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European Journal of Cancer Care

Marie L Tørring, Alina Z Falborg, Henry Jensen, Richard D Neal, David Weller, Irene Reguilon, Usha Menon, Peter Vedsted
OBJECTIVE: To investigate the relationship between tumour stage at diagnosis and selected components of primary and secondary care in the diagnostic interval for breast, colorectal, lung and ovarian cancers. METHODS: Observational study based on data from 6,162 newly diagnosed symptomatic cancer patients from Module 4 of the International Cancer Benchmarking Partnership. We analysed the odds of advanced stage of cancer as a flexible function of the length of primary care interval (days from first presentation to referral) and secondary care interval (days from referral to diagnosis), respectively, using logistic regression with restricted cubic splines...
May 22, 2019: European Journal of Cancer Care
Alfonso Gomez-Iturriaga, Francisco Casquero Ocio, Piet Ost, Iratxe Fernandez, Emilia Rodeño, Roberto Llarena, Jorge Garcia-Olaverri, Roberto Ortiz de Zarate, Jon Cacicedo, Alina Ahtamon, Pedro Bilbao
OBJECTIVE: The primary objective of this study was to assess clinical outcomes in patients with oligometastatic prostate cancer recurrence after single or repeated salvage radiation treatment. METHODS: Forty-nine consecutive prostate cancer patients diagnosed with oligometastatic recurrence on Ch-PET have been prospectively treated. Seven (23%) patients had castrate-resistant disease. Clinical outcomes were assessed using the Kaplan-Meier method. Potential prognostic factors were examined using univariate proportional hazards regression...
May 21, 2019: European Journal of Cancer Care
Linda Trinh, Robert W Motl, Sarah A Roberts, Trisha Gibbons, Edward McAuley
OBJECTIVE: To examine the association between accelerometer activity counts and energy expenditure during walking in breast cancer survivors (BCS) compared with age-matched healthy controls, and differences in moderate-to-vigorous physical activity (MVPA) cut-points. METHODS: Using a case-control design, 19 BCS and 19 age-matched women completed 6 min of resting energy expenditure and 6-min periods of treadmill walking in Midwestern United States. Accelerometers and an open-circuit spirometry system were used to measure activity counts and energy expenditure (VO2 )...
May 20, 2019: European Journal of Cancer Care
Anna Ugalde, Kerry Haynes, Vicki White, Lahiru Russell, Patricia M Livingston
OBJECTIVE: Wellness centres offer people affected by cancer to access to information and services in a supportive environment. This study aimed to understand stakeholder opinions and perspectives about the potential of wellness centres to contribute to cancer care. METHODS: This study adopted a qualitative approach with health professionals, leaders of key cancer organisations and cancer policy stakeholders interviewed. Results were analysed with thematic analysis...
May 15, 2019: European Journal of Cancer Care
Christina M Bernardes, Vanessa Beesley, Jennifer Martin, Sabe Sabesan, Peter Baade, Judith A Meiklejohn, Gail Garvey, Patricia C Valery
OBJECTIVES: This study describes and compares the unmet supportive care needs between Indigenous and Non-Indigenous people with cancer. METHODS: Data from two cross-sectional supportive care needs studies were matched in a 1:1 ratio for Indigenous (n = 125) and Non-Indigenous (n = 125) Australian adults diagnosed with cancer. Descriptive statistics were used to compare type and prevalence of 24 need items measured by the SCNS-SF34 and SCNAT-IP. RESULTS: A higher proportion of Non-Indigenous participants compared to Indigenous participants reported having any moderate-to-high level of unmet needs (70% vs...
May 15, 2019: European Journal of Cancer Care
Matthew Yates, Victoria Samuel
BACKGROUND: Oncologists may be particularly at risk of burnout. This systematic literature review and meta-analysis explores the prevalence of burnout and associated factors in oncologists. METHODS: The authors assessed 26 studies that utilised the Maslach Burnout Inventory (MBI) tool to measure burnout. Pooled prevalence rates were calculated via meta-analysis (MetaXL) using random effects models. RESULTS: Approximately 5,768 oncologists provided burnout data...
