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Osowiecka K, Dolińska A, Szwiec M, Działach E, Nowakowski JJ, Rucińska M. Validation of the Standardized Needs Evaluation Questionnaire in Polish Cancer Patients. Cancers (Basel) 2024; 16:1451. [PMID: 38672533 PMCID: PMC11048258 DOI: 10.3390/cancers16081451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Revised: 04/05/2024] [Accepted: 04/08/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND Cancer influences various aspects of patients' functioning. Cancer patients face not only medical problems but also organizational, socio-psychological, and spiritual problems. Their needs often seem to be unrecognized because patients do not express their concerns and clinicians do not ask appropriate questions. Unmet needs impact patients' quality of life. The aim of this study was to select, adapt, validate, and introduce a simple instrument for estimating cancer patients' unmet needs in Poland. METHODS The Needs Evaluation Questionnaire (NEQ) was chosen for validation in a Polish population. The Polish version of the NEQ was developed with a back-translation procedure, as approved by a psycho-oncologist and a public health specialist. The psychometric properties of the NEQ (content analysis, reliability, construct validity, comprehensibility, and acceptability) were measured. RESULTS This study was performed on a group of 121 cancer patients. The median time of completion for the NEQ was 10 min. The form, length, and font size of the NEQ were accepted by the respondents. Overall, the meaning of the questions was well understood, with only a few cases of discreetly heterogeneous interpretation of the content. The questionnaire showed good reliability and internal factor structure validity. CONCLUSION The NEQ is a simple, easy-to-administer instrument with good psychometric properties and seems to be useful in assessing the unexpressed needs of cancer patients.
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Affiliation(s)
- Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Warszawska 30, 10-082 Olsztyn, Poland
| | - Anna Dolińska
- Psychology Outpatient Clinic, University Hospital in Zielona Gora, Zyty 26, 65-046 Zielona Gora, Poland;
| | - Marek Szwiec
- Department of Surgery and Oncology, Faculty of Medicine and Health Sciences, University of Zielona Gora, Zyty 28, 65-046 Zielona Gora, Poland;
| | - Eliza Działach
- Department of Public Health, Faculty of Sciences in Bytom, Medical University of Silesia in Katowice, Piekarska 18, 41-902 Bytom, Poland;
| | - Jacek J. Nowakowski
- Department of Botany and Evolutionary Ecology, Faculty of Biology and Biotechnology, University of Warmia and Mazury in Olsztyn, Plack Łódzki 3, 10-727 Olsztyn, Poland;
| | - Monika Rucińska
- Department of Oncology, Collegium Medicum University of Warmia and Mazury in Olsztyn, Wojska Polskiego 37, 10-228 Olsztyn, Poland;
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Osowiecka K, Szwiec M, Dolińska A, Gwara A, Kurowicki M, Kołb-Sielecki J, Działach E, Radecka W, Nawrocki S, Rucińska M. Unmet non-medical needs of cancer patients in Poland: a quantitative and qualitative study. Support Care Cancer 2024; 32:183. [PMID: 38388767 PMCID: PMC10884169 DOI: 10.1007/s00520-024-08387-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 02/16/2024] [Indexed: 02/24/2024]
Abstract
PURPOSE Cancer itself and its treatment have a multifaceted impact on patients' daily lives. The aim of the study was to determine unmet non-medical needs among Polish cancer patients. METHODS Survey research using a 23-item Needs Evaluation Questionnaire (NEQ) was carried out among 1062 cancer patients from different regions of Poland. Quantitative and qualitative analyses were performed. RESULTS The quantitative analysis showed that 48% of the NEQ items (11/23) were expressed as unmet needs by at least half of patients. Unmet information needs were indicated by patients most often: information about their diagnosis, exams, treatment, future condition, funding and economic support. Cancer patients would like to get more attention from medical staff. Unmet needs were most frequently expressed by respondents who were men, with a lower level of education, living in village, pensioners. Qualitative analysis showed that each need may be understood in a variety of different ways across the cohort. Some patients added comments that the completing NEQ helped them to notice their non-medical needs. CONCLUSION Polish cancer patients have some unmet non-medical needs, especially informative needs.
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Affiliation(s)
- Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Warszawska 30, 10-082, Olsztyn, Poland.
| | - Marek Szwiec
- Department of Surgery and Oncology, Faculty of Medicine and Health Sciences, University of Zielona Gora, Zyty 28, 65-046, Zielona Gora, Poland
| | - Anna Dolińska
- Psychology Outpatient Clinic, University Hospital in Zielona Gora, Zyty 26, 65-046, Zielona Gora, Poland
| | - Anna Gwara
- Department of Nursing, Institute of Health Science, University of Zielona Gora, Zyty 28, 65-046, Zielona Gora, Poland
| | - Marcin Kurowicki
- NU-MED Radiotherapy Center in Elblag, Królewiecka 146, 82-300, Elblag, Poland
| | - Jarosław Kołb-Sielecki
- Department of Oncology, The Center for Pulmonary Diseases in Olsztyn, Jagiellońska 78, 10-357, Olsztyn, Poland
| | - Eliza Działach
- Departament of Public Health, Faculty of Sciences in Bytom, Medical University of Silesia in Katowice, Piekarska 18, 41-902, Bytom, Poland
| | - Weronika Radecka
- Department of Anatomy, University of Opole, Kopernika 11a, 45-040, Opole, Poland
| | - Sergiusz Nawrocki
- Department of Oncology, Collegium Medicum University of Warmia and Mazury in Olsztyn, Wojska Polskiego 37, 10-228, Olsztyn, Poland
| | - Monika Rucińska
- Department of Oncology, Collegium Medicum University of Warmia and Mazury in Olsztyn, Wojska Polskiego 37, 10-228, Olsztyn, Poland
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Andrzejczak A, Rucińska M, Żarłok E, Osowiecka K. Health care system and patient-related factors affecting low cancer screening participation in Poland. Prev Med Rep 2023; 36:102442. [PMID: 37822981 PMCID: PMC10562866 DOI: 10.1016/j.pmedr.2023.102442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2023] [Revised: 09/21/2023] [Accepted: 09/22/2023] [Indexed: 10/13/2023] Open
Abstract
The level of participation in cancer screening is low in the Polish population. The aim of this study was to assess the opinions of centers providing cancer screening as to the reasons for the low frequency of cancer screening in Poland and possible methods to increase participation. In July 2020 433 centers in Poland carried out breast and/or cervical cancer screening. Of these, 136 centers decided to participate in the study. The study was conducted using an original questionnaire. The questions were addressed to opinion of centers about: reasons for the low frequency of cancer screening in Poland, methods to increase the frequency of cancer screening, pricing and motivating factors for providing cancer screening. Among opinions as to possible reasons for the low frequency of cancer screening in Poland related to the care-system, lack of encouragement from general practitioners, lack of invitations for cancer screening and lack of proper social advertising were most prevalent; whereas among reasons related to patients, a low awareness of cancer screening and fear of cancer diagnosis. The main methods that could potentially increase screening participation are considered to be the inclusion of cancer screening in mandatory periodic employee examinations, more activity by general practitioners, better promotion of screening by central institutions, and sending personal invitations. In conclude some interventions should be carried out to motivate people to break down barriers.
