Racial disparity in breast cancer survivorship: themes from a series of four national healthcare provider live virtual forums
ConclusionsThe findings provide compelling documentation of lived personal and professional experiences of racial disparity in BC survivorship. Potential solutions exist and must be enacted immediately to ensure equitable survivorship outcomes for Black individuals following a BC diagnosis.Implications for Cancer SurvivorsIncreased awareness related to racial disparity in BC survivorship among survivors, healthcare providers, and researchers will contribute to health equity and improved outcomes for Black individuals. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - April 11, 2023 Category: Cancer & Oncology Source Type: research

Perceptions of prescription opioids among marginalized patients with hematologic malignancies in the context of the opioid epidemic: a qualitative study
ConclusionsThis qualitative study demonstrates that fears and stigmatized views of opioids can conflict with marginalized patients ’ needs to manage debilitating HM-related pain. Negative attitudes towards opioids were shaped by the opioid epidemic and reduced willingness to seek out or use analgesics.Implications for Cancer SurvivorsThese findings help expose patient-level barriers to optimal HM pain management, revealing attitudes, and knowledge to be targeted by future pain management interventions in HM. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - April 6, 2023 Category: Cancer & Oncology Source Type: research

Recruitment rates and strategies in exercise trials in cancer survivorship: a systematic review
ConclusionsRecruitment of cancer survivors to exercise interventions is suboptimal with barriers being predominantly patient-oriented. This paper provides the benchmark for current recruitment rates to exercise oncology trials, providing data for trialists planning future trial design and implementation, optimise future recruitment strategies, and evaluate their own recruitment success against current practice.Implications for Cancer SurvivorsEnhanced recruitment to cancer survivorship exercise trials is necessary in facilitating the publication of definitive exercise guidelines, generalisable to varying cancer cohorts.PRO...
Source: Journal of Cancer Survivorship - April 6, 2023 Category: Cancer & Oncology Source Type: research

Correlates of smoking during COVID-19 in the LGBTQI  + cancer survivor population
ConclusionsOur findings demonstrate that a proportion of LGBTQI  + cancer survivors continue to smoke during the pandemic despite the increased risk involved with smoking. Furthermore, individuals with intersecting marginalized identities experience additional stressors that may have been further exacerbated by the conditions of the pandemic that encourage t hem to smoke.Implications for Cancer SurvivorsQuitting smoking after a cancer diagnosis can decrease the chances of recurrence and a new primary malignancy. In addition, practitioners and researchers should advocate towards examining and addressing systemic forms o...
Source: Journal of Cancer Survivorship - April 3, 2023 Category: Cancer & Oncology Source Type: research

Remote assessment of cognition and quality of life following radiotherapy for nasopharyngeal carcinoma: deep-learning-based predictive models and MRI correlates
ConclusionDL-based prediction models assessed using remote assessments can assist in predicting cognitive deficit following NPC RT. Comparable results of remote assessments in assessing cognition suggest its possibility in replacing standard assessments.Implications for Cancer SurvivorsApplication of prediction models in individual patient enables tailored interventions to be provided in managing cognitive changes following NPC RT. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - April 3, 2023 Category: Cancer & Oncology Source Type: research

Return to work in head and neck cancer survivors: a systematic review
ConclusionsThe proportion of HNC survivors who RTW varies significantly which may be due to the heterogeneity between the studies including difference in clinical characteristics of the participants and/or sample size. Future studies that are longitudinal, adequately powered and measure a range of clinical and demographic variables are needed to better understand the RTW experience and assist development of effective RTW strategies.Implications for Cancer SurvivorsThis review suggests potential areas for intervention, including enhanced symptom management and engaging with employers to foster supportive work environments t...
Source: Journal of Cancer Survivorship - March 24, 2023 Category: Cancer & Oncology Source Type: research

Ambiguous loss in family caregivers of loved ones with cancer, a synthesis of qualitative studies
ConclusionsThe results of this synthesis of qualitative studies complement the descriptors of ambiguous loss presented in previous theoretical and clinical research. By understanding ambiguous loss as a complex and normal human experience of cancer FCGs, oncology and palliative care healthcare providers can introduce interventions and therapeutics to facilitate caring-healing and resiliency.Implications for Cancer SurvivorsUntreated ambiguous loss can result in a decrease in wellbeing, loss of hope, and loss of meaning in life. It is imperative that cancer FCGs experiencing ambiguous loss are ...
Source: Journal of Cancer Survivorship - March 24, 2023 Category: Cancer & Oncology Source Type: research