May 14, 2019: European Journal of Cancer Care
Pearl J C van Lonkhuizen, Kete M Klaver, Jeffrey S Wefel, Margriet M Sitskoorn, Sanne B Schagen, Karin Gehring
INTRODUCTION: Many patients with brain cancer experience cognitive problems. In this narrative review, we comprehensively evaluated empirical studies on various intervention approaches for cognitive problems in these patients. METHODS: Intervention studies that reported effects on cognitive functioning (either objectively tested or subjectively reported) in adult patients with primary and/or secondary brain tumours were identified through online searches in PubMed (MEDLINE) and Web of Science up to 13 March 2019...
May 14, 2019: European Journal of Cancer Care
Caroline S Kampshoff, Irma M Verdonck-de Leeuw, Martijn G van Oijen, Mirjam A Sprangers, Laurien M Buffart
INTRODUCTION: Ecological momentary assessment (EMA) is an emerging method to assess an individual's current thoughts, affect, behaviour, physical states and contextual factors as they occur in real-time and in their natural environment. Whereas EMA is frequently used in mental health, little is known about the added value of EMA in oncology research. This review aimed to synthesise methodological information and results of studies that applied EMA among patients with cancer to inform future researchers about the opportunities and challenges...
May 14, 2019: European Journal of Cancer Care
Lucy Johnston, Jenny Young, Karen Campbell
OBJECTIVE: Globally, cancer services herald the use of Holistic Needs Assessments (HNA). Implementation is, however, heterogeneous. There is a need to understand what effect implementation variation has on patient experience, outcomes and service demand. This is the first study to examine whether the way in which HNA is implemented, impacts on patient outcomes. METHODS: MEDLINE, AMED, CINAHL, PsycINFO and the Psychological and Behavioural Sciences Collection were searched (June 2000-June 2018)...
May 14, 2019: European Journal of Cancer Care
Joo Eun Lee, Chung Mo Nam, Sang Gyu Lee, Sohee Park, Tae Hyun Kim, Eun-Cheol Park
OBJECTIVE: Cancer is a major cause of the burden of disease, and obesity is widely recognised one of the most important modifiable risk factor of cancer. Considering the economic impact of obesity and cancer, it is necessary to measure the economic burden of cancer attributable to excess body mass index (BMI). METHODS: This study used medical check-up sample cohort data of National Health Insurance Service (NHIS) claims and during 2002-2015. To estimate the costs (direct and indirect) according to obesity-related cancer sites, we performed a Cox proportional hazard model and cost of illness (COI) methods...
May 14, 2019: European Journal of Cancer Care
Jinyoung Shin, Hyeonyoung Ko, Jeong-Won Lee, Kihyun Kim, Yun-Mi Song
OBJECTIVE: This study explored the association between healthcare needs and quality of life (QoL) of Korean cancer family caregivers according to the time lapse after cancer diagnosis. METHODS: Self-administered comprehensive needs assessment tool and EuroQol-5-dimension index for 686 cancer family caregivers were classified into four groups according to time lapse after cancer diagnosis (≤12, 13-36, 37-60,>60 months). We estimated the association between unmet needs and QoL by multiple linear regression analyses after adjusting for age, sex, cancer site and caregivers' comorbid conditions...
May 14, 2019: European Journal of Cancer Care
Leonie Adams, Janine Feike, Tobias Eckert, Wiebke Göhner, Ulrike Spörhase, Eva-Maria Bitzer
Despite proven benefits of regular physical activity, the majority of breast cancer survivors do not meet recommended physical activity guidelines. The Motivation-Volition (MoVo) Concept was designed to help people to set up and maintain a health-enhancing lifestyle. Studies have proven the short- and long-term efficacy of the MoVo intervention programmes. The intervention consists of four group sessions (60 min). The sessions contain informational parts, structured training in setting goals, planning exercises, problem-solving, single person working and group discussion...
May 14, 2019: European Journal of Cancer Care
Daan Brandenbarg, Saskia W M C Maass, Olaf P Geerse, Mariken E Stegmann, Charlotte Handberg, Maya J Schroevers, Saskia F A Duijts
INTRODUCTION: Symptoms of depression, anxiety and distress are common in the first years after a cancer diagnosis, but little is known about the prevalence of these symptoms at the long term. The aim of this review was to describe the prevalence of symptoms of depression, anxiety and distress in long-term cancer survivors, five or more years after diagnosis, and to provide implications for primary care. METHODS: We performed a systematic literature search in the PubMed, PsycINFO and CINAHL databases...