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Affiliation(s)
- A. Andrzejczak
- Fundacja Onkologia 2025, Al. gen. Sikorskiego 9B lok 12D, Warszawa, Poland
| | - M. Rucińska
- Department of Oncology, Collegium Medicum University of Warmia and Mazury in Olsztyn, Wojska Polskiego 37, 10-228 Olsztyn, Poland
| | - E. Żarłok
- Fundacja Onkologia 2025, Al. gen. Sikorskiego 9B lok 12D, Warszawa, Poland
| | - K. Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Warszawska 30, 10-082 Olsztyn, Poland
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Osowiecka K, Skrypnik D, Myszkowska-Ryciak J. Assessment of the Impact of Nutritional Intervention with the Probiotic Lactiplantibacillus plantarum 299v on Nutritional Status and Quality of Life of Hashimoto's Thyroiditis Patients-A Randomized Double-Blind Study Protocol. J Pers Med 2023; 13:1659. [PMID: 38138886 PMCID: PMC10744439 DOI: 10.3390/jpm13121659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 11/01/2023] [Accepted: 11/08/2023] [Indexed: 12/24/2023] Open
Abstract
The current treatment for the autoimmune disease of hypothyroidism (AIDH) is based on pharmacotherapy with levothyroxine. A non-pharmacological supplementary element of therapy could be the implementation of an individualized balanced diet and probiotics. Lactiplantibacillus plantarum 299v (Lp299v), with its anti-inflammatory effects, may also support the therapy. However, the number of studies on personalized dietary interventions with probiotics in AIDH is limited, and no clear conclusions can be drawn from the results so far. Therefore, this trial will analyze the effect of Lp299v supplementation in conjunction with nutrition education on the quality of life and nutritional status of patients with Hashimoto's. Methods: This double-blind, 12-week intervention study will include 100 female patients with AIDH. They will be divided into two groups: (1) individual personalized nutrition education + Lp299v and (2) individual personalized nutrition education + placebo. Before and after the education intervention, selected elements in the diet, eating behavior, quality of life, nutritional status (anthropometric parameters, body composition), blood pressure, and anti-TPO (antibodies against thyroid peroxidase) titer will be assessed. Hypothesis: It is expected that this study will provide deeper knowledge on the validity of using proper nutritional principles and Lp299v in AIDH. Specifically, the impact on the subjective assessment of the quality of life, selected elements in the diet, and the state of nutrition and health will be assessed.
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Affiliation(s)
- Karolina Osowiecka
- Doctoral School, Warsaw University of Life Sciences (WULS), 02-787 Warsaw, Poland
- Department of Dietetics, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (WULS), 02-776 Warsaw, Poland
| | - Damian Skrypnik
- Department of Treatment of Obesity, Metabolic Disorders and Clinical Dietetics, Poznan University of Medical Sciences, 60-569 Poznan, Poland
| | - Joanna Myszkowska-Ryciak
- Department of Dietetics, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (WULS), 02-776 Warsaw, Poland
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Czeremszynska B, Socha J, Rygielska A, Walewska A, Gabor M, Pruska-Pich D, Osowiecka K, Kepka L. Dosimetric comparison of three-dimensional conformal radiation therapy, intensity-modulated radiation therapy, and volumetric-modulated arc therapy for free-breathing whole-breast irradiation: A planning study. Indian J Cancer 2023; 60:258-265. [PMID: 37530251 DOI: 10.4103/ijc.ijc_450_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/03/2023]
Abstract
Background Currently, recommended heart dose constraints are difficult to meet in whole-breast irradiation (WBI) for left-sided breast cancer patients, who cannot be treated with the deep inspiration breath hold. We performed a radiotherapy planning study to establish if the use of intensity-modulated radiation therapy (IMRT) or volumetric-modulated arc therapy (VMAT) allows for better sparing of the heart and its subvolumes than the three-dimensional conformal radiation therapy (3D-CRT), and how these attempts affect the dose delivered to the other organs. Methods A total of 17 left-sided and 10 right-sided consecutive patients treated with free-breathing WBI were retrospectively included. The 3D-CRT, IMRT, and VMAT plans were generated. Several dose-volume parameters and plan quality indices were compared, separately for the left- and right-sided plans. Results All the techniques fulfilled the planning objectives. In the left-sided plans, there was no heart or left ventricle dose reduction with IMRT, nor with VMAT; the maximum dose in the left anterior descending coronary artery was reduced with VMAT (P = 0.005); V5 for the contralateral breast, contralateral lung, and total-body increased markedly in VMAT, and for the ipsilateral lung (V5IL) also in IMRT, compared with 3D-CRT (P < 0.001). In the right-sided plans, the V5 values, except for V5IL, did not differ between the three techniques. Conclusions IMRT and VMAT had a limited heart-sparing benefit in the left-sided free-breathing WBI, at the cost of increased low-dose volumes, measured by V5. The low-dose volumes are not increased by IMRT or VMAT in the right-sided WBI, where heart sparing is not a problem, but the attempts to reduce cardiac doses in the left-sided WBI increase them.
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Affiliation(s)
- Beata Czeremszynska
- Department of Radiotherapy, Military Institute of Medicine - National Research Institute, Warsaw, Poland
| | - Joanna Socha
- Department of Radiotherapy, Military Institute of Medicine - National Research Institute, Warsaw, Poland
- Department of Radiotherapy, Regional Oncology Centre, Czestochowa, Poland
| | - Anna Rygielska
- Department of Radiotherapy and Laboratory of Medical Physics, Military Institute of Medicine - National Research Institute, Warsaw, Poland
| | - Agnieszka Walewska
- Department of Medical Physics, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Marta Gabor
- Department of Radiotherapy and Laboratory of Medical Physics, Military Institute of Medicine - National Research Institute, Warsaw, Poland
| | - Dorota Pruska-Pich
- Department of Radiotherapy and Laboratory of Medical Physics, Military Institute of Medicine - National Research Institute, Warsaw, Poland
| | - Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, University of Warmia and Mazury, Olsztyn, Poland
| | - Lucyna Kepka
- Department of Radiotherapy, Military Institute of Medicine - National Research Institute, Warsaw, Poland
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Osowiecka K, Kurowicki M, Kołb-Sielecki J, Gwara A, Szwiec M, Nawrocki S, Rucińska M. Is It Possible to Notice the Unmet Non-Medical Needs among Cancer Patients? Application of the Needs Evaluation Questionnaire in Men with Lung Cancer. Curr Oncol 2023; 30:3484-3493. [PMID: 36975477 PMCID: PMC10047714 DOI: 10.3390/curroncol30030264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 03/16/2023] [Accepted: 03/18/2023] [Indexed: 03/22/2023] Open
Abstract
Background: Lung cancer is the most common cause of cancer death worldwide. It is the most frequently diagnosed cancer in men. Lung cancer causes not only physical symptoms related to the disease itself and its treatment but also numerous mental, social and spiritual problems. The aim of the study was to assess non-medical needs among male lung cancer patients during oncological treatment. Materials and Methods: The study was conducted on a group of 160 men (mean age 67 years) treated for lung cancer from June 2022 until November 2022 in 5 oncological centers in Poland. The Needs Evaluation Questionnaire (NEQ) was used. The NEQ explores five areas of patients’ needs: informative, connected with assistance/care, relational, material and psycho-emotional support. Results: All participants (except one) expressed some unmet non-medical needs (mean and median 11). Male lung cancer patients indicated informative needs most frequently. There were no significant differences between expressed unmet needs based on age, place of residence, professional activity or marital status. Conclusions: The NEQ seems to be a proper instrument to explore the non-medical needs of cancer patients. Adequate measures to address the unmet needs of lung cancer patients could contribute to an improved quality of life.
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Affiliation(s)
- Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Warszawska 30, 10-082 Olsztyn, Poland
- Correspondence: ; Tel.: +48-518-711-334
| | - Marcin Kurowicki
- Department of Radiotherapy, NU-MED Radiotherapy Center in Elblag, Królewiecka 146, 82-300 Elblag, Poland
| | - Jarosław Kołb-Sielecki
- Department of Oncology, The Center for Pulmonary Diseases in Olsztyn, Jagiellońska 78, 10-357 Olsztyn, Poland
| | - Anna Gwara
- Department of Nursing, Faculty of Medicine and Health Sciences, University of Zielona Gora, ul. Zyty 28, 65-046 Zielona Gora, Poland
| | - Marek Szwiec
- Department of Surgery and Oncology, Faculty of Medicine and Health Sciences, University of Zielona Gora, Zyty 28, 65-046 Zielona Gora, Poland
| | - Sergiusz Nawrocki
- Department of Oncology, Collegium Medicum University of Warmia and Mazury in Olsztyn, Wojska Polskiego 37, 10-228 Olsztyn, Poland
| | - Monika Rucińska
- Department of Oncology, Collegium Medicum University of Warmia and Mazury in Olsztyn, Wojska Polskiego 37, 10-228 Olsztyn, Poland
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Dowgiałło-Gornowicz N, Zięty JJ, Gornowicz M, Sztaba K, Osowiecka K, Lech P. To Be a Pregnant Surgeon-Is There Anything to Be Afraid of? Int J Environ Res Public Health 2023; 20:2265. [PMID: 36767631 PMCID: PMC9915432 DOI: 10.3390/ijerph20032265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 01/07/2023] [Accepted: 01/25/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Women who decide to become a surgeon are afraid of motherhood. The aim of this study was to establish the opinions of patients and doctors on the professional activity of pregnant surgeons (PS). METHODS The study was conducted on a group of respondents consisting of doctors and patients. The study was carried out using a questionnaire of 12 questions. RESULTS 1074 doctors and 657 patients responded to the survey. Doctors, especially non-surgeons, significantly more often believed that PS should stop working in the operating theatre immediately after pregnancy confirmation. Most patients thought that operations performed by PS are normal, whereas the doctors more often considered it heroic or irresponsible. Doctors more often mentioned fear of financial stability and fear of losing their reputation as reasons for working by PS. Most respondents claimed that it made no difference whether they were operated on by PS or not. However, patients significantly more often declared their willingness to be operated on by PS. CONCLUSIONS The study showed that female surgeons may have slight concerns about how they will be perceived by colleagues and patients. However, most respondents, patients significantly more often, believed that working during pregnancy is the natural course of things.
