Supportive Care in Cancer最新文献

{"title":"Experience of individuals with lung and gastrointestinal cancers undergoing radiation therapy: a qualitative study.","authors":"Petra Grendarova, Demetra Yannitsos, Sadia Ahmed, Maria Santana, Lisa Barbera","doi":"10.1007/s00520-024-09103-z","DOIUrl":"https://doi.org/10.1007/s00520-024-09103-z","url":null,"abstract":"<p><strong>Purpose: </strong>Lung cancer remains one of the most diagnosed cancers in Canada and continues to be the leading cause of cancer deaths in Canada, responsible for 25% of all cancer deaths. Prior studies consistently report poor experiences of people with lung cancers. The study purpose was to explore the reasons for consistently poorer reported experience of people with lung cancer compared to people with gastrointestinal cancers, who previously have reported positive cancer care experiences within the same context, and to better understand key differences that influence patient experience.</p><p><strong>Methods: </strong>This qualitative study used semi-structured interviews of people living with lung cancer (LC) and gastrointestinal cancers (GIC) undergoing radiotherapy at a tertiary cancer centre. Thematic content analysis was conducted to analyse interview transcripts. A person-centred care framework was used to guide the development of the interview guide and data analysis.</p><p><strong>Results: </strong>We interviewed 16 participants (10 LC and 6 GIC). Participants with LC reported poor experience leading to and at the time of their cancer diagnosis, including delays in their diagnosis and anxiety related to their diagnosis. Most participants in both groups reported severe symptoms prior to their radiotherapy. However, the symptoms of people living with LC further worsened during the radiation therapy with the addition of treatment side effects, while the symptoms of people living with GIC were better controlled during treatment. Participants living with LC noted poor communication, gaps in coordination and uncertainty. They acknowledged awareness of support services and other resources, but they reported no interest in accessing them.</p><p><strong>Conclusion: </strong>This study identified gaps in patient experience of people living with LC compared to GIC and proposed ideas for quality improvement projects, including expediting the diagnosis process, enhancing communication with patients around their lung cancer diagnosis, improved symptom management, and timing of supportive care services.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"51"},"PeriodicalIF":2.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Could video game-based physical rehabilitation substitute for conventional physiotherapy in patients with glioma? A proof-of-concept study.","authors":"Hayato Sakamoto, Syoichi Tashiro, Mayuko Takebayashi, Kyohei Matsuda, Kuniaki Saito, Keiichi Kobayashi, Motoo Nagane, Yoshiaki Shiokawa, Hirofumi Nakatomi, Shin Yamada","doi":"10.1007/s00520-024-09111-z","DOIUrl":"https://doi.org/10.1007/s00520-024-09111-z","url":null,"abstract":"<p><strong>Purpose: </strong>The present study investigated the clinical feasibility of replacing a part of conventional physiotherapy (PT) with Nintendo Wii® for the recovery of motor function and activities of daily living (ADL) in patients with glioma.</p><p><strong>Methods: </strong>This study included 10 patients with first-episode gliomas who were admitted to the neurosurgery department of a tertiary hospital. According to the patients' preferences, they were allocated to conventional PT or Wii® rehabilitation groups in which a part of the conventional PT sessions were replaced with Wii® training. The Fugl-Meyer Assessment (FMA), Short Physical Performance Battery (SPPB), Functional Independence Measure (FIM), and Hospital Anxiety and Depression Scale (HAD) measures were compared between the treatment groups using the Mann-Whitney U test.</p><p><strong>Results: </strong>The Wii® rehabilitation and conventional PT groups included four (age 39 [26-53] years, n = 2 each WHO grade III and IV) and six patients (age 72 [59-80] years; all WHO grade IV), respectively. No patient dropouts were observed. The beneficial changes did not differ significantly between the conventional PT and Wii® groups (FMA: 1.0 vs. 1.5, SPPB: - 1.0 vs. - 0.5, FIM: - 2.5 vs. 2.5, HAD: 6 vs. 0). No adverse events such as falls were observed in either treatment group.</p><p><strong>Conclusion: </strong>Wii® rehabilitation had comparable effects with conventional PT for the inpatient rehabilitation of patients with glioma, with no adverse effects. Wii® rehabilitation showed potential as a home-based training modality because no physical assistance was required. Further investigation will be required because of the selection bias as a non-randomized trial.</p><p><strong>Implications for cancer survivors: </strong>Exergame Wii® could be an effective rehabilitation tool for brain tumor patients.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"52"},"PeriodicalIF":2.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enteral nutrition support in patients with cancer: association of short-term prognosis and medical costs with inflammation.","authors":"Chenan Liu, Li Deng, Shiqi Lin, Tong Liu, Jiangshan Ren, Jinyu Shi, Heyang Zhang, Hailun Xie, Yue Chen, Xin Zheng, ZhaoTing Bu, Hanping Shi","doi":"10.1007/s00520-024-09085-y","DOIUrl":"https://doi.org/10.1007/s00520-024-09085-y","url":null,"abstract":"<p><strong>Background: </strong>Enteral nutrition (EN) is commonly used for nutritional support in patients with cancer. Whether inflammation, one of the driving factors of malnutrition and cancer, affects the association between EN and short-term prognosis and medical costs in patients with cancer remains unclear. We aimed to investigate the association between EN and short-term prognosis of patients with cancer and the effect of inflammation on EN-associated medical costs.</p><p><strong>Methods: </strong>This multicentre prospective cohort study evaluated patients with pathologically confirmed solid tumours. After admission, all patients who received EN, including oral or tube feeding, were assigned to the EN group. The log-rank test was used to identify the optimal cutoff values for inflammatory markers. Cox regression analysis was used to analyse the associations among EN, inflammation, and prognosis. Propensity score matching was used to balance biases between the EN and non-EN groups and validate the stability of the results.</p><p><strong>Results: </strong>A total of 5121 patients were included, with 2965 (57.90%) men and an average age of 59.06 (11.30) years. A total of 462 patients received EN, with 390 (84.4%) receiving oral nutritional supplementation. During the 90-day follow-up, 304 patients died. In the low inflammation group, there was no association between EN and short-term prognosis (hazard ratio [HR] = 0.92, 95% confidence interval [CI] = 0.39-2.18). In the high inflammation group, EN significantly improved the short-term prognosis (HR = 0.48, 95% CI = 0.30-0.76). In patients with low inflammation (p < 0.001), EN increased hospitalisation costs (p < 0.001) without reducing length of stay (LOS) (p = 0.15). In patients with high inflammation, EN did not increase hospitalisation expenses (p = 0.47) but reduced the LOS (p = 0.004).</p><p><strong>Conclusion: </strong>EN can improve the short-term prognosis of patients with high inflammation and reduce LOS without increasing the hospitalisation expenses. Baseline inflammation levels may serve as effective indicators for personalised and precise EN treatment.</p><p><strong>Clinical trial registration: </strong>ChiCTR1800020329 (chictr.org.cn).</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"50"},"PeriodicalIF":2.8,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the prediction of chemotherapy dose-limiting toxicity in colon cancer patients using an AI-CT-based 3D body composition of the entire L1-L5 lumbar spine.","authors":"Ke Cao, Josephine Yeung, Matthew Y K Wei, Cheuk Shan Choi, Margaret Lee, Lincoln J Lim, Yasser Arafat, Paul N Baird, Justin M C Yeung","doi":"10.1007/s00520-024-09108-8","DOIUrl":"https://doi.org/10.1007/s00520-024-09108-8","url":null,"abstract":"<p><strong>Purpose: </strong>Chemotherapy dose-limiting toxicities (DLT) pose a significant challenge in successful colon cancer treatment. Body composition analysis may enable tailored interventions thereby supporting the mitigation of chemotherapy toxic effects. This study aimed to evaluate and compare the effectiveness of using three-dimensional (3D) CT body composition measures from the entire lumbar spine levels (L1-L5) versus a single vertebral level (L3), the current gold standard, in predicting chemotherapy DLT in colon cancer patients.</p><p><strong>Methods: </strong>Retrospective analysis of 184 non-metastatic colon cancer patients receiving adjuvant chemotherapy was performed. DLT was defined as any occurrence of dose reduction or discontinuation due to chemotherapy toxicity. Using artificial intelligence (AI) auto-segmentation, 3D body composition measurements were obtained from patients' L1-L5 levels on CT imaging. The effectiveness of patients' 3D L3 body composition measurement and incorporating data from the entire L1-L5 (including L3) region in predicting DLT was examined.</p><p><strong>Results: </strong>Of the 184 patients, 112 (60.9%) experienced DLT. Neuropathy was the most common toxicity (49/112, 43.8%) followed by diarrhea (35.7%) and nausea/vomiting (33%). Patients with DLT had lower muscle volume at all lumbar levels compared to those without. The machine learning model incorporating L1-L5 data and patient clinical data achieved high predictive performance (AUC = 0.75, accuracy = 0.75), outperforming the prediction using single L3 level (AUC = 0.65, accuracy = 0.65).</p><p><strong>Conclusion: </strong>Evaluating a patient's body composition allowed prediction of chemotherapy toxicities for colon cancer. Incorporating fully automated body composition analysis of CT slices from the entire lumbar region offers promising performance in early identification of high-risk individuals, with the ultimate aim of improving patient's quality of life.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"45"},"PeriodicalIF":2.8,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current status and influencing factors of nutrition management in patients with digestive tract cancer from the integrated perspective of medical care staff, patients, and family caregivers: a qualitative study.","authors":"Xiaoxu Zhi, Jie Chen, Mingzhu Xie, Yuepeng Cao, Tiantian Sun, Yinan Zhang, Liuliu Zhang, Yun Zhao, Yanfei Jin, Qin Xu, Jun Yao","doi":"10.1007/s00520-024-09109-7","DOIUrl":"https://doi.org/10.1007/s00520-024-09109-7","url":null,"abstract":"<p><strong>Background: </strong>The research aimed to collect experience and viewpoints related to the nutrition management of patients with digestive tract cancers from medical care staff, patients, and family caregivers and provide reasonable and effective references for the mode of nutrition management of these patients.</p><p><strong>Methods: </strong>Using a phenomenological qualitative research method, six physicians, six nurses, three nutritionists, six patients, and six family caregivers from a tertiary A cancer hospital in Jiangsu Province were chosen by purposive sampling methods from February to June 2023. Data was collected through semi-structured in-depth interviews and analyzed by the content analysis method.</p><p><strong>Results: </strong>Data analysis revealed two major themes, each with four subcategories: current status of clinical nutrition management tract cancers which consisted of \"lack of whole-process nutrition management model,\" \"inadequate role of nutrition management professionals,\" \"lack of a mechanism for continuous improvement of nutrition management quality,\" and \"lack of nutrition science popularization and training system\" and influencing factors of clinical nutrition management that contained \"patient-related factors,\" \"family-related factors,\" \"medical staff-related factors,\" and \"hospital environment and policy-related factors.\"</p><p><strong>Conclusions: </strong>Nutritional management of digestive cancer patients is currently inadequate and should be viewed through an integrated perspective. Improvements should be made at four angles: patient, family, healthcare provider, and hospital environment by establishing a multidisciplinary nutritional management team.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"46"},"PeriodicalIF":2.8,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of low- and moderate-intensity endurance exercise on physical functioning among breast cancer survivors: a randomized controlled trial.","authors":"Ana L Mulero Portela, Carmen L Colón Santaella, Laura Q Rogers, Mariam Missaghian Vissepo","doi":"10.1007/s00520-024-09100-2","DOIUrl":"https://doi.org/10.1007/s00520-024-09100-2","url":null,"abstract":"<p><strong>Purpose: </strong>Compare the effects of low-intensity and moderate-intensity exercise on physical functioning in breast cancer survivors.</p><p><strong>Methods: </strong>Women aged 50 + years and post-primary treatment for stage 0 to III breast cancer were randomly assigned to a 6-month low-intensity (LIG) or moderate-intensity (MIG) exercise group. Participants were instructed to walk (low- or moderate-intensity) for 30 min five days a week, followed by flexibility exercises, and do strengthening and balance exercises twice weekly. Exercise adherence was facilitated with seven individual counseling sessions tapered over six months and a Theory of Planned Behavior-based booklet. Assessments occurred at baseline, 6 months (post-intervention), and 12 months. Primary measures were PROMIS Physical Functioning, PROMIS Global Health, and six-minute walk test (6MWT).</p><p><strong>Results: </strong>Of 101 women randomized, 65 (64.4%) completed the study. No statistically significant between-group differences occurred at post-intervention or 12 months. Compared to baseline, within-group improvements in PROMIS physical functioning occurred (LIG increased from 45.87 ± 7.58 to 48.37 ± 7.13 post-intervention (p = 0.01); MIG increased from 45.26 ± 7.27 to 49.53 ± 8.80 post-intervention (p = 0.002) and 48.91 ± 9.29 at 12 months (p = 0.02)). Similarly, Global Health physical health improved (LIG increased from 46.04 ± 5.00 to 49.19 ± 5.76 post-intervention (p = 0.001); MIG increased from 45.06 ± 6.59 to 48.20 ± 7.33 post-intervention (p = 0.005) and 48.49 ± 7.89 at 12 months (p = 0.007)). 6MWT improved between post-intervention and 12 months for the LIG (469.99 ± 64.69 m to 492.19 ± 68.64 m, p = 0.008) and between baseline and post-intervention for the MIG (471.01 ± 62.69 m to 495.88 ± 66.64 m, p = 0.006).</p><p><strong>Conclusion: </strong>Both low and moderate-intensity exercise led to significant improvement in physical functioning. When feasible and acceptable, prescribing low-intensity exercise can yield important benefits.</p><p><strong>Trial registration number: </strong>ClinicalTrials.gov identifier: NCT02982564.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"49"},"PeriodicalIF":2.8,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From supportive care to trauma: training integrative practitioners in the treatment of acute stress disorder.","authors":"Eran Ben-Arye, Dori Rubinstein, Yael Keshet, Noah Samuels, Gali Stoffman, Mooli Lahad, Alon Reshef, Elad Schiff","doi":"10.1007/s00520-024-09090-1","DOIUrl":"https://doi.org/10.1007/s00520-024-09090-1","url":null,"abstract":"<p><strong>Objective: </strong>The present conflict in Israel has led to a surge in cases of acute stress disorder (ASD). The study examined a training program for integrative medicine (IM) providers working in supportive and palliative care settings, teaching clinical skills for treating ASD.</p><p><strong>Methods: </strong>A 10-h online training program, designed by supportive care trained IM and mental health professionals was attended by a group of 32 IM providers. The impact of the course was assessed using pre- and post-training questionnaires, which underwent qualitative evaluation. Three open-ended questions addressed expectations from the program, anticipated barriers to combining IM with mental health interventions, and explored willingness for multi-disciplinary collaboration. A conventional content analysis was used, where coding categories are derived directly from the text data. Narratives were analyzed using ATLAS.ti software for systematic coding.</p><p><strong>Results: </strong>Narrative themes identified within the group of 32 trainees included expectations regarding facilitating a multi-disciplinary integrative model of care, enriching the ASD-related clinical \"toolbox,\" increasing the effectiveness of IM treatments, and reducing IM treatment-associated risks. Insights were provided for bridging communication gaps between IM practitioners and mental health providers, supporting the multi-disciplinary collaboration.</p><p><strong>Conclusions: </strong>ASD-focused training for IM practitioners may increase their level of clinical skills and advance collaboration with mental health providers. Future research examining the feasibility of the integrative model and its implementation in supportive care setting is warranted.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"47"},"PeriodicalIF":2.8,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of patients who die in an acute palliative care unit.","authors":"Sebastiano Mercadante, Alessio Lo Cascio, Alessandra Casuccio","doi":"10.1007/s00520-024-09102-0","DOIUrl":"https://doi.org/10.1007/s00520-024-09102-0","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the characteristics of patients with advanced cancer who die in an acute palliative care unit (APCU), and the risk factors for death in APCU.</p><p><strong>Methods: </strong>Adult consecutive patients with advanced cancer admitted to the APCU in a period of 13 months were prospectively assessed. At APCU admission, epidemiologic data, characteristics of admission, cachexia, being on-off anticancer treatment, and Edmonton Symptom Assessment System (ESAS) and MDAS (Memorial Delirium Assessment Scale) were assessed. Patients who died in APCU were extrapolated from the entire sample. A similar random sample of patients who were discharged alive in the same study period, matched for age and gender, was selected for comparison.</p><p><strong>Results: </strong>Fifty-four patients (12%) died in APCU. Statistical differences between died and discharged patients were found in MDAS (p =  < 0.0005), admission for cognitive/clinical decline (p =  < 0.0005), referral from specialistic home palliative care (p < 0.0005), cachexia (p = 0.018), being off cancer treatment (p =  < 0.0005), and symptom burden (total ESAS) (p = 0.002). At the multivariate analysis, independent factors associated with dying in APCU were MDAS (p = 0.006), referral from specialistic home palliative care (p = 0.025), being off cancer treatment (p = 0.002), pain and dyspnea intensity (< 0.05 and p = 0.038, respectively), and total ESAS (p = 0.025).