{"title":"Evaluation of response to neoadjuvant chemotherapy in technically unresectable moderately advanced oral cavity cancers","authors":"Abhishek Kadian, Puneet Takkar, Ankit Sharma, Prateek Sharma","doi":"10.4103/jcrt.jcrt_172_22","DOIUrl":"https://doi.org/10.4103/jcrt.jcrt_172_22","url":null,"abstract":"<h3>Background: </h3>\u0000<p>Moderately advanced and technically unresectable oral cavity cancers have a poor prognosis. Neoadjuvant chemotherapy might be beneficial in such patients by reducing tumour bulk and allowing definitive surgery.</p>\u0000<h3>Aim: </h3>\u0000<p>To evaluate the response of neoadjuvant chemotherapy in moderately advanced technically unresectable oral cavity cancers.</p>\u0000<h3>Methodology: </h3>\u0000<p>Prospective observational study - secondary data analysis of patients with moderately advanced oral cavity cancer, which were treated with neoadjuvant chemotherapy (NACT) during the period November 2014-April 2016. Data was analysed for information on patient characteristics, chemotherapy received, toxicity, clinical response rates, local treatment offered and pathological response rates. The statistical analysis was performed with SPSS version 20.</p>\u0000<h3>Results: </h3>\u0000<p>30 patients, with a median age of 52 years were analyzed. Buccal mucosa was the most common sub site (50%). Three drug regimen was utilized in all patients. Resectability was achieved in 14 patients (46.67%). Febrile neutropenia was seen in 3 patients (10%). The overall response rate was 31%.</p>\u0000<h3>Conclusion: </h3>\u0000<p>NACT was effective in converting moderately advanced technically unresectable oral cavity cancers to operable disease in approximately 47% of patients. Post NACT, there is significant association between clinical and pathological findings of response rates. There is no increase in surgical complication rates following NACT.</p>","PeriodicalId":15208,"journal":{"name":"Journal of cancer research and therapeutics","volume":"66 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141528848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Microwave ablation combined with percutaneous vertebroplasty for treating painful non-small cell lung cancer with spinal metastases under real-time temperature monitoring","authors":"Linlin Wu, Miaomiao Hu, Peishun Li, Qirong Man, Qianqian Yuan, Xusheng Zhang, Yuanyuan Qiu, Lili Chen, Jing Fan, Kaixian Zhang","doi":"10.4103/jcrt.jcrt_1074_23","DOIUrl":"https://doi.org/10.4103/jcrt.jcrt_1074_23","url":null,"abstract":"<h3>Purpose: </h3>\u0000<p>To retrospectively study the therapeutic effect and safety performance of the combination strategies of the computed tomography (CT)-guided microwave ablation (MWA) and percutaneous vertebroplasty (PVP) as a treatment for painful non-small cell lung cancer (NSCLC) with spinal metastases.</p>\u0000<h3>Materials and Methods: </h3>\u0000<p>A retrospective review included 71 patients with 109 vertebral metastases who underwent microwave ablation combined with percutaneous vertebroplasty by the image-guided and real-time temperature monitoring. Treatment efficacy was determined by comparing visual analog scale (VAS) scores, daily morphine equivalent opioid consumption, and Oswestry Disability Index (ODI) scores before treatment and during the follow-up period.</p>\u0000<h3>Results: </h3>\u0000<p>Technical success was achieved in all patients. The mean pre-procedure VAS score and morphine doses were 6.6 ± 1.8 (4–10) and 137.2 ± 38.7 (40–200) mg, respectively. The mean VAS scores and daily morphine doses at 24 h and 1, 4, 12, and 24 weeks postoperatively were 3.3 ± 1.9 and 73.5 ± 39.4 mg; 2.2 ± 1.5 and 40.2 ± 29.8 mg; 1.7 ± 1.2 and 31.3 ± 23.6 mg; 1.4 ± 1.1 and 27.3 ± 21.4 mg; and 1.3 ± 1.1 and 24.8 ± 21.0 mg, respectively (all <em xmlns:mrws=\"http://webservices.ovid.com/mrws/1.0\">P</em> < 0.001). ODI scores significantly decreased (<em xmlns:mrws=\"http://webservices.ovid.com/mrws/1.0\">P</em> < 0.05). Minor cement leakage occurred in 51 cases (46.8%), with one patient having a grade 3 neural injury. No local tumor progression was observed by follow-up imaging.</p>\u0000<h3>Conclusions: </h3>\u0000<p>MWA combined with PVP can significantly relieve pain and improve patients’ quality of life, which implied this is an effective treatment option for painful NSCLC with spinal metastases. Additionally, its efficacy should be further verified through the mid- and long-term studies.