Cost-effectiveness of physical activity interventions in cancer survivors of developed countries: a systematic review
ConclusionsPhysical activity interventions in cancer survivors of developed countries were cost-effective in some but not all clinical trials reviewed.Implications for Cancer SurvivorsCost-effectiveness of physical activity interventions appear to depend upon the intensity of the activity. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 23, 2021 Category: Cancer & Oncology Source Type: research

Multi-stakeholder perspectives on managing insomnia in cancer survivors: recommendations to reduce barriers and translate patient-centered research into practice
ConclusionDissemination and implementation efforts are necessary to translate research into clinical practice to improve patient care.Implications for Cancer SurvivorsSleep needs to be prioritized in cancer care, but patient, provider, and institutional/societal barriers remain. Dedicated effort and resources at each of these levels are needed to help millions of people affected by cancer manage their insomnia and improve their quality of life. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 19, 2021 Category: Cancer & Oncology Source Type: research

Patient-sharing relationship between Chinese medicine doctors and other physicians: costs and outcomes of breast cancer survivorship care
ConclusionsA dose-response pattern was observed regarding the relationship between TCM doctor ’s connectedness with other physicians within a patient’s care network and patient outcomes.Implications for cancer survivorsThe findings demonstrated that stronger connectedness between TCM and other physicians could help improve the health outcomes of breast cancer survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 18, 2021 Category: Cancer & Oncology Source Type: research

Physical activity recommendations for cancer survivors living with bony metastases: views of oncologic healthcare providers
ConclusionsOHPs agree that physical activity for individuals living with bony metastatic cancer is beneficial and safe. However, OHPs are not confident in their ability to recommend physical activity to this population.Implications for Cancer SurvivorsThere is a need to create physical activity guidelines for individuals living with bony metastases and improve access to rehabilitation services. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - February 18, 2021 Category: Cancer & Oncology Source Type: research

Beliefs and interests in physical activity programs of cancer survivors and their romantic partners
This study examined demographic, relationship, exercise, and cancer history correlates of survivors ’ and their romantic partners’ couples-based exercise beliefs and their preferences for program designs.MethodsAll participants (survivorsn=209, partnersn=155, couplesn=143) completed an online survey. Correlations and linear regression analyses were used to examine correlates of participants ’ importance of and interest in couples-based exercise and their likelihood of joining a couples-based exercise program. Intraclass correlations estimated shared variance at the couple level.ResultsMost participants be...
Source: Journal of Cancer Survivorship - February 17, 2021 Category: Cancer & Oncology Source Type: research

The financial impact of cancer on Canadian young adults
AbstractPurposeTo explore the financial impact of cancer in young adults (YAs) compared to matched non-cancer peers.MethodsFive hundred seventy-five YAs from the Young Adults with Cancer in their Prime (YACPRIME) study  reported on out-of-pocket cancer costs and missed work. YA cancer survivors were compared to matched peers without cancer on key financial indices based on current age (
Source: Journal of Cancer Survivorship - February 14, 2021 Category: Cancer & Oncology Source Type: research

A prospective study of lifestyle factors and bone health in breast cancer patients who received aromatase inhibitors in an integrated healthcare setting
AbstractPurposeFracture and osteoporosis are known side effects of aromatase inhibitors (AIs) for postmenopausal hormone receptor positive (HR+) breast cancer (BC) patients. How modifiable lifestyle factors impact fracture risk in these patients is relatively unknown.MethodsWe conducted a prospective cohort study to examine the association of lifestyle factors, focusing on physical activity, with risk of incident major osteoporotic fracture and osteoporosis in 2152 HR+ BC patients diagnosed from 2006 to 2013 at Kaiser Permanente Northern California and who received AIs. Patients self-reported lifestyle factors at study ent...
Source: Journal of Cancer Survivorship - February 9, 2021 Category: Cancer & Oncology Source Type: research