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Affiliation(s)
- Natalia Dowgiałło-Gornowicz
- Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Niepodległosci 44 St., 10-045 Olsztyn, Poland
| | - Jakub Jan Zięty
- Department of Economic Law and Commercial Law, Faculty of Law and Administration, University of Warmia and Mazury in Olsztyn, Obitza 1 St., 10-725 Olsztyn, Poland
| | - Michał Gornowicz
- Department of Economic Law and Commercial Law, Faculty of Law and Administration, University of Warmia and Mazury in Olsztyn, Obitza 1 St., 10-725 Olsztyn, Poland
| | - Klaudia Sztaba
- Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Niepodległosci 44 St., 10-045 Olsztyn, Poland
| | - Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Warszawska 30 St., 11-041 Olsztyn, Poland
| | - Paweł Lech
- Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Niepodległosci 44 St., 10-045 Olsztyn, Poland
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Kurowicki M, Osowiecka K, Szostakiewicz B, Rucińska M, Nawrocki S. The Impact of the COVID-19 Pandemic on the Number of Cancer Patients and Radiotherapy Procedures in the Warmia and Masuria Voivodeship. Curr Oncol 2023; 30:1010-1019. [PMID: 36661726 PMCID: PMC9858600 DOI: 10.3390/curroncol30010077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Revised: 01/02/2023] [Accepted: 01/09/2023] [Indexed: 01/13/2023] Open
Abstract
(1) Background: It was suspected that the COVID-19 pandemic would negatively affect health care, including cancer treatment. The aim of the study was to assess the impact of the COVID-19 pandemic on the number of radiotherapy procedures and patients treated with radical and palliative radiotherapy in Poland. (2) Methods: The study was carried out in Warmia and Masuria voivodeship. The number of procedures and treated patients one year before and in the first year of the COVID-19 pandemic were compared. (3) Results: In the first year of the COVID-19 pandemic, the number of radiotherapy procedures and cancer patients treated with radiotherapy in Warmia and Masuria voivodeship in Poland was stable compared to the period before the pandemic. The COVID-19 pandemic has not affected the ratio of palliative to radical procedures. The percentage of ambulatory and hostel procedures significantly increased with the reduction of inpatient care in the first year of the COVID-19 pandemic. (4) Conclusion: No significant decrease in patients treated with radiotherapy during the first year of the pandemic in Warmia and Masuria voivodeship in Poland could indicate the rapid adaptation of radiotherapy centers to the pandemic situation. Future studies should be carried out to monitor the situation because the adverse effects of the pandemic may be delayed.
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Affiliation(s)
- Marcin Kurowicki
- NU-MED Radiotherapy Center in Elblag, Królewiecka 146, 82-300 Elblag, Poland
| | - Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Warszawska 30, 10-082 Olsztyn, Poland
| | | | - Monika Rucińska
- Department of Oncology, Collegium Medicum University of Warmia and Mazury in Olsztyn, Wojska Polskiego 37, 10-228 Olsztyn, Poland
| | - Sergiusz Nawrocki
- Department of Oncology, Collegium Medicum University of Warmia and Mazury in Olsztyn, Wojska Polskiego 37, 10-228 Olsztyn, Poland
- Department of Radiotherapy, Hospital of the Ministry of Internal Affairs with Warmia and Mazury Oncology Center in Olsztyn, Wojska Polskiego 37, 10-228 Olsztyn, Poland
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Kolasińska-Ćwikła A, Gutowska K, Osowiecka K, Bednarczuk T, Słoniewska A, Roszkowska-Purska K, Pałucki J, Ćwikła JB. Evaluation of survival outcomes in patients with sporadic, advanced, unresectable well-differentiated pancreatic neuroendocrine tumors treated initially with octreotide LAR and subsequent therapeutical approaches on relapse. A real-world data set. Oncol Clin Pract 2022. [DOI: 10.5603/ocp.2022.0045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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10
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Olejniczak D, Mularczyk-Tomczewska P, Klimiuk K, Olearczyk A, Kielan A, Staniszewska A, Osowiecka K. Coping with Stress in Neoplastic Diseases. Int J Environ Res Public Health 2022; 19:9675. [PMID: 35955039 PMCID: PMC9367910 DOI: 10.3390/ijerph19159675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 07/04/2022] [Accepted: 08/04/2022] [Indexed: 06/15/2023]
Abstract
Introduction: Disease-related stress is a common phenomenon. It also occurs in neoplastic diseases. Since physical and mental health are interrelated, it is important to make sure that treatment covers these two areas. Therefore, it is essential to learn how patients with neoplastic diseases can cope with stress. Materials and Methods: The respondents are 306 patients suffering from neoplastic diseases, associated in patient advocacy groups. The method is the Brief-COPE (Coping Orientation to Problems Experienced) questionnaire. Results: The following stress management strategies were most commonly adopted by the patients: acceptance (median 2.25; 25−75% IQR 2.0−3.0), active coping (median 2.0; 25−75% IQR (interquartile range) 1.5−2.0), planning (median 2.0; 25−75% IQR 2.0−2.0), emotional support (median 2.0; 25−75% IQR 1.5−2.0), instrumental support (median 2.0; 25−75% IQR 2.0−2.0), self-distraction (median 2.0; 25−75% IQR 1.5−3.0), and venting (median 2.0; 25−75% IQR 1.5−3.0). A decision to adopt a particular stress management strategy by patients with neoplastic diseases was highly affected by demographic factors (p < 0.05), such as sex, education, age, place of residence and employment. Conclusions: Teaching stress management strategies should be a part of the education process among patients with neoplastic diseases. Before or in the course of treatment, an oncology patient should be educated on the prevention of mental health disorders. The ability to cope with stress is one of the key competences for the course of neoplastic diseases and it can affect the treatment process. Stress management in chronic diseases, including neoplastic diseases, should be approached not only at the level of an individual person but also at the level of the health system as a whole.
