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Role of surveillance screening in detecting tumor recurrence after treatment of childhood cancers. Turk Arch Pediatr 2021; 56:147-151. [PMID: 34286325 DOI: 10.14744/turkpediatriars.2020.38243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 06/08/2020] [Indexed: 11/20/2022]
Abstract
Objective As the survival rates in children with cancer reach up to 80%, this improvement in survival increases the number of patients under follow-up. After cancer treatment is completed, patients are taken to follow-up surveillance to ensure the early detection of recurrence and the late effects of treatments. The frequency and necessity of surveillance screening tests are controversial. This study aimed to assess the efficacy of surveillance screening in the detection of recurrence. Material and methods The files of 533 children who were diagnosed as having cancer at our pediatric oncology clinic between 2004 and 2013 were retrospectively evaluated. We looked at outcomes after recurrence, the timing and pattern of recurrence, the presence of symptoms during recurrence, physical examination findings, tumor marker levels, laboratory findings, and radiologic tests. Results Of the 63 patients with recurrence, 23 were symptomatic and 40 were asymptomatic at the time of the recurrence. Tumor location and time of the recurrence did not affect the post recurrence survival. The median post-recurrence survival for patients was 13 (range, 1-98) months. The median post-relapse survival was 10 (range, 1-73) months in patients with symptomatic recurrence, and 16 (range, 1-98) months in patients with asymptomatic recurrence. It was determined that patients in whom recurrence was identified with surveillance tests had longer post-relapse survival time. The 5-year survival rate of 23 patients with symptomatic recurrence was 12.2%; this rate was 49.5% in asymptomatic patients (p<0.05). Conclusions It should be considered that surveillance testing offers the benefit of prolonging post recurrence survival.
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Kwong S, Bedard A. BE ACTIVE: an Education Program for Chinese Cancer Survivors in Canada. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2016; 31:605-609. [PMID: 26386593 DOI: 10.1007/s13187-015-0899-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The needs of cancer survivors have been well documented and tend to be higher in immigrant populations. In order to help address unmet needs of Chinese-speaking cancer survivors, we have developed a structured psycho-educational program for this group. The program development was informed by both cultural values of the population and published recommendations for cancer survivorship education and support. The program, entitled BE ACTIVE, includes topics related to key domains in cancer survivorship: psychosocial aspects, general medical management and follow up for late effects, complementary medicine, and lifestyle management through fitness and nutrition. We studied the program delivery in 2012 and 2013, where a total of 124 individuals took part. Participants reported high satisfaction, learning gains, and the willingness to recommend the program to others; they rated their understanding of the behaviors needed for wellness and their motivation for change as high. A facilitator toolkit, which includes topic content development guides and presentation examples, was developed to assist with delivery of the program by other centers. This type of program can improve access and delivery to underserved populations with unmet needs and may also benefit cancer survivors in other jurisdictions with similar concerns.
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Affiliation(s)
- Sandy Kwong
- Patient and Family Counseling Services, BC Cancer Agency, 600 West 10th Avenue, Vancouver, BC, V5Z 4E6, Canada.
| | - Angela Bedard
- Provincial Survivorship Program, BC Cancer Agency, Vancouver, BC, Canada
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Mohanti BK, Kaur J. Living experiences of Indian adult cancer survivors--a brief report. Asian Pac J Cancer Prev 2015; 16:507-12. [PMID: 25684479 DOI: 10.7314/apjcp.2015.16.2.507] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This pilot study looked into the physical, social, psychological and economic issues of Indian adult cancer survivors. MATERIALS AND METHODS Assumed cancer free patients, after cancer directed therapy (CDT), were assessed on the basis of a questionnaire developed by the investigators. The mental status of the survivors was elicited by modified MINI international neuro-psychiatric interview. This cross sectional assessment was conducted as a direct interaction with each patient for 30 to 45 minutes at a cancer hospital in 2012. RESULTS Thirty one adult cancer survivors participated in this study. Median age was 53 years with a median follow up duration of 21.8 months (Range 2.3-194.1 months). The majority (68%) did not receive financial support for treatment. Median interval after CDT to start of activity of daily living was 1.5 months (range: 0-24 months). Fatigue and loss of appetite were reported by 52% and 29% respectively. The cancer diagnosis and its treatment adversely impacted the financial condition in 42% of patients. Nineteen percent each showed social anxiety and post-traumatic stress disorder and another 13% patients reported depression. CONCLUSIONS This prospective assessment highlights survivorship issues and the need to address those issues particularly in the context of developing countries where resources and manpower are limited.