Sexual behaviors and human papillomavirus vaccine non-initiation among young adult cancer survivors
AbstractBackgroundYoung adult cancer survivors are at risk for subsequent human papillomavirus (HPV)-related malignancies. High-risk sexual behavior increases risk for HPV acquisition; HPV vaccination protects against infection. We aimed to determine the prevalence of sexual behaviors, factors related to high-risk sexual behaviors, and the relationship between sexual behaviors and HPV vaccine non-initiation among survivors.MethodsSurvivors at comprehensive cancer centers, aged 18 –26 years and 1–5 years post-treatment, reported sexual behaviors and HPV vaccine initiation (i.e., ≥ 1 dose). Multivariable logis...
Source: Journal of Cancer Survivorship - February 6, 2021 Category: Cancer & Oncology Source Type: research

Severe reflux, sleep disturbances, and health-related quality of life after esophageal cancer surgery
ConclusionsThis study suggests that patients with severe symptoms of reflux after esophagectomy have an increased risk of sleep disturbances and poor sleep quality, which in turn are associated with reduced HRQL.Implications for Cancer SurvivorsAlleviating reflux after oesophageal cancer surgery is important, since this common symptom might reduce HRQL and well-being. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 27, 2021 Category: Cancer & Oncology Source Type: research

Pain sensitivity and shoulder function among breast cancer survivors compared to matched controls: a case-control study
AbstractObjectivePersistent pain and loss of shoulder function are common adverse effects to breast cancer treatment, but the extent of these issues in comparison with healthy controls is unclear for survivors beyond 1.5 years after treatment. The purpose of this study was to benchmark differences in pressure pain thresholds (PPT), maximal isokinetic muscle strength (MIMS), and active range of motion (ROM) of females with persistent pain ≥1.5 years after breast cancer treatment (BCS) compared with pain-free matched controls (CON), and examine the presence of movement-evoked pain (MEP) during assessment of MIMS.MethodsTh...
Source: Journal of Cancer Survivorship - January 26, 2021 Category: Cancer & Oncology Source Type: research

Age as a risk factor for breast cancer-related lymphedema: a systematic review
ConclusionsThough studies presented different findings, the majority did not identify age as a risk factor for development of lymphedema. However, the level of evidence of individual studies was low. In this article, we call attention to the need for uniform design of lymphedema studies and diagnosis.Implications for Cancer SurvivorsAll patients should be informed and screened regularly for lymphedema during and after the treatment independent of their age. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 24, 2021 Category: Cancer & Oncology Source Type: research

Patterns of cigarette smoking and alcohol drinking among Canadian adults with cancer in a contemporary national cohort
ConclusionsCurrent smoking and alcohol drinking are not uncommon among Canadian adults with cancer. Further efforts focusing on smoking cessation and alcohol moderation are needed.Implications for cancer survivorsCoordinated national and provincial efforts are needed to address cigarette smoking and heavy alcohol drinking among individuals with history of cancer. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 24, 2021 Category: Cancer & Oncology Source Type: research

Rehabilitation interventions for the management of breast cancer –related lymphedema: developing a patient-centered, evidence-based plan of care throughout survivorship
ConclusionCurrent evidence supports specific interventions to treat or mitigate the risk for the various stages of BCRL. As clinicians implement these recommendations into practice, they also need to address other impairments that may exist in every individual. Continued collaboration between clinicians and researchers is necessary to further develop optimal treatment modalities and parameters.Implications for Cancer SurvivorsBy implementing evidence-based interventions as outlined in the CPG, clinicians can improve the quality of care for survivors of breast cancer. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 22, 2021 Category: Cancer & Oncology Source Type: research

Quality of life among female childhood cancer survivors with and without premature ovarian insufficiency
ConclusionsFemale CCS have a significantly decreased health state and well-being. Female CCS with POI additionally have the lowest self-estimated well-being.Implications for Cancer SurvivorsFemale CCS with POI should be identified early in order to give them adequate information and support. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 19, 2021 Category: Cancer & Oncology Source Type: research

Is fertility preservation a part of comprehensive cancer care in the USA? A study of NCI-designated cancer center websites
ConclusionPatient-directed information pertaining to oncofertility and FP is inadequate on the majority of websites, and represents a gap in comprehensive cancer care and survivorship planning. Patients who rely primarily on internet-based information regarding oncofertility may not be well-informed about FP options in the critical period between cancer diagnosis and treatment.Implications for Cancer SurvivorsCancer patients and survivors interested in future fertility should be referred to reproductive specialists, when possible, for a comprehensive discussion about fertility preservation prior to cancer therapy and ferti...
Source: Journal of Cancer Survivorship - January 16, 2021 Category: Cancer & Oncology Source Type: research