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Affiliation(s)
- Dominik Olejniczak
- Department of Public Health, Faculty of Health Science, Medical University of Warsaw, 02-091 Warszawa, Poland
| | | | - Krzysztof Klimiuk
- Faculty of Medicine, Medical University of Gdańsk, 80-210 Gdansk, Poland
| | - Agata Olearczyk
- Department of Public Health, Faculty of Health Science, Medical University of Warsaw, 02-091 Warszawa, Poland
| | - Aleksandra Kielan
- Department of Public Health, Faculty of Health Science, Medical University of Warsaw, 02-091 Warszawa, Poland
| | - Anna Staniszewska
- Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, 02-091 Warszawa, Poland
| | - Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, 10-719 Olsztyn, Poland
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11
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Lech P, Michalik M, Waczyński K, Osowiecka K, Dowgiałło-Gornowicz N. Effectiveness of prophylactic doses of tranexamic acid in reducing hemorrhagic events in sleeve gastrectomy. Langenbecks Arch Surg 2022; 407:2733-2737. [PMID: 35920900 DOI: 10.1007/s00423-022-02630-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 07/27/2022] [Indexed: 11/24/2022]
Abstract
PURPOSE Laparoscopic sleeve gastrectomy (LSG) is currently the most common bariatric surgery in the world. Although it appears to be a safe treatment for obesity, it is still at risk of complications. The latest literature shows that postoperative bleeding occurs in 2-4% of cases, and up to 3% of cases requires reoperation for hemostasis. The aim of the study is to assess the effect of tranexamic acid (TXA) on hemorrhagic events and the reoperation rate in patients undergoing LSG. METHODS The study was designed as a retrospective analysis of patients undergoing LSG. We investigate the patients 6 months before and 6 months after introducing the prophylaxis doses of TXA into our bariatric protocol (non-TXA group vs TXA group). RESULTS Three hundred fourteen patients underwent LSG in a high-volume center from 2016 to 2017. After introducing TXA, a statistically significant reduction in the incidence of hemorrhage during surgery was observed (22.3% vs 10.8%, p = 0.006). There was a statistically significant reduction in the need for the staple line oversewing (10.2% vs 1.9%, p = 0.002). The mean operating time and the mean length of hospital stay were significantly higher in the non-TXA group than TXA group (63.1 vs 53.7 min, p < 000.1; 2.3 vs 2.1, p = 0.02). In both groups of patients, no venous thromboembolism or other complications occurred within 6 months after the surgery. CONCLUSIONS The prophylactic doses of TXA may be useful in reducing the hemorrhagic events during LSG. It may also shorten the length of hospital stay and the operating time.
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Affiliation(s)
- Paweł Lech
- Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Niepodległości 44 St, 10-045, Olsztyn, Poland
| | - Maciej Michalik
- Department of General, Colorectal and Oncologic Surgery, Collegium Medicum, Nicolaus Copernicus University in Torun, Ujejskiego 75 St, 85-168, Bydgoszcz, Poland
| | - Kamil Waczyński
- Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Niepodległości 44 St, 10-045, Olsztyn, Poland
| | - Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury, Warszawska 30 St, 10-041, Olsztyn, Poland
| | - Natalia Dowgiałło-Gornowicz
- Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Niepodległości 44 St, 10-045, Olsztyn, Poland.
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12
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Osowiecka K, Kieszkowska-Grudny A, Środa R, Olejniczak D, Rucińska M. Identification of Cognitive Strategies Used by Cancer Patients as a Basis for Psychological Self-Support during Oncological Therapy. Int J Environ Res Public Health 2022; 19:9243. [PMID: 35954592 PMCID: PMC9368362 DOI: 10.3390/ijerph19159243] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 07/19/2022] [Accepted: 07/26/2022] [Indexed: 02/05/2023]
Abstract
Background: Cancer diagnosis is associated not only with health problems but also with psycho-social disability. Both medical and non-medical problems have impacts on cancer patients’ quality of life. The aim of the study was the identification of cognitive emotion regulation strategies among cancer patients during radiotherapy. Methods: The study was conducted on 78 radically treated cancer patients (median 63 years). A Cognitive Emotion Regulation Questionnaire (CERQ) was used. Results: Cancer patients mostly used acceptance, positive refocusing, putting into perspective and refocus on planning. Age was inversely correlated with refocus on planning. Patients with higher levels of education tended to use rumination and catastrophizing less frequently (p < 0.05). Adaptive cognitive strategies based on putting into perspective were more frequently used by professionally active patients (p < 0.05). Patients who lived in cities used positive refocusing and putting into perspective significantly often and patients who lived in villages more frequently used catastrophizing (p < 0.05). Among lung cancer patients, catastrophizing and rumination were popular (p < 0.05) and breast cancer patients rarely used non-adaptive cognitive strategies. Conclusion: Cancer patients tended to use adaptive cognitive strategies. Personalized psychological support should be focused on lung cancer patients and older, less educated, unemployed individuals and people who lived in the countryside.
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Affiliation(s)
- Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Warszawska 30, 10-082 Olsztyn, Poland
| | - Anna Kieszkowska-Grudny
- Minds of Hope, Sokołowska 9, 01-142 Warsaw, Poland;
- Instytut Bez Stresu, Zamenhofa 5, 00-165 Warsaw, Poland
| | - Radosław Środa
- Department of Neurosurgery, Military Institute of Medicine, Szaserów 128, 04-141 Warsaw, Poland;
| | - Dominik Olejniczak
- Department of Public Health, Faculty of Health Science, Medical University of Warsaw, Ul. Nielubowicza 5, 02-097 Warsaw, Poland;
| | - Monika Rucińska
- Department of Oncology, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Ul. Wojska Polskiego 37, 10-228 Olsztyn, Poland;
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13
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Andrzejczak A, Żarłok E, Osowiecka K, Rucińska M. Execution of the breast cancer and cervical cancer screening programs in Poland in the first period of restrictions introduced due to the COVID -19 pandemic. Med Og Nauk Zdr 2021. [DOI: 10.26444/monz/142927] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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14
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Szwiec M, Tomiczek-Szwiec J, Kluźniak W, Wokołorczyk D, Osowiecka K, Sibilski R, Wachowiak M, Gronwald J, Gronwald H, Lubiński J, Cybulski C, Narod SA, Huzarski T. Genetic predisposition to male breast cancer in Poland. BMC Cancer 2021; 21:975. [PMID: 34461861 PMCID: PMC8406897 DOI: 10.1186/s12885-021-08718-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Accepted: 08/23/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Breast cancer in men accounts for fewer than 1 % of all breast cancer cases diagnosed in men and women. Genes which predispose to male breast cancer include BRCA1 and BRCA2. The role of other genes is less clear. In Poland, 20 founder mutations in BRCA1, BRCA2, CHEK2, PALB2, NBN, RECQL are responsible for the majority of hereditary breast cancer cases in women, but the utility this genes panel has not been tested in men. METHODS We estimated the prevalence of 20 alleles in six genes (BRCA1, BRCA2, CHEK2, PALB2, NBN, RECQL) in 165 Polish male breast cancer patients. We compared the frequency of selected variants in male breast cancer cases and controls. RESULTS One of the 20 mutations was seen in 22 of 165 cases (13.3%). Only one BRCA1 mutation and two BRCA2 mutations were found. We observed statistically significant associations for PALB2 and CHEK2 truncating mutations. A PALB2 mutation was detected in four cases (OR = 11.66; p < 0.001). A CHEK2 truncating mutation was detected in five cases (OR = 2.93;p = 0.02). CONCLUSION In conclusion, we recommend that a molecular test for BRCA1, BRCA2, PALB2 and CHEK2 recurrent mutations should be offered to male breast cancer patients in Poland.
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Affiliation(s)
- Marek Szwiec
- Department of Surgery and Oncology, University of Zielona Góra, Zyty 28, 65-046, Zielona Góra, Poland.
