Knowledge, attitudes, and practice of oncologists and oncology health care providers in promoting physical activity to cancer survivors: an international survey
AbstractObjectiveTo investigate knowledge, attitudes, and practices of oncologists towards physical activity (PA) in cancer survivors, and the association between oncologists ’ own PA behavior and PA promotion.MethodsOncologists (n = 123) completed a survey based on the Theory of Planned Behavior (TPB). Participants reported PA promotion behavior, PA involvement, attitudes, intentions, social norm, perceived behavioral control (PBC), and confidence and knowledge of exercise prescription. Structural equation modeling (SEM) evaluated these associations.ResultsLess than half of oncologists reported regular...
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Characterization of low active ghrelin ratio in patients with advanced pancreatic cancer
AbstractPurposeAcyl ghrelin is an orexigenic peptide. Active ghrelin ratio, the ratio of acyl ghrelin to total ghrelin, has an important role in physiological functions and gastrointestinal symptoms. However, low active ghrelin ratio-related characteristics, gastrointestinal symptoms, and chemotherapy-induced gastrointestinal toxicity in patients with advanced pancreatic cancer have not been previously evaluated. The goal of this study was to identify low active ghrelin ratio-related factors in treatment-na ïve advanced pancreatic cancer patients.MethodsPatients with treatment-na ïve advanced pancreatic cancer we...
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Utility of Mayo Clinic ’s early screen for discharge planning tool for predicting patient length of stay, discharge destination, and readmission risk in an inpatient oncology cohort
AbstractPurposeTo examine the feasibility of using the Mayo Clinic ’s Early Screen for Discharge Planning (ESDP) tool in determining its predictive ability in an inpatient oncology hospital setting for variables including length of stay (LOS), discharge destination, and readmission risk.MethodsA prospective observational study was conducted at a metropolitan tertiary cancer centre in Melbourne, Australia. The ESDP score, along with patient outcomes and characteristics, were collected to examine the relationships between positive and negative ESDP scores and patient outcomes.ResultsA total of 136 participants met incl...
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

The application of neuromuscular electrical stimulation (NMES) in cancer rehabilitation: current prescription, pitfalls, and future directions
AbstractThe plethora of treatment complications associated with cancer can be offset by regular exercise participation; however, adherence to current guidelines is poor, in particular in those unable or not allowed to participate in voluntary exercise due to their underlying disease. Alternative therapies such as neuromuscular electrical stimulation (NMES) are promising although previous results in cancer survivors have been equivocal. This is likely in response to methodological issues such as inappropriate NMES prescription. Therefore, the aim of this commentary is to propose three key areas which should be addressed to ...
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Feasibility and accessibility of electronic patient-reported outcome measures using a smartphone during routine chemotherapy: a pilot study
AbstractPurposeThere is growing interest in integrating electronic patient-reported outcome (PRO) measures into routine oncology practice for symptom monitoring. Here, we evaluated the feasibility and accessibility of electronic PRO measures using a smartphone (PRO-SMART) for cancer patients receiving routine chemotherapy.MethodsThe proposed PRO-SMART application obtains daily personal health record (PHR) data from cancer patients via a smartphone. An analysis report of cumulative PHR data is provided to the clinician in a format suitable for upload to electronic medical records (EMRs). Cancer outpatients who had received ...
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