Late effects in survivors treated for lymphoma as adolescents and young adults: a population-based analysis
ConclusionSurvivors of AYA lymphoma have a high incidence and diverse presentation of late effects.Implications for Cancer SurvivorsAYA lymphoma survivors should be educated about their risks of late effects and offered screening and follow-up when appropriate. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 16, 2021 Category: Cancer & Oncology Source Type: research

Working cancer survivors ’ physical and mental characteristics compared to cancer-free workers in Japan: a nationwide general population-based study
ConclusionsWorking cancer survivors had worse SRHS and more restricted physical functional capacity than cancer-free workers. In men, working cancer survivors felt happiness more frequently than cancer-free workers.Implications for Cancer SurvivorsContinuous support to improve cancer survivors ’ SRHS and physical functional capacity would be necessary even while they are working. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 12, 2021 Category: Cancer & Oncology Source Type: research

Metabolic and lifestyle risk factors for chemotherapy-induced peripheral neuropathy in taxane and platinum-treated patients: a systematic review
ConclusionsComorbidities and lifestyle factors, particularly obesity and low physical activity, may contribute to the development of CIPN. The implementation of sensitive outcome measures in large-scale clinical trials is required to further elucidate CIPN risk factors and evaluate if changes in lifestyle would improve long-term CIPN outcomes for cancer survivors.Implications for Cancer SurvivorsBetter understanding of CIPN risk profiles may inform personalized medicine strategies and help elucidate pathophysiological mechanisms which could be targeted for neuroprotection. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 12, 2021 Category: Cancer & Oncology Source Type: research

Social support as a moderator of healthcare adherence and distress in long-term hematopoietic cell transplantation survivors
ConclusionsThe two tested models confirm that the health stressors of comorbidities and cGVHD are moderated by better social support and self-efficacy in their associations with lower distress but without moderating effects for healthcare adherence.Implications for Cancer SurvivorsSocial support and self-efficacy confer protective benefits on healthcare adherence and psychological distress. Interventions are needed that focus on maintaining social networks or finding new networks if necessary.Clinical trial registration numberNCT00799461. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 9, 2021 Category: Cancer & Oncology Source Type: research

Health literacy impacts self-management, quality of life and fear of recurrence in head and neck cancer survivors
ConclusionsHNC survivors with inadequate health literacy have lower levels of self-management behaviours, lower functional HRQL and increased FoR compared to those with adequate health literacy.Implications for Cancer SurvivorsClinicians, healthcare providers and those developing interventions should consider how inadequate health literacy among HNC survivors might affect post-treatment outcomes when developing services and providing support for this group. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 9, 2021 Category: Cancer & Oncology Source Type: research

Important factors associated with sick leave after allogeneic haematopoietic stem cell transplantation —a 1-year prospective study
ConclusionThe majority of allo-HSCT survivors were on SL 1 year after treatment, and cGvHD, low vocational satisfaction and depressive symptoms were associated with full-time SL 1 year after allo-HSCT.Implications for Cancer SurvivorsHealthcare professionals need to be observant of and manage the consequences of cGvHD and patients ’ symptoms of depression in order to support them appropriately in their return-to-work process. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 8, 2021 Category: Cancer & Oncology Source Type: research

Psychological distress and cognition among long-term survivors of adolescent and young adult cancer in the USA
ConclusionLong-term survivors of AYA cancer have higher rates of cognitive dysfunction and psychological distress as compared to the general population. Additional services addressing psychosocial and neurocognitive issues should be integrated into standard AYA cancer survivorship care.Implications for Cancer SurvivorsCancer survivors should be aware of self-reported high rates of long-term cognitive dysfunction and psychologic distress and actively seek out formal evaluation and services such as mental health counseling (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 7, 2021 Category: Cancer & Oncology Source Type: research

