Cancer survivors maintain health benefits 6 to 12  months after exercise-based rehabilitation: a systematic review and meta-analysis
ConclusionHealth outcomes of cancer survivors after exercise-based rehabilitation can be maintained after rehabilitation completion.Implications for Cancer SurvivorsCancer survivors can maintain health benefits achieved through exercise-based rehabilitation. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 22, 2022 Category: Cancer & Oncology Source Type: research

The integration of primary care and childhood cancer survivorship care: a scoping review
ConclusionsIdentified models depended on PCP knowledge and healthcare system coordination, and studies suggested the need for strong oncologic involvement in follow-up care. Improved training for PCPs and the coordinated transfer of clinical information could facilitate their involvement in such care. Overall, standardized measures of effectiveness are needed to deliver optimal childhood cancer survivorship care.Implications for Cancer SurvivorsThe literature revealed three care models defined by SCP use, provider involvement, and continuity of care, with several studies recommending oncologic involvement in follow-up care...
Source: Journal of Cancer Survivorship - December 19, 2022 Category: Cancer & Oncology Source Type: research

Development of a disease conceptual model of patient experience with metastatic colorectal cancer: identification of the most salient symptoms and impacts
ConclusionsThe interviews provided insights into the most bothersome and salient signs, symptoms and impacts affecting the HRQoL of patients living with mCRC.Implications for cancer survivorsThere is a need to improve clinical strategies for future clinical development and inform clinical practice decision-making for mCRC survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 14, 2022 Category: Cancer & Oncology Source Type: research

How the COVID-19 pandemic has affected eating habits and physical activity in breast cancer survivors: the DianaWeb study
ConclusionsOur results show that the proposed interactive website was useful in achieving durable lifestyle changes, that have not been undermined either during the COVID-19 pandemic.Implications for Cancer SurvivorsPatient education is essential for guiding BC survivors toward improving their health outcomes; therefore, an interactive website like the one proposed by the DianaWeb study may be useful to improve healthy lifestyles. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 13, 2022 Category: Cancer & Oncology Source Type: research

Body image concerns in long-term head and neck cancer survivors: prevalence and role of clinical factors and patient-reported late effects
ConclusionsSome level of cancer-related BI concerns persisted in the majority of HNC survivors many years after treatment, while a small proportion of survivors experienced BID. BI concerns were associated with treatment modality and patients ’ daily functioning and symptoms.Implications for Cancer SurvivorsInsight into factors associated with BI problems may help to identify survivors at risk and may facilitate closer follow-up of survivors in need. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 13, 2022 Category: Cancer & Oncology Source Type: research

Living in the twilight zone: a qualitative study on the experiences of patients with advanced cancer obtaining long-term response to immunotherapy or targeted therapy
ConclusionLong-term responders are facing many challenges, such as searching for a renewed identity, dealing with ongoing uncertainty, and having to adapt to a new normal. This emphasizes the importance of providing this new patient group with tailored information and support.Implications for Cancer SurvivorsHealthcare professionals can support patients by normalizing their feelings and providing space for varying emotions. Using patient-tailored scan frequencies could help temper fear of progression. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 10, 2022 Category: Cancer & Oncology Source Type: research

The long-term financial experiences of adolescent and young adult cancer survivors
DiscussionAYA survivors face long-term financial hardship after cancer treatment, which impacts multiple domains, including their use of healthcare and their personal finances. Interventions are needed to provide AYAs with tools to navigate financial aspects of the healthcare system; connect them with resources; and create systems-level solutions to address healthcare affordability.Implications for Cancer SurvivorsSurvivorship care providers, particularly those who interact with AYA survivors, must be attuned to the unique risk for financial hardships facing this population and make efforts to increase access available int...
Source: Journal of Cancer Survivorship - December 6, 2022 Category: Cancer & Oncology Source Type: research

Subjective cancer-related cognitive impairments and salience network connectivity in breast cancer survivors
ConclusionThese findings suggest that salience network connectivity may represent a biomarker of subjective cancer-related cognitive changes.Implications for Cancer SurvivorsSubjective cancer-related cognitive changes are common following treatment and associated with objective changes in brain connectivity (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 5, 2022 Category: Cancer & Oncology Source Type: research