</p>","PeriodicalId":15208,"journal":{"name":"Journal of cancer research and therapeutics","volume":"32 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140833019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gastrointestinal bleeding due to obstruction of the superior mesenteric vein","authors":"Feng Liu, Aiyin Li, Guijie Li, Hairong Liu","doi":"10.4103/jcrt.jcrt_2249_21","DOIUrl":"https://doi.org/10.4103/jcrt.jcrt_2249_21","url":null,"abstract":"<p>Gastrointestinal bleeding is a common clinical symptom. Finding the underlying cause is the first step for treatment. In a few patients, this can be difficult. The present work reports on the unusual case of a 53-year-old man who presented gastrointestinal bleeding. No bleeding site was found by gastrocolonoscopy or interventional examination, but after multidisciplinary consultation, we discovered that the cause of gastrointestinal bleeding was the obstruction of the upper mesenteric vein.</p>","PeriodicalId":15208,"journal":{"name":"Journal of cancer research and therapeutics","volume":"63 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140833000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miaomiao Yang, Hongxin Cao, Congcong Wang, Caiyan Yu, Ping Sun
{"title":"Incidence of thromboembolic events in non-small cell lung cancer patients treated with immune checkpoint inhibitors: A systematic review and meta-analysis","authors":"Miaomiao Yang, Hongxin Cao, Congcong Wang, Caiyan Yu, Ping Sun","doi":"10.4103/jcrt.jcrt_1031_23","DOIUrl":"https://doi.org/10.4103/jcrt.jcrt_1031_23","url":null,"abstract":"<p>The incidence of thromboembolic events (TEs) in non-small cell lung cancer (NSCLC) patients treated with immune checkpoint inhibitors (ICIs) has rarely been reported. The MEDLINE, EMBASE, and the Cochrane Library databases were searched. The primary outcome was the incidence of TEs, and the secondary outcome was the relationship between TEs and overall survival (OS) following ICI therapy. A subgroup analysis of TE incidents was performed according to the TE type and combination regimens. The I2 statistic was used to determine the heterogeneity, and funnel plots and Egger’s test were used to assess publication bias. A total of 16,602 patients with NSCLC in 63 experimental arms were included in the analysis. The rate of TEs ranged from 0.1% to 13.8%, and the pooled overall incidence of all-grade TEs was 3% (95% confidence interval [CI], 2%–4%). The pooled rate of high-grade TEs was 1% (95% CI, 1%–2%). The venous and arterial TE rates were 3% (95% CI, 2%–4%) and 1% (95% CI, 1%–2%), respectively. Patients who received immunotherapy + chemoradiotherapy had the highest incidence of TEs (7%). The TE pooled rate was higher in patients treated with combined ICIs than in those treated with mono ICIs (4% vs. 2%). The OS was lower in patients with TEs than in those without TEs (hazard ratio, 1.4; 95% CI, 1.02%–1.92%). The incidence of TEs in NSCLC patients treated with ICIs was reasonable. Nonetheless, clinicians must be aware of potential thrombotic complications and treat them promptly.</p>","PeriodicalId":15208,"journal":{"name":"Journal of cancer research and therapeutics","volume":"40 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140833020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexual function status after adjuvant radiation including vaginal cuff brachytherapy in survivors of cancer cervix","authors":"Isha Puri, Rahul Sharma, Deepika Dewan, Shabab Angurana, Deepak Abrol, Dinesh Kumar","doi":"10.4103/jcrt.jcrt_114_21","DOIUrl":"https://doi.org/10.4103/jcrt.jcrt_114_21","url":null,"abstract":"<h3>Context: </h3>\u0000<p>Adjuvant radiation therapy plays an important role in the management of high-risk cervical cancer after radical hysterectomy or inadvertent hysterectomy. The prime concern with the use of dual modality is steep decline in sexual well-being in cervical cancer survivors. Intravaginal brachytherapy (IVBT) delivered by vaginal cylinder or ovoids is essential for local control but at the cost of impairment of sexual function.</p>\u0000<h3>Aim: </h3>\u0000<p>The purpose of this study was to assess the sexual well-being of cervical cancer survivors, who underwent surgery followed by adjuvant radiation and compare the subgroups of ovoids with sorbo brachytherapy.</p>\u0000<h3>Settings and Design: </h3>\u0000<p>This was an observational, cross-sectional, and analytical study, whereby we evaluated sexual function of cervical cancer survivors by the Female Sexual Function Index (FSFI) instrument.</p>\u0000<h3>Subjects and Methods: </h3>\u0000<p>Seventy-five women, identified as cervical cancer survivors who had received adjuvant radiation and IVBT, were administered FSFI questionnaire in face-to-face interviews.