ePRO-based individual follow-up care for women treated for early breast cancer: impact on service use and workflows
We examined the impact on service use, workflow and workload following the introduction of an ePRO-based individual follow-up (PIFU) for women treated for early breast cancer.MethodsA multi-method approach was used. In a pilot randomized controlled trial, the use of consultations, telephone calls, and specialist referrals were systematically recorded. Comparison was done between PIFU and standard follow-up care (SFU). Focus group interviews with nurse navigators evaluated the impact on workflow and workload qualitatively.ResultsThe 64 women randomized to attend SFU used a mean of 3.8 (95% CI: 3.5 –4.1) planned consul...
Source: Journal of Cancer Survivorship - January 7, 2021 Category: Cancer & Oncology Source Type: research

Health literacy in cancer caregivers: a systematic review
ConclusionsFindings highlight a need for future longitudinal research regarding cancer caregiver health literacy incorporating more standardized and population-specific measurement approaches. In particular, there is a pressing need to investigate factors associated with cancer caregiver health literacy to inform the development/delivery of future interventions.Implications for Cancer SurvivorsFuture high-quality research which investigates the factors which contribute towards sub-optimal health literacy amongst cancer caregivers would aid in the development of appropriate and effective health literacy interventions in the...
Source: Journal of Cancer Survivorship - January 7, 2021 Category: Cancer & Oncology Source Type: research

Fluctuations in depression and anxiety predict dysregulated leptin among obese breast cancer survivors
ConclusionsLeptin is a critical risk factor for recurrence and further health consequences. Our findings highlight how psychological health influences leptin production among breast cancer survivors.Implications for Cancer SurvivorsThese results highlight a biological pathway that may facilitate further weight gain and health risks among distressed, obese breast cancer survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 6, 2021 Category: Cancer & Oncology Source Type: research

Hematological cancer survivors ’ experiences of participating in a shared care follow-up—an exploratory interview study
ConclusionsOur findings suggest that hematological cancer survivors value alternating routine visits and nurse-led telephone consultations as part of cancer survivorship care as well as the emotional and psychological focus of the shared care follow-up. It seems that their sense of security was maintained due to retention of physical examinations.Implications for Cancer SurvivorsThe findings from this study underline the importance of the flexibility and adaptability of cancer follow-up in order to meet patients ’ needs and preferences. Furthermore, this study underlines the importance of cancer survivorship care tha...
Source: Journal of Cancer Survivorship - January 6, 2021 Category: Cancer & Oncology Source Type: research

Perceptions of prescription opioid medication within the context of cancer survivorship and the opioid epidemic
ConclusionThis study illustrates the intersecting and sometimes conflicting assumptions surrounding the use of opioids analgesics in the management of cancer pain among survivors embedded within the national discourse of the opioid epidemic.Implications for Cancer SurvivorsA system of integrated cancer care using psychosocial screening, opioid risk mitigation tools, opioid treatment agreements, and specialist expertise that cancer care providers can rely on to monitor POM use in conjunction with patient-centered communication to empower patients informed decision making in managing their cancer pain could address this crit...
Source: Journal of Cancer Survivorship - January 6, 2021 Category: Cancer & Oncology Source Type: research

Perceptions of clinical support for employed breast cancer survivors managing work and health challenges
ConclusionsThis study expands our understanding of how breast cancer survivors perceive work-related support from healthcare professionals. Findings will inform targeted interventions designed to improve the support provided by healthcare professionals.Implications for Cancer SurvivorsBreast cancer survivors managing work and health challenges may benefit by having their unmet support needs fulfilled. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 6, 2021 Category: Cancer & Oncology Source Type: research

Development, implementation, and evaluation of a multidisciplinary oncology sexual health clinic in a Canadian cancer care setting
AbstractPurposeUntreated cancer-related sexual health concerns cause significant distress for cancer survivors. To appropriately address the complex sexual health needs of cancer patients, we piloted a specialized, multidisciplinary oncology sexual health clinic within a tertiary cancer center. A quality assurance evaluation was conducted.MethodsDuring  once monthly half-day clinics, a multidisciplinary team of psychologists, advanced practice nurses, and radiation and gynecological oncologists offered specialist integrated care to oncology patients. Patients completed assessment questionnaires prior to each clinic ap...
Source: Journal of Cancer Survivorship - January 5, 2021 Category: Cancer & Oncology Source Type: research

