Supportive Care in Cancer最新文献

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Standardized gynecologic consultation and bone surveillance in patients with breast cancer receiving hormone therapy. 接受激素治疗的乳腺癌患者的标准化妇科会诊和骨监测。
IF 2.8 3区 医学
Supportive Care in Cancer Pub Date : 2025-05-19 DOI: 10.1007/s00520-025-09543-1
Ching-Wen Chiu, Chih-Ming Su, Li-Min Liao, Yun-Ting Su, Hsueh-Chi Wu, Ka-Wai Tam
{"title":"Standardized gynecologic consultation and bone surveillance in patients with breast cancer receiving hormone therapy.","authors":"Ching-Wen Chiu, Chih-Ming Su, Li-Min Liao, Yun-Ting Su, Hsueh-Chi Wu, Ka-Wai Tam","doi":"10.1007/s00520-025-09543-1","DOIUrl":"https://doi.org/10.1007/s00520-025-09543-1","url":null,"abstract":"<p><strong>Objective: </strong>Long-term use of hormone therapy may increase the risks of endometrial cancer and osteoporosis in patients with breast cancer. To minimize these risks, breast surgeons should schedule early consultations with gynecologists and arrange bone mineral density (BMD) examinations. In this study, we used the plan-do-study-act (PDSA) methodology to enhance comprehensive care coordination with the gynecology department and promote early surveillance of bone loss in patients with breast cancer undergoing hormone therapy.</p><p><strong>Methods: </strong>We conducted a workshop and implemented standardized interventions that included gynecologic consultations and BMD examinations. We tracked the rates of these interventions during sequential PDSA cycles in 2023 and compared them with baseline rates from 2020 to 2022. We also evaluated the adjustment rate of therapy in patients with osteoporosis after undergoing BMD examinations.</p><p><strong>Results: </strong>Before our interventions were implemented, the baseline 6-month rate of gynecologic consultations was 36%. This rate increased to 76.3% and 75% during PDSA cycles 1 and 2, respectively. Similarly, the rate of BMD examinations increased from 29.3 to 40% during PDSA cycle 1. Among patients who received a diagnosis of osteoporosis after a BMD examination, the rate of those who altered their hormone therapy increased from 11% before the PDSA cycles to 19% during the cycles.</p><p><strong>Conclusion: </strong>Our standardized intervention successfully raises awareness among all practitioners and promotes comprehensive care for patients with breast cancer receiving hormone therapy. Future PDSA cycles should focus on developing implementation strategies aimed at enhancing electronic medical record systems to better identify patients at risk.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 6","pages":"479"},"PeriodicalIF":2.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094918","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}
引用次数: 0
Efficacy of synbiotic mouthwash on salivary TLR2 levels and oral mucositis in head and neck cancer patients undergoing radiotherapy: a randomized clinical trial. 合成漱口水对头颈癌放疗患者唾液TLR2水平和口腔黏膜炎的影响:一项随机临床试验
IF 2.8 3区 医学
Supportive Care in Cancer Pub Date : 2025-05-19 DOI: 10.1007/s00520-025-09522-6
Maryam Koopaie, Sahar Vaziri, Soheila Manifar, Shima Younespour, Sajad Kolahdooz
{"title":"Efficacy of synbiotic mouthwash on salivary TLR2 levels and oral mucositis in head and neck cancer patients undergoing radiotherapy: a randomized clinical trial.","authors":"Maryam Koopaie, Sahar Vaziri, Soheila Manifar, Shima Younespour, Sajad Kolahdooz","doi":"10.1007/s00520-025-09522-6","DOIUrl":"https://doi.org/10.1007/s00520-025-09522-6","url":null,"abstract":"<p><strong>Purpose: </strong>Head and neck squamous cell carcinoma (HNSCC) is a common type of malignancy that is often treated with radiotherapy. This treatment can lead to the development of oral mucositis. This study investigates the effectiveness of a synbiotic mouthwash in reducing the severity of oral mucositis and in modulating salivary toll-like receptor 2 (TLR2) levels in HNSCC patients undergoing radiotherapy.</p><p><strong>Materials and methods: </strong>A triple-blind, placebo-controlled randomized clinical trial was conducted on 44 HNSCC patients, randomly assigned to either a synbiotic mouthwash (synbiotic group) or a normal saline mouthwash (placebo group). Salivary TLR2 levels were measured at baseline and after the completion of radiotherapy and oral mucositis treatment using an enzyme-linked immunosorbent assay (ELISA). The severity of oral mucositis was evaluated at each follow-up session using the MASCC/ISOO grading system. Statistical analyses included generalized estimating equations and Kaplan-Meier survival curves.