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Affiliation(s)
- Bidhu Kalyan Mohanti
- Department of Radiation Oncology, Fortis Memorial Research Institute, Gurgaon, India E-mail :
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Weaver KE, Aziz NM, Arora NK, Forsythe LP, Hamilton AS, Oakley-Girvan I, Keel G, Bellizzi KM, Rowland JH. Follow-up care experiences and perceived quality of care among long-term survivors of breast, prostate, colorectal, and gynecologic cancers. J Oncol Pract 2014; 10:e231-9. [PMID: 24695901 PMCID: PMC4094647 DOI: 10.1200/jop.2013.001175] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
INTRODUCTION Post-treatment follow-up represents a crucial aspect of quality cancer care; however, data are lacking regarding follow-up care experiences, perception of provider involvement in care, and perceived quality of care from diverse samples of long-term survivors diagnosed as adults. METHODS Questionnaires were mailed in 2005 to 2006 to breast, prostate, colorectal, endometrial, and ovarian cancer survivors (4 to 14 years after diagnosis), sampled from California SEER cancer registries. RESULTS Most survivors (n = 1,490) reported recent follow-up care (68.7%), generally from oncology specialists only (47.4%) or shared between oncology and primary care providers (PCPs; 27.6%). Most survivors reported follow-up care advice (79.9%); fewer reported late-effects advice or receipt of a treatment summary (41.7% and 19.9%, respectively). Survivors who identified a PCP as their main follow-up care physician were as likely as those identifying an oncology specialist to rate their care as high quality (odds ratio [OR], 2.56; 95% CI, 0.98 to 6.74); however, survivors who could not identify a main follow-up care provider were less likely to report high-quality care (OR, 0.20; 95% CI, 0.08 to 0.50). Compared with follow-up care by an oncology specialist only, care by a PCP only was associated with a lower quality-of-care rating (OR, 0.34; 95% CI, 0.13 to 0.91), but there was no significant difference in quality rating by survivors when care was shared by an oncology specialist and PCP compared with an oncology specialist only. CONCLUSION Long-term survivors commonly report follow-up care years after their diagnosis; however, many patients' follow-up lacks important components. Care is more likely to be rated as high quality when one main provider is identified and an oncology specialist is involved.
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Affiliation(s)
- Kathryn E Weaver
- Wake Forest University School of Medicine, Winston-Salem, NC; National Institute of Nursing Research; National Cancer Institute, Bethesda, MD; Keck School of Medicine, University of Southern California, Los Angeles; Cancer Prevention Institute of California, Fremont, CA; and University of Connecticut, Storrs, CT
| | - Noreen M Aziz
- Wake Forest University School of Medicine, Winston-Salem, NC; National Institute of Nursing Research; National Cancer Institute, Bethesda, MD; Keck School of Medicine, University of Southern California, Los Angeles; Cancer Prevention Institute of California, Fremont, CA; and University of Connecticut, Storrs, CT
| | - Neeraj K Arora
- Wake Forest University School of Medicine, Winston-Salem, NC; National Institute of Nursing Research; National Cancer Institute, Bethesda, MD; Keck School of Medicine, University of Southern California, Los Angeles; Cancer Prevention Institute of California, Fremont, CA; and University of Connecticut, Storrs, CT
| | - Laura P Forsythe
- Wake Forest University School of Medicine, Winston-Salem, NC; National Institute of Nursing Research; National Cancer Institute, Bethesda, MD; Keck School of Medicine, University of Southern California, Los Angeles; Cancer Prevention Institute of California, Fremont, CA; and University of Connecticut, Storrs, CT
| | - Ann S Hamilton
- Wake Forest University School of Medicine, Winston-Salem, NC; National Institute of Nursing Research; National Cancer Institute, Bethesda, MD; Keck School of Medicine, University of Southern California, Los Angeles; Cancer Prevention Institute of California, Fremont, CA; and University of Connecticut, Storrs, CT
| | - Ingrid Oakley-Girvan
- Wake Forest University School of Medicine, Winston-Salem, NC; National Institute of Nursing Research; National Cancer Institute, Bethesda, MD; Keck School of Medicine, University of Southern California, Los Angeles; Cancer Prevention Institute of California, Fremont, CA; and University of Connecticut, Storrs, CT
| | - Gretchen Keel
- Wake Forest University School of Medicine, Winston-Salem, NC; National Institute of Nursing Research; National Cancer Institute, Bethesda, MD; Keck School of Medicine, University of Southern California, Los Angeles; Cancer Prevention Institute of California, Fremont, CA; and University of Connecticut, Storrs, CT
| | - Keith M Bellizzi
- Wake Forest University School of Medicine, Winston-Salem, NC; National Institute of Nursing Research; National Cancer Institute, Bethesda, MD; Keck School of Medicine, University of Southern California, Los Angeles; Cancer Prevention Institute of California, Fremont, CA; and University of Connecticut, Storrs, CT
| | - Julia H Rowland
- Wake Forest University School of Medicine, Winston-Salem, NC; National Institute of Nursing Research; National Cancer Institute, Bethesda, MD; Keck School of Medicine, University of Southern California, Los Angeles; Cancer Prevention Institute of California, Fremont, CA; and University of Connecticut, Storrs, CT
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Wendler MC, Kirkbride G, Wade K, Ferrell L. Translational research: a concept analysis. Res Theory Nurs Pract 2014; 27:214-32. [PMID: 24422334 DOI: 10.1891/1541-6577.27.3.214] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
UNLABELLED BACKGROUND/CONCEPTUAL FRAMEWORK: Little is known about which approaches facilitate adoption and sustainment of evidence-based practice change in the highly complex care environments that constitute clinical practice today. The purpose of this article was to complete a concept analysis of translational research using a modified Walker and Avant approach. DESIGN/DATA COLLECTION: Using a rigorous and thorough review of the recent health care literature generated by a deep electronic search from 2004-2011, 85 appropriate documents were retrieved. Close reading of the articles by three coresearchers yielded an analysis of the emerging concept of translational research. DATA ANALYSIS Using the iterative process described by Walker and Avant, a tentative definition of the concept of translational research, along with antecedents and consequences were identified. Implications for health care professionals in education, practice, and research are offered. Further research is needed to determine the adequacy of the definition, to identify empirical referents, and to guide theory development. RESULTS The study resulted in a theoretical definition of the concept of translational research, along with identification of antecedents and consequences and a description of an ideal or model case to illustrate the definition. IMPLICATIONS/CONCLUSIONS Implications for practice and education include the importance of focusing on translational research approaches that may reduce the research-practice gap in health care, thereby improving patient care delivery. Research is needed to determine the usefulness of the definition in health care clinical practice.
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Affiliation(s)
- M Cecilia Wendler
- Nursing Research and Academic Partnerships, Memorial Medical Center, Springfield, Illinois 62781-0001, USA.
| | - Geri Kirkbride
- Nursing Research and Academic Partnerships, Memorial Medical Center, Springfield, Illinois 62781-0001, USA
| | - Kristen Wade
- Nursing Research and Academic Partnerships, Memorial Medical Center, Springfield, Illinois 62781-0001, USA
| | - Lynne Ferrell
- Nursing Research and Academic Partnerships, Memorial Medical Center, Springfield, Illinois 62781-0001, USA
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Oldenburg J, Fosså SD. Exploration of platinum-induced neuropathy should be based on both objective and subjective examinations. Acta Oncol 2009; 48:804-6. [PMID: 19484592 DOI: 10.1080/02841860902984729] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Jan Oldenburg
- Department of Medical Oncology, The Norwegian Radium Hospital, Oslo, Norway
- Buskerud University College, Institute of Health, Drammen, Norway
| | - Sophie D. Fosså
- Department of Clinical Cancer Research, The Norwegian Radium Hospital, Oslo, Norway
- Faculty Division of The Norwegian Radium Hospital, University of Oslo, Oslo, Norway
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McIntosh HM, Neal RD, Rose P, Watson E, Wilkinson C, Weller D, Campbell C. Follow-up care for men with prostate cancer and the role of primary care: a systematic review of international guidelines. Br J Cancer 2009; 100:1852-60. [PMID: 19436297 PMCID: PMC2714251 DOI: 10.1038/sj.bjc.6605080] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2009] [Revised: 04/07/2009] [Accepted: 04/08/2009] [Indexed: 11/24/2022] Open
Abstract
The optimal role for primary care in providing follow-up for men with prostate cancer is uncertain. A systematic review of international guidelines was undertaken to help identify key elements of existing models of follow-up care to establish a theoretical basis for evaluating future complex interventions. Many guidelines provide insufficient information to judge the reliability of the recommendations. Although the PSA test remains the cornerstone of follow-up, the diversity of recommendations on the provision of follow-up care reflects the current lack of research evidence on which to base firm conclusions. The review highlights the importance of transparent guideline development procedures and the need for robust primary research to inform future evidence-based models of follow-up care for men with prostate cancer.
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Affiliation(s)
- H M McIntosh
- Community Health Sciences - General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH9 9DX, UK.
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Nathan PC, Ford JS, Henderson TO, Hudson MM, Emmons KM, Casillas JN, Lown EA, Ness KK, Oeffinger KC. Health behaviors, medical care, and interventions to promote healthy living in the Childhood Cancer Survivor Study cohort. J Clin Oncol 2009; 27:2363-73. [PMID: 19255308 DOI: 10.1200/jco.2008.21.1441] [Citation(s) in RCA: 176] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Childhood cancer survivors are at risk for medical and psychosocial late effects as a result of their cancer and its therapy. Promotion of healthy lifestyle behaviors and provision of regular risk-based medical care and surveillance may modify the evolution of these late effects. This manuscript summarizes publications from the Childhood Cancer Survivor Study (CCSS) that have examined health behaviors, risk-based health care, and interventions to promote healthy lifestyle practices. Long-term survivors use tobacco and alcohol and have inactive lifestyles at higher rates than is ideal given their increased risk of cardiac, pulmonary, and metabolic late effects. Nearly 90% of survivors report receiving some form of medical care. However, only 18% report medical visits related to their prior cancer that include discussion or ordering of screening tests or counseling on how to reduce the specific risks arising from their cancer. One low-cost, peer-driven intervention trial has been successful in improving smoking cessation within the CCSS cohort. On the basis of data from CCSS investigations, several trials to promote improved medical surveillance among high-risk groups within the cohort are underway. Despite their long-term risks, many survivors of childhood cancer engage in risky health behaviors and do not receive adequate risk-based medical care.
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