A pragmatic comparative study of palliative care clinician ’s reports of the degree of shadowing visible on plain abdominal radiographs
AbstractThe assessment of constipation symptoms is based on history and physical examination. However, the experience is highly subjective perhaps explaining why palliative medicine doctors continue to use plain abdominal radiographs as part of routine assessment of constipation. Previous studies have demonstrated poor agreement between clinicians with this work in palliative care, limited further by disparity of clinicians ’ experience and training. The aim of this work was to explore whether there was less variation in the assessments of faecal shadowing made by more experienced clinicians compared to their less ex...
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Prehabilitation for surgical oncology patients: empowering patient volition
AbstractPrehabilitation is the improvement of patient health in anticipation of a physiological stressor, such as major surgery. Prehabilitation optimizes health by taking a proactive approach to promoting exercise, nutrition, and lifestyle modifications. Engaging patients in the pre-operative phase provides an opportunity to positively impact their recovery and return to functional baseline by reducing post-operative deconditioning. At the Odette Cancer Centre at Sunnybrook Health Sciences Centre in Toronto, Canada, the Interprofessional Multidisciplinary Prehabilitation Assessment Consultation Team (IMPACT —Surgica...
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Nasal vestibulitis: an under-recognized and under-treated side effect of cancer treatment?
ConclusionsNasal vestibulitis is common among patients receiving taxane- and VEGF-related therapies; these symptoms are infrequently recorded or treated by healthcare providers. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Does implementation matter if comprehension is lacking? A qualitative investigation into perceptions of advance care planning in people with cancer
ConclusionsThis study highlighted advance care planning was not a completely accurate representation of patient wishes. There is opportunity to improve how patients comprehend their own advance care planning documentation. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Neuropsychological profiles of breast cancer and brain tumor cohorts in Northeast Ontario, Canada
ConclusionsConsistent with the literature, participants with breast cancer obtained higher scores on most test measures than participants with CNC tumors. Breast cancer participants had lower verbal memory scores on initial trials compared to delayed recall, potentially due to relationships with anxiety and attention. Further research into this cohort will strive to gain greater understanding of the patterns of deficits experienced and how these may inform individuals with cancer in other regions. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Predictors of burden and quality of sleep among family caregivers of patients with cancer
ConclusionsSupportive care for FCs, considering all predictors of burden, needs to be considered in order to reduce their burden, which will consequently maintain their caregiving role. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Impact of ferric carboxymaltose on the evolution of hemoglobin and ECOG performance status in iron-deficient patients with solid tumors: a 3-month follow-up retrospective study
AbstractBackgroundAnemia is often associated with a lower quality of life and less tolerance to treatments in cancer patients.ObjectiveThe aims of this retrospective study were to assess the biological (hemoglobin, Hb) and clinical (ECOG index) impact of ferric carboxymaltose (FCM) and to identify predictive factors of response in cancer patients with iron deficiency.MethodsWe included 133 patients with solid tumors who received at least one dose of FCM in 2015.ResultsAt baseline, most patients had metastatic cancer (70%), were undergoing chemotherapy (82%), suffered from anemia (90%), and 72% had an ECOG 0 –1 index....
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Mood, sexuality, and relational intimacy after starting androgen deprivation therapy: implications for couples
ConclusionsThe current study confirms that patients experience reduced sexuality and relational intimacy during the first 6  months on ADT. Specific facets of relational intimacy are improved with increased sexual activity and also when partners recognize the emotional changes that patients are experiencing. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Self-monitoring physical activity with a smartphone application in cancer patients: a randomized feasibility study (SMART-trial)
ConclusionsSelf-monitoring PA with RunKeeper was safe and feasible in cancer patients. The RunKeeper use resulted in an increase in PA after 6  weeks. RunKeeper usability was rated good and can be used to study PA in cancer patients.Trial registrationNCT02391454 (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Chemotherapy drug concentrations in hair follicles: a potential biomarker to monitor the effectiveness of scalp cooling for chemotherapy-induced alopecia
(Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Associated factors and costs of avoidable visits to the emergency department among cancer patients: 1-year experience in a tertiary care hospital in South Korea
This study aimed to investigate the proportion, characteristics, and costs regarding factors associated with AvED among cancer patients.MethodsThis retrospective cohort study analyzed the medical records of patients who visited the emergency department (ED) at a tertiary care hospital in Korea in 2016. Data regarding patients ’ demographic, cancer-related, and clinical characteristics were collected.ResultsED visits by a total of 4346 patients were included in the analysis, of which 2420 visits (55.7%) were avoidable. In the multivariate logistic model, the following main factors were associated with AvED: stay in ED...
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Awareness of dysgeusia and gustatory tests in patients undergoing chemotherapy for breast cancer
ConclusionsWhile approximately half of the chemotherapy patients were aware of dysgeusia, 81% (35/43) of them could accurately identify the four basic tastes using the instillation method. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Ongoing ostomy self-care challenges of long-term rectal cancer survivors
ConclusionsThe majority of RC survivors reported ostomy-related self-care challenges, and 31% experienced problems across multiple domains of ostomy self-care. In addition, most survivors reported significant physical challenges that could lead to ostomy-related disability. Although the participants surveyed had access to ostomy care nurses, the care gaps we found suggest that additional work is needed to understand barriers to ostomy care, reduce unmet needs, and improve well-being among this group. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Predictive value of PCT and IL-6 for bacterial infection in children with cancer and febrile neutropenia
ConclusionPCT and IL-6 are promising markers in identifying bacterial infection in children with cancer and FN. In a subsequent project, we will incorporate these biomarkers in a risk assessment model that we will test prospectively in a clinical trial. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Sleep evaluation by questionnaires and actigraphy in patients with cancer
(Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 5, 2018 Category: Cancer & Oncology Source Type: research

