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

Body composition and its association with fatigue in the first 2  years after colorectal cancer diagnosis
ConclusionHaving more SAT was associated with more fatigue at diagnosis, while low levels of SMR were associated with more fatigue at 6  months post-diagnosis.Implications for Cancer SurvivorsOur results suggest that it may be interesting to investigate whether interventions that aim to increase SMR around the time of diagnosis may help to lower fatigue. However, more knowledge is needed to understand the mechanisms behind the association of SMR with fatigue. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 17, 2020 Category: Cancer & Oncology Source Type: research

Caregiving burden among informal caregivers of African American cancer survivors
ConclusionsCaregivers for African American cancer survivors provide many hours of care, yet most describe their CGB as low. Although ADL assistance is often available through the healthcare system, assistance with IADLs presents an opportunity to lessen the burden for these caregivers and their care recipients.Implications for Cancer SurvivorsAfrican American cancer survivors receive much care from informal family caregivers, who assist with multiple ADLs and IADLs. Formal IADL assistance programs, similar to those available for ADLs, would benefit both survivors and caregivers. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 17, 2020 Category: Cancer & Oncology Source Type: research

Rural breast cancer survivors are able to maintain diet quality improvements during a weight loss maintenance intervention
This study explored DQ changes during a weight loss maintenance intervention in a cohort of rural female breast cancer survivors (n = 131) who lost ≥ 5% body weight in a weight loss intervention. Previous analyses demonstrated significant DQ improvements during weight loss.MethodsDQ was calculated using the alternate Healthy Eating Index (aHEI)-2010. Differences in scores across time for the cohort and between those that maintained weight loss within 5% (low regainers) and those that regained>  5% (high regainers) were analyzed by linear mixed models.ResultsSignificant improvements in aHEI...
Source: Journal of Cancer Survivorship - October 15, 2020 Category: Cancer & Oncology Source Type: research

Antidepressant prescriptions and associated factors in men with prostate cancer and their female partners
ConclusionsMen with prostate cancer have a higher risk of receiving antidepressant medication than cancer-free men. Clinical characteristics can help clinicians in identifying patients at a high risk of depression or anxiety.Implications for Cancer SurvivorsMen with prostate cancer who experience symptoms of depression or anxiety should seek professional help early on. Patient education could aid in raising awareness and reducing the stigma associated with mental disorders. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 13, 2020 Category: Cancer & Oncology Source Type: research

Feasibility of a behavioral intervention using mobile health applications to reduce cardiovascular risk factors in cancer survivors: a pilot randomized controlled trial
ConclusionsAn intervention for cardiovascular risk reduction based on individualized goal-setting enhanced by mHealth and social media peer support was feasible and acceptable among cancer survivors.Implications for Cancer SurvivorsEffective and easily disseminated strategies that improve diet and physical activity in this population are needed.Trial registrationRegistered inClinicalTrials.gov (NCT03574012) on June 29, 2018. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 10, 2020 Category: Cancer & Oncology Source Type: research

Sedentary behavior among breast cancer survivors: a longitudinal study using ecological momentary assessments
ConclusionsMore negative affective valence and higher fatigue were associated with more SB. Reducing negative affect valence and offering non-sedentary approaches to manage fatigue may help reduce SB.Implications for Cancer SurvivorsSpecific interventions are needed to reduce SB among cancer survivors-particularly those that target negative affect valence and fatigue. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 6, 2020 Category: Cancer & Oncology Source Type: research

Mindfulness-based stress reduction alters brain activity for breast cancer survivors with chronic neuropathic pain: preliminary evidence from resting-state fMRI
ConclusionsThese results provide empirical evidence of a change in the brain following MBSR intervention associated with changes in the subjective experience of pain.Implications for Cancer SurvivorsThis study gives hope for a non-invasive method of easing the struggle of CNP in women following breast cancer treatment. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 29, 2020 Category: Cancer & Oncology Source Type: research

Fear of cancer recurrence among young adult cancer survivors —exploring long-term contributing factors in a large, population-based cohort
AbstractPurposeFear of cancer recurrence (FCR) may be debilitating, yet knowledge of FCR among the growing population of long-term young adult cancer survivors (YACS) is scarce. We explored risk of FCR and associated factors in a nation-wide, population-based cohort of YACS.MethodsAll 5-year survivors diagnosed at the ages of 19 –39 years with breast cancer (BC), malignant melanoma (MM), colorectal cancer (CRC), leukemia (LEU), or non-Hodgkin lymphoma (NHL) between 1985 and 2009 in Norway were identified by the Cancer Registry of Norway and completed the cross-sectional comprehensive NOR-CAYACS health survey. Un...
Source: Journal of Cancer Survivorship - September 27, 2020 Category: Cancer & Oncology Source Type: research

Determinants of adherence to physical cancer rehabilitation guidelines among cancer patients and cancer centers: a cross-sectional observational study
ConclusionsThe implementation of PCR guidelines is in need of improvement. We found determinants at the patient level associated with guideline-based PCR care.Implications for Cancer SurvivorsImplementation strategies that deal with the determinants of adherence to PCR guidelines might improve the implementation of PCR guidelines and the quality of life of cancer survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 27, 2020 Category: Cancer & Oncology Source Type: research

Relaxation versus exercise for improved quality of life in lymphoma survivors —a randomised controlled trial
ConclusionsA self-management intervention of either exercise or relaxation can help significantly improve QoL in lymphoma survivors following chemotherapy. While exercise is preferred, a relaxation intervention would also have a beneficial impact on QoL.Implications for Cancer SurvivorsLymphoma survivors should be routinely screened and those with decreased QoL referred for an exercise programme, or relaxation for survivors who are unable to exercise or choose not to. A home-based programme can have a significant positive impact on QoL and is a feasible and effective method in the current climate.Trial registration numberC...
Source: Journal of Cancer Survivorship - September 27, 2020 Category: Cancer & Oncology Source Type: research

Long-term neurotoxicity and quality of life in testicular cancer survivors —a nationwide cohort study
AbstractPurposeTo evaluate neurotoxicity in testicular cancer survivors (TCSs) years after treatment and secondly the influence of neurotoxicity on quality-of-life (QoL).MethodsWe identified 2234 TCSs who completed the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity questionnaire. QoL was evaluated with the European Organization for Research and Treatment of Cancer QLQ-C30. Patients were grouped according to treatment strategy: surveillance (N = 1113), infradiaphragmatic radiotherapy (N = 301), cisplatin-etoposide-bleomycin (BEP) (N = 759), and more...
Source: Journal of Cancer Survivorship - September 24, 2020 Category: Cancer & Oncology Source Type: research

The experiences and needs of couples affected by prostate cancer aged 65 and under: a qualitative study
AbstractPurposeProstate Cancer (PCa) is often considered to be an illness affecting older men, however the prevalence in younger men (
Source: Journal of Cancer Survivorship - September 23, 2020 Category: Cancer & Oncology Source Type: research

Acceptance and commitment therapy in adult cancer survivors: a systematic review and conceptual model
ConclusionReview findings suggest that ACT is an effective intervention to improve some of the common concerns among cancer survivors. While all the studies in the review were recent (published 2015 –2019), they examined only a limited number of outcomes. Hence, more methodologically rigorous studies which examine the effect of ACT on other troubling symptoms among cancer survivors are warranted.Implications for Cancer SurvivorsIncorporating ACT into comprehensive post-treatment survivorship care can enhance psychological flexibility and reduce anxiety, depression, and fear. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 18, 2020 Category: Cancer & Oncology Source Type: research

Associations between shared care and patient experiences among older cancer survivors
ConclusionsWithin the limitations of the study dataset, survivors age 65+ receiving shared care reported similar experiences of care to those receiving oncologist-led, PCP-led, and other patterns of care.Implications for Cancer SurvivorsShared care may not provide survivor-perceived benefits compared with other care patterns. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 17, 2020 Category: Cancer & Oncology Source Type: research

