themes using constant comparative methods.ResultsThirty-four residents completed the c...
Source: Journal of Cancer Survivorship - June 25, 2018 Category: Cancer & Oncology Source Type: research

Physical decline and its implications in the management of oesophageal and gastric cancer: a systematic review
ConclusionsChemotherapy, chemoradiation and surgery lead to reduced physical function in patients with oesophageal and gastric cancer. High quality evidence is lacking to prove the benefit of interventions that improve physical function through the treatment pathway and in recovery, and well-designed studies are required. This review was limited due to the heterogeneity of the literature, high risk of bias in some articles and the lack of high quality research encompassing sufficient time points in the patient journey.Implications for Cancer SurvivorsCurative treatment for oesophago-gastric cancer can negatively impact on ...
Source: Journal of Cancer Survivorship - May 23, 2018 Category: Cancer & Oncology Source Type: research

Childbirth after adolescent and young adult cancer: a population-based study
ConclusionsDespite advances in fertility preservation options and recognition of fertility counseling as a part of high-quality cancer care, the incidence of post-diagnosis childbirth has remained stable over the last 15  years.Implications for Cancer SurvivorsOur study uses statewide data to provide recent, population-based estimates of how often AYA women have biological children after a cancer diagnosis. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - May 22, 2018 Category: Cancer & Oncology Source Type: research

The relationship between physical impairments, quality of life and disability of the neck and upper limb in patients following neck dissection
AbstractPurposeThe purpose of this study was to examine the relationship between physical impairments, quality of life and disability in patients following neck dissection, with consideration of patient and clinical characteristics.MethodsCross-sectional study of patients
Source: Journal of Cancer Survivorship - May 16, 2018 Category: Cancer & Oncology Source Type: research

A systematic review of physical activity-based behaviour change interventions reaching men with prostate cancer
ConclusionThere is preliminary evidence to suggest that a variety of physical activity behaviour change interventions targeting men with a history of prostate cancer can be efficacious, at least in the short term. Experimental studies are required to identify key intervention features.Implications for Cancer SurvivorsPhysical activity interventions can assist prostate cancer survivors in relation to short-term lifestyle change, though more evidence is required to improve the clarity of factors related to efficacy. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - May 16, 2018 Category: Cancer & Oncology Source Type: research

An online randomized controlled trial, with or without problem-solving treatment, for long-term cancer survivors after hematopoietic cell transplantation
ConclusionsTheINSPIRE online intervention demonstrated a marginal benefit for distress that improved with the addition of telehealth PST, particularly for those who viewed the website or were age 40 or older.Implications for Cancer SurvivorsOnline and telehealth programs such asINSPIRE offer opportunities to enhance HCT survivorship outcomes, particularly for mood, though methods would benefit from strategies to improve efficacy. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - May 5, 2018 Category: Cancer & Oncology Source Type: research

Systematic review of self-reported cognitive function in cancer patients following chemotherapy treatment
ConclusionThe review found widespread heterogeneity in the assessment of self-reported cognitive symptoms and consistently absent or weak association with neuropsychological test scores.Implications for Cancer SurvivorsThis research highlights the need for a standardised approach to measurement of self-reported cognitive symptoms in cancer patients. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - May 4, 2018 Category: Cancer & Oncology Source Type: research

Mental health insurance access and utilization among childhood cancer survivors: a report from the childhood cancer survivor study
AbstractPurposeTo describe and compare the prevalence of mental health access, preference, and use among pediatric cancer survivors and their siblings. To identify factors associated with mental health access and use among survivors.MethodsSix hundred ninety-eight survivors in the Childhood Cancer Survivor Study (median age  = 39.4; median years from diagnosis = 30.8) and 210 siblings (median age = 40.4) were surveyed. Outcomes included having mental health insurance coverage, delaying care due to cost, perceived value of mental health benefits, and visiting a mental health provide...
Source: Journal of Cancer Survivorship - April 15, 2018 Category: Cancer & Oncology Source Type: research

