Current Opinion in Supportive and Palliative Care最新文献_第10页

Supportive and palliative care for older adults with cancer. 老年癌症患者的支持性和姑息性护理。

IF 2.1 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2023-03-01 DOI: 10.1097/SPC.0000000000000633

Ines B Menjak, Schroder Sattar, Christopher Steer

引用次数: 0

Sexual and gender diversity in cancer care and survivorship. 癌症治疗和生存中的性别多样性。

IF 2.1 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2023-03-01 DOI: 10.1097/SPC.0000000000000628

Christian Schulz-Quach, Margo Kennedy, Brendan Lyver

{"title":"Sexual and gender diversity in cancer care and survivorship.","authors":"Christian Schulz-Quach, Margo Kennedy, Brendan Lyver","doi":"10.1097/SPC.0000000000000628","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000628","url":null,"abstract":"Purpose of the review: Sexual and gender diverse (SGD) cancer patients possess unique identities and needs that must be considered during their cancer care. This narrative review explores the current literature on sexual and gender diversity in cancer care and survivorship, in addition to providing recommendations encouraged by the current literature.Recent findings: We performed a literature search for articles published in English between January 2021 and June 2022 in Medline ALL and Embase. Fifty-two studies were included in this review. The many identities encapsulated in 2SLGBTQIA+ (2 Spirited, Lesbian, Gay, Bisexual, Transgender, Queer, Intersexual, Asexual, Agender, Aromantic and all gender identities and sexual orientations that are not listed) communities each have their own unique backgrounds, needs and disparities in cancer care and survivorship. However, we also identified specific protective factors in the cancer experience of SGD patients such as reports of higher resiliency and stronger support networks. Much of the recent research features recommendations on improving cancer care by creating inclusive patient questionnaires, improving in-person and online resources, and educating healthcare providers and patient-facing staff on inclusive care.Summary: SGD patients have their own specific challenges during and following their cancer care. As the research continues to grow, we gain a better understanding of the needs of these patients and future steps to take to improve SGD patients' cancer experience.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9170296","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}

引用次数: 1

Radiation therapy post radical prostatectomy: who, when and why? 根治性前列腺切除术后的放射治疗:谁，何时，为什么?

IF 2.1 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2023-03-01 DOI: 10.1097/SPC.0000000000000627

Igor Latorzeff, Jennifer Le Guevelou, Paul Sargos

{"title":"Radiation therapy post radical prostatectomy: who, when and why?","authors":"Igor Latorzeff, Jennifer Le Guevelou, Paul Sargos","doi":"10.1097/SPC.0000000000000627","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000627","url":null,"abstract":"Purpose of review: During decades, adjuvant radiotherapy (ART) has been the standard of care after surgery, based on four randomized clinical trials (RCTs). As early salvage radiotherapy (SRT) recently challenged the ART paradigm, the optimal timing to initiate radiotherapy remains a matter of debate.Recent findings: Three RCTs evaluated ART or SRT for postprostatectomy patients, with pathological risk factors (Gleason score > 8, pT3, positive margins). The ARTISTIC meta-analysis demonstrated similar 5-year biochemical recurrence-free survival for ART and SRT (89 vs. 88%). Lower rates of late genitourinary toxicity were demonstrated within the SRT arm, favouring early SRT in clinical practice.The addition of pelvic lymph node radiotherapy recently demonstrated an improvement in freedom from progression within the randomized RTOG 0534 trial, especially for patients with pretreatment prostate serum antigen (PSA) levels more than 0.35 ng/ml. The most appropriate androgen deprivation therapy duration remains a point of controversy.Summary: The SRT approach can be favoured for the vast majority of patients, provided close monitoring of PSA and early treatment in the event of biochemical recurrence. Radiotherapy dose and volumes and ADT use might be correlated to SRT timing (early vs. late). Results from trials including genomic tests and metabolic imaging will probably help to refine these criteria.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9537099","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}

引用次数: 0

Care needs of older patients with advanced cancer. 老年癌症晚期患者的护理需求。

IF 2.1 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2023-03-01 Epub Date: 2023-01-20 DOI: 10.1097/SPC.0000000000000636

Alex Molassiotis, Mian Wang

引用次数: 2

Immunotherapy for older patients with cancer. 癌症老年患者的免疫治疗。

IF 2.1 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2023-03-01 Epub Date: 2023-01-20 DOI: 10.1097/SPC.0000000000000637

Tatianny P Araujo Vargas, Abdullah Al-Humiqani, Danilo Giffoni De Mello Morais Mata, Ines B Menjak

引用次数: 1

Tests to uncover and assess breathlessness: a proposed framework. 揭示和评估呼吸困难的测试：一个拟议的框架。

IF 2.1 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2022-12-01 Epub Date: 2022-09-21 DOI: 10.1097/SPC.0000000000000617

Magnus Ekström

{"title":"Tests to uncover and assess breathlessness: a proposed framework.","authors":"Magnus Ekström","doi":"10.1097/SPC.0000000000000617","DOIUrl":"10.1097/SPC.0000000000000617","url":null,"abstract":"Purpose of review: Breathlessness is a common, distressing, and limiting symptom that many people avoid by reducing their activity. This review discusses exertional tests that can be used for uncovering and assessing breathlessness depending on the person's severity of illness, function, the setting, and aim of the assessment.Recent findings: Standardized exertional tests are useful to uncover 'hidden' breathlessness earlier in people who may have adapted their physical activity to limit their breathing discomfort. In 'more fit' ambulatory people and outpatients, cardiopulmonary exercise testing is the gold standard for assessing symptom severity, underlying conditions, and mechanisms and treatment effects. Among field tests, the 6-min walk test is not useful for assessing breathlessness. Instead, the 3-min step test and walk test are validated for measuring breathlessness change in chronic obstructive pulmonary disease. In people with more severe illness (who are most often not breathless at rest), reported tests include upper limb exercise or counting numbers aloud, but a valid and useful test for this population is lacking.Summary: A framework for selecting the most appropriate test to assess breathlessness validly is proposed, and research needs are identified.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9184231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 2

The burden and impact of chronic cough in severe disease. 重症慢性咳嗽的负担和影响。

IF 2.1 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2022-12-01 DOI: 10.1097/SPC.0000000000000623

Össur Ingi Emilsson

{"title":"The burden and impact of chronic cough in severe disease.","authors":"Össur Ingi Emilsson","doi":"10.1097/SPC.0000000000000623","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000623","url":null,"abstract":"Purpose of review: Chronic cough is common in severe diseases, such as COPD, interstitial lung disease, lung cancer and heart failure, and has a negative effect on quality of life. In spite of this, patients with cough sometimes feel their cough is neglected by healthcare workers. This review aims to briefly describe cough mechanisms, highlight the burden chronic cough can be for the individual, and the clinical impact of chronic cough.Recent findings: Chronic cough is likely caused by different mechanisms in different diseases, which may have therapeutic implications. Chronic cough, in general, has a significant negative effect on quality of life, both with and without a severe comorbid disease. It can lead to social isolation, recurrent depressive episodes, lower work ability, and even conditions such as urinary incontinence. Cough may also be predictive of more frequent exacerbations among patients with COPD, and more rapid lung function decline in idiopathic pulmonary fibrosis. Cough is sometimes reported by patients to be underappreciated by healthcare.Summary: Chronic cough has a significant negative impact on quality of life, irrespective of diagnosis. Some differences are seen between patients with and without severe disease. Healthcare workers need to pay specific attention to cough, especially patients with severe disease.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10627165","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}

引用次数: 1

Cardiometabolic side effects of androgen deprivation therapy in prostate cancer. 前列腺癌雄激素剥夺治疗的心脏代谢副作用。

IF 2.1 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2022-12-01 DOI: 10.1097/SPC.0000000000000624

Marie-Lyssa Lafontaine, Andrea Kokorovic

{"title":"Cardiometabolic side effects of androