Journal of Cancer Survivorship最新文献

{"title":"Factors associated with participation in colorectal and breast cancer screening among cancer survivors: a systematic review and meta-analysis.","authors":"Sanjeev Bista, Hannah Harsanyi, Momtafin Khan, Reynaldo Nambayan, Marcus Vaska, Yibing Ruan, Robert J Hilsden, Darren R Brenner, Dylan E O'Sullivan","doi":"10.1007/s11764-026-02097-z","DOIUrl":"https://doi.org/10.1007/s11764-026-02097-z","url":null,"abstract":"<p><strong>Purpose: </strong>Cancer survivors are at increased risk of developing subsequent primary cancers, yet participation in recommended cancer screening remains suboptimal. Greater understanding of factors impacting screening participation is needed to inform strategies for improving uptake. Therefore, we aimed to review and quantitatively synthesize predictors of participation in breast cancer (BC) and colorectal cancer (CRC) screening among cancer survivors.</p><p><strong>Methods: </strong>MEDLINE (Ovid), EMBASE, PubMed, and CINAHL databases were searched from inception through September 2024 to identify studies examining predictors of CRC or BC screening among survivors of other adult cancers. Random effect models were used to estimate pooled associations for predictors reported in ≥ 3 studies.</p><p><strong>Results: </strong>From 2492 initial citations, 49 studies were included, with 35 studies reporting on CRC and 29 on BC screening participation. Factors significantly associated with CRC screening included having a healthcare provider, having health insurance, receiving a provider recommendation for screening, a greater number of physician visits, older age, being a nonsmoker, being married, higher income or education, urban residence, and better mental health. Factors associated with BC screening included receiving a written follow-up care plan, a greater number of physician visits, being married, not having dual Medicaid-Medicare coverage status, receiving specialist care, and White racial identity.</p><p><strong>Conclusions: </strong>Healthcare access and survivorship care factors appear to play an important role in screening participation among cancer survivors.</p><p><strong>Implications for cancer survivors: </strong>Interventions addressing barriers to care and social determinants of health may help improve screening uptake and reduce disparities in subsequent cancer screening in this high-risk population.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transition outcomes in a diverse cohort of higher-risk young adult survivors of childhood cancer in an established care model.","authors":"Amie E Hwang, Nikhil Kumar, Maureen Cairns, Yi Juin Tan, Saptati Priya Bhattacharjee, Ellen K Chang, Hsuan-Hsiu Annie Chen, Sarayu Kumar, Shuyao Ran, Kimberly A Miller, David R Freyer","doi":"10.1007/s11764-026-02100-7","DOIUrl":"10.1007/s11764-026-02100-7","url":null,"abstract":"<p><strong>Purpose: </strong>Young adult survivors of childhood cancer frequently experience transition failure when transferred to adult-focused survivorship care, yet associated factors within specific care models remain poorly studied.</p><p><strong>Methods: </strong>This retrospective cohort study included higher-risk young adult survivors transitioned from Children's Hospital Los Angeles to an affiliated adult-focused survivorship clinic from 2010 to 2018 using a protocolized pathway. Transition failure was defined as no documented adult-clinic visit within 2 years of transition launch. Late effects were defined per the Common Terminology Criteria for Adverse Events (CTCAE, v5.0).</p><p><strong>Results: </strong>The sample (N = 289) had mean age 22.9 years (range 17-53), was 54.0% male, and 52.2% Hispanic. Transition failure occurred in 143 (49.5%). In multivariable analyses, significantly lower odds of failure (OR, 95% CI) were observed for multiple prior pediatric survivorship visits (2 vs. 1: 0.28, 0.15-0.55; ≥ 3 vs. 1: 0.42, 0.20-0.87), higher education (college vs. high school: 0.50, 0.26-0.95), and high-dose anthracyclines (vs. none/low: 0.29, 0.11-0.77), with borderline higher odds for CTCAE-defined psychiatric disorders (2.04, 0.99-4.21). In exploratory ethnicity-stratified analysis, psychiatric disorders were associated with higher odds of failure only among Hispanic survivors (4.06, 1.37-12.01), with lower odds for age ≥ 22 years at transition (0.39, 0.16-0.95).</p><p><strong>Conclusions: </strong>At 2 years, half of survivors experienced transition failure, which was associated with fewer prior survivorship visits and lower educational attainment; psychiatric comorbidity showed a borderline association.</p><p><strong>Implications for cancer survivors: </strong>Even within a highly structured model, early survivorship transition failure is common, and identifiable patient subsets need additional support. More research concerning post-transition barriers is needed.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persistent differences in aerobic physical activity guideline adherence among U.S. cancer survivors: Evidence from the national health interview survey, 2010-2020.","authors":"Gaurav Kumar, Priyanka Chaudhary, Lynette M Smith, Jungyoon Kim, Apar Kishor Ganti, Krista M Kezbers, Dejun Su","doi":"10.1007/s11764-026-02098-y","DOIUrl":"https://doi.org/10.1007/s11764-026-02098-y","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined national trends in adherence to aerobic physical activity (PA) guidelines and identified demographic, socioeconomic, behavioral, and health-related factors associated with aerobic PA adherence among adult cancer survivors in the United States.</p><p><strong>Methods: </strong>A repeated cross-sectional analysis was conducted using data from the National Health Interview Survey (NHIS) 2010, 2015, and 2020 cycles. The analytic sample included 9,752 adult cancer survivors. Adherence to aerobic PA guidelines was defined as engaging in ≥ 150 min/week of moderate-intensity activity, ≥ 75 min/week of vigorous-intensity activity, or an equivalent combination. Survey-weighted descriptive analyses and multivariable logistic regression models were conducted to estimate prevalence and adjusted odds ratios (aORs) with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Adherence to aerobic PA guidelines increased from 9.2% (95% CI, 7.8-10.8) in 2010 to 22.0% (95% CI, 20.0-24.2) in 2015 before declining to 8.7% (95% CI, 7.7-9.8) in 2020. Younger age, higher educational attainment, and higher household income were associated with greater odds of adherence. Functional limitations were strongly associated with lower adherence, particularly in 2020. Current smoking was negatively associated with adherence.</p><p><strong>Conclusions: </strong>Aerobic PA adherence among U.S. cancer survivors remained consistently low and varied substantially across survey years. Persistent socioeconomic and health-related disparities highlight the need for targeted survivorship interventions to improve aerobic PA participation.</p><p><strong>Implications for cancer survivors: </strong>Accessible and tailored PA interventions may help reduce barriers to PA participation and improve long-term survivorship outcomes, particularly among survivors with functional limitations and socioeconomic disadvantages.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal evaluation of sleep disturbances in survivors of childhood cancer: a report from the Childhood Cancer Survivor Study.","authors":"Lauren C Daniel, Huiqi Wang, Tara M Brinkman, Kathy Ruble, Eric S Zhou, Oxana Palesh, Rebecca Howell, Daniel A Mulrooney, Valerie M Crabtree, Sogol Mostoufi-Moab, Kevin Oeffinger, Joseph Neglia, Yutaka Yasui, Gregory T Armstrong, Kevin Krull","doi":"10.1007/s11764-026-02096-0","DOIUrl":"10.1007/s11764-026-02096-0","url":null,"abstract":"<p><strong>Purpose: </strong>The current study examines longitudinal changes in sleep disturbances and the risks they pose for new-onset health conditions in survivors of childhood cancer.</p><p><strong>Methods: </strong>Five-year survivors (N = 1081; median [range] age 50.0 [45.2-55.0] years) and siblings (N = 214; age 49.2 [39.9-51.1] years) from the Childhood Cancer Survivor Study completed the Pittsburgh Sleep Quality Index (PSQI) at two time points (median interval = 17 years). Sex-specific changes of PSQI scores were assessed, adjusting for demographics, using generalized estimating equation. Within survivors, logistic regressions estimated associations between persistent clinically significant sleep disturbances with diagnosis and treatment exposures, and new-onset chronic health conditions.</p><p><strong>Results: </strong>Female siblings reported increases in sleep disturbances (T1 35% to T2 47%; PR = 1.30, 95% CI 1.04-1.62). However, increases among female survivors (T1 40% to T2 49%; PR = 1.25, 95% CI 0.99-1.58), male survivors (T1 34% to T2 44%; PR = 0.98, 95% CI 0.68-1.40), and male siblings (T1 24% to T2 32%; PR = 1.28, 95% CI 0.86-1.91) were not significant. Survivors reporting persistent sleep disturbances were more likely to develop new-onset hypertension (PR = 1.498, 95% CI 1.02-2.14), migraines (PR = 1.90, 95% CI 1.40-2.58), and emotional distress (PR = 8.07, 95% CI 4.07-16.00) but not subsequent malignancies (PR = 1.03, 95% CI 0.52-2.01).</p><p><strong>Conclusions: </strong>Persistent sleep disturbances are closely tied to the onset of chronic health conditions and mental health concerns.</p><p><strong>Implications for cancer survivors: </strong>Screening for and treating sleep disturbances early in childhood cancer survivorship has the potential to improve long-term health and mental health.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13636401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commitment to an active lifestyle, psychological resources, and exercise participation among working-age cancer survivors: a cross-sectional study.","authors":"Ada Chen, Diana Presno, Jing Tao, Lidian Chen","doi":"10.1007/s11764-026-02101-6","DOIUrl":"https://doi.org/10.1007/s11764-026-02101-6","url":null,"abstract":"<p><strong>Purpose: </strong>Exercise is recommended for cancer survivors, yet participation remains low and its modifiable correlates in working-age survivors are poorly characterized. We examined cross-sectional associations between exercise participation and 12 health outcomes and estimated cross-sectional indirect associations between psychological resources and exercise operating through commitment to an active lifestyle.