Feasibility of collecting patient-generated health data to enhance cancer registry surveillance
ConclusionAugmenting cancer registry data with longitudinally collected PGHD is feasible, although more work is needed to overcome barriers of initial patient recruitment and adoption of online PGHD collection techniques for public health surveillance.Implications for Cancer SurvivorsRegistry data, including PGHD, can provide the medical community with  patient perspectives on treatment effects and quality of life and can offer cancer survivors information about symptom management and advances in research. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 5, 2021 Category: Cancer & Oncology Source Type: research

Physical activity for pediatric cancer survivors: a systematic review of randomized controlled trials
ConclusionseHealth and mHealth interventions appear to be increasingly important strategies to promote physical activity among pediatric cancer survivors.Implications for Cancer SurvivorsFuture larger-scale studies using a core-set of assessment tools are warranted to further promote regular physical activity in pediatric cancer survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - January 3, 2021 Category: Cancer & Oncology Source Type: research

Randomized control trial evidence for the benefits of massage and relaxation therapy on sleep in cancer survivors —a systematic review
ConclusionWhile massage therapy provided by massage therapists may have some potential for improving sleep outcomes for cancer survivors, there is no such current evidence regarding relaxation therapy.Implications for Cancer SurvivorsCancer survivors who experience sleep disturbances may benefit from regular sessions with a massage therapist. However, future studies should examine the long-term feasibility of massage therapist –delivered services, particularly for cancer survivors with limited finances, and determine if benefits can be obtained if massage is provided by non-certified individuals. Relaxation therapy a...
Source: Journal of Cancer Survivorship - December 2, 2020 Category: Cancer & Oncology Source Type: research

Cancer survivors referred to a long-term survivorship outpatient service within academic medical oncology: descriptive study
ConclusionsLTCS are patients with significantly high socioeconomic, labor, sexual, health, and psychological problems, 5 years after completion of cancer treatment, especially in older survivors.Implications for Cancer SurvivorCommon concerns of LTCS were identified and are consistent across many countries. It is important to realize that even 5 or so years following treatment, both medical and non-medical problems can exist and may need attention by an expert. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - November 24, 2020 Category: Cancer & Oncology Source Type: research

Lifestyle behaviors and sun exposure among individuals diagnosed with skin cancer: a cross-sectional analysis of 2018 BRFSS data
ConclusionOur findings highlight important areas for reducing risk factors, which could reduce the recurrence of skin malignancies in skin cancer survivors.Implications for Cancer SurvivorsOur study provides insight to lifestyle behaviors among skin cancer survivors. Being aware of these behaviors has the potential to reduce skin cancer recurrence. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - November 23, 2020 Category: Cancer & Oncology Source Type: research

Neighborhood deprivation index is associated with weight status among long-term survivors of childhood acute lymphoblastic leukemia
ConclusionsThis study provides novel insights into possible social determinants of health inequalities among survivors of childhood ALL by reporting a significant association between neighborhood deprivation and overweight/obesity.Implications for Cancer SurvivorsSurvivors of childhood ALL residing in neighborhood with greater socioeconomic disadvantage may be at increased risk of overweight and obesity and candidates for targeted interventions. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - November 23, 2020 Category: Cancer & Oncology Source Type: research

The course of peripheral neuropathy and its association with health-related quality of life among colorectal cancer patients
ConclusionsFuture studies should focus on understanding the mechanisms underlying CIPN so targeted interventions can be developed to reduce the impact of CIPN on patient ’s lives.Implications for cancer survivorsPatients need to be informed of both CIPN and the impact on HRQoL. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - November 13, 2020 Category: Cancer & Oncology Source Type: research

Cancer survivorship training in family medicine residency programs
The objective of the study was to examine current family medicine residency education in cancer survivorship and barriers to cancer survivorship education in the residency curriculum.MethodsFamily medicine residency program directors (n = 628) were surveyed electronically between September 2019 and November 2019 through the Council of Academic Family Medicine Educational Research Alliance (CERA) annual program directory survey. Respondents (n = 250) answered questions regarding eventual cancer survivorship curriculum in their residency program, including interest and barriers to implementation. Program ...
Source: Journal of Cancer Survivorship - November 11, 2020 Category: Cancer & Oncology Source Type: research