Are the effects of cognitive behavior therapy for severe fatigue in cancer survivors sustained up to 14  years after therapy?
We examined fatigue levels up to 14  years after CBT.MethodsEligible participants of two randomized controlled trials who had completed CBT for CRF and a post-treatment assessment were contacted (n = 81). Fatigue was assessed with the subscale “fatigue severity” of the Checklist Individual Strength (CIS-fatigue). The course of fatigue over time was examined with linear mixed model analyses. Fatigue levels of participants were compared to matched population controls at long-term follow -up. We tested with multiple regression analysis if fatigue at follow-up was predicted by the patients’...
Source: Journal of Cancer Survivorship - April 12, 2018 Category: Cancer & Oncology Source Type: research

Initial evaluation of the validity and reliability of the culturally adapted Spanish CaSUN (S-CaSUN)
AbstractPurposeThere is a dearth of knowledge and limited research on the needs of Hispanic male cancer survivors (HMCSs). There is a clear need for the development of culturally and linguistically adapted needs assessment tools that are valid and reliable for use among the growing HMCS population. Thus, the purpose of this paper is to describe the field testing and psychometric evaluation of the translated and culturally adapted Spanish Cancer Survivor Unmet Needs Measure (S-CaSUN).MethodsHispanic male cancer survivors (n = 84) completed the Spanish CaSUN (S-CaSUN), the Hospital Anxiety and Depression Scale ...
Source: Journal of Cancer Survivorship - April 5, 2018 Category: Cancer & Oncology Source Type: research

Relationship between self-reported cognitive function 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 - April 1, 2018 Category: Cancer & Oncology Source Type: research

Survivorship care plans: are randomized controlled trials assessing outcomes that are relevant to stakeholders?
ConclusionsRCTs of SCPs ’ effectiveness have not assessed outcomes that stakeholders expect. To better understand SCPs’ effectiveness, future RCTs should assess outcomes of SCP use that are relevant from the perspective of multiple stakeholders.Implications for Cancer SurvivorsSCPs ’ effectiveness may be optimized when used with an eye toward outcomes that stakeholders expect from SCPs. For survivors, this means using SCPs as a map to guide them with respect to what kind of follow-up care they should seek, when they should seek it, and from whom they should seek it. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 23, 2018 Category: Cancer & Oncology Source Type: research

Nutrition impact symptoms and associated outcomes in post-chemoradiotherapy head and neck cancer survivors: a systematic review
Conclusions and relevanceNIS negatively influence HNC survivors beyond the acute phase of treatment. These symptoms are associated with decreased nutrition and quality of life. Interventions are necessary to improve survivors ’ eating challenges beyond the completion of treatment. If practitioners do not follow patients long term, patients may suffer consequences of NIS including malnutrition risk, weight loss, and decreased food intake and quality of life. Strategies should be developed to manage NIS and bridge the ga p between short- and long-term health-related outcomes to improve quality of life and survival. (So...
Source: Journal of Cancer Survivorship - March 20, 2018 Category: Cancer & Oncology Source Type: research

Workplace experiences and turnover intention among adult survivors of childhood cancer
AbstractPurposeThe purpose of this study was to investigate workplace experiences and turnover intention (consideration of leaving or changing a job) and to examine factors associated with turnover intention among survivors.MethodsAdult survivors of childhood cancer with a history of employment (n = 289) completed measures of workplace experiences (n = 50, 18–29 years;n = 183, 30–44 years;n = 56;>  45 years of age at follow-up). Turnover intention was assessed using three items from the Job Satisfaction Scale. Responses were dichot...
Source: Journal of Cancer Survivorship - March 17, 2018 Category: Cancer & Oncology Source Type: research

Validity of self-reported weight, height, and body mass index among African American breast cancer survivors
ConclusionsSelf-reported weight, height, and BMI were reasonably accurate in the WCHFS.Implications for Cancer SurvivorsOur study supports the use of these self-reported values among cancer survivors when direct measurements are not possible. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 13, 2018 Category: Cancer & Oncology Source Type: research