</p><p><strong>Methods: </strong>We analyzed 3,028 working-age US cancer survivors. Exercise was assessed with a single binary item (any regular weekly activity). Twelve symptom and functional outcomes were regressed on exercise status, adjusting for ten sociodemographic covariates with false discovery rate correction. Hierarchical logistic regression evaluated four predictor blocks: sociodemographics, employment, motivational factors (commitment, risk awareness), and psychological resources (self-efficacy, hope, core self-evaluations). Bootstrapped analyses tested cross-sectional indirect associations involving psychological resources, commitment, and exercise participation.</p><p><strong>Results: </strong>Commitment was the strongest correlate of exercise (OR = 2.58, 95% CI [2.25, 2.95]); predicted probability rose from 15 to 88% across commitment levels. All three psychological resources showed significant cross-sectional indirect associations with exercise through commitment (indirect paths accounting for 81% to 97% of the total associations). Exercise was associated with better outcomes across all 12 domains, with larger associations for functional outcomes (mean |d|= 0.35) than symptoms (|d|= 0.25).</p><p><strong>Conclusions: </strong>Cross-sectional indirect paths through commitment to an active lifestyle accounted for the majority of the cross-sectional associations between psychological resources and exercise participation. These indirect associations are cross-sectional; prospective and experimental confirmation is required before commitment can be recommended as an intervention target.</p><p><strong>Implications for cancer survivors: </strong>If confirmed prospectively, these findings suggest that clinicians may promote exercise by eliciting and reinforcing survivors' personal commitment to an active lifestyle during routine survivorship visits.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare provider perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions for breast cancer survivors.","authors":"Jinani Jayasekera, Oliver W A Wilson, Kaitlyn M Wojcik, Eleanor M Kerr, Rachelle Brick, David Berrigan, Jennifer Yeong-Shin Sheng, Takeo Fujii, Kathleen Thomas, Henri K Parson, Padma Sheila Rajagopal, Richard L Street","doi":"10.1007/s11764-025-01750-3","DOIUrl":"10.1007/s11764-025-01750-3","url":null,"abstract":"<p><strong>Purpose: </strong>We evaluated healthcare providers' current knowledge, practices, and perspectives on a novel clinical decision tool (beta-version) to facilitate individualized exercise prescriptions and discussions in clinical settings.</p><p><strong>Methods: </strong>We recruited healthcare providers who had treated or provided care to breast cancer survivors aged ≥ 35-years in the past 12 months. The participants were presented with a tool to provide individualized exercise recommendations considering women's individual, clinical, and contextual characteristics. Validated and reliable pre-existing instruments were used to survey providers' current knowledge, practices regarding exercise discussions, and perspectives on the beta-version (paper-draft) of the novel tool.</p><p><strong>Results: </strong>The sample consisted of complete survey responses from 177 healthcare providers including breast oncologists (27.7%), primary care physicians (10.7%), exercise specialists (19.8%), occupational/physical therapists (18.1%), advanced care providers, nurses, navigators, and social workers (23.7%). Median years of experience was 8-years (range: 5-13). Overall, 62.1% (n = 110) reported that they were knowledgeable about counseling survivors based on exercise guidelines. Among breast oncologists and primary care physicians (n = 68), only 39.7% reported that they were knowledgeable about identifying patients for exercise referals. The majority agreed that they would find the tool offering individualized information useful (n = 148, 83.6%), and would use it regularly to inform practice (82.5%). 'Exercise Readiness', 'Exercise Resources at Home', and 'Quality-of-Life' were the highest rated items for inclusion in the tool for exercise prescriptions. Provider perspectives were incorporated into the beta-version of the tool.</p><p><strong>Conclusion: </strong>A clinical decision tool considering individual, clinical, and contextual characteristics may support exercise prescriptions and discussions in clinical settings.</p><p><strong>Implications for cancer survivors: </strong>An evidence-based tool for exercise prescriptions may increase healthcare provider confidence to discuss, educate, encourage, and provide exercise referrals for breast cancer survivors.