Medical, demographic and psychological correlates of fear of cancer recurrence (FCR) morbidity in breast, colorectal and melanoma cancer survivors with probable clinically significant FCR seeking psychological treatment through the ConquerFear study
ConclusionsResults provide partial support for the cognitive processing model of FCR. Psychological factors were found to play an important role in FCR morbidity after controlling for demographic/medical factors. More intrusive thoughts and negative beliefs about worry were strong independent predictors of FCR morbidity. Cancer survivors with clinically significant FCR may benefit from assessment for intrusive thoughts and metacognitions and delivery of trauma- and/or metacognitive-based interventions accordingly. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Incidence of nausea and vomiting in breast cancer patients treated with anthracycline plus cyclophosphamide-based chemotherapy regimens in Italy: NAVY observational study
ConclusionsCINV is still a critical issue in AC-treated patients, despite antiemetic treatment. Non-adherence to antiemetic guidelines may lead to poorer outcomes and indicates the need for strategies to enhance the use of guidelines in clinical practice. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Complementary and alternative medicine (CAM) information and support needs of Chinese-speaking cancer patients
ConclusionsCSCPs reported using CAM at rates significantly higher than for non-CSCPs. Given the predominance of biological-based therapies and the lack of consultation with oncology HCPs, it is imperative that CAM use be assessed and documented to ensure CSCPs ’ safety during cancer treatment. Culturally appropriate information and decision support is required to ensure that CSCPs are making safe and informed CAM decisions. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Assessing taste and smell alterations in cancer patients undergoing chemotherapy according to treatment
ConclusionsThe better knowledge of taste and smell alterations according to CT type may provide valuable information for the design of new strategies to tackle CT side effects. It is important to take into account taste and smell dysfunctions and other alterations such as xerostomia together. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Psychosocial consequences of diagnosis and treatment of lung cancer and evaluation of the need for a lung cancer specific instrument using focus group methodology
ConclusionsPatients with LC are coping with a range of psychosocial consequences, independent of the type of treatment they receive. Fear of recurrence/metastasis and insecurity about the future were more prominent in patients receiving palliative chemotherapy. Themes were not specific to LC; therefore, a screening instrument specific for the LC population does not seem required. However, the current standard for screening is considered insufficiently sensitive and a stepped screening approach with specific screening tools and a clinical interview is suggested as usual care. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Coping strategies, trajectories, and their associations with patient-reported outcomes among women with ovarian cancer
ConclusionsStrategies to assist women with acceptance, action-planning, positive-framing, and maintaining psychosocial support should be considered. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Pharmacist-led medication assessment and deprescribing intervention for older adults with cancer and polypharmacy: a pilot study
ConclusionsOur three-tool assessment identified three times more potentially inappropriate medications than the Beers Criteria alone. Pharmacist-led deprescribing interventions are feasible and may lead to improved patient outcomes and cost savings. This three-tool assessment process should be incorporated into interdisciplinary assessments of older patients with cancer and validated in future studies. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Suitable sexual health care according to men with prostate cancer and their partners
ConclusionsDuring follow-up consultations, little attention is paid to the impact of treatment-induced sexual dysfunction on the relationship of men with prostate cancer and their partners. A standard consultation with a urologist-sexologist 3  months after treatment to discuss sexual and relational issues is considered as most preferable. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Inverse relationship between reduced fatigue and severity of anemia in oncology patients treated with integrative medicine: understanding the paradox
AbstractObjectiveTo assess the impact of integrative medicine (IM) on cancer-related fatigue in patients undergoing chemotherapy forearly and advanced breast and gynecological (ovarian,endometrial,and cervical) cancer.MethodsPatients reporting significant levels of fatigue (on the Edmonton Symptom Assessment Scale (ESAS), European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), or Measure Yourself Concerns and Wellbeing questionnaire (MYCAW)) were offered complementary and integrative medicine (CIM) treatments in addition to standard supportive care. Patients who did not und...