Knowledge, attitudes, and practice of oncologists and oncology health care providers in promoting physical activity to cancer survivors: an international survey
AbstractObjectiveTo investigate knowledge, attitudes, and practices of oncologists towards physical activity (PA) in cancer survivors, and the association between oncologists ’ own PA behavior and PA promotion.MethodsOncologists (n = 123) completed a survey based on the Theory of Planned Behavior (TPB). Participants reported PA promotion behavior, PA involvement, attitudes, intentions, social norm, perceived behavioral control (PBC), and confidence and knowledge of exercise prescription. Structural equation modeling (SEM) evaluated these associations.ResultsLess than half of oncologists reported regular...
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Characterization of low active ghrelin ratio in patients with advanced pancreatic cancer
AbstractPurposeAcyl ghrelin is an orexigenic peptide. Active ghrelin ratio, the ratio of acyl ghrelin to total ghrelin, has an important role in physiological functions and gastrointestinal symptoms. However, low active ghrelin ratio-related characteristics, gastrointestinal symptoms, and chemotherapy-induced gastrointestinal toxicity in patients with advanced pancreatic cancer have not been previously evaluated. The goal of this study was to identify low active ghrelin ratio-related factors in treatment-na ïve advanced pancreatic cancer patients.MethodsPatients with treatment-na ïve advanced pancreatic cancer we...
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Utility of Mayo Clinic ’s early screen for discharge planning tool for predicting patient length of stay, discharge destination, and readmission risk in an inpatient oncology cohort
AbstractPurposeTo examine the feasibility of using the Mayo Clinic ’s Early Screen for Discharge Planning (ESDP) tool in determining its predictive ability in an inpatient oncology hospital setting for variables including length of stay (LOS), discharge destination, and readmission risk.MethodsA prospective observational study was conducted at a metropolitan tertiary cancer centre in Melbourne, Australia. The ESDP score, along with patient outcomes and characteristics, were collected to examine the relationships between positive and negative ESDP scores and patient outcomes.ResultsA total of 136 participants met incl...
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

The application of neuromuscular electrical stimulation (NMES) in cancer rehabilitation: current prescription, pitfalls, and future directions
AbstractThe plethora of treatment complications associated with cancer can be offset by regular exercise participation; however, adherence to current guidelines is poor, in particular in those unable or not allowed to participate in voluntary exercise due to their underlying disease. Alternative therapies such as neuromuscular electrical stimulation (NMES) are promising although previous results in cancer survivors have been equivocal. This is likely in response to methodological issues such as inappropriate NMES prescription. Therefore, the aim of this commentary is to propose three key areas which should be addressed to ...
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Feasibility and accessibility of electronic patient-reported outcome measures using a smartphone during routine chemotherapy: a pilot study
AbstractPurposeThere is growing interest in integrating electronic patient-reported outcome (PRO) measures into routine oncology practice for symptom monitoring. Here, we evaluated the feasibility and accessibility of electronic PRO measures using a smartphone (PRO-SMART) for cancer patients receiving routine chemotherapy.MethodsThe proposed PRO-SMART application obtains daily personal health record (PHR) data from cancer patients via a smartphone. An analysis report of cumulative PHR data is provided to the clinician in a format suitable for upload to electronic medical records (EMRs). Cancer outpatients who had received ...
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