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1499-1512"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accounting for unmet needs resulting from cancer-related cognitive impairment.","authors":"Darren Haywood, Alexandre Chan, Raymond J Chan, Evan Dauer, Haryana M Dhillon, Ashley M Henneghan, Maryam B Lustberg, Moira O'Connor, Janette L Vardy, Susan L Rossell, Nicolas H Hart","doi":"10.1007/s11764-025-01769-6","DOIUrl":"10.1007/s11764-025-01769-6","url":null,"abstract":"<p><strong>Purpose: </strong>Cancer-related cognitive impairment (CRCI) causes a wide range of unmet needs for cancer survivors. It is unknown which clinical, demographic, cognitive, and psychological factors underpin and account for these various unmet needs. This study aimed to (a) identify factors associated with CRCI-related unmet needs, and (b) establish the most pertinent factors that account for CRCI-related unmet needs.</p><p><strong>Methods: </strong>Four hundred and fifty-six (n = 456) cancer survivors responded to a range of demographic and clinical questions, as well as measures of CRCI-related unmet needs (MASCC COG-IMPACT), perceived cognitive impairment (PROMIS-COG), and psychological distress (DASS-21). Descriptive statistics, bivariate correlations, and feed-forward multiple regression analyses were completed.</p><p><strong>Results: </strong>Cognitive impairment severity (r = 0.39 to 0.59; p < 0.01), psychological distress (r = 0.36 to 0.58; p < 0.01), and time since diagnosis (r =  - 0.11 to - 0.20; p < 0.05 to p = 0.02) were significantly associated with CRCI-related unmet needs across all domains. Age (r =  - 0.10 to - 0.22; p < 0.001 to p = 0.03), stage of cancer at initial diagnosis (r = 0.10 to 0.13; p < 0.001 to p = 0.04), stage of cancer at most progressed (r = 0.11 to 0.18; p < 0.001 to p = 0.03), and sex (r = 0.12; p = 0.01; females experiencing greater unmet needs than males), were significantly associated with one or more domains of unmet need. Cognitive impairment severity and psychological distress were the most pertinent factors accounting for CRCI-related unmet needs (R² = 0.245, F_{(3, 487)} = 48.96, p < 0.001 to R² = 0.474, F_{(3, 487)} = 114.81, p < 0.001), explaining 24.5% to 47.4% of the variance.</p><p><strong>Conclusion: </strong>Cognitive impairment severity and psychological distress were the most key factors in accounting for CRCI-related unmet needs. Other variables, while associated with CRCI-related unmet needs, did not provide additional predictive utility.</p><p><strong>Implications for cancer survivors: </strong>The results may inform the choice of supportive care targets, and future strategies, to improve supportive care for people experiencing cancer-related cognitive impairment.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1710-1720"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can't I continue to exercise here? Exploring experiences, barriers, and facilitators for physical therapists and survivors of cancer to promote exercise maintenance.","authors":"S C Agasi-Idenburg, M M J Joosten, M Hoedjes, L M Buffart, C S Kampshoff, M M Stuiver","doi":"10.1007/s11764-025-01767-8","DOIUrl":"10.1007/s11764-025-01767-8","url":null,"abstract":"<p><strong>Purpose: </strong>Maintaining exercise behavior is crucial for cancer survivors, yet adherence to exercise recommendations remains low. This study explores the experiences and perspectives of community-working physical therapists and survivors of cancer regarding barriers and facilitators that support the maintenance of exercise behavior post-treatment.</p><p><strong>Methods: </strong>A qualitative, exploratory focus group design was employed, using purposive sampling to recruit oncology physical therapists and cancer survivors who had undergone physical therapy. The study assessed current physical therapy practices, barriers, and facilitators to exercise maintenance through thematic content analysis Braun and Clarke.</p><p><strong>Results: </strong>Six focus groups with 26 participants (12 cancer survivors and 14 physical therapists) revealed three main themes: (1) transition challenges from supervised therapy to independent exercise, (2) environmental constraints on exercise adherence, and (3) motivators and supportive factors to help independent exercise. Transition challenges included a lack of knowledge and skills, persistent symptoms, and psychological recovery. Environmental constraints involved prioritizing exercise over work and family and limited financial resources. Motivators and supportive factors included goal-setting, gradual reduction in physical therapy sessions, and building confidence in self-management among cancer survivors.</p><p><strong>Conclusions: </strong>Both physical therapists and cancer survivors experience challenges in concluding the treatment relationship. The identified facilitators for independent exercise can assist physical therapists in developing effective exercise programs that promote patient independence during and after physical therapy treatment.