Healthy behaviors are associated with positive outcomes for cancer survivors with ostomies: a cross-sectional study
ConclusionsBetter HRQOL is associated with PA guideline achievement among CS with ostomies. Additionally, diet adjustments were reported more frequently in CS with fecal ostomies. Our findings bear clinical relevance for designing ostomy self-management and lifestyle recommendations for CS with ostomies.Implications for Cancer SurvivorsThe evaluation of lifestyle behaviors may be an especially important focus for CS with ostomies. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 16, 2020 Category: Cancer & Oncology Source Type: research

Physician management of thyroid cancer patients ’ worry
AbstractPurposeThe purpose of this study is to understand physician management of thyroid cancer-related worry.MethodsEndocrinologists, general surgeons, and otolaryngologists identified by Surveillance, Epidemiology, and End Results (SEER) patients were surveyed 2018 –2019 (response rate 69% (448/654)) and asked to rate in general their patients’ worry at diagnosis and actions they take for worried patients. Multivariable-weighted logistic regressions were conducted to determine physician characteristics associated with reporting thyroid cancer as “good ca ncer” and with encouraging patients to see...
Source: Journal of Cancer Survivorship - September 15, 2020 Category: Cancer & Oncology Source Type: research

Risk stratification of young adult survivors of cancer to estimate hospital morbidity burden: applicability of a pediatric therapy-based approach
ConclusionsThe NCSI pediatric late-effects risk stratification system can be effectively and safely applied to cancer patients aged 18 –29, independent of ethnicity or socioeconomic position.Implications for Cancer SurvivorsTo enhance quality of care and resource utilization, long-term aftercare of survivors of YA cancer can and should be risk stratified through adoption of approaches such as the NCSI risk-stratification model. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 15, 2020 Category: Cancer & Oncology Source Type: research

Acceptability of online exercise-based interventions after breast cancer surgery: systematic review and narrative synthesis
ConclusionsDespite high levels of heterogeneity between studies, Internet-based approaches may be an acceptable method for the delivery of self-management interventions in post-surgical cancer rehabilitation.Implications for Cancer SurvivorsThere is a need for further studies exploring factors associated with increased user engagement and usage of digital interventions in cancer rehabilitation settings. These findings should be used to help develop interventions prior to testing their effectiveness in adequately powered randomized controlled trials. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - September 14, 2020 Category: Cancer & Oncology Source Type: research

Healthcare fragmentation and cardiovascular risk control among older cancer survivors in the Reasons for Geographic And Racial Differences in Stroke (REGARDS) study
AbstractPurposeCardiovascular disease (CVD) is the number one cause of death among 5-year cancer survivors. Survivors see many providers and poor coordination may contribute to worse CVD risk factor control. We sought to determine associations between fragmentation and CVD risk factor control among survivors overall and by self-rated health.MethodsWe included REGARDS participants aged 66+  years who (1) had a cancer history; (2) reported diabetes, hypertension, or hyperlipidemia; and (3) had continuous Medicare coverage. Twelve-month ambulatory care fragmentation was calculated using the Bice-Boxerman Index (BBI). W...
Source: Journal of Cancer Survivorship - September 7, 2020 Category: Cancer & Oncology Source Type: research

Balance impairment in survivors of pediatric brain cancers: risk factors and associated physical limitations
AbstractPurposeThe study aims were to determine the prevalence of balance impairments in adult survivors of pediatric central nervous system (CNS) tumors, and to identify predictors of and limitations associated with balance impairments.MethodsParticipants were adult survivors (N = 329) of pediatric CNS tumors. Balance was considered impaired among those with composite scores
Source: Journal of Cancer Survivorship - September 6, 2020 Category: Cancer & Oncology Source Type: research

Effects of a wearable technology-based physical activity intervention on sleep quality in breast cancer survivors: the ACTIVATE Trial
ConclusionsThe intervention reduced actigraphy-measured sleep disturbances. Within-group analyses suggest that improvements in sleep quality are sustained over a longer duration, and there may be similar benefits from an abridged intervention (wearable device only). Actigraphy-measured effects appeared stronger in participants who were poor sleepers at study entry.Implications for Cancer SurvivorsWearable technology can increase physical activity and improve sleep for breast cancer survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - August 31, 2020 Category: Cancer & Oncology Source Type: research