</p>\u0000<h3>Results: </h3>\u0000<p>The mean age of 75 interviewed women was 48.64 years. Fifty survivors had received IVBT with a sorbo applicator and twenty-five with ovoids. FSFI full score ranged from 4.4 to 32.40. The mean full score for the whole group was 11.3. The mean FSFI full score was 24.91 (± standard deviation [SD] 5.71) in the ovoid group versus 4.49 (± SD 0.35) in the sorbo group. On Pearson’s correlation analysis, age and type of brachytherapy were significantly correlated with FSFI full score (<em xmlns:mrws=\"http://webservices.ovid.com/mrws/1.0\">P</em> = 0.006) with correlation coefficient of − 0.312 and − 0.948, respectively.</p>\u0000<h3>Conclusions: </h3>\u0000<p>Sexual dysfunction was found prevalent in 83% of cervical cancer survivors. The patients treated with IVBT with sorbo had worse sexual functioning than those treated with ovoids.</p>","PeriodicalId":15208,"journal":{"name":"Journal of cancer research and therapeutics","volume":"11 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139065439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jun Wang, Liang Shao, Jing Liang, Qingming Wu, Baoli Zhu, Qiwen Deng, Zelin Liu, Liqiong Liu, Danyu Wang, Zhijian Yu, Xiaohua Tan, Fuxiang Wang, Jingye Meng, Xiaojun Xu, Zhongjun Xia, Zhiming Li, Hua Wang, Liang Wang, Wei Wu, Qi Xie, Xiaoxing Huang, Zhiqiang Sun, Yu Zhang, Hao Zhou, Hui Zhou, Wenyan Yang, Hua Ren, Zhe Liu, Mingqiang Qiao, Feifei Tang, Xiaofei Qi, Huijing Wu, Lijuan Deng, Li Gao, Hongyan Zhang, Peng Chen, Hongyu Zhang, Xinyou Zhang, Jihao Zhou, TU Chuanqing, Ling Guan, Qian Yin, Rong Shu, Feng Chen, Mingxin He, Qiang Wang, Zhi Guo, Tumor and Microecology Committee of China Anti-Cancer Association, Chinese Collaborative Group on Transformation of Infectious Immunology and Microecology Research, Tumor and Microecology Committee of China Anti-Cancer Association, Chinese Collaborative Group on Transformation of Infectious Immunology and Microecology Research
{"title":"Chinese expert consensus on the management of patients with hematologic malignancies infected with SARS-CoV-2","authors":"Jun Wang, Liang Shao, Jing Liang, Qingming Wu, Baoli Zhu, Qiwen Deng, Zelin Liu, Liqiong Liu, Danyu Wang, Zhijian Yu, Xiaohua Tan, Fuxiang Wang, Jingye Meng, Xiaojun Xu, Zhongjun Xia, Zhiming Li, Hua Wang, Liang Wang, Wei Wu, Qi Xie, Xiaoxing Huang, Zhiqiang Sun, Yu Zhang, Hao Zhou, Hui Zhou, Wenyan Yang, Hua Ren, Zhe Liu, Mingqiang Qiao, Feifei Tang, Xiaofei Qi, Huijing Wu, Lijuan Deng, Li Gao, Hongyan Zhang, Peng Chen, Hongyu Zhang, Xinyou Zhang, Jihao Zhou, TU Chuanqing, Ling Guan, Qian Yin, Rong Shu, Feng Chen, Mingxin He, Qiang Wang, Zhi Guo, Tumor and Microecology Committee of China Anti-Cancer Association, Chinese Collaborative Group on Transformation of Infectious Immunology and Microecology Research, Tumor and Microecology Committee of China Anti-Cancer Association, Chinese Collaborative Group on Transformation of Infectious Immunology and Microecology Research","doi":"10.4103/jcrt.jcrt_782_23","DOIUrl":"https://doi.org/10.4103/jcrt.jcrt_782_23","url":null,"abstract":"<p>In December 2022, the Omicron variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) became dominant in China due to its high infectivity and lower mortality rate. The risk of critical illness and mortality among patients with hematologic malignancies who contracted SARS-CoV-2 was particularly high. The aim of this study was to draft a consensus to facilitate effective treatments for these patients based on the type and severity of the disease. Following the outbreak of the novel coronavirus in China, a steering committee consisting of experienced hematologists was formed by the Specialized Committee of Oncology and Microecology of the Chinese Anti-Cancer Association. The expert group drafted a consensus on the management and intervention measures for different types of hematologic malignancies based on the clinical characteristics of the Omicron variant of the SARS-CoV-2 infection, along with relevant guidelines and literature. The expert group drafted independent recommendations on several important aspects based on the epidemiology of the Omicron variant in China and the unique vulnerability of patients with hematologic malignancies. These included prophylactic vaccinations for those with hematologic malignancies, the use of plasma from blood donors who recovered from the novel coronavirus infection, the establishment of negative pressure wards, the use of steady-state mobilization of peripheral blood hematopoietic stem cells, the provision of psychological support for patients and medical staff, and a focus on maintaining a healthy intestinal microecology.