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Luo F, Lu Y, Chen C, Chang D, Jiang W, Yin R. Analysis of the Risk Factors for Negative Emotions in Patients with Esophageal Cancer During the Peri-Radiotherapy Period and Their Effects on Malnutrition. Int J Gen Med 2023; 16:6137-6150. [PMID: 38162686 PMCID: PMC10757788 DOI: 10.2147/ijgm.s444255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 12/12/2023] [Indexed: 01/03/2024] Open
Abstract
Background Esophageal cancer has a high incidence in China. Many patients also have a heavy psychological burden due to clinical features such as wasting and choking on food. This study analyzed the risk factors of negative emotions in esophageal cancer patients during the peri-radiotherapy period and its effects on malnutrition. Methods We retrospectively analyzed 339 patients with esophageal cancer during the peri-radiotherapy who received treatment at our hospital from April 2017 to April 2020, and followed up for 3 years. t test and Chi-square test were used to analyze the relationship between patients' negative emotions and clinical data. Binary logistics regression was performed to analyze the independent risk factors for the occurrence of negative mood and malnutrition in the patients. Kaplan-Meier survival curves were used to analyze survival rates. Results Our results showed that 18.3% of patients undergoing radiotherapy for esophageal cancer had negative emotions, and 41.9% suffered from malnutrition. The results of the binary logistic regression analysis showed that monthly household income (OR = 0.470, P = 0.022), the TNM stage (OR = 2.030, P = 0.044), concomitant gastrointestinal symptoms (OR = 2.071, P = 0.024), sleep status (OR = 2.540, P = 0.003), swallowing disorders (OR = 1.919, P = 0.048), and post-radiotherapy complications were independent risk factors for the development of negative emotions in patients. Negative emotions (OR = 2.547, P = 0.038) were also a risk factor for malnutrition in patients with esophageal cancer. Conclusion Many patients with esophageal cancer suffer from anxiety and depression in the peri-radiotherapy period, which might lead to complications such as malnutrition or aggravate and affect the prognosis of patients. Therefore, psychological care should be provided based on conventional care to effectively relieve their psychological pressure, and improve their prognosis and quality of life.
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Affiliation(s)
- Feng Luo
- Department of Oncology Zone II, Hai’an People’s Hospital, Haian, People’s Republic of China
| | - Yingying Lu
- Department of Oncology Zone II, Hai’an People’s Hospital, Haian, People’s Republic of China
| | - Chen Chen
- Department of Oncology Zone II, Hai’an People’s Hospital, Haian, People’s Republic of China
| | - Dongdong Chang
- Department of Oncology Zone II, Hai’an People’s Hospital, Haian, People’s Republic of China
| | - Wei Jiang
- Department of Oncology Zone II, Hai’an People’s Hospital, Haian, People’s Republic of China
| | - Ronghua Yin
- Department of Oncology Zone II, Hai’an People’s Hospital, Haian, People’s Republic of China
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Gerayllo S, Ali Morowatisharifabad M, Jouybari L, Karimiankakolaki Z, Sadeghi R. Design and evaluation of a theory-based intervention of knowledge and perceptions to improve self-care amongst relatives of esophageal cancer patients: A randomised controlled trial study protocol. Int J Surg Protoc 2020; 24:12-16. [PMID: 33102990 PMCID: PMC7569212 DOI: 10.1016/j.isjp.2020.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 09/09/2020] [Accepted: 09/11/2020] [Indexed: 12/02/2022] Open
Abstract
Emphasis on training programs to increase self-care behaviors. The EPPM can successfully predict behavioral intention and self-care behaviors. The EPPM can consider as a framework for developing educational interventions.
Background Esophageal cancer, as one of the most unknown cancers, is largely preventable through lifestyle modifications. In this study, a theory-based intervention will be designed and evaluated on the knowledge and perceptions of relatives of patients with cancer to improve their self-care. Methods This research will be carried out in two phases in Golestan province, located in north of Iran. A researcher-made questionnaire will be designed based on the extended parallel process model using a detailed literature review and the panel of experts' opinions. This questionnaire will aim to investigate the levels of knowledge, perception, and practice of respondents regarding esophageal cancer. Later, a comprehensive program will be designed over esophageal cancer self-care based on the information collected from the questionnaire, the information obtained from detailed literature review, and the experts' opinions. The second phase of the study will include implementation of an educational intervention with pretest–posttest design using the intervention and control groups to measure the effectiveness of this educational program on the knowledge, perception, and practice of the patients' relatives. Discussion The findings will provide valuable evidences regarding the efficacy of the educational intervention and will help the participants to improve their self-care behaviours. Consequently, policy-makers and planners can use the results to set appropriate policies.
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Affiliation(s)
- Sakineh Gerayllo
- Department of Health, School of Public Health, Golestan Faculty of Medical Sciences, Gorgan, Iran
| | | | - Leila Jouybari
- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran
| | - Zohreh Karimiankakolaki
- Department of Health, Faculty of Medical Sciences, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran
| | - Reza Sadeghi
- Department of Public Health, School of Public Health, Sirjan Faculty of Medical Sciences, Sirjan, Iran
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Munishi OM, McCormack V, Mchome B, Mangi G, Zullig LL, Bartlett J, Mapunda O, Nyindo P, Namwai T, Muiruri C, Kimaro F, Karia F, Mmbaga BT. Awareness of Cancer Risk Factors and Its Signs and Symptoms in Northern Tanzania: a Cross-Sectional Survey in the General Population and in People Living with HIV. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2020; 35:696-704. [PMID: 30915669 PMCID: PMC7363667 DOI: 10.1007/s13187-019-01513-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
An important component of cancer control programs for the growing burden in sub-Saharan Africa is a population's awareness of risk factors. Studies thereof have focused on single rather than multiple cancers and carcinogens. During March and April 2015, we undertook a survey to assess awareness of multiple cancer risk factors and symptoms in the Kilimanjaro Region, North Tanzania. General population (n = 620) and attendees at HIV care-and-treatment clinics (CTCs) were included (n = 207). Participants' mean age was 43.8 (interquartile range 30-52) years; 58% were female. Awareness of cancer risk was highest for tobacco (90%) and alcoholic spirits (67%), but tended to be lower for infections (41% for HIV (42.2% and 41.4% for CTC and community group, respectively) and 16% for HPV (16.0% and 16.6% for CTC and community group, respectively)), while that of moldy maize and peanuts was 35% for both. Awareness of specific cancer signs and symptoms ranged between 70% and 90%. Awareness of alcohol and tobacco was higher in men than women (odds ratio = 1.82 (1.38, 2.40) and 3.96 (2.14, 7.31), respectively). In relation to cancer treatment, 70% preferred modern medicine and 10% preferred traditional medicine alone. Sixty percent was not aware of any local cancer early detection services. Only 20% had ever been examined for cancer, and of those screened, CTC group was 1.5 times more likely to screen than community participants. Awareness did not differ by age or HIV status. There are good levels of cancer risk factor awareness for certain lifestyle-related carcinogens in Tanzania; however, increased awareness is needed especially for infections and cancer warning symptom both in the general and HIV-positive population, as well as some myths to be dispelled.
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Affiliation(s)
- Oresto Michael Munishi
- School of Social Sciences, Tampere University, Tampere, Finland.
- Kilimanjaro Christian Medical Center (KCMC), Moshi, Kilimanjaro, Tanzania.
- Kilimanjaro Clinical Research Institute (KCRI), P.O. Box 2236, Moshi, Kilimanjaro, Tanzania.
| | | | - Bariki Mchome
- Kilimanjaro Christian Medical Center (KCMC), Moshi, Kilimanjaro, Tanzania
- Kilimanjaro Christian Medical College (KCMUCo), Moshi, Kilimanjaro, Tanzania
| | | | | | - John Bartlett
- Kilimanjaro Christian Medical Center (KCMC), Moshi, Kilimanjaro, Tanzania
- Kilimanjaro Christian Medical College (KCMUCo), Moshi, Kilimanjaro, Tanzania
- Duke University Medical Center, Durham, NC, USA
| | - Oscar Mapunda
- Kilimanjaro Christian Medical College (KCMUCo), Moshi, Kilimanjaro, Tanzania
| | - Pilli Nyindo
- Kilimanjaro Christian Medical Center (KCMC), Moshi, Kilimanjaro, Tanzania
| | - Theresia Namwai
- Kilimanjaro Christian Medical Center (KCMC), Moshi, Kilimanjaro, Tanzania
| | | | - Frank Kimaro
- Kilimanjaro Christian Medical Center (KCMC), Moshi, Kilimanjaro, Tanzania
| | - Francis Karia
- Kilimanjaro Christian Medical Center (KCMC), Moshi, Kilimanjaro, Tanzania
| | - Blandina T Mmbaga
- Kilimanjaro Christian Medical Center (KCMC), Moshi, Kilimanjaro, Tanzania
- Kilimanjaro Clinical Research Institute (KCRI), P.O. Box 2236, Moshi, Kilimanjaro, Tanzania
- Kilimanjaro Christian Medical College (KCMUCo), Moshi, Kilimanjaro, Tanzania
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Odera JO, Odera E, Githang’a J, Walong EO, Li F, Xiong Z, Chen XL. Esophageal cancer in Kenya. AMERICAN JOURNAL OF DIGESTIVE DISEASE 2017; 4:23-33. [PMID: 29082268 PMCID: PMC5659304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Kenya belongs to a high incidence region known as Africa's esophageal cancer (EC) corridor. It has one of the highest incidence rates of EC worldwide, but research on EC in Kenya has gone highly unnoticed. EC in Kenya is unique in its high percentage of young cases (< 30 years of age). In this review, we show the current status of EC in the country. We mainly focus on significant risk factors such as alcohol drinking, genetic factors, malnutrition and hot food/drink. Future directions in the study and prevention of EC in Kenya are also discussed.
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Affiliation(s)
- Joab Otieno Odera
- Cancer Research Program, JLC-BBRI, North Carolina Central University, Durham 27707, NC, USA
- Integrated Biosciences PhD Program, North Carolina Central University, Durham 27707, NC, USA
| | - Elizabeth Odera
- Department of Human Pathology, University of Nairobi, P. O. Box 19676, Kenyatta National Hospital, Nairobi 00202, Kenya
| | - Jessie Githang’a
- Department of Human Pathology, University of Nairobi, P. O. Box 19676, Kenyatta National Hospital, Nairobi 00202, Kenya
| | - Edwin Oloo Walong
- Department of Human Pathology, University of Nairobi, P. O. Box 19676, Kenyatta National Hospital, Nairobi 00202, Kenya
| | - Fang Li
- Cancer Research Program, JLC-BBRI, North Carolina Central University, Durham 27707, NC, USA
- Department of Dentistry, Dalian University Affiliated Zhongshan Hospital, 6 Jiefang Street, Zhongshan District, Dalian 116001, Liaoning Province, China
| | - Zhaohui Xiong
- Cancer Research Program, JLC-BBRI, North Carolina Central University, Durham 27707, NC, USA
| | - Xiaoxin Luke Chen
- Cancer Research Program, JLC-BBRI, North Carolina Central University, Durham 27707, NC, USA
- Center for Esophageal Disease and Swallowing, Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill 27519, NC, USA
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McCormack VA, Menya D, Munishi MO, Dzamalala C, Gasmelseed N, Leon Roux M, Assefa M, Osano O, Watts M, Mwasamwaja AO, Mmbaga BT, Murphy G, Abnet CC, Dawsey SM, Schüz J. Informing etiologic research priorities for squamous cell esophageal cancer in Africa: A review of setting-specific exposures to known and putative risk factors. Int J Cancer 2017; 140:259-271. [PMID: 27466161 PMCID: PMC5763498 DOI: 10.1002/ijc.30292] [Citation(s) in RCA: 102] [Impact Index Per Article: 14.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Accepted: 07/08/2016] [Indexed: 12/30/2022]
Abstract
Esophageal squamous cell carcinoma (ESCC) is one of the most common cancers in most Eastern and Southern African countries, but its etiology has been understudied to date. To inform its research agenda, we undertook a review to identify, of the ESCC risk factors which have been established or strongly suggested worldwide, those with a high prevalence or high exposure levels in any ESCC-affected African setting and the sources thereof. We found that for almost all ESCC risk factors known to date, including tobacco, alcohol, hot beverage consumption, nitrosamines and both inhaled and ingested PAHs, there is evidence of population groups with raised exposures, the sources of which vary greatly between cultures across the ESCC corridor. Research encompassing these risk factors is warranted and is likely to identify primary prevention strategies.
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Affiliation(s)
- V A McCormack
- Section of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France
| | - D Menya
- School of Public Health, Moi University, Eldoret, Kenya
| | - M O Munishi
- Kilimanjaro Clinical Research Institute, Moshi, Tanzania
| | - C Dzamalala
- College of Medicine, University of Malawi, Blantyre, Malawi
- Malawi Cancer Registry, Malawi
| | - N Gasmelseed
- National Cancer Institute, University of Gezira, Sudan
- Faculty of Science, University of Hafr Al Batin, Saudi Arabia
| | - M Leon Roux
- Section of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France
| | - M Assefa
- Radiotherapy Center, Addis-Ababa-University, Addis Ababa, Ethiopia
| | - O Osano
- School of Environmental Studies, University of Eldoret, Kenya
| | - M Watts
- Inorganic Chemistry, Centre for Environmental Geochemistry, British Geological Survey, Nottingham, United Kingdom
| | - A O Mwasamwaja
- Kilimanjaro Clinical Research Institute, Moshi, Tanzania
- Kilimanjaro Christian Medical Centre, Moshi, Tanzania
| | - B T Mmbaga
- Kilimanjaro Clinical Research Institute, Moshi, Tanzania
- Kilimanjaro Christian Medical Centre, Moshi, Tanzania
| | - G Murphy
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD
| | - C C Abnet
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD
| | - S M Dawsey
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD
| | - J Schüz
- Section of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France
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