</p><p><strong>Conclusion: </strong>Mortality risk in APCU is associated with home palliative care referral, high symptom burden, and being off-cancer treatment. More proactive and timely end-of-life care is needed for these patients.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"48"},"PeriodicalIF":2.8,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of intermittent hand-foot hypothermia therapy on chemotherapy-induced peripheral neurotoxicity.","authors":"Li Ran, Guo Dongxue, Zhang Zirui, Hu Jiwei, Du Aijun, Hu Yuchen, Zhou Lizhi","doi":"10.1007/s00520-024-09065-2","DOIUrl":"https://doi.org/10.1007/s00520-024-09065-2","url":null,"abstract":"<p><strong>Purpose: </strong>Chemotherapy-induced peripheral neuropathy (CIPN) is a common side effect in patients with breast cancer undergoing chemotherapy. This study aimed to assess the effects of three different intermittent hypothermia temperatures applied to the hands and feet on CIPN symptoms in patients with breast cancer undergoing chemotherapy.</p><p><strong>Methods: </strong>In total, 108 patients were randomly divided into three experimental groups (n = 36). Patients wore cold gloves and foot covers (groups 1-3, three 10 °C intervals from 0 to - 30 °C) for 15 min before and after each infusion. CIPN symptoms and their interference with activities of daily living (ADL) were assessed before the intervention and after the third and sixth cycles. Hypothermia tolerability and safety were also evaluated.</p><p><strong>Results: </strong>Baseline characteristics were similar across groups. After three intervention cycles, the scores were lower in group 3 than in group 1 for finger/hand numbness, toe/foot numbness, finger/hand/toe/foot discomfort, muscle/joint pain, and arm/leg weakness. After six intervention cycles, group 3 showed lower scores than group 1 for finger/hand tingling, toe/foot tingling, and difficulty maintaining balance. After six cycles of intervention, the influence of CIPN on ADL in all dimensions (except getting along with others) and the total score was lower in group 3 than in group 1. Additionally, CIPN symptoms and effects on activities of daily living were significant across time, groups, and interactions.</p><p><strong>Conclusions: </strong>Intermittent hand-foot therapy (- 20 to - 30 °C) was the most effective for improving symptoms and ability to perform day-to-day activities. All temperatures tested were well-tolerated and safe.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"43"},"PeriodicalIF":2.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The living centre: an innovative open-access model of breast cancer survivorship care.","authors":"Darren Haywood, Jamie Kelly, Natalie Sova, Oscar Lederman, Bo-Huei Huang, Evan Dauer, Jordan Joseph, Irene Hendel, David Hendel, Nicolas H Hart","doi":"10.1007/s00520-024-09088-9","DOIUrl":"https://doi.org/10.1007/s00520-024-09088-9","url":null,"abstract":"<p><p>People affected by breast cancer experience a multitude of toxicities and unmet needs across physical, cognitive, psychosocial, and economic domains that adversely impact their quality of life. High-quality and diverse supportive care is required to improve outcomes and rehabilitation for people affected by breast cancer. However, the availability and access to high-quality supportive care services is limited due to factors including cost and demand. As such, many people affected by breast cancer do not receive optimal supportive care. The Think Pink Foundation facilitates free-of-charge supportive care services to breast cancer survivors, their families, and caregivers through 'The Living Centre'. Think Pink seeks to provide a high-quality survivorship care model that overcomes barriers associated with the economic burden of cancer. Within its suite of services, The Living Centre offers ongoing exercise classes, creative therapy, support groups, specialist breast cancer nurse consultations, wellness services, and education support through face-to-face and online service provision. This paper outlines the development, model of care, service provision, and planning for future outcomes and economic evaluation of The Living Centre as a supportive care model for others to consider establishing in their local context. This paper may therefore directly inform the development of cancer survivorship care services globally to increase equitable access to optimal supportive care.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 1","pages":"42"},"PeriodicalIF":2.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}