Development of the Cancer Survivor Profile-Breast Cancer (CSPro-BC) app: patient and nurse perspectives on a new navigation tool
ConclusionsFeedback by end users directly informed revision of the app.Implications for Cancer SurvivorsThe CSPro-BC app has been optimized based on BCS feedback. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 9, 2018 Category: Cancer & Oncology Source Type: research

Sexual function in adolescent and young adult cancer survivors —a population-based study
In this study, adolescent and young adult cancer survivors (15 –29 years) showed low satisfaction regarding sexual function compared to controls (P  
Source: Journal of Cancer Survivorship - March 5, 2018 Category: Cancer & Oncology Source Type: research

Long-term effectiveness and cost-effectiveness of high versus low-to-moderate intensity resistance and endurance exercise interventions among cancer survivors
ConclusionsAt longer term, we found larger intervention effects on role and social functioning for HI than for LMI exercise. Furthermore, HI exercise was cost-effective with regard to QALYs compared to LMI exercise.Trial registrationThis study is registered at the Netherlands Trial Register [NTR2153 [http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2153]] on the 5th of January 2010.Implications for Cancer SurvivorsExercise is recommended to be part of standard cancer care, and HI may be preferred over LMI exercise. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 1, 2018 Category: Cancer & Oncology Source Type: research

Associations between physical activity and comorbidities in Korean cancer survivors
AbstractPurposeTo examine the associations between physical activity, metabolic risk factors, and comorbidities in Korean cancer survivors.MethodsWe used multiple cross-sectional data sets from the 2007 –2013 Korean National Health and Nutrition Examination Surveys (KNHANES) that included 1225 cancer survivors. Physical activity and comorbidities were self-reported. Metabolic risk factors were measured via blood analyses and included fasting glucose, insulin, total cholesterol, triglycerides, and blood pressure.ResultsThe sample was 38.4% male with a mean age of 59.9  ± 12.4 years. The most ...
Source: Journal of Cancer Survivorship - March 1, 2018 Category: Cancer & Oncology Source Type: research

Use of a web-based app to improve breast cancer symptom management and adherence for aromatase inhibitors: a randomized controlled feasibility trial
AbstractPurposeFor postmenopausal women with hormone receptor-positive breast cancer, long-term use of aromatase inhibitors (AIs) significantly reduces the risk of cancer recurrence and improves survival. Still, many patients are nonadherent due to adverse side effects. We conducted a pilot randomized controlled trial to test the use of a web-based application (app) designed with and without weekly reminders for patients to report real-time symptoms and AI use outside of clinic visits with built-in alerts to patients ’ oncology providers. Our goal was to improve symptom burden and medication adherence.MethodsForty-fo...
Source: Journal of Cancer Survivorship - February 28, 2018 Category: Cancer & Oncology Source Type: research

Evolution of neurocognitive function in long-term survivors of childhood acute lymphoblastic leukemia treated with chemotherapy only
AbstractPurposeThe purpose of this study was to determine the evolution of neurocognitive problems from therapy completion to long-term follow-up in survivors of childhood acute lymphoblastic leukemia treated with chemotherapy only.MethodsWe evaluated whether attention problems observed at therapy completion evolve into long-term executive dysfunction in 158 survivors treated on a single institution protocol. Treatment data (high-dose intravenous methotrexate exposure [serum concentration] and triple intrathecal chemotherapy injections) were collected. Parent report of behavior and direct cognitive testing of survivors was...
Source: Journal of Cancer Survivorship - February 27, 2018 Category: Cancer & Oncology Source Type: research

The continuum of breast cancer care and outcomes in the U.S. Military Health System: an analysis by benefit type and care source
ConclusionsIn the MHS, women with non-Prime benefit plans compared to Prime had higher transition rates along the breast cancer continuum among both care source users. Purchased care users had lower transition rates than direct care users among Prime beneficiaries.Implications for Cancer SurvivorsBenefit plan and care source may be associated with breast cancer progression. Further research is needed to demonstrate differences in survivorship. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 17, 2018 Category: Cancer & Oncology Source Type: research