A core set of patient-reported outcomes for population-based cancer survivorship research: a consensus study
ConclusionsWe established a core set of PROs to standardise assessment of cancer survivorship concerns at a population level.Implications for Cancer SurvivorsAdoption of the core outcome set will ensure that survivorship outcomes considered important by cancer survivors are assessed as a minimum in future studies. Furthermore, its routine use will optimise the comparability, quality, and usefulness of the data cancer survivors provide in population-based research. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - August 30, 2020 Category: Cancer & Oncology Source Type: research

Health outcomes in offspring born to survivors of childhood cancers following assisted reproductive technologies
We report perinatal and health outcomes of offspring born to survivors following ART.MethodsThe FeCt Multicenter Offspring Study surveyed the health of offspring of childhood cancer survivors. Health outcomes in offspring born to survivors following ART (n = 57, 4.6%) or after spontaneous conception (n = 1182) were assessed in the German cohort (n = 1239) using bivariate analysis. Findings were put into the context of the general German population by health outcome assessment in 1:1 matched-pair analysis (n = 2478).ResultsNearly twice the survivors used ART compared w...
Source: Journal of Cancer Survivorship - August 25, 2020 Category: Cancer & Oncology Source Type: research

Recommendations for the surveillance of cancer-related fatigue in childhood, adolescent, and young adult cancer survivors: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group
AbstractPurposeCancer-related fatigue (CRF) negatively affects the lives of childhood, adolescent, and young adult (CAYA) cancer survivors. We aimed to provide an evidence-based clinical practice guideline (CPG) with internationally harmonized CRF surveillance recommendations for CAYA cancer survivors diagnosed
Source: Journal of Cancer Survivorship - August 24, 2020 Category: Cancer & Oncology Source Type: research

The impact of scars on health-related quality of life after breast surgery: a qualitative exploration
ConclusionWomen can experience a diversity of scar characteristics and symptoms, which play a central role in the perceived impact on HRQOL. Since scarring can have a considerable impact on HRQOL, scarring after prophylactic, oncologic and reconstructive  breast surgery should be given more attention in clinical practice and research.Implications for Cancer SurvivorsConsidering scarring as a common late effect after breast surgery and understanding the variety of experiences, which could impact HRQOL of women, can be beneficial in sufficient information provision, expectation management, and informed decision making. ...
Source: Journal of Cancer Survivorship - August 19, 2020 Category: Cancer & Oncology Source Type: research

Survivorship care for cancer patients in primary versus secondary care: a systematic review
ConclusionsOverall, cancer survivorship care in primary care had similar effects on clinical and patient-reported outcomes compared with secondary care, while resulting in lower costs.Implications for cancer survivorsSurvivorship care in primary care seems feasible. However, since the design and outcomes of studies differed, conclusive evidence for the equivalence of survivorship care in primary care is still lacking. Ongoing studies will help provide better insights. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - August 18, 2020 Category: Cancer & Oncology Source Type: research

How patients experience endocrine therapy for breast cancer: an online survey of side effects, adherence, and medical team support
AbstractPurposeMany patients with hormone receptor –positive (HR+) breast cancer do not adhere to endocrine therapy (ET), and treatment-related side effects are often discussed by participants in online breast cancer forums. Our aim was to survey this unique group of patients about their ET-related experiences.MethodsWe partnered with patients active in breast cancer social media communities to develop a survey assessing ET-related side effects and medical team communication. Patients with a history of HR+ breast cancer who had received a recommendation to take ET were eligible to participate in the anonymous, online...
Source: Journal of Cancer Survivorship - August 16, 2020 Category: Cancer & Oncology Source Type: research

Manual lymphatic drainage treatment for lymphedema: a systematic review of the literature
ConclusionsThe reviewed articles reported conflicting findings and were often limited by methodological issues. This review highlights the need for further experimental studies on the effectiveness of MLD in lymphedema.Implications for Cancer SurvivorsThere is some evidence that MLD in early stages following breast cancer surgery may help prevent progression to clinical lymphedema. MLD may also provide additional benefits in volume reduction for mild lymphedema. However, in moderate to severe lymphedema, MLD may not provide additional benefit when combined with complex decongestive therapy. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - August 14, 2020 Category: Cancer & Oncology Source Type: research