</p><p><strong>Results: </strong>Compared to the placebo group, the synbiotic group showed a significant delay in the onset of oral mucositis in grades II and III. Patients in the synbiotic group experienced a slower progression to severe mucositis, with a longer duration of grade II mucositis and fewer cases of grade III mucositis. Moreover, the mean salivary level of TLR2 in patients significantly decreased by the end of the study. However, the two groups found no statistically significant difference in salivary TLR2 levels.</p><p><strong>Conclusions: </strong>The synbiotic mouthwash significantly reduced the severity of oral mucositis and delayed its progression in HNSCC patients undergoing radiotherapy. TLR2 levels decreased significantly in both groups. IRCT20230624058564N1, registration date: 2023-08-06. https://www.cochranelibrary.com/central/doi/10.1002/central/CN-02591897/full https://trialsearch.who.int/Trial2.aspx?TrialID=IRCT20230624058564N1 http://en.irct.ir/trial/70874.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 6","pages":"481"},"PeriodicalIF":2.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102738","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}
引用次数: 0
Mapping cancer patient online support groups: enhancing patient care in a low-middle income healthcare system. 绘制癌症患者在线支持小组:在中低收入医疗保健系统中加强患者护理。
IF 2.8 3区 医学
Supportive Care in Cancer Pub Date : 2025-05-19 DOI: 10.1007/s00520-025-09535-1
Fatma Bektash, Heba Hossam Ouda, Yasmine Hassan, Asmaa El-Sayed, Emad Shash
{"title":"Mapping cancer patient online support groups: enhancing patient care in a low-middle income healthcare system.","authors":"Fatma Bektash, Heba Hossam Ouda, Yasmine Hassan, Asmaa El-Sayed, Emad Shash","doi":"10.1007/s00520-025-09535-1","DOIUrl":"10.1007/s00520-025-09535-1","url":null,"abstract":"<p><p>Cancer's impact extends beyond the physical domain, affecting patients' psychological, social, and financial well-being. Consequently, cancer support groups have a crucial role in guiding patients through their cancer journey and improving their quality of life. However, in Egypt, patient support groups remain undervalued and lack comprehensive visibility. This study aimed to address this gap by mapping patient online support groups in Egypt, categorizing them, and highlighting their importance in supporting patients and caregivers. The research includes examining online support groups and pages, particularly on Facebook. The results of our investigation indicate that 21% of the Facebook groups examined met the criteria for classification as qualified, another 21% were categorized as semi-qualified, while most of the groups, comprising 58%, were considered non-qualified. For the Facebook pages examined, organizational involvement through governmental, non-governmental, and charitable institutions qualified these pages as meeting the criteria for qualification. In contrast, the majority (70%) of the analyzed community pages were non-qualified, 30% were semi-qualified, and none met the criteria for qualification. This underscores the need for discernment when engaging with online resources. Furthermore, the study illuminates the role of various organizations, including hospitals, non-governmental organizations (NGOs), and pharmaceutical companies, in supporting cancer patients, especially through online support groups. Despite these efforts, comprehensive review articles on Egyptian patient support groups are lacking, making this study a significant contribution to understanding and enhancing patient support in the fight against cancer.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 6","pages":"480"},"PeriodicalIF":2.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of compression therapy for prevention of peripheral neuropathy caused by taxane-based chemotherapy: a single-center retrospective observational study. 压迫疗法预防紫杉烷类化疗引起的周围神经病变的疗效:一项单中心回顾性观察性研究。
IF 2.8 3区 医学
Supportive Care in Cancer Pub Date : 2025-05-17 DOI: 10.1007/s00520-025-09527-1
Yuko Kanbayashi, Takeshi Ishikawa, Yusuke Tabuchi, Kazuko Sugatani, Tetsuya Taguchi, Koichi Takayama