Does expectancy affect insomnia treatment response in cancer survivors receiving acupuncture and cognitive behavioral therapy?
ConclusionsHigher pre-treatment outcome expectancy predicted significantly greater insomnia improvement in patients receiving acupuncture but not in those receiving CBT-I.Implications for Cancer SurvivorsAligning treatment provision with expected outcomes may lead to personalized non-pharmacological insomnia management for cancer survivors. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 3, 2022 Category: Cancer & Oncology Source Type: research

Educational pathways of childhood cancer survivors —a parental cohort
ConclusionsRegarding our research on the educational and vocational trajectory of CCS, patients can be reassured that family planning and vocational education are well compatible. Inequalities regarding gender-specific educational pathways remain to be addressed.Implications for Cancer SurvivorsCCS should monitor their fertility status regularly and, if necessary, cryopreserve germ cells or tissue in order to optimize their family planning. Educational opportunities should be pursued as desired and with confidence. Local as well as European aftercare programs can assist with family planning and education. (Source: Journal ...
Source: Journal of Cancer Survivorship - December 2, 2022 Category: Cancer & Oncology Source Type: research

A latent class analysis of health behavior changes after cancer diagnosis among Hispanic/Latino cancer survivors
ConclusionsSurvivors who report engaging in health behaviors less frequently since diagnosis may be experiencing psychosocial challenges and health disparities.Implications for Cancer SurvivorsHispanic/Latino cancer survivors may benefit from screening for social determinants of health and mental health needs, prompt referral to supportive care services, community resources, and public services, and participating in culturally informed psychosocial interventions to address their unique needs. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 2, 2022 Category: Cancer & Oncology Source Type: research

Out-of-pocket payments and loss of income among long-term breast cancer survivors in Germany: a multi-regional population-based study
ConclusionsFor some survivors in Germany, financial burden can be considerably high despite comprehensive healthcare and support from social security.Implications for Cancer SurvivorsOOP payments related to domestic help and nursing staff as well as to outpatient care are most frequent. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - December 2, 2022 Category: Cancer & Oncology Source Type: research

The unmet supportive care needs of people affected by cancer during the COVID-19 pandemic: an integrative review
ConclusionMany individuals living with cancer experienced unmet needs and distress throughout the different waves of the COVID-19 pandemic, irrespective of cancer type, stage, and demographic factors.Implications for Cancer SurvivorsWe recommend clinicians use these findings to identify the individual person-centred needs to optimise recovery as we transition to the post-pandemic cancer care. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 29, 2022 Category: Cancer & Oncology Source Type: research

Therapeutic intervention in fear of cancer recurrence in adult oncology patients: a systematic review
ConclusionsThis research highlights challenges in using therapeutic approaches in dealing with FCR and its management. Therapeutic intervention is an effective means of managing not only FCR but also related factors (distress, well-being, quality of life). However, individual needs and preferences must be taken into consideration whilst choosing a therapeutic approach. Cognitive behavioural therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness-based interventions are the most used approaches with CBT being the most effective, especially in a blended form (i.e. standard CBT combined with other self-help ac...
Source: Journal of Cancer Survivorship - October 28, 2022 Category: Cancer & Oncology Source Type: research

Quantification of breast lymphoedema following conservative breast cancer treatment: a systematic review
ConclusionsUltrasound is recommended to reliably assess breast lymphoedema signs. No PROM can be recommended with confidence, but BLYSS, BLSQ, BrEQ and LYMQOL-Breast are promising. Further research is recommended to improve evidence of measurement properties for outcome measures.Implications for Cancer SurvivorsThere are many approaches to assess breast lymphoedema, but currently, only ultrasound can be recommended for use, with others, such as TDC and questionnaires, showing promise. Further research is required for all approaches to improve evidence of measurement properties. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 27, 2022 Category: Cancer & Oncology Source Type: research