A pragmatic comparative study of palliative care clinician ’s reports of the degree of shadowing visible on plain abdominal radiographs
AbstractThe assessment of constipation symptoms is based on history and physical examination. However, the experience is highly subjective perhaps explaining why palliative medicine doctors continue to use plain abdominal radiographs as part of routine assessment of constipation. Previous studies have demonstrated poor agreement between clinicians with this work in palliative care, limited further by disparity of clinicians ’ experience and training. The aim of this work was to explore whether there was less variation in the assessments of faecal shadowing made by more experienced clinicians compared to their less ex...
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Prehabilitation for surgical oncology patients: empowering patient volition
AbstractPrehabilitation is the improvement of patient health in anticipation of a physiological stressor, such as major surgery. Prehabilitation optimizes health by taking a proactive approach to promoting exercise, nutrition, and lifestyle modifications. Engaging patients in the pre-operative phase provides an opportunity to positively impact their recovery and return to functional baseline by reducing post-operative deconditioning. At the Odette Cancer Centre at Sunnybrook Health Sciences Centre in Toronto, Canada, the Interprofessional Multidisciplinary Prehabilitation Assessment Consultation Team (IMPACT —Surgica...
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Nasal vestibulitis: an under-recognized and under-treated side effect of cancer treatment?
ConclusionsNasal vestibulitis is common among patients receiving taxane- and VEGF-related therapies; these symptoms are infrequently recorded or treated by healthcare providers. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Does implementation matter if comprehension is lacking? A qualitative investigation into perceptions of advance care planning in people with cancer
ConclusionsThis study highlighted advance care planning was not a completely accurate representation of patient wishes. There is opportunity to improve how patients comprehend their own advance care planning documentation. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Neuropsychological profiles of breast cancer and brain tumor cohorts in Northeast Ontario, Canada
ConclusionsConsistent with the literature, participants with breast cancer obtained higher scores on most test measures than participants with CNC tumors. Breast cancer participants had lower verbal memory scores on initial trials compared to delayed recall, potentially due to relationships with anxiety and attention. Further research into this cohort will strive to gain greater understanding of the patterns of deficits experienced and how these may inform individuals with cancer in other regions. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Predictors of burden and quality of sleep among family caregivers of patients with cancer
ConclusionsSupportive care for FCs, considering all predictors of burden, needs to be considered in order to reduce their burden, which will consequently maintain their caregiving role. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Impact of ferric carboxymaltose on the evolution of hemoglobin and ECOG performance status in iron-deficient patients with solid tumors: a 3-month follow-up retrospective study
AbstractBackgroundAnemia is often associated with a lower quality of life and less tolerance to treatments in cancer patients.ObjectiveThe aims of this retrospective study were to assess the biological (hemoglobin, Hb) and clinical (ECOG index) impact of ferric carboxymaltose (FCM) and to identify predictive factors of response in cancer patients with iron deficiency.MethodsWe included 133 patients with solid tumors who received at least one dose of FCM in 2015.ResultsAt baseline, most patients had metastatic cancer (70%), were undergoing chemotherapy (82%), suffered from anemia (90%), and 72% had an ECOG 0 –1 index....
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Mood, sexuality, and relational intimacy after starting androgen deprivation therapy: implications for couples
ConclusionsThe current study confirms that patients experience reduced sexuality and relational intimacy during the first 6  months on ADT. Specific facets of relational intimacy are improved with increased sexual activity and also when partners recognize the emotional changes that patients are experiencing. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Self-monitoring physical activity with a smartphone application in cancer patients: a randomized feasibility study (SMART-trial)
ConclusionsSelf-monitoring PA with RunKeeper was safe and feasible in cancer patients. The RunKeeper use resulted in an increase in PA after 6  weeks. RunKeeper usability was rated good and can be used to study PA in cancer patients.Trial registrationNCT02391454 (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Chemotherapy drug concentrations in hair follicles: a potential biomarker to monitor the effectiveness of scalp cooling for chemotherapy-induced alopecia
(Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Associated factors and costs of avoidable visits to the emergency department among cancer patients: 1-year experience in a tertiary care hospital in South Korea
This study aimed to investigate the proportion, characteristics, and costs regarding factors associated with AvED among cancer patients.MethodsThis retrospective cohort study analyzed the medical records of patients who visited the emergency department (ED) at a tertiary care hospital in Korea in 2016. Data regarding patients ’ demographic, cancer-related, and clinical characteristics were collected.ResultsED visits by a total of 4346 patients were included in the analysis, of which 2420 visits (55.7%) were avoidable. In the multivariate logistic model, the following main factors were associated with AvED: stay in ED...
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Awareness of dysgeusia and gustatory tests in patients undergoing chemotherapy for breast cancer
ConclusionsWhile approximately half of the chemotherapy patients were aware of dysgeusia, 81% (35/43) of them could accurately identify the four basic tastes using the instillation method. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Ongoing ostomy self-care challenges of long-term rectal cancer survivors
ConclusionsThe majority of RC survivors reported ostomy-related self-care challenges, and 31% experienced problems across multiple domains of ostomy self-care. In addition, most survivors reported significant physical challenges that could lead to ostomy-related disability. Although the participants surveyed had access to ostomy care nurses, the care gaps we found suggest that additional work is needed to understand barriers to ostomy care, reduce unmet needs, and improve well-being among this group. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Predictive value of PCT and IL-6 for bacterial infection in children with cancer and febrile neutropenia
ConclusionPCT and IL-6 are promising markers in identifying bacterial infection in children with cancer and FN. In a subsequent project, we will incorporate these biomarkers in a risk assessment model that we will test prospectively in a clinical trial. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Sleep evaluation by questionnaires and actigraphy in patients with cancer
(Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 4, 2018 Category: Cancer & Oncology Source Type: research

Photobiomodulation therapy in the management of oral mucositis: search for the optimal clinical treatment parameters
AbstractThis commentary attempts to clarify the setting of photobiomodulation (BPM) therapy in the management of oral mucositis. The suggested dose range balances efficacy data with our current understanding about PBM safety. The literature about the molecular basis of photobiomodulation and its controversial relationship to malignant transformation is briefly presented. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - August 29, 2018 Category: Cancer & Oncology Source Type: research

Toxicity and quality of life in published clinical trials for advanced lung cancer
ConclusionsA substantial proportion of publications on trials for advanced lung cancer do not offer adequate information for decisions in clinical practice. Presentation of toxicity should include information on the frequency ofany serious toxicity. Quality of life should be monitored and reported in every trial of an incurable disease. Simple instruments for the assessment of QoL are strongly recommended, so as to alleviate burden to patients and to staff, avoid bias due to poor compliance and enable clear analysis and presentation. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - August 29, 2018 Category: Cancer & Oncology Source Type: research

Reality of the emetogenic level of irinotecan
ConclusionAntiemetic prophylaxis for highly emetogenic CT could be improve. Irinotecan CT regimens have a high emetogenic potential more than moderate and require more intensive antiemetic prophylaxis too. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - August 29, 2018 Category: Cancer & Oncology Source Type: research

Telehealth applied to physical activity during cancer treatment: a feasibility, acceptability, and randomized pilot study
ConclusionSurprisingly, the level of exercise in group R did not significantly increase, but self-reported fatigue and quality of life were improved. This study underlines that inexpensive sharing of time, human, and financial means, through a protocol of physical activity, improves patient health. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - August 29, 2018 Category: Cancer & Oncology Source Type: research

Advanced imaging and hospice use in end-of-life cancer care
ConclusionIn this population-based retrospective study, we did not observe evidence that overall and timely hospice are associated with higher rates of imaging near the end of life. An observed association between higher rates of imaging, particularly CT, may be explained in part by HRR-level differences in practice patterns and patient demographic characteristics. Further research is warranted to explore the ability of oncologic imaging to appropriately de-escalate care. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - August 29, 2018 Category: Cancer & Oncology Source Type: research

Predictors of outpatients ’ request for palliative care service at a medical oncology clinic of a German comprehensive cancer center
AbstractPurposeEarly integration of palliative care (PC) is recommended. The determination of predictors for patients ’ request for PC may guide implementation in clinical practice. Toward this end, we analyzed the symptom burden and distress of cancer patients in outpatient care and examined their need and request for PC.MethodsBetween October 2013 and March 2016, 705 patients receiving outpatient cancer treatment took part in the survey. We used the new MInimal DOcumentation System to detect symptom clusters. Additionally, patients ’ request for palliative and psychosocial support was assessed. Groups of pati...
Source: Supportive Care in Cancer - August 29, 2018 Category: Cancer & Oncology Source Type: research

Increasing provider awareness of and recommendations for yoga and meditation classes for cancer patients
AbstractObjectiveThe purpose of the current study was to (1) assess healthcare providers ’ beliefs about and referral patterns to yoga and meditation services, and (2) evaluate the effectiveness of a brief yoga/meditation educational presentation to increase providers’ intent to recommend these programs.MethodA brief 5-min presentation regarding the benefits of yoga and meditation for cancer patients and instruction about referring and enrolling patients was delivered in four different oncology settings: breast, gynecologic, radiation, and surgical. Healthcare provider participants filled out pre- and post-surv...
Source: Supportive Care in Cancer - August 29, 2018 Category: Cancer & Oncology Source Type: research

Exercise, supportive group therapy, and mood profile of Greek cancer patients: intervention effect and related comparisons
AbstractPurposeThe purpose of this study was to examine the effect of exercise program and a group psychotherapy program on mood profile of Greek cancer patients as well as to make the necessary comparisons.MethodsThe sample consisted of 39 cancer patients (10 males and 29 females), randomly assigned to the three following groups: control, exercise and psychotherapy groups (13 patients in each group). The duration of the training program for the individuals of the exercise group was 10  weeks with two sessions per week, lasting 60 min each. The patients of the psychotherapy group received 10 weeks of support...
Source: Supportive Care in Cancer - August 29, 2018 Category: Cancer & Oncology Source Type: research

Health-related quality of life among cancer patients in their last year of life: results from the PROFILES registry
AbstractPurposeThe aim of this study was to assess health-related quality of life (HRQoL) in the last year of life of cancer patients stratified by four periods of time before death.Patients and methodsBetween 2008 and 2015, cancer patients were invited to participate in PROFILES (Patient Reported Outcomes Following Initial Treatment and Long-term Evaluation of Survivorship) registry studies. Patients were eligible for inclusion in this secondary analysis if they had been invited to complete the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) in their last year of li...
Source: Supportive Care in Cancer - August 29, 2018 Category: Cancer & Oncology Source Type: research

Cold therapy to prevent paclitaxel-induced peripheral neuropathy
ConclusionsStrategies to prevent painful peripheral neuropathy are urgently needed. In this current trial, dropout due to discomfort precluded adequate power to fully understand the potential benefits of cryotherapy. Much more research is needed to discover safe and effective preventive strategies that can be easily implemented within busy infusion centers. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - August 29, 2018 Category: Cancer & Oncology Source Type: research