Adherence to cardiomyopathy screening guidelines among adolescent and young adult cancer survivors exposed to chest radiation and/or anthracyclines
ConclusionsCardiomyopathy screening among survivors was low around the time when NCCN AYA oncology guidelines were released.Implications for Cancer SurvivorsOur study highlights significant room for improvement for adherence to cardiomyopathy screening recommendations among survivors of AYA cancer. Attention is needed to ensure that recommended cardiomyopathy screenings are met for better management of cardiomyopathy late effects. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - November 10, 2020 Category: Cancer & Oncology Source Type: research

Lifestyle intervention for Latina cancer survivors and caregivers: the Nuestra Salud randomized pilot trial
ConclusionSMLI was feasible and acceptable for both dyadic members. A larger, well-powered trial is needed to formally evaluate SMLI effectiveness.Implications for Cancer SurvivorsIntegrating symptom management with lifestyle behavior interventions may increase adherence to the ACS guidelines on nutrition and physical activity to prevent new and recurrent cancers. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - November 10, 2020 Category: Cancer & Oncology Source Type: research

Is the health literacy of informal caregivers associated with the psychological outcomes of breast cancer survivors?
AbstractPurposeTo investigate whether health literacy (HL) among informal caregivers of breast cancer (BC) survivors is associated with patient psychological outcomes.MethodsWe used data (n = 340 pairs) from baseline questionnaires administered in the MyHealth trial investigating nurse-led BC follow-up. All BC survivors and their invited caregivers were included immediately after completion of primary treatment. We performed multivariate regression analyses to examine the association between caregiver HL (nine dimensions as measured by the Health Literacy Questionnaire) as exposure and patient depression, anxiety, and heal...
Source: Journal of Cancer Survivorship - November 9, 2020 Category: Cancer & Oncology Source Type: research

Patterns of social media use and associations with psychosocial outcomes among breast and gynecologic cancer survivors
AbstractPurposeWe sought to characterize the use of social media (SM) among breast and gynecologic cancer survivors, as well as associations between patterns of SM use and psychosocial outcomes.MethodsTwo hundred seventy-three breast and gynecologic cancer survivors recruited at the Stanford Women ’s Cancer Center completed the study. Participants completed questionnaires to measure quality of life (FACT-G), functional social support (Duke-UNC FSSQ), distress (PHQ-4), decision regret (DRS), and SM use.ResultsIn total, 75.8% of the sample reported using SM. There was no difference in quality of life (QOL), functional ...
Source: Journal of Cancer Survivorship - November 8, 2020 Category: Cancer & Oncology Source Type: research

Identifying and exploring the self-management strategies used by childhood cancer survivors
ConclusionsThis is the first study which has enabled CCSs to self-report the numerous strategies they employ to look after their health and well-being, contributing to a more comprehensive picture of self-management in CCSs.Implications for Cancer SurvivorsThese findings may increase healthcare professionals ’ awareness of the many ways in which CCSs manage their health and is a valuable first step in the development of a supported self-management intervention for CCSs in follow-up care. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - November 6, 2020 Category: Cancer & Oncology Source Type: research

Patient-reported outcomes of non-pharmacological interventions for endometrial cancer survivors: a systematic review
ConclusionsFew non-pharmacological interventions for EC survivors targeted QOL, even though QOL was assessed as either a primary or secondary outcome of the RCT. Despite this, findings suggest that non-pharmacological interventions for EC survivors hold promise for improving general and domain-specific QOL. Use of validated PROMs would greatly enhance outcome reporting and facilitate comparisons across studies. More interventions are also needed that address social and psychological functioning in this population.Implications for Cancer SurvivorsOur review highlights a need to (1) expand non-pharmacological RCTs for EC sur...
Source: Journal of Cancer Survivorship - November 2, 2020 Category: Cancer & Oncology Source Type: research