</p><p><strong>Implications for cancer survivors: </strong>Understanding these barriers and facilitators can help tailor interventions that enhance long-term exercise adherence, ultimately improving health outcomes and quality of life for cancer survivors.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1684-1696"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global prevalence and moderating factors of malnutrition in colorectal cancer survivors: A meta-analysis.","authors":"Hidayat Arifin, Yu-Hao Chu, Ruey Chen, Chiu-Kuei Lee, Doresses Liu, Christina Yeni Kustanti, Tintin Sukartini, Kondwani Joseph Banda, Kuei-Ru Chou","doi":"10.1007/s11764-025-01747-y","DOIUrl":"10.1007/s11764-025-01747-y","url":null,"abstract":"<p><strong>Purpose: </strong>This meta-analysis aims to estimate the global prevalence of severe, moderate, overall malnutrition and moderating factors of malnutrition in colorectal cancer (CRC) survivors.</p><p><strong>Methods: </strong>A comprehensive search was conducted in Embase, CINAHL, Medline-OVID, PubMed, Scopus, and Web of Science from inception to February 8, 2024, without language, region, or publication date restrictions. A generalized linear mixed model and random-effects model were used to examine the pooled prevalence, and moderator analyses were implemented to investigate variations in the pooled prevalence.</p><p><strong>Results: </strong>In 35 studies involving 9,278 colorectal cancer survivors, the global prevalence was 12.10% for severe malnutrition (95% confidence interval (CI): 7.28-16.92; n = 507), 33.13% for moderate malnutrition (95% CI: 28.93-37.34; n: 2,192), and 47.78% for overall malnutrition (95% CI: 41.60-53.96; n: 3,812). Asia showed higher rates of severe malnutrition 16.67% (95% CI: 4.66-28.68, n: 232) and overall malnutrition 53.17% (95% CI: 39.66-66.69, n: 1,913), whereas low-middle income countries demonstrated higher rates of overall malnutrition 67.46% (95% CI: 30.25-100.00, n: 82). Male sex, colon cancer, advanced stage, metastasis, chemotherapy, surgery, adjuvant treatment, smoking, alcohol consumption, hypertension, and diabetes significantly moderated overall malnutrition prevalence.</p><p><strong>Conclusions: </strong>This meta-analysis reports detailed data on the global prevalence of CRC survivors experience malnutrition, highlighting that health-care professionals should consider the identified moderating factors.</p><p><strong>Implications for cancer survivors: </strong>Addressing malnutrition in CRC survivors is critical, as early and proactive nutritional management can enhance recovery, improve quality of life, and potentially reduce cancer-related complications associated with malnutrition.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1443-1461"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term employment changes of men newly diagnosed with cancer: well-being of cancer survivors at work study (WeCanWork).","authors":"Cathy J Bradley, Amy Dye-Robinson, Miranda Dally, Natalie Schwatka, Lee S Newman, Liliana Tenney","doi":"10.1007/s11764-025-01754-z","DOIUrl":"10.1007/s11764-025-01754-z","url":null,"abstract":"<p><strong>Purpose: </strong>Employed cancer survivors often work during cancer treatment because work provides social support, income, and, in the United States, health insurance. Many prior studies focus on women and breast cancer. This study enrolled men newly diagnosed with cancer and short-term employment changes.</p><p><strong>Methods: </strong>A convenience sample of 95 employed men aged 21 to 70 years were recruited. All were newly diagnosed with a malignant solid tumor and received adjuvant treatment. Statistically significant differences were determined using t-tests and chi-squared tests. We used univariate and multivariable logistic regression to estimate the likelihood that employed men reduced weekly hours worked 3 months following diagnosis.</p><p><strong>Results: </strong>Nearly all employed men enrolled remained working (82%) and working full-time 3 months after initiating adjuvant cancer treatment. Men insured through their employer were more likely to be employed 3 months after starting adjuvant treatment. Among employed men, Hispanic men, those with low educational attainment, and those with low physical work demands (marginal effect =  - 0.16, p < 0.01) were less likely to reduce weekly hours worked.</p><p><strong>Conclusions: </strong>Employer-based health insurance has an important role in work continuation. Systematic differences in ethnicity, education, and work demands are associated with reduced weekly hours worked.</p><p><strong>Implications for cancer survivors: </strong>The findings suggest that health insurance through an employer may be a motivator to continue working, most likely to pay for ongoing treatment and offset financial losses. Hispanic men, men with low educational attainment, and men employed in physically demanding jobs may benefit from support services to help navigate work and treatment.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1550-1556"},"PeriodicalIF":3.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}