| | | | - Wojciech Kluźniak
- Department of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, 71-252, Szczecin, Poland
| | - Dominika Wokołorczyk
- Department of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, 71-252, Szczecin, Poland
| | - Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Al. Warszawska 30, 11-041, Olsztyn, Poland
| | - Robert Sibilski
- Department of Surgery and Oncology, University of Zielona Góra, Zyty 28, 65-046, Zielona Góra, Poland
| | - Małgorzata Wachowiak
- Department of Clinical Oncology, University Hospital in Zielona Góra, Zyty 26, 65-046, Zielona Góra, Poland
| | - Jacek Gronwald
- Department of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, 71-252, Szczecin, Poland
| | - Helena Gronwald
- Department of Propaedeutics, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, Poland, al. Powstańców Wielkopolskich 72, 70-111, Szczecin, Poland
| | - Jan Lubiński
- Department of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, 71-252, Szczecin, Poland
| | - Cezary Cybulski
- Department of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, 71-252, Szczecin, Poland
| | - Steven A Narod
- Women's College Research Institute, Women's College Hospital, University of Toronto, Toronto, ON, M5G 1N8, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, ON, M5T 3M7, Canada
| | - Tomasz Huzarski
- Department of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, 71-252, Szczecin, Poland.,Department of Clinical Genetics and Pathology, University of Zielona Góra, Zyty 28, 65-046, Zielona Góra, Poland
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15
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Lowczak A, Kolasinska-Cwikla A, Osowiecka K, Glinka L, Palucki J, Rzepko R, Doboszynska A, Cwikla JB. Outcomes of Patients with Pulmonary Large Cell Neuroendocrine Carcinoma in I-IV Stage. ACTA ACUST UNITED AC 2021; 57:medicina57020118. [PMID: 33525370 PMCID: PMC7911070 DOI: 10.3390/medicina57020118] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 01/11/2021] [Accepted: 01/26/2021] [Indexed: 02/06/2023]
Abstract
Background and Objectives: Large cell neuroendocrine cancer is characterised by poor prognosis. The standard of treatment is still not established. The aim of this study was to assess the predictive factors of overall survival (OS) and progression-free survival (PFS) of pulmonary large cell neuroendocrine carcinoma (LCNEC) and combined LCNEC. Materials and Methods: All patients had confirmed pathology stage I-IV disease recorded between period 2002–2018. Survival curves were estimated by Kaplan–Meier method. Uni- and multivariable analysis was conducted using Cox-regression analysis. Results: A total of 132 patients with LCNEC and combined LCNEC were included. Half of them had clinical stage IIIB/C-IV. Patients were treated with radical (n = 67, including surgery alone; resection with neo-adjuvant or adjuvant chemotherapy, radiochemotherapy, or adjuvant radiotherapy; patients treated with radiochemotherapy alone), palliative (n = 41) or symptomatic (n = 24) intention. Seventeen patients were treated with resection margin R1 or R2. Non-small cell carcinoma (NSCLC) chemotherapy (platinum-vinorelbine; PN schedule) and small-cell lung carcinoma (SCLC) chemotherapy approaches (platinum/carboplatinum-etoposide; PE/KE schedule) were administered in 20 and in 55 patients, respectively. The median (95% Confidence Interval (CI)) OS and PFS were 17 months (9.0–36.2 months) and 7 months (3.0–15.0 months), respectively. Patients treated with negative resection margin, with lower clinical stage, without lymph node metastasis, and with size of primary tumour ≤4 cm showed significantly better OS and PFS. The main risk factors with an adverse effect on survival were advanced CS and positive resection margin. Conclusions: Patients with LCNEC characterized poor prognosis. Independent prognostic factors influencing PFS were initial clinical stage and resection margin R0 vs. R1-2.
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Affiliation(s)
- Anna Lowczak
- Department of Pulmonology, Faculty of Medicine, University of Warmia and Mazury in Olsztyn, Jagiellonska 78, 11-041 Olsztyn, Poland;
- Correspondence: ; Tel.: +48-89-532-29-85
| | - Agnieszka Kolasinska-Cwikla
- Department of Oncology and Radiotherapy, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland Roentgena 5, 02-781 Warsaw, Poland;
| | - Karolina Osowiecka
- Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Warszawska 30, 11-041 Olsztyn, Poland;
| | - Lidia Glinka
- Department of Anesthesiology and Intensive Care Faculty of Medicine, University of Warmia and Mazury in Olsztyn, Warszawska 30, 10-082 Olsztyn, Poland;
| | - Jakub Palucki
- Department of Radiology, Maria Sklodowska-Curie Institute of Oncology in Warsaw, Roentgena 5, 02-781 Warsaw, Poland;
| | - Robert Rzepko
- Specialist Hospital in Prabuty, Kuracyjna 30, 82-550 Prabuty, Poland;
| | - Anna Doboszynska
- Department of Pulmonology, Faculty of Medicine, University of Warmia and Mazury in Olsztyn, Jagiellonska 78, 11-041 Olsztyn, Poland;
| | - Jaroslaw B. Cwikla
- Department of Cardiology and Internal Medicine Faculty of Medicine, University of Warmia and Mazury in Olsztyn, Warszawska 30, 10-082 Olsztyn, Poland;
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Osowiecka K, Myszkowska-Ryciak J. Attitudes towards ‘superfood’ depending on the risk of orthorexia among students in Poland and The Netherlands. Med Og Nauk Zdr 2020. [DOI: 10.26444/monz/125389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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17
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Moczulska B, Zechowicz M, Leśniewska S, Osowiecka K, Gromadziński L. The Impact of Obesity on Nighttime Blood Pressure Dipping. ACTA ACUST UNITED AC 2020; 56:medicina56120700. [PMID: 33333957 PMCID: PMC7765350 DOI: 10.3390/medicina56120700] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 12/05/2020] [Accepted: 12/12/2020] [Indexed: 01/06/2023]
Abstract
Background and objectives: It is commonly known that obesity not only increases arterial hypertension (HT) risk but also impacts on the response to antihypertensives. This study aimed to assess blood pressure (BP) parameters based on Ambulatory Blood Pressure Measurement (ABPM) in obese patients. Materials and Methods: The study group consisted of 128 patients with obesity (BMI ≥ 30 kg/m2), with an average age of 43.25 years (±12.42), including 55 males and 73 females. They were divided into 2 groups: 1-with BMI ≥ 30 kg/m2 and <40 kg/m2, 2-with BMI ≥ 40 kg/m2. Each patient underwent 24-h blood pressure monitoring. The average 24-h, daytime and nighttime systolic and diastolic pressure, as well as 24-h mean heart rate and % of nocturnal dip, were assessed. Results: Mean BMI in group 1 was 34.73 kg/m2 (±2.96), and in group 2 it was 47.6 kg/m2 (±6.3). Group 1 was significantly older than group 2 (46.5 vs. 39 years old). The analysis of ABPM revealed significantly higher BP values in all measurements in group 2 (i.e., systolic blood pressure (SBP) 24 h median = 132 mmHg; diastolic blood pressure (DBP) 24 h median = 84 mmHg). The nocturnal dip was greater in group 1 (8.95%). Mean 24-h heart rate was also higher in group 2 (median = 76 beats/min) than group 1 (median = 67.5 beats/min). More than half of patients in group 2 had been previously treated for HT, and based on ABPM, new HT was diagnosed in 6 patients from group 1 and 14 patients from group 2. Three groups of patients were identified based on nighttime dip: dipper, non-dipper, and reverse-dipper. No patient of the extreme dipper type was found. Group 2 comprised of significantly more patients of the reverse-dipper type. Conclusions: Patients with extreme morbid obesity frequently exhibit HT of the reverse-dipping pattern. This type is often linked with a higher risk of more advanced cardiovascular illness.
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Affiliation(s)
- Beata Moczulska
- II Clinic of Cardiology and Internal Medicine, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, 11-041 Olsztyn, Poland; (M.Z.); (S.L.); (L.G.)
- Correspondence:
| | - Maciej Zechowicz
- II Clinic of Cardiology and Internal Medicine, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, 11-041 Olsztyn, Poland; (M.Z.); (S.L.); (L.G.)
| | - Sylwia Leśniewska
- II Clinic of Cardiology and Internal Medicine, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, 11-041 Olsztyn, Poland; (M.Z.); (S.L.); (L.G.)
| | - Karolina Osowiecka
- Department of Public Health, Unit of Public Health, University of Warmia and Mazury in Olsztyn, 11-041 Olsztyn, Poland;
| | - Leszek Gromadziński
- II Clinic of Cardiology and Internal Medicine, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, 11-041 Olsztyn, Poland; (M.Z.); (S.L.); (L.G.)