</p>","PeriodicalId":15208,"journal":{"name":"Journal of cancer research and therapeutics","volume":"74 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139065096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aberrantly expressed HIF-1α enhances HCC stem cell-like traits via Wnt/β-catenin signaling activation after insufficient radiofrequency ablation","authors":"Ning Zhang, Ruoxue Chen, Xin Cao, Lu Wang","doi":"10.4103/jcrt.jcrt_1458_21","DOIUrl":"https://doi.org/10.4103/jcrt.jcrt_1458_21","url":null,"abstract":"<h3>Background: </h3>\u0000<p>Radiofrequency ablation has become a favorable treatment modality for small hepatocellular carcinoma (HCC) recently; however, insufficient radiofrequency ablation (RFA) was shown to lead to enhanced invasiveness and metastasis of HCC in our previous study, while the underlying molecular mechanism has not been understood.</p>\u0000<h3>Materials and Methods: </h3>\u0000<p>In order to explore the influence of the hypoxic microenvironment on residual cancer and cancer stem cell (CSC)-like characteristics of HCC cells in this process, an <em xmlns:mrws=\"http://webservices.ovid.com/mrws/1.0\">in vitro</em> hypoxic model and an insufficient RFA mouse model were established with HCC cancer cell lines. Immunochemistry staining and western blot were used to examine the expression of hypoxia-inducible factor (HIF)-1α and liver CSC markers. The 3D colon formation assay, tumor cell invasion assay, and gene transfection assays were applied to test the change in liver CSC stemness and HCC cell invasion.</p>\u0000<h3>Results: </h3>\u0000<p>After insufficient RFA treatment, the upregulated HIF-1α expression was associated with an increase in the CSC-like population in residual cancer. <em xmlns:mrws=\"http://webservices.ovid.com/mrws/1.0\">In vitro</em>, hypoxic tumor cells showed aggressive CSC-like properties and phenotypes. Wnt/β-catenin signaling activation was shown to be necessary for the acquisition of liver CSC-like characteristics under hypoxic conditions.</p>\u0000<h3>Conclusion: </h3>\u0000<p>Overall, the aberrantly enhanced HIF-1α expression enhanced the liver CSC-like traits via abnormal Wnt/β-catenin signaling activation after insufficient RFA, and the overexpressed HIF-1α would be a vital factor and useful biomarker during the HCC recurrence and metastasis.</p>","PeriodicalId":15208,"journal":{"name":"Journal of cancer research and therapeutics","volume":"59 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139065099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Local treatment of liver metastasis in a patient with advanced malignant melanoma: A case report","authors":"Hongxi Hong, Lujun Shen, Hongtong Tan, Ying Wu, Ying Liu, Weijun Fan","doi":"10.4103/jcrt.jcrt_394_22","DOIUrl":"https://doi.org/10.4103/jcrt.jcrt_394_22","url":null,"abstract":"<p>Melanoma is a fatal malignant tumor with a high rate of metastasis. Liver metastasis of melanoma is always associated with insensitivity to immunotherapy and a poor prognosis. However, the combination of cryoablation, which is believed to stimulate the antitumor immune response in the body, with immunotherapy can improve the therapeutic response to this condition. Herein, we present the case of a 79-year-old woman with BRAF (B-Raf proto-oncogene) wild-type melanoma who later developed liver metastasis. The patient received intravenous antiprogrammed cell death 1 antibody, which showed poor efficacy, and subsequent treatment with immunotherapy combined with cryoablation yielded a partial response. However, after the second cryoablation, the patient refused further treatment due to a fear of bleeding. Therefore, only immunotherapy was provided, which resulted in disease progression. This report demonstrates the need to consider immunotherapy plus cryoablation for the treatment of liver metastases in patients with BRAF wild-type melanoma.</p>","PeriodicalId":15208,"journal":{"name":"Journal of cancer research and therapeutics","volume":"16 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139065157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ajinkya Gupte, Ajay Sasidharan, Debnarayan Dutta, R Anoop