{"title":"Efficacy of compression therapy for prevention of peripheral neuropathy caused by taxane-based chemotherapy: a single-center retrospective observational study.","authors":"Yuko Kanbayashi, Takeshi Ishikawa, Yusuke Tabuchi, Kazuko Sugatani, Tetsuya Taguchi, Koichi Takayama","doi":"10.1007/s00520-025-09527-1","DOIUrl":"https://doi.org/10.1007/s00520-025-09527-1","url":null,"abstract":"<p><strong>Introduction: </strong>Chemotherapy-induced peripheral neuropathy (CIPN) is a significant complication of taxane-based chemotherapies that limits their clinical utility. This study evaluated the effectiveness of compression therapy using surgical gloves in preventing CIPN in various cancer types, including, but not limited to, breast cancer.</p><p><strong>Patients and methods: </strong>Data from 603 patients who underwent taxane-based chemotherapy at a single institution between April 2018 and January 2024 were retrospectively analyzed. Variables associated with CIPN development were extracted and analyzed using uni- and multivariate ordered logistic regression models.</p><p><strong>Result: </strong>Compression therapy was significantly associated with a reduced incidence of CIPN. Significant predictors of CIPN included lung cancer (odds ratio [OR] = 0.342, P = 0.003), number of chemotherapy cycles (OR = 1.015, P = 0.033), and use of surgical gloves (OR = 0.559, P = 0.003).</p><p><strong>Conclusion: </strong>Compression therapy using simple, cost-effective surgical gloves appeared effective for preventing CIPN in a diverse cancer population undergoing taxane-based chemotherapy. The risk of CIPN increases with the number of chemotherapy cycles, and a lower incidence was observed among patients with lung cancer. These findings provide a foundation for future research aimed at improving patient quality of life during taxane-based chemotherapy.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 6","pages":"478"},"PeriodicalIF":2.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086741","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}
引用次数: 0
Correction to: Exploring the impact of breast cancer support groups on survivorship and treatment decision‑making in Eastern Ethiopia: a qualitative study. 更正:探索埃塞俄比亚东部乳腺癌支持团体对生存率和治疗决策的影响:一项定性研究。
IF 2.8 3区 医学
Supportive Care in Cancer Pub Date : 2025-05-16 DOI: 10.1007/s00520-025-09538-y
Nahom G Belete, Meera Bhakta, Tara Wilfong, Mahlet Shewangizaw, Edilawit Abebaw Abera, Yehenaw Tenaw, Michael Shawel, Habtamu Seife, Biruk Habtamu, Nahom Wondwossen, Elizabeth A Wood
{"title":"Correction to: Exploring the impact of breast cancer support groups on survivorship and treatment decision‑making in Eastern Ethiopia: a qualitative study.","authors":"Nahom G Belete, Meera Bhakta, Tara Wilfong, Mahlet Shewangizaw, Edilawit Abebaw Abera, Yehenaw Tenaw, Michael Shawel, Habtamu Seife, Biruk Habtamu, Nahom Wondwossen, Elizabeth A Wood","doi":"10.1007/s00520-025-09538-y","DOIUrl":"10.1007/s00520-025-09538-y","url":null,"abstract":"","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 6","pages":"477"},"PeriodicalIF":2.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sleep quality trajectories and their relationship with quality of life in patients with hepatocellular carcinoma: a prospective cohort study. 肝细胞癌患者睡眠质量轨迹及其与生活质量的关系:一项前瞻性队列研究
IF 2.8 3区 医学
Supportive Care in Cancer Pub Date : 2025-05-16 DOI: 10.1007/s00520-025-09518-2
Fan-Rong Li, Rong-Rui Huo, Feng-Juan Zhao, Jian-Hong Zhong, Xue-Mei You
{"title":"Sleep quality trajectories and their relationship with quality of life in patients with hepatocellular carcinoma: a prospective cohort study.","authors":"Fan-Rong Li, Rong-Rui Huo, Feng-Juan Zhao, Jian-Hong Zhong, Xue-Mei You","doi":"10.1007/s00520-025-09518-2","DOIUrl":"https://doi.org/10.1007/s00520-025-09518-2","url":null,"abstract":"<p><strong>Purpose: </strong>To identify the classes of sleep quality trajectories in patients with hepatocellular carcinoma (HCC) and analyze differences in patient characteristics across these classes and to explore the relationship between sleep quality trajectory and quality of life (QOL) in patients.</p><p><strong>Methods: </strong>A total of 205 patients completed sleep quality assessments at four time points (before surgery and 1, 3, and 6 months after surgery). Classes of heterogeneous sleep quality trajectories were identified using a latent class mixed-effects model. The differences in the characteristics of patients across classes were identified by unordered multicategorical logistic regression. The relationship between sleep quality trajectory and QOL was assessed using a generalized estimation equation model.</p><p><strong>Results: </strong>Three latent classes of sleep quality trajectories were identified in HCC patients: persistent good sleep (19.5%); persistent poor sleep (75.6%); and worsening (4.9%). Depression, fatigue, comorbidities, and drinking were associated with an increased odds of belonging to the persistent poor sleep class compared to the persistent good sleep class. Tumor size ≥ 5 cm and comorbidities were associated with an increased odds of belonging to the worsening class. The decreases in QOL from admission to 1, 3, and 6 months after surgery were significantly higher for patients in the worsening class compared to patients in the persistent good sleep class (all P < 0.001).</p><p><strong>Conclusion: </strong>The sleep quality trajectories in patients with HCC were characterized by three latent classes; patients in these classes differed in disease characteristics, psychological, and physical symptoms. Sleep quality worsening can lead to significant declines in the QOL of patients after surgery.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 6","pages":"476"},"PeriodicalIF":2.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079736","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}
引用次数: 0
Improving our understanding of the quality of life of patients with metastatic or recurrent/persistent anal cancer: a systematic review. 提高我们对转移性或复发性/持续性肛门癌患者生活质量的理解:一项系统综述。
IF 2.8 3区 医学
Supportive Care in Cancer Pub Date : 2025-05-15 DOI: 10.1007/s00520-025-09520-8
Samantha C Sodergren, Rowan Edwards, Rahul Krishnatry, Marianne G Guren, Kristopher Dennis, Pierfrancesco Franco, Francesca de Felice, Anne-Sophie Darlington, Vassilios Vassiliou
{"title":"Improving our understanding of the quality of life of patients with metastatic or recurrent/persistent anal cancer: a systematic review.","authors":"Samantha C Sodergren, Rowan Edwards, Rahul Krishnatry, Marianne G Guren, Kristopher Dennis, Pierfrancesco Franco, Francesca de Felice, Anne-Sophie Darlington, Vassilios Vassiliou","doi":"10.1007/s00520-025-09520-8","DOIUrl":"10.1007/s00520-025-09520-8","url":null,"abstract":"<p><strong>Purpose: </strong>Chemoradiation (CRT) is used to treat anal carcinomas which, for most patients with loco-regional disease, results in a cure but is associated with acute and chronic complications impairing quality of life (QoL). Patients with metastatic disease or recurrence are likely to experience additional QoL concerns. This paper identifies the QoL issues of these patients and determines whether the EORTC QLQ-ANL27 (QLQ-ANL27), a measure of QoL of patients treated with CRT for anal cancer used alongside the core EORTC QLQ-C30 (QLQ-C30), is suitable or needs adapting.</p><p><strong>Methods: </strong>A systematic review was conducted of studies published between 2014 and 2024 reporting QoL of patients with metastatic or recurrent/persistent anal cancer or follow-up data of patients treated with CRT for anal cancer.</p><p><strong>Results: </strong>This review included 23 papers, only three focused exclusively on metastatic and/or recurrent anal cancer. Most of the 53 reported symptoms related to bowel, urinary, and sexual functioning, with 60% covered by the QLQ-ANL27 or the QLQ-C30. Issues not captured include, for example, neuropathy, hair loss, musculoskeletal problems, urinary incontinence, and embarrassment.</p><p><strong>Conclusion: </strong>There is a paucity of research looking specifically at QoL outcomes of patients with metastatic or recurrent anal cancer. Whilst the QLQ-ANL27 captures most QoL issues affecting these patients, it might require adapting to improve its sensitivity.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 6","pages":"475"},"PeriodicalIF":2.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dissemination planning in exercise oncology trials-a systematic review of trial protocols. 运动肿瘤学试验中的传播计划——试验方案的系统回顾。
IF 2.8 3区 医学
Supportive Care in Cancer Pub Date : 2025-05-15 DOI: 10.1007/s00520-025-09532-4
Emily Smyth, Lydia Politi, Emer Guinan, David Mockler, Linda O'Neill
{"title":"Dissemination planning in exercise oncology trials-a systematic review of trial protocols.","authors":"Emily Smyth, Lydia Politi, Emer Guinan, David Mockler, Linda O'Neill","doi":"10.1007/s00520-025-09532-4","DOIUrl":"https://doi.org/10.1007/s00520-025-09532-4","url":null,"abstract":"<p><strong>Purpose: </strong>The paucity of exercise rehabilitation services for cancer survivors indicates a research-to-practice gap. Dissemination and Implementation research addresses this gap by focusing on the adoption, implementation, and sustainability of evidence-based interventions. Dissemination, the active process of sharing research findings, is critical to the implementation of evidence-based practice. This systematic review examined adherence of exercise oncology trial protocols to the SPIRIT 2013 checklist items pertaining to dissemination planning, items 31a, 31b, and 31c, which address how dissemination is planned, authorship eligibility is considered, and what plans are in place to share data and the protocol.</p><p><strong>Methods: </strong>A systematic review was conducted following the PRISMA guidelines. EMBASE, MEDLINE, CINAHL, Web of Science-Core Collection, Google Scholar, and the Central Trial Registry via Cochrane were searched (16/05/2024). Title and abstract screening, full-text review, and data extraction were completed in duplicate.</p><p><strong>Results: </strong>Eighty-six trial protocols were included, thirty-one (36.1%) did not report dissemination plans. Item 31 was reported as follows (n = number of trials, frequency (%)); 31a plans to communicate trial results to: participants (n = 19, 22.1%), healthcare professionals (n = 43, 50%), the public (n = 25, 29.2%), and other relevant groups (n = 22, 25.6%), 31b: author eligibility (n = 3, 3.5%) and plans regarding use of professional writers (n = 4, 4.7%), and 31c plans for granting access to participant level dataset (n = 28, 32.6%), full protocol (n = 1, 1.2%) and statistical code (n = 1, 1.2%). Peer-reviewed journal (n = 41, 47.67%) and conferences/professional meetings (n = 38, 44.2%) were the most frequently reported planned dissemination strategies.</p><p><strong>Conclusion: </strong>Reporting of the SPIRIT 2013 checklist Item 31 is generally low in exercise oncology trial protocols. Greater consideration of dissemination planning is required to support the implementation of exercise oncology research into practice.</p><p><strong>Registration: </strong>https://doi.org/10.17605/OSF.IO/M8HFP.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 6","pages":"473"},"PeriodicalIF":2.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The experience and needs of self-care in elderly colorectal cancer stoma patients: a qualitative study. 老年结直肠癌造口患者自我护理的经验与需求:一项质性研究。
IF 2.8 3区 医学
Supportive Care in Cancer Pub Date : 2025-05-15 DOI: 10.1007/s00520-025-09530-6
Yan Xue, Kaili Lv, Chenye Yuan, Guidi Fan, Ping Yu
{"title":"The experience and needs of self-care in elderly colorectal cancer stoma patients: a qualitative study.","authors":"Yan Xue, Kaili Lv, Chenye Yuan, Guidi Fan, Ping Yu","doi":"10.1007/s00520-025-09530-6","DOIUrl":"https://doi.org/10.1007/s00520-025-09530-6","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to describe the real experiences and needs of stoma self-care in elderly colorectal cancer patients, providing a theoretical basis for healthcare professionals to develop effective intervention measures.</p><p><strong>Methods: </strong>Semi-structured, in-depth interviews were conducted with the thirteen elderly colorectal cancer patients with stomas. These interviews were audio-recorded and transcribed verbatim. The interview data were then organized, analyzed, and thematically refined using Colaizzi's 7-step analysis method.</p><p><strong>Results: </strong>This study extracted three overarching themes and seven corresponding sub-themes. Theme one, actively seeking help, encompassed pre-rehabilitation needs, social support needs, and continuity of care needs. Theme two, new challenges posed by stomas, included sub-themes related to changes in daily life and psychological burdens. Theme three, courageous acceptance and proactive coping, comprised cognitive changes and behavioral changes as its sub-themes.</p><p><strong>Conclusion: </strong>The study's findings suggest that inadequate in-hospital stoma care education and a lack of continuity of care at home can result in heightened challenges for elderly patients. Healthcare professionals should implement a personalized, full-process education program tailored to geriatric patients' specific needs, ensuring seamless care transition and coordinated management between hospital and home environments.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 6","pages":"474"},"PeriodicalIF":2.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079808","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}
引用次数: 0
Evaluation of the usefulness of protocol-based magnesium supplementation for hypomagnesemia in patients with advanced or recurrent colorectal cancer treated with panitumumab. 帕尼单抗治疗的晚期或复发性结直肠癌患者,基于方案的镁补充治疗低镁血症的有效性评估
IF 2.8 3区 医学
Supportive Care in Cancer Pub Date : 2025-05-14 DOI: 10.1007/s00520-025-09531-5
Daisuke Ito, Hiroki Asano, Michio Kimura, Eiseki Usami
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