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18
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Czeremszynska B, Rygielska A, Walewska A, Gabor M, Pruska-Pich D, Osowiecka K, Kepka L. PO-1477: Comparison of 3D-CRT, IMRT and VMAT plans (including low body dose) for whole breast irradiation. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01495-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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19
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Wasilewska-Teśluk E, Rucińska M, Osowiecka K, Ryniewicz-Zander I, Czeremszyńska B, Gliński K, Kępka L. Postoperative radio-chemotherapy for rectal cancer: A retrospective analysis from a tertiary referral hospital. Rep Pract Oncol Radiother 2020; 25:612-618. [PMID: 32536829 DOI: 10.1016/j.rpor.2020.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Revised: 04/02/2020] [Accepted: 05/13/2020] [Indexed: 10/24/2022] Open
Abstract
Aim To report results of postoperative radio-chemotherapy (RT-CHT) for rectal cancer (RC). Background Total mesorectal excision (TME) is an essential treatment method in rectal cancer (RC). Perioperative radiotherapy in locally advanced RC improves loco-regional free survival (LRFS). Preoperative radiotherapy is a preferred option; however, some patients are not referred for it. In case of the risk of loco-regional failure postoperative radio-chemotherapy (RT-CHT) is indicated. Material and methods Between 2004 and 2010, 182 patients with pathological stage II-III RC (TME performed - 41%, resection R0 - 88%, circumferential resection margin evaluated - 55.5% and was above 2 mm in 66% of them) received postoperative RT-CHT in our institution. Overall survival (OS) and LRFS were estimated with the Kaplan-Meier method. Univariate and multivariate analysis were performed to compare the impact of prognostic factors on survival. Results Five-year OS and LRFS rates were 63% and 85%, respectively. Loco-regional recurrence and isolated distant metastases rates were 11.5% and 19%, respectively. Multivariate analysis showed stage (III vs. II), HR: 2.3 (95% confidence interval [CI]: 1.4-3.8), p = 0.0001; extent of resection (R1-2 vs. R0), HR: 2.14 (95%CI: 1.14-3.99), p = 0.017, and age (>65 vs. ≤65 years), HR: 1.66 (95%CI: 1.06-2.61), p = 0.027 as prognostic factors for OS. Extent of resection (R1-2 vs. R0), HR: 3.65 (95%CI: 1.41-9.43), p = 0.008 had significant impact on LRFS. Conclusion Despite a suboptimal quality of surgery and pathological reports, the outcome in our series is close to that reported in the literature. We confirm a strong impact of the extent of resection on patient's outcome, which confirms the pivotal role of surgery in the management of RC.
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Affiliation(s)
- Ewa Wasilewska-Teśluk
- Independent Public Health Care Facility of the Ministry of the Interior and Warmian & Masurian Oncology Center, Radiotherapy Department, Olsztyn, Poland.,Department of Oncology, University of Warmia & Mazury, Olsztyn, Poland
| | - Monika Rucińska
- Department of Oncology, University of Warmia & Mazury, Olsztyn, Poland.,Military Institute of Medicine, Warsaw, Poland
| | - Karolina Osowiecka
- Department of Public Health, University of Warmia & Mazury, Olsztyn, Poland.,Department of Public Health, Medical University of Warsaw, Warsaw, Poland
| | | | | | - Krzysztof Gliński
- Independent Public Health Care Facility of the Ministry of the Interior and Warmian & Masurian Oncology Center, Radiotherapy Department, Olsztyn, Poland
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Osowiecka K, Sroda R, Saied A, Szwiec M, Mangold S, Osuch D, Nawrocki S, Rucinska M. Does the healthcare system approaches cancer patients for using private services during diagnostic process? Ann Oncol 2019. [DOI: 10.1093/annonc/mdz263.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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21
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Rucinska M, Sroda R, Wilk O, Miloszewski J, Osowiecka K. Awareness of cancer risk factors among high school students. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz263.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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22
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Rucinska M, Osowiecka K, Kieszkowska Grudny A, Nawrocki S. SHARP hypofractionated stereotactic radiotherapy for localized prostate cancer: a biochemical response to treatment. J BUON 2019; 24:2099-2106. [PMID: 31786881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
PURPOSE The standard treatment for patients with early-stage prostate cancer are operation and radiotherapy. Stereotactic body radiation therapy (SBRT) is one of the new radiotherapy methods. The aim of the study was to analyze tumor control of prostate cancer patients treated with SBRT. METHODS A prospective single-institution clinical study was conducted among previously untreated patients with histologically confirmed localized prostate cancer. Patients were treated with SBRT: 33.5 Gy in 5 fractions. RESULTS A total of 68 men with clinical stage of prostate cancer T1c-T2cN0M0 were included in the study. The median combined Gleason score was 6, the median PSA level was 10ng/mL. The median follow-up period was 48 months. Five years after the end of radiotherapy, the median PSA levels were as follows: 0.29ng/mL for all patients, 0.39ng/mL for those who did not receive androgen deprivation therapy, 0.25ng/mL for patients who underwent 6 months and 0.31ng/mL for patients who underwent 2-3 years of hormone therapy. Median nadir PSA levels were 0.025ng/mL for all patients and 0.48ng/mL for patients without hormone therapy. Low PSA nadir (<0.5ng/ml) was noted in 50% of patients without hormone therapy and in 70% of all other patients. Only in 4 patients (out of those who did not receive hormone therapy) PSA failure was observed (nadir plus 2ng/mL). No cases of PSA failure were noted among patients who underwent 6 months or 2-3 years of androgen deprivation therapy. CONCLUSION A good biochemical control was observed in prostate cancer patients treated with SBRT at 5 years follow-up.
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Affiliation(s)
- Monika Rucinska
- Department of Oncology, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, Poland
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Rucinska M, Osowiecka K, Sroda R, Saied A, Milobedzka M, Miloszewski J, Korzeniewicz M, Oraczewski R, Szwiec M, Mangold S, Paszkowska E, Osuch D, Nawrocki S. Are the nonmedical needs of cancer patients satisfied adequately. J Clin Oncol 2019. [DOI: 10.1200/jco.2019.37.15_suppl.e18283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e18283 Background: Cancer is a global health care problem. Cancer disease is not only medical problem, there are a lot of areas in human life that cancer has influence on. The rationale for this study was to identified non-medical needs among cancer patients during treatment and assessment of who helps patients. Methods: The study was carried out on a group of 346 patients who were being treated for malignant neoplasm in five oncological centers in Poland. A questionnaire was prepared specifically for this study and each patient was interviewed individually. The questionnaire was validated on a group of 20 patients. The study protocol was approved by the Local Ethics Committee of the University of Warmia and Mazury in Olsztyn, Poland. All of the participants had submitted a signed consent form. Results: There were analyzed 164 women and 180 men (2 no date), median age 65 years. 79% of patients could have hoped for psychological support, most of them received psychological support from partner/family (88%) and friends (31%), less from psychologist (28%) and priest (5%). Half of patients (52%) had a need for social support, 42% of them received social support from partner/family, 12% from friends and only 7% from a social worker. One third of patients (30%) received support from a dietician. The help from a physiotherapist were given to 20% of patients. In the analysis of different factors it was noticed that women more often than men got help from psychologist and physiotherapist (p < 0.05). Some of patients (16%) did not know that they could get help in their non-medical needs. 80% of analyzed patients thought they need someone who would help them with the non-medical problems during their cancer disease. Conclusions: Cancer patients have some non-medical needs, but only a small part of them receives professional support. The proper solution could be a special person who may notice patients problems and coordinate professional support.