{"title":"Extramedullary plasmacytoma of the larynx – Case report","authors":"Ajinkya Gupte, Ajay Sasidharan, Debnarayan Dutta, R Anoop","doi":"10.4103/jcrt.jcrt_1640_20","DOIUrl":"https://doi.org/10.4103/jcrt.jcrt_1640_20","url":null,"abstract":"ABSTRACT Extramedullary plasmacytoma of the larynx is an extremely rare entity accounting for 0.04–0.45% of malignant tumours of the larynx. The objective of this clinical case report is to highlight the diagnosis and management of a unique case such as this. A 77-year-old gentleman presented with complaints of hoarseness for 1 year. Computed tomography image revealed a soft tissue mass lesion involving the right true vocal cord. Direct laryngoscopic biopsy was performed and subjected to histopathological examination, which showed collection of plasma cells. Immunohistochemistry confirmed the presence of Kappa and Lambda cells. Multiple myeloma (MM) was ruled out. The patient received radical intent radiation therapy using 3DCRT technique with a dose of 50Gy in 25# over 5 weeks. He experienced improvement in hoarseness on subsequent follow-up visits. At 1-year follow up, positron emission tomography computed tomography showed near total resolution of disease with no progression to MM. Radiation therapy alone is known to achieve good local control, recurrence free survival, and organ preservation in such cases.","PeriodicalId":15208,"journal":{"name":"Journal of cancer research and therapeutics","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136235438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Usefulness of structured teaching module in improving knowledge about cancer in Accredited Social Health Activist: A pilot study","authors":"Suresh Rao, Pratima Rao, Rajesh Shetty, Nagraj Prabhu, Yathish Kulala, Sucharitha Suresh, Manjeshwar Shrinath Baliga","doi":"10.4103/jcrt.jcrt_2110_21","DOIUrl":"https://doi.org/10.4103/jcrt.jcrt_2110_21","url":null,"abstract":"ABSTRACT Aim: In India, the Accredited Social Health Activists (abbreviated as ASHA) are an important group of community health workers and are involved in initiating and maintaining health care programs in the rural communities they live. This study was conducted with a purpose to evaluate the effectiveness of a structured teaching module in improving knowledge on cancer cause, diagnosis, and treatment in the ASHA workers. Materials and Methods: This was a cross-sectional pretest posttest study and was conducted from April 2017 to February 2020 with ASHA workers working in the various Primary Health Centers in Udupi and South Kanara districts of Karnataka and Kasargod district of Kerala in India after obtaining the permission from the medical officer in charge of the respective primary health centers. The participants were briefed about the study objective and also that confidentiality will be maintained. A validated investigator developed questionnaire consisting of 20 questions categorized into four domains (general, subject, diagnosis, and treatment aspects) was distributed to the willing volunteers before the start of the program. They were instructed to fill the pretest form before and posttest after the teaching program. Informed content was taken in a separate sheet and volunteers were informed not to write any personal or identification details. Resource persons with experience in cancer cause, diagnosis and treatment delivered the structured talk in the local language Kannada. The data collected from the filled questionnaires were subjected to frequency, percentage, mean, and standard deviation and appropriately subjected to Chi-square test or paired t-test. A P < 0.05 was considered statistically significant. Results: The demographic detail suggest that majority of the women were Hindus (79.3%), married (93.7%), between the age of 31–40 (46.7%) and had only matriculation as the highest education (68%). The analysis of the pretest administration collected before the start of teaching program indicates that most participants were aware of self-breast examination (79.74%) and that cancer is a disease as old as human civilization (70.26%), while only 8.82% were unaware of which is the leading type of cancer in rural women. The results analyzed from posttest indicate that the highest percentage change (323.96%) was observed for domain on treatment aspects followed by for general (64.03%), diagnosis (56.70%), and subject (36.42%) aspect and was significant ( P < 0.001). The total mean values changed from 6.48 ± 2.01 in pretest to 11.81 ± 2.15 in posttest indicating an increase of 5.33 ± 1.91 and percentage change of 82.25% ( P < 0.001). The results also showed that 60.8% had average, while 39.2% had good increment in the knowledge at the end of the program. Conclusions: The observations of the current study indicate the usefulness of the structured teaching module in improving knowledge on cancer cause, diagnosis and treatment in the ASHA wo","PeriodicalId":15208,"journal":{"name":"Journal of cancer research and therapeutics","volume":"340 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136235874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}