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Family interactions in childhood leukemia: an exploratory descriptive study
ConclusionRegarding the findings of this study, it is expected that health system policymakers in the country, while striving to strengthen the positive aspect of changes in family relationships and interactions, will develop and execute operational, comprehensive, and society-based plans in order to eliminate the barriers and problems of relationships within the family, as well as in relation to the larger community, taking into consideration the family ’s cultural and social beliefs. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Dexamethasone-related adrenal insufficiency in patients with brain and skull base tumours
ConclusionsDuration of dexamethasone use and total exposure predict for adrenal insufficiency in patients with brain and skull base tumours. Values derived from this study may be useful to identify patients at higher risk of adrenal suppression who require empirical hydrocortisone pending formal testing of the hypothalamic-pituitary-adrenal axis. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Meta-analysis of randomized controlled trials of the efficacy of propolis mouthwash in cancer therapy-induced oral mucositis
ConclusionsPropolis mouthwash is effective and safe in the treatment of severe oral mucositis. To maintain propolis safety, propolis usage should occur under the supervision of medical staff and health professionals. Future multi-center studies and a clinical protocol are needed to confirm the current findings regarding the efficacy and safety of propolis mouthwash. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Youth and parent perceptions of parenting in childhood cancer survivors and healthy peers
ConclusionA history of childhood cancer does not appear to adversely influence parenting behavior, as perceived by both youth and their parents. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Febrile neutropenia in adjuvant and neoadjuvant chemotherapy for breast cancer: a retrospective study in routine clinical practice from a single institution
AbstractBackgroundFebrile neutropenia (FN) is one of the most common and most critical adverse effects of chemotherapy. Despite many existing guidelines based on the use of granulocyte-colony stimulating factor (G-CSF), FN continues to impair the quality of life and interfere with the treatment of many patients. The purpose of this study was to assess the incidence and management of FN associated with chemotherapy for early breast cancer in routine clinical practice.MethodsAll patients with early-stage breast cancer (ESBC) treated by chemotherapy at Institut Curie, H ôpital René Huguenin, in 2014 were retrospe...
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Challenges to the design and testing supportive interventions for cancer patients treated with oral oncolytic agents
We describe lessons learned from a multi-site trial designed to improve adherence to these medications and self-management of symptoms among patients newly prescribed oral oncolytic agents. Identifying these challenges can assist researchers to improve the integrity of their future supportive care trials. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Side effects of corticosteroids in patients with advanced cancer: a systematic review
ConclusionsSide effects of corticosteroids in advanced cancer patients were poorly reported with few data using validated tools. Researchers should be aware of the guideline of AE reporting to provide the best evidence of risk-benefit balance. Developing specific consensus guidelines about AE reporting in studies of glucocorticoids in studies of people with advanced cancer would be useful. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Long-term low-dose morphine for patients with moderate cancer pain is predominant factor effecting clinically meaningful pain reduction
ConclusionsAmong patients with moderate cancer pain, long-term low-dose morphine was safe and more effective than tramadol for clinically meaningful pain reduction, and patients were less likely to change the analgesic strategy. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Bloodstream infection caused by S. aureus in patients with cancer: a 10-year longitudinal single-center study
ConclusionSABIs are a significant health burden for cancer patients. Risk factors for SABI-related mortality in this population are varied and impose a challenge for management to improve patient ’s outcomes. Risk stratification might be useful to evaluate 30-day mortality risk. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Cancer survivors in the workplace: sleep disturbance mediates the impact of cancer on healthcare expenditures and work absenteeism
AbstractPurposeHistory of cancer is significantly associated with increases in healthcare costs, worse work performance, and higher absenteeism in the workplace. This is particularly important as most cancer survivors return to employment. Sleep disturbance is a largely overlooked potential contributor to these changes.MethodsData from 9488 state employees participating in the Kansas State employee wellness program were used to assess cancer history, sleep disturbance, healthcare expenditures, work performance ratings, and absenteeism. Participants were categorized as having had no history of breast or prostate cancer, a p...
Source: Supportive Care in Cancer - October 26, 2018 Category: Cancer & Oncology Source Type: research

Feasibility of implementing an electronic social support and resource visualization tool for caregivers in a neuro-oncology clinic
ConclusionsThere is a need to encourage family caregivers of patients with primary malignant brain tumor to engage their existing social network resources to help alleviate caregiver burden. Our findings suggest that our web-based application to address this issue is feasible to implement with high usability and likeability. This pilot study identified minor changes to the intervention to improve effectiveness and has implications for future research in this understudied population.Trial registrationclinicaltrials.gov, protocol number NCT03026699 (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - October 26, 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 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