Cancer surveillance and preventive services in a diverse sample of breast and colorectal cancer survivors
ConclusionsAlthough the majority of survivors received appropriate surveillance for recurrence, engagement in other preventive health services varied substantially.Implications for Cancer SurvivorsEfforts are needed to address gaps in the use of recommended cancer screening and preventive health services among cancer survivors, particularly survivors with early-onset disease who may be at increased risk for additional cancers and common chronic conditions over their lifetime. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - August 13, 2020 Category: Cancer & Oncology Source Type: research

The employment discrimination experiences of younger and older Americans with cancer under Title I of the Americans with Disabilities Act
ConclusionsYounger people with cancer were more likely to allege discrimination in the areas of promotion, training, reinstatement, and referrals to other employers. They were less likely to allege discrimination in the area of benefits. The younger group was also significantly less likely than the older group to find that EEOC investigations of their allegations resulted in merit-based case resolutions, that is, discrimination had indeed occurred.Implications for Cancer SurvivorsPsychosocial programs and vocational programming assisting young adults with career development should focus on the types of discrimination that ...
Source: Journal of Cancer Survivorship - August 11, 2020 Category: Cancer & Oncology Source Type: research

Factors associated with pneumococcal vaccination uptake by cancer survivors
This study aimed to evaluate factors associated with pneumococcal vaccination uptake (PVU) of cancer survivors.MethodsA total of 2032 Korean adult cancer survivors diagnosed between June of 1975 and February of 2018 have participated. Information on PVU status and selected variables were collected through self-administered questionnaires and medical record review. Factors associated PVU were investigated using multiple logistic regression analysis.ResultsPVU rate markedly differed by age strata and cancer sites: 73.9% for elderly ( ≥ 65 years) survivors and 34.6% for younger (
Source: Journal of Cancer Survivorship - August 9, 2020 Category: Cancer & Oncology Source Type: research

Evaluation of the discussion of late effects and screening recommendations in survivors of adolescent and young adult (AYA) lymphoma
AbstractPurposeThe study objective was to assess the discussion of late effects (LEs) and screening recommendations (SRs) for adolescent and young adults (AYAs) treated for lymphoma.MethodsA retrospective study was conducted on AYA lymphoma survivors aged 15 –24 years at diagnosis who received radiation therapy (RT) ± chemotherapy between 1984 and 2010 at any of the six British Columbia (BC) Cancer treatment centers across the province. Charts were reviewed to evaluate discussion of LEs and SRs. Susceptibility to specific LEs was determined by revie wing treatment details.ResultsOf 305 patients, 212 (70%)...
Source: Journal of Cancer Survivorship - August 5, 2020 Category: Cancer & Oncology Source Type: research

Cumulative financial stress as a potential risk factor for cancer-related fatigue among prostate cancer survivors
AbstractIntroductionCancer-related fatigue (CRF) is the most commonly reported treatment-related side effect of prostate cancer (PCa). Recognition of financial hardship among cancer survivors is growing. We investigated, for the first time, associations between levels of financial stress and CRF among PCa survivors.MethodsWe used data from PCa survivors who had been identified through two population-based cancer registries covering the Republic of Ireland and Northern Ireland and had completed a postal questionnaire. CRF was measured by the fatigue subscale of the EORTC QLQ-C30. Financial stress was assessed as household a...
Source: Journal of Cancer Survivorship - July 31, 2020 Category: Cancer & Oncology Source Type: research

Mammography use in relation to comorbidities and functional limitations among older breast cancer survivors
AbstractPurposeWe sought to examine associations of mammography utilization with comorbidities and functional limitations in older breast cancer survivors.MethodsFemale breast cancer survivors (N = 1064) identified in the 2016 and 2018 Behavioral Risk Factor Surveillance System (BRFSS) who were aged ≥ 65 years were included for this study. Mammography use, major comorbidities (diabetes mellitus, myocardial infarction, coronary heart disease, stroke, chronic obstructive pulmonary di sease, arthritis, chronic kidney disease, depression, and malignancy other than breast cancer), functional limitat...
Source: Journal of Cancer Survivorship - July 27, 2020 Category: Cancer & Oncology Source Type: research