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Affiliation(s)
- Monika Rucinska
- Department of Oncology Collegium Medicum School of Medicine Univeristy of Warmia and Mazury, Olsztyn, Poland
| | - Karolina Osowiecka
- Department of Public Health, Colegium Medicum, University of Warmia and Mazury in Olsztyn, Department of Public Health, Medical University of Warsaw, Olsztyn, Poland
| | - Radoslaw Sroda
- Department of Oncology, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
| | - Arian Saied
- Department of Oncology, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
| | - Magdalena Milobedzka
- Department of Oncology, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
| | - Jakub Miloszewski
- Department of Oncology, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
| | - Martyna Korzeniewicz
- Department of Oncology, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
| | - Rafal Oraczewski
- Department of Oncology, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
| | - Marek Szwiec
- Department of Clinical Oncology, University Hospital in Zielona Gora, Faculty of Medicine and Health Sciences University of Zielona Gora, Zielona Gora, Poland
| | - Sarah Mangold
- Department of Oncology and Radiotherapy, Medical University of Silesia, Katowice, Katowice, Poland
| | - Elzbieta Paszkowska
- Department of Oncology and Radiotherapy, Medical University of Silesia, Katowice, Katowice, Poland
| | - Dominika Osuch
- Department of Oncology and Radiotherapy, Medical University of Silesia, Katowice, Katowice, Poland
| | - Sergiusz Nawrocki
- Department of Oncology and Radiotherapy, Medical University of Silesia, Katowice, Katoiwce, Poland
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Kieszkowska-Grudny A, Rucinska M, Osowiecka K. Dealing with emotional states during cancer diagnosis and treatment by using cognitive strategies in oncology patients: Comparison to noncancer population. J Clin Oncol 2019. [DOI: 10.1200/jco.2019.37.15_suppl.e23184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e23184 Background: Diagnosis of cancer is perceived by individuals as a life-threatening event. Patients (pts) experience a great distress, as well as a various emotions and apply diverse cognitive strategies to deal with them during cancer diagnosis and its treatment. State of mind can help in emotions management and could be supportive or destructive during treatment.Employing adaptive strategies may help them to cope better this specific traumatic event and help doctors to get higher compliance with their pts.Therefore, it is important first to recognize these strategies and then arrange personalized psychological support for them in cooperation with oncologist. Methods: 197 individuals were included into the study between 11.2017 and 12.2018: 115 cancer pts ( Me= 62years) and 82 healthy subjects ( Me= 45years). All subjects filled out: Cognitive-Emotional Regulation Questionnaire(with 4 non-adaptive strategies (NAS)–self-blame, blaming others, catastrophizing, rumination and 4 adaptive strategies (AS)–acceptance, refocus on planning, putting into perspective, attention to something positive), and demographic data. Statistical analyses were based on t-Students test and linear correlation (significance level: p < .05). Results: Significant differences were observed between cancer patients and healthy group in all types of cognitive strategies. Cancer pts tend to catastrophize more frequently ( p < .01) and employed planning strategies less often ( p < .001), but generally had more AS( p < .01), especially attention to sth positive and acceptance ( p < .001). In cancer group NAS, especially catastrophizing ( p < .05) and rumination ( p < .001) correlate negatively with education and place of living, which means that less educated pts and living in the countryside had more NAS. In contrast, cancer pts living in cities used more AS( p = .001), mainly attention to sth positive, refocus on planning ( p < .01) and putting into perspective ( p < .001). The older pts less often applied focus-on-planning strategy ( p < .01). Conclusions: Cancer pts rarely used planning strategies and tend to develop an extremely negative future vision, but generally had more AS to deal with traumatic event then healthy population. More attention should be given to pts with cancer who are older, live in in the countryside and are less educated.
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Affiliation(s)
- Anna Kieszkowska-Grudny
- Minds of Hope Warsaw, Poland
- Psychiatry Clinic, Centre of Postgraduate Medical Education, Warsaw, Poland
| | - Monika Rucinska
- Department of Oncology Collegium Medicum School of Medicine Univeristy of Warmia and Mazury, Olsztyn, Poland
| | - Karolina Osowiecka
- Department of Public Health, Colegium Medicum, University of Warmia and Mazury in Olsztyn, Department of Public Health, Medical University of Warsaw, Olsztyn, Poland
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Osowiecka K, Nawrocki S, Kurowicki M, Rucinska M. The Waiting Time of Prostate Cancer Patients in Poland. Int J Environ Res Public Health 2019; 16:ijerph16030342. [PMID: 30691113 PMCID: PMC6388381 DOI: 10.3390/ijerph16030342] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Revised: 01/14/2019] [Accepted: 01/23/2019] [Indexed: 12/24/2022]
Abstract
Background: Prostate cancer is the second most common reason of mortality due to cancer among men in Poland. The study aimed to determine the waiting time for diagnosis and treatment of prostate cancer. Methods: The study was carried out on patients treated for prostate cancer from May 2014 to February 2015 at five oncological centres in Poland. The median waiting time was measured from the time cancer was suspected to the histopathological diagnosis (SDI), from the cancer suspicion to the start of treatment (STI) and from the diagnosis to the start of treatment (DTI). Results: 123 males treated for prostate cancer were included for analysis. The median time for SDI, STI and DTI was 7.7, 18.7 and 8.7 weeks, respectively. Place of residence was the only factor which influenced STI (p = 0.003). For patients, who started treatment with radiation therapy DTI was longer than for other patients (p < 0.001). Conclusions: Median times of STI, SDI and DTI for prostate cancer patients in Poland are similar to the intervals described in other countries. Patients, who lived further from an oncology centre waited longer for treatment. The impact of waiting time in the case of prostate cancer on improving the prognosis is still unclear.
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Affiliation(s)
- Karolina Osowiecka
- Department of Public Health, Collegium Medicum, University of Warmia and Mazury in Olsztyn, 10-082 Olsztyn, Al. Warszawska 30, Poland.
- Department of Public Health, Medical University of Warsaw, 02-097 Warszawa, Ul. Nielubowicza 5, Poland.
- Radiotherapy Center Nu-Med, 82-300 Elblag, Ul. Królewiecka 146, Poland.
| | - Sergiusz Nawrocki
- Radiotherapy Center Nu-Med, 82-300 Elblag, Ul. Królewiecka 146, Poland.
- Department of Oncology and Radiotherapy, Medical University of Silesia in Katowice, 40-515 Katowice, Ul. Ceglana 35, Poland.
| | - Marcin Kurowicki
- Radiotherapy Center Nu-Med, 82-300 Elblag, Ul. Królewiecka 146, Poland.
| | - Monika Rucinska
- Department of Oncology, Collegium Medicum, School of Medicine, University of Warmia and Mazury in Olsztyn, 10-228 Olsztyn, Al. Wojska Polskiego 37, Poland.
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Osowiecka K, Sugajska A, Rucinska M. EP-2404: The anastomotic leakage in rectum cancer patients after preoperative radiotherapy. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32712-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Kepka L, Tyc-Szczepaniak D, Osowiecka K, Sprawka A, Trąbska-Kluch B, Czeremszynska B. Quality of life after whole brain radiotherapy compared with radiosurgery of the tumor bed: results from a randomized trial. Clin Transl Oncol 2017; 20:150-159. [PMID: 28616720 DOI: 10.1007/s12094-017-1703-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2017] [Accepted: 06/05/2017] [Indexed: 12/25/2022]
Abstract
BACKGROUND A recent randomized trial (NCT01535209) demonstrated no difference in neurocognitive function between stereotactic radiotherapy of the tumor bed (SRT-TB) and whole brain radiotherapy (WBRT) in patients with resected single brain metastasis. Patients treated with SRT-TB had lower overall survival compared with the WBRT arm. Here, we compared the health-related quality of life (HRQOL) in patients who received WBRT vs. SRT-TB. METHODS A self-reported questionnaire was used to assess HRQOL (EORTC QLQ-C30 with the QLQ-BN20 module) before RT, 2 months after RT, and every 3 months thereafter. HRQOL results are presented as mean scores and compared between groups. RESULTS Of 59 randomized patients, 37 (64%) were eligible for HRQOL analysis, 15 received SRT-TB, and 22 had WBRT. There were no differences between groups in global health status and main function scales/symptoms (except for drowsiness and appetite loss, which were worse with WBRT 2 months after RT). Global health status decreased 2 and 5 months after RT, but significantly only for SRT-TB (p = 0.025). Physical function decreased significantly 5 months after SRT-TB (p = 0.008). Future uncertainty worsened after RT, but significantly only for SRT-TB after 2 months (p = 0.036). Patients treated with WBRT had significant worsening of appetite, hair loss, and drowsiness after treatment. CONCLUSIONS Despite higher symptom burden after WBRT attributed to the side effects of RT (such as appetite loss, drowsiness, and hair loss), global health status, physical functioning, and future uncertainty favored WBRT compared with SRT-TB. This may be related to the compromised brain tumor control with omission of WBRT.