Social support and physical activity for cancer survivors: a qualitative review and meta-study
ConclusionsUnderstanding supportive behaviors could improve PA and coping with cancer in interventions. Future research should focus on identifying supportive behaviors, incorporating theory and methods to address the development of supportive relationships, and recruiting more diverse samples of participants in terms of gender, race/ethnicity, and cancer type.Implications for Cancer SurvivorsPA can provide opportunities for positive social connections ranging from loose to close social ties, and this research identifies several behaviors in the PA context that may be supportive of PA behavior (e.g., providing actionable i...
Source: Journal of Cancer Survivorship - October 31, 2020 Category: Cancer & Oncology Source Type: research

Use of patient-reported controls for secular trends to study disparities in cancer-related job loss
ConclusionsThe majority of patients had evaluable passive controls. There was no significant difference in outcome between controls ascertained through either methodImplications for Cancer SurvivorsPassive controls are a low-cost, higher-yield option to control for secular trends in racially/ethnically diverse samples. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 26, 2020 Category: Cancer & Oncology Source Type: research

Does it matter how we evaluate HRQOL? Longitudinal comparison of the EORTC QLQ-C30/QLQ - OG25 and FACT-E
ConclusionsOverall HRQOL recovers earlier after curative-intent treatment than previously reported despite persistence of physical symptoms, with a consistent return to pre-treatment levels by 6  months after treatment. This supports the concept that HRQOL is not primarily defined by physical function. Based on this longitudinal comparison, FACT-E provides a more multidimensional assessment of HRQOL.Implications for Cancer SurvivorsCurative intent treatment for esophageal cancer has adverse effects on HRQOL but despite intense treatment, overall HRQOL recovers within 6  months. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 26, 2020 Category: Cancer & Oncology Source Type: research

Patient-reported functional executive challenges and caregiver confirmation in adult brain tumor survivors
ConclusionsThis study provides evidence suggesting that at an average of 3.67 (SD = 2.31) years following treatment for a PBT, EF difficulties are reported by patients and their caregivers. This study establishes a consistency between what is reported by survivors and what is reported by those who frequently interact with them. Further research investigating the link between these ratings and quality of life as well as other functions is encouraged.Implications for Cancer SurvivorsThis study ’s results demonstrate the importance of listening to PBT survivors’ perception of EF difficulties. While not confirmed b...
Source: Journal of Cancer Survivorship - October 26, 2020 Category: Cancer & Oncology Source Type: research

Working after cancer: in-depth perspectives from a setting with limited employment protection policies
ConclusionIn settings with limited employment protection policies, a cancer diagnosis severely impacts the working experiences of patients, leading to financial loss. Urgent interventions and legislative reforms are needed in these settings to address the unmet employment needs of cancer survivors.Implications for Cancer SurvivorsThis study may facilitate planning of local solutions to fulfill the unmet employment needs following cancer, such as return-to-work navigation services. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 22, 2020 Category: Cancer & Oncology Source Type: research

Quality of life and mental health in breast cancer survivors compared with non-cancer controls: a study of patient-reported outcomes in the United Kingdom
ConclusionsCompared with women with no history of cancer, breast cancer survivors report more problems with cognition, sexual function, fatigue, and anxiety, particularly where their cancer was advanced and/or treated with chemotherapy.Implications for Cancer SurvivorsBreast cancer survivors with more advanced disease and/or treated with chemotherapy should be closely monitored and, when possible, offered evidence-based intervention for fatigue, cognitive dysfunction, and sexual problems. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 21, 2020 Category: Cancer & Oncology Source Type: research

Long-term follow-up 3  years after a randomized rehabilitation study among radiated prostate cancer survivors
ConclusionThe short-term rehabilitation was beneficial but of limited benefit in the long term for all patients. A significant and clinically relevant effect was found in irradiated prostate cancer patients with moderate-severe urinary problems at baseline. In both groups, pelvic floor strength was weakened during follow-up.Impact for cancer survivorsPrior research showed patients benefit from early rehabilitation. Identification of patients with moderate-severe urinary problems followed by a focused rehabilitation during the first 6  months after radiotherapy results in long-term improvement. Radiated patients have t...
Source: Journal of Cancer Survivorship - October 20, 2020 Category: Cancer & Oncology Source Type: research