Living with leg lymphedema: developing a novel model of quality lymphedema care for cancer survivors
AbstractPurposeLower-extremity lymphedema (LEL) is a lifelong consequence of cancer therapy and can lead to serious physical and psychosocial complications for many cancer survivors. However, clinical knowledge and treatment of LEL remain minimal. The purpose of this study was to integrate perspectives of lymphedema patients and healthcare providers (HCPs) on LEL to develop a novel model for quality lymphedema care.MethodsA mixed-methods approach was implemented. Standardized questionnaires and semi-structured interviews were used to assess psychosocial well-being and experiences of LEL patients. Interviews were also used ...
Source: Journal of Cancer Survivorship - July 25, 2020 Category: Cancer & Oncology Source Type: research

Correction to: Supporting employers to enhance the return to work of cancer survivors: development of a web-based intervention (MiLES intervention)
The original version of this article unfortunately contained a mistake. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - July 20, 2020 Category: Cancer & Oncology Source Type: research

Identifying the supportive care needs of men and women affected by chemotherapy-induced alopecia? A systematic review
ConclusionsSome patients are not well-prepared for alopecia due to a lack of information and resources to reduce the psychological burden associated with CIA. Hair loss will affect each patient and their family differently, therefore, intervention and support must be tailored at an individual level of need to optimise psychological and physical well-being and recovery.Implications for Cancer SurvivorsPeople affected by CIA may experience a range of unmet supportive care needs, and oncology doctors and nurses are urged to use these findings in their everyday consultations to ensure effective, person-centred care and timely ...
Source: Journal of Cancer Survivorship - July 17, 2020 Category: Cancer & Oncology Source Type: research

Social and medical risk factors associated with supportive needs in the first year following localized prostate cancer treatment
This study aimed to identify the social and medical risk factors associated with supportive needs for adapting among individuals who completed treatment for localized PCa.MethodsUsing baseline data from a study evaluating a web-based support system for patients in the first year following treatment for localized PCa, self-efficacy for re-entry (e.g., maintaining relationships, symptom management), medical interactions, and practical concerns (e.g., insurance, exercise) were assessed. Multivariable regression analyses were completed to identify risk factors for low readiness.ResultsParticipants (N = 431) with ...
Source: Journal of Cancer Survivorship - July 17, 2020 Category: Cancer & Oncology Source Type: research

Hispanic ethnicity as a moderator of the effects of aerobic and resistance exercise on physical fitness and quality-of-life in breast cancer survivors
AbstractBackgroundExercise can profoundly affect physical fitness and quality of life in breast cancer survivors; however, few studies have focused on minorities. This secondary analysis examines Hispanic ethnicity as a moderator of the effects of a 16-week aerobic and resistance exercise intervention on physical fitness and quality of life in breast cancer survivors.MethodsEligible breast cancer survivors (n = 100) were randomized to exercise (n = 50) or usual care (n = 50). The exercise intervention consisted of supervised moderate-vigorous aerobic and resistance exercise thrice ...
Source: Journal of Cancer Survivorship - July 16, 2020 Category: Cancer & Oncology Source Type: research

Enhancing survivorship care planning for patients with localized prostate cancer using a couple-focused web-based, mHealth program: the results of a pilot feasibility study
We examined feasibility (e.g., recruitment and retention) using descriptive statistics. Linear mixed models examined changes in couples’ outcomes over time and Poisson regression examined differences in patient healthcare utilization.ResultsSixty-two couples completed T1 surveys (recruitment rate 41.6%) and were randomly assigned to receive ESCP (n = 31) or SCP (n = 31). Twenty-eight (ESCP) and 25 (SCP) couples completed T2 surveys (retention rates = 90.3% vs. 80.7%). ESCP participants (70%) reviewed webpages consistent with patients’ symptoms. ESCP patients reported gr...
Source: Journal of Cancer Survivorship - July 16, 2020 Category: Cancer & Oncology Source Type: research