Implementing and sustaining a breast cancer prospective surveillance rehabilitation program: an institutional perspective
ConclusionOur report provides insight on implementing the PSM at a single institution in a cancer care delivery setting. Successful implementation strategies addressed individual, clinic, and system-level barriers and facilitated process and policy changes that have enabled PSM sustainment. Improving integration of rehabilitation services into oncology care has significant implications for survivorship care by enhancing proactive management of functional morbidity.Implications for Cancer SurvivorsImproving integration of rehabilitation services into oncology care has significant implications for survivorship care  by enha...
Source: Journal of Cancer Survivorship - March 24, 2023 Category: Cancer & Oncology Source Type: research

Health behaviors, obesity, and marital status among cancer survivors: a MEPS study
ConclusionsThere were relationships between marital status, health behaviors, and obesity among cancer survivors.Implications for Cancer SurvivorsOur results suggested that relationship status and sociodemographic factors need to be considered in tailoring interventions to promote health behaviors among cancer survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 24, 2023 Category: Cancer & Oncology Source Type: research

Healthcare providers ’ experiences of continuing care for older adults with cancer during the COVID-19 pandemic
ConclusionsAdditional resources (e.g., technology support, established care guidelines, and sufficient staffing) are needed to support older adults with cancer and healthcare providers during the pandemic. Future research should explore universally effective in-person and virtual treatment strategies for older adults with cancer.Implications for Cancer SurvivorsPersistence of telehealth barriers, particularly a lack of infrastructure to support telehealth visits, social isolation, and restrictive visitor policies as a result of COVID-19, negatively impacted the mental health of older adults with cancer. (Source: Journal of...
Source: Journal of Cancer Survivorship - March 22, 2023 Category: Cancer & Oncology Source Type: research

Prevalence of health behaviors among cancer survivors in the United States
ConclusionsWhile the majority of cancer survivors met the guidelines for not smoking and limiting alcohol drinking, one-third had elevated BMI, almost half did not meet recommended physical activity levels, and the majority had inadequate fruit and vegetable intake.Implications for Cancer SurvivorsAdherence to guidelines was lowest among younger cancer survivors and those with lower income and education, suggesting these may be populations where resources could be targeted to have the greatest impact. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 18, 2023 Category: Cancer & Oncology Source Type: research

Online description of services provided in adult survivorship programs across U.S. accredited cancer centers
ConclusionMore than half of CoC-accredited programs did have information about cancer survivorship programs on their websites and when included, had variable and limited description of services.Implications for cancer survivorsOur study provides an overview of online cancer survivorship services and offers a methodology that may be used by cancer centers to review, expand, and improve the information described on their websites. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 18, 2023 Category: Cancer & Oncology Source Type: research

“What if I die and no one had ever romantically loved me?”: sexual well-being in a sample of YA cancer survivors
ConclusionWhile current research has identified sexual functioning as making up most of the sexual health education that cancer survivors receive, there is an interrelationship between sexual functioning and sexual well-being.Implications for Cancer SurvivorsThe clinical ramifications of the data are clear: more work must be done to address sexuality within both the coupleand the individual survivor, and that work cannot be exclusively devoted to sexual functioning. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 17, 2023 Category: Cancer & Oncology Source Type: research

Suicide risk among adolescents and young adults after cancer diagnosis: analysis of 34 cancer groups from 2009 to 2019
ConclusionsPolish AYA diagnosed with cancer had an almost 2.5-fold higher risk of suicide than the general AYA population. The particular risk group was men with testicular cancer within 2 –3 and 5–10 years after cancer diagnosis.Implications for Cancer SurvivorsTo better identify patients at risk of suicide, there is a need to create or adapt screening tools, educate cancer care providers and family physicians, and integrate psychological services into select cancer care specialties. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 17, 2023 Category: Cancer & Oncology Source Type: research

Symptom networks in glioma patients: understanding the multidimensionality of symptoms and quality of life
ConclusionsSymptoms and HRQoL are highly interrelated in patients with glioma. Interestingly, nodes in the network of fatigued patients were more tightly connected compared to non-fatigued patients.Implications for Cancer SurvivorsWe introduce symptom networks as a method to understand the multidimensionality of symptoms in glioma. We find a clear association between multiple symptoms and HRQoL, which underlines the need for integrative symptom management targeting fatigue in particular. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - March 16, 2023 Category: Cancer & Oncology Source Type: research