Cardiovascular disease incidence in adolescent and young adult cancer survivors: a retrospective cohort study
ConclusionWhile cancer therapies are known to increase the risk of CVD, this study additionally shows that CVD risk varies by sociodemographic factors.Implications for cancer survivorsThe identification and mitigation of CVD risk factors in these subgroups may improve long-term patient outcomes. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 9, 2018 Category: Cancer & Oncology Source Type: research

Predictors of vasomotor symptoms among breast cancer survivors
ConclusionsVMS following breast cancer diagnosis was related to a number of modifiable factors, but was unrelated to metabolic syndrome.Implications for Cancer SurvivorsIdentification of factors that predispose women to VMS following a breast cancer diagnosis may allow clinicians to recognize and address VMS in the subset of women who are most likely to experience such symptoms. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 9, 2018 Category: Cancer & Oncology Source Type: research

Feasibility and preliminary efficacy of an exercise telephone counseling intervention for hematologic cancer survivors: a phase II randomized controlled trial
AbstractBackgroundSupervised exercise interventions produce the largest improvements in patient-reported outcomes in cancer survivors but their scalability has been questioned. Telephone counseling has been proposed as a more feasible alternative but its impact on exercise behavior and health outcomes have been modest. Basing telephone counseling exercise (TCE) interventions on the theoretical advances described in the multi-process action control framework (M-PAC) may improve these outcomes.PurposeTo assess the feasibility and preliminary efficacy of a M-PAC-based TCE intervention for increasing aerobic exercise behavior ...
Source: Journal of Cancer Survivorship - February 6, 2018 Category: Cancer & Oncology Source Type: research

Fatigue and depressive symptoms improve but remain negatively related to work functioning over 18 months after return to work in cancer patients
ConclusionsInterventions to improve cancer patients ’ work functioning over time might be promising if they are aimed at reducing fatigue, depressive symptoms, cognitive symptoms, and encouraging supervisor social support.Implications for Cancer SurvivorsIt is important to monitor cancer patients not only in the period directly after RTW but up to 18  months after RTW, allowing for timely interventions when needed. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 5, 2018 Category: Cancer & Oncology Source Type: research

Interventions to improve endocrine therapy adherence in breast cancer survivors: what is the evidence?
ConclusionsImproving adherence to AET in HR+ breast cancer survivors is an urgent medical need. While newer clinical trials are overcoming some of the limitations seen with published studies, tailored interventions led by clinicians need further investigation.Implications for cancer survivorsOur study highlights the unmet clinical need to develop and test feasible interventions to improve AET adherence in HR+ breast cancer survivors to extend their long-term survival. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 2, 2018 Category: Cancer & Oncology Source Type: research

Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA
ConclusionsThis exploratory analysis establishes the premise for consumer credit as a marker of economic burden and health for breast cancer survivors. Future work should validate these findings in larger samples and for other health conditions.Implications for Cancer SurvivorsStabilizing and monitoring consumer credit may be a potential intervention point for mitigating economic burden after breast cancer. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 25, 2018 Category: Cancer & Oncology Source Type: research

Usability and acceptance evaluation of ACESO: a Web-based breast cancer survivorship tool
ConclusionThe results of the study showcase the need for more personalized tools and resources to support survivors in self-management. It also demonstrates the ability to integrate breast cancer survivorship care plans from diverse providers and paves the way to add further value-added features in consumer health applications, such as personal decision support.Implications for Cancer SurvivorsUsing a personal decision support-based tool can serve as a training tool and resource, providing these patients with pertinent information about the various aspects of their long-term health, while educating them about any related s...
Source: Journal of Cancer Survivorship - January 25, 2018 Category: Cancer & Oncology Source Type: research

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