Transition from pediatric to adult follow-up care in childhood cancer survivors —a systematic review
ConclusionThe current literature describing transition practices is limited and overlooks adherence to follow-up care as a surrogate marker of transition success. However, the literature provides deep insight into barriers and facilitators to transition and theoretical considerations for the assessment of transition readiness. We showed that knowledge and education are key facilitators to transition that should be integrated into transition practices tailored to the individual needs of each survivor and the possibilities and limitations of each country ’s health care system.Implications for Cancer SurvivorsThe curren...
Source: Journal of Cancer Survivorship - July 15, 2020 Category: Cancer & Oncology Source Type: research

Persistent digital divide in health-related internet use among cancer survivors: findings from the Health Information National Trends Survey, 2003 –2018
ConclusionsConsistent with the increased penetration of the internet and the altered online health communication landscape, we found increased prevalence of HRIU among cancer survivors. However, the digital divide persists in terms of internet access. These findings can inform initiatives to bridge the gap among survivors of varying profiles in using the internet for their health needs.Implications for Cancer SurvivorsThere is increased reliance on online platforms to obtain and communicate health-related information. The risk with this approach is potential oversight of ensuring equity in terms of internet access and tech...
Source: Journal of Cancer Survivorship - July 14, 2020 Category: Cancer & Oncology Source Type: research

The impact of intimate partner violence on breast and cervical cancer survivors in an integrated, safety-net setting
ConclusionsThis study expands our current knowledge on how victimization, and specifically IPV, impact health among specialty care. Future research should determine the feasibility of implementing Trauma-Informed Care in oncology practices to better optimize care.Implications for Cancer SurvivorsAt integrated hospital systems, IPV+ cancer participants should utilize social workers, within their oncology clinics, to connect to victim services. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - July 14, 2020 Category: Cancer & Oncology Source Type: research

African-American survivors of prostate cancer: a meta-synthesis of qualitative studies
ConclusionOur findings reveal that the experiences of African-American prostate cancer survivors are complex and multidimensional.Implications for cancer survivorsThis review highlights the need for further studies with African-American prostate cancer survivors, precisely identify their needs and plan a culturally appropriate intervention to meet those needs. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - July 13, 2020 Category: Cancer & Oncology Source Type: research

Cost-utility of an eHealth application ‘Oncokompas’ that supports cancer survivors in self-management: results of a randomised controlled trial
ConclusionOncokompas is likely to be equally effective on utilities, and not more expensive than CAU, and will therefore contribute to sustainable cancer survivorship care in a (cost-)effective manner.Implications for Cancer SurvivorsOncokompas seems to improve HRQOL and reduces the burden of several tumour-specific symptoms, while costs from a societal perspective are similar to CAU. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - July 11, 2020 Category: Cancer & Oncology Source Type: research

Physical functional limitations and psychological distress in people with and without colorectal cancer: findings from a large Australian study
AbstractPurposeTo quantify physical disability and psychological distress in people with and without colorectal cancer (CRC).MethodsQuestionnaire data (2006 –2009) from 267,153 Australian general population members aged ≥ 45 years participating in the 45 and Up Study (n = 213,231 following exclusions) were linked to cancer registry and hospital admission data, to ascertain CRC status. Modified Poisson regression estimated adjusted prevalence ratios (PRs) for physical disability and psychological distress in participants with CRC versus those without.ResultsCompared with participants without CRC (n = 210,836), CRC ...
Source: Journal of Cancer Survivorship - July 1, 2020 Category: Cancer & Oncology Source Type: research

Facing the unknown: uncertain fertility in young adult survivors of childhood cancer
ConclusionThis study provides beginning insights into the experiences of young ACCS as they navigate an unknown fertility status and highlights existing gaps in fertility-related healthcare services.Implications for Cancer SurvivorsUncertain fertility has implications for survivors ’ wellbeing that remain poorly addressed by the existing structure of cancer survivor and fertility services. Assessing and addressing the fertility-related needs of ACCS will continue to be a vital component of patient-centered care in the future, and research to develop comprehensive support, re sources, and processes of care are vital t...
Source: Journal of Cancer Survivorship - June 30, 2020 Category: Cancer & Oncology Source Type: research