May 14, 2019: European Journal of Cancer Care
Evelien R Spelten, Olaf Geerse, Julia van Vuuren, Jennifer Timmis, Bev Blanch, Saskia Duijts, Sean MacDermott
INTRODUCTION: Advance care planning (ACP) is increasingly regarded as the best way to optimise end-of-life (EOL) care. Studies have examined a multitude of factors impacting on the lagging uptake of ACP. In the current study, we specifically focused on patient factors related to the uptake of ACP in adult cancer patients. METHODS: A scoping review was conducted, for which we searched the CINAHL, Cochrane, MEDLINE and PsycINFO databases (January 2013-December 2018)...
May 9, 2019: European Journal of Cancer Care
Suhair Hussni Al-Ghabeesh, Mahmoud Al-Kalaldah, Ahmad Rayan, Anwar Al-Rifai, Fadwa Al-Halaiqa
BACKGROUND: Patients diagnosed with breast cancer were reported to have high levels of psychosocial distress and poor quality of life (QOL). Mindfulness is believed to improve QOL and reduce psychological distress in various populations, but its unique association with QOL and psychological distress in women with breast cancer has yet to be established. OBJECTIVES: This study was conducted to examine the relationship of mindfulness with depression, anxiety and QOL of women diagnosed with breast cancer...
May 8, 2019: European Journal of Cancer Care
Inge Spronk, Maartje C Meijers, Marianne J Heins, Anneke L Francke, Glyn Elwyn, Anne van Lindert, Sandra van Dulmen, Liesbeth M van Vliet
INTRODUCTION: Shared decision making is not always commonplace in advanced colorectal or lung cancer care. Decision aids (DAs) might be helpful. This review aimed (a) to provide an overview of DAs for patients with advanced colorectal or lung cancer and assess their availability; and (b) to assess their effectiveness if possible. METHODS: A systematic literature search (PubMed/EMBASE/PsycINFO/CINAHL) and Internet and expert searches were carried out to identify relevant DAs...
May 8, 2019: European Journal of Cancer Care
Huang-Tz Ou, Wei-Pang Chung, Pei-Fang Su, Tzu-Hsuan Lin, Ji-Ying Lin, Yao-Chun Wen, Wei-Tse Fang
We assessed the quality of life (QoL) associated with patient's characteristics and different cancer treatments among Chinese breast cancer survivors in Taiwan. A cross-sectional survey was conducted in 2017 where 193 patients with hormone receptor-positive/human epidermal growth factor receptor-2-negative metastatic breast cancer were recruited. Three QoL questionnaires were administered: European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), its breast cancer supplementary measure (QLQ-BR23) and EQ-5D-5L...
May 8, 2019: European Journal of Cancer Care
Lynne Gordon, Angela Dickinson, Maxine Offredy
INTRODUCTION: Men with prostate cancer may receive radiotherapy as part of their management. They encounter a range of information related to radiotherapy, and a crucial role for therapeutic radiographers and other healthcare practitioners is ensuring patients receive appropriate information related to their treatment. This integrative review aims to identify, synthesise and analyse literature reporting experiences of men with localised prostate cancer related to information in radiotherapy...
May 8, 2019: European Journal of Cancer Care
Linda Battistuzzi, Marzena Franiuk, Nadine Kasparian, Nadia Rania, Laura Migliorini, Liliana Varesco
OBJECTIVE: In the era of cancer panel testing, new models of genetic counselling providing effective decision-making support are needed. As little is known about Southern European patients' and families' needs and experiences in this regard, we explored Italian women's experiences of clinical BRCA1/2 counselling and testing. METHODS: We interviewed 19 Italian women with a strong family history but no personal history of cancer who had had clinical BRCA1/2 testing...
May 5, 2019: European Journal of Cancer Care
Fiona Crawford-Williams, Sonja March, Belinda C Goodwin, Michael J Ireland, Suzanne K Chambers, Joanne F Aitken, Jeff Dunn
INTRODUCTION: Australia has one of the highest incidence rates of colorectal cancer (CRC) in the world. Residents in rural areas of Australia experience disadvantage in health care and outcomes. This review investigates whether patients with CRC in rural areas demonstrate poorer survival and more advanced stages of disease at diagnosis. METHODS: Systematic review of peer-reviewed articles and grey literature. Studies were included if they provided data on survival or stage of disease at diagnosis across multiple geographical locations; focused on CRC patients; and were conducted in Australia...
May 5, 2019: European Journal of Cancer Care
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