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Affiliation(s)
- L Kepka
- Military Institute of Medicine, Ul. Szaserów 128, 04-141, Warsaw, Poland.
| | - D Tyc-Szczepaniak
- Maria Sklodowska-Curie Memorial Oncology Center and Institute of Oncology, Warsaw, Poland
| | - K Osowiecka
- Independent Public Health Care Facility of the Ministry of the Interior and Warmian & Mazurian Oncology Centre, Olsztyn, Poland
| | - A Sprawka
- Centre of Oncological Diagnostics and Therapy, Tomaszów Mazowiecki, Poland
| | - B Trąbska-Kluch
- Department of Radiotherapy, Medical University of Lodz, Lodz, Poland
| | - B Czeremszynska
- Military Institute of Medicine, Ul. Szaserów 128, 04-141, Warsaw, Poland
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Golota J, Rucinska M, Osowiecka K, Orlowski T. Primary pulmonary sarcomas: The results of surgical treatment. J Clin Oncol 2017. [DOI: 10.1200/jco.2017.35.15_suppl.e22540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e22540 Background: Primary pulmonary sarcomas (PPS) are the very rare cancer type (0.01% - 0.4% of all malignant tumours of the lung). PPS can derive from stromal elements of the bronchial wall, blood vessels and connective tissue steep of lung parenchyma. The aim of the study was evaluation of PPS patients’ outcome. Methods: The analysis included 23 patients (11 males, 12 females) age 28-70 years (median 49.6 years) with PPS treated surgically in the Department of Surgery, Institute of Lung Diseases and Tuberculosis in Warsaw from 1994 to 2009. Results: There were 3 leiomyosarcomas (13%), 3 hemangiopericitomas (13%), 3 MFH (13%), 3 malignant peripheral nerve sheath tumours (13%), 3 PNET (13%), 2 fibrosarcomas (8.8%), 2 liposarcomas (8.8%), 2 sarcomas synoviale (8.8%), 1 angiosarcomas (4.3%), 1 chondrosarcomas (4.3%) (according to the 3rd edition of the WHO Classification of Tumours of Soft Tissue and Bones). There were performed 5 pneumonectomies (21.7%), 5 lobectomys (21.7%), 5 wedge resection (21.7%), 6 exploratory thoracotomys (26.1%), 2 stent inserts (8.8%). In the case of 15 patients (65%) were performed operation R0. Adjuvant therapy was used in 7 patients (30%), 3 patients (13%) received chemotherapy, 2 patients (13%) radiotherapy and 1 patient (4%) chemo-radiotherapy. Palliative chemotherapy and or radiotherapy were given to 6 patients (26%). Median overall survival (OS) was 22 months (5- and 10-years OS was 26% and 17%, respectively) and depended on sex (p = 0.006), tumor size (p = 0.02), operation R0 (p = 0.07). Conclusions: Surgery, especially operation R0, is the most effective treatment method of PPS. Subsequent studies on larger groups are necessary.
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Affiliation(s)
- Janusz Golota
- Thoracic Surgery Clinical Ward, Municipal Polyclinical Hospital, Olsztyn, Poland
| | - Monika Rucinska
- Department of Oncology Univeristy of Warmia and Mazury, Olsztyn, Poland
| | - Karolina Osowiecka
- Department of Radiation Oncology, Independent Public Health Care Facility of the Ministry of the Interior and Warmia and Mazury Oncology Centre, Olsztyn, Poland
| | - Tadeusz Orlowski
- Department of Surgery, Institute of Lung Diseases and Tuberculosis, Warsaw, Poland
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Szeszko B, Osowiecka K, Rucińska M, Wasilewska-Teśluk E, Gliński K, Kępka L. Smoking during radiotherapy for head and neck cancer and acute mucosal reaction. Rep Pract Oncol Radiother 2015; 20:299-304. [PMID: 26109918 DOI: 10.1016/j.rpor.2015.04.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Revised: 02/27/2015] [Accepted: 04/06/2015] [Indexed: 10/23/2022] Open
Abstract
AIM We compared the incidence of RTOG/EORTC grade III and higher acute mucositis in patients with head and neck cancer who continued to smoke during radiotherapy with those who quit smoking. BACKGROUND There are conflicting data on the relationship between smoking during radiotherapy and the severity of acute mucosal reaction. More studies dealing with this issue are needed. MATERIALS AND METHODS Among 136 patients receiving curative radio(chemo)therapy, 37 (27%) declared that they had not quit smoking during radiotherapy. The intensity of mucositis was scored daily by a nurse and weekly by a physician using the RTOG/EORTC scale. The main end-point of the study was the highest observed RTOG/EORTC grade of mucositis. RESULTS Patients who smoked during radiotherapy (smokers) were younger than their counterparts who quit smoking (non-smokers), p = 0.06. There were no other differences in the baseline characteristics between smokers and non-smokers. Grade III/IV acute mucositis was observed in 43.5% of all patients. The percentage of patients with grade III/IV acute mucositis was similar in smokers and non-smokers (46% vs. 42%, p = 0.71). Nine patients (smokers [13.5%]; non-smokers [4%], p = 0.05) required prolonged hospitalization to heal mucositis. CONCLUSIONS In the whole group, smoking during radiotherapy was not related to acute mucosal toxicity evaluated as the rate of the highest observed grade of mucositis.
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Affiliation(s)
- Beata Szeszko
- Independent Public Health Care Facility of the Ministry of the Interior and Warmian & Mazurian Oncology Centre, Al. Wojska Polskiego 37, 10-228 Olsztyn, Poland
| | - Karolina Osowiecka
- Independent Public Health Care Facility of the Ministry of the Interior and Warmian & Mazurian Oncology Centre, Al. Wojska Polskiego 37, 10-228 Olsztyn, Poland
| | - Monika Rucińska
- Independent Public Health Care Facility of the Ministry of the Interior and Warmian & Mazurian Oncology Centre, Al. Wojska Polskiego 37, 10-228 Olsztyn, Poland ; Department of Oncology, University of Warmia & Mazury, Olsztyn, Poland
| | - Ewa Wasilewska-Teśluk
- Independent Public Health Care Facility of the Ministry of the Interior and Warmian & Mazurian Oncology Centre, Al. Wojska Polskiego 37, 10-228 Olsztyn, Poland ; Department of Oncology, University of Warmia & Mazury, Olsztyn, Poland
| | - Krzysztof Gliński
- Independent Public Health Care Facility of the Ministry of the Interior and Warmian & Mazurian Oncology Centre, Al. Wojska Polskiego 37, 10-228 Olsztyn, Poland
| | - Lucyna Kępka
- Independent Public Health Care Facility of the Ministry of the Interior and Warmian & Mazurian Oncology Centre, Al. Wojska Polskiego 37, 10-228 Olsztyn, Poland
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Glinski K, Wasilewska-Tesluk E, Rucinska M, Cieslak-Zeranska E, Czeremszynska B, Osowiecka K, Kepka L. Clinical outcome and toxicity of 3D-conformal radiotherapy combined with chemotherapy based on the Intergroup SWOG 9008/INT0116 study protocol for gastric cancer. J BUON 2015; 20:428-437. [PMID: 26011332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
PURPOSE To retrospectively evaluate the efficacy and toxicity of adjuvant radio-chemotherapy in patients with gastric cancer and to relate them to the outcome of the landmark INT0116 study that is criticized because of the high toxicity and poor treatment compliance. METHODS A total of 102 patients who underwent postoperative fluorouracil (5-FU)-based radio-chemotherapy in our institution between 2004 and 2010 for stage IB-IV (AJCC 6th Edn.) gastric cancer were selected. Radiotherapy to 45 Gy was defined individually and delivered with 3D conformal technique. Chemotherapy was carried out during the first 4 and the last 3 days of radiotherapy with continuous infusion of 5-FU (400mg/m²/day) and leucovorin. Patients received an additional 3 cycles of chemotherapy of 5-FU (425mg/m²/day), mostly 1 before and 2 after radio-chemotherapy. Acute hematological and gastrointestinal toxicities were evaluated according to the CTC v3.0 scale. RESULTS Stage distribution was as follows: IB-5 (5%), II-32 (31%), III-49 (48%), and IV-14 (14%). There were 96% R0 resections; 15% of the patients had a D2 resection. Seventy-four patients (72.5%) received all 5 planned cycles and 98 (96%) completed radiotherapy. The 3- and 5-year overall survival (OS) rates were 57% and 48%, respectively. Multivariate analysis showed that variables significantly affecting OS were pT3-T4, pN2-3, R1 resection and female gender. Only 2% of the patients experienced grade 3 gastrointestinal toxicity; 7% had grade 3 or higher hematological toxicity. CONCLUSIONS We demonstrated better treatment tolerance, compliance, OS of adjuvant radio-chemotherapy for gastric cancer in comparison with INT0116 study. Conformal radiation techniques might have contributed to this improvement.
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Affiliation(s)
- Krzysztof Glinski
- Regional Public Hospital of the Ministry of Internal Affairs (SPZOZ MSW); Warmia & Mazury Oncology Center, Olsztyn, Poland
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Osowiecka K, Litwiniuk M, Tomczak P. P183 Return to work after adjuvant treatment for breast cancer. Breast 2007. [DOI: 10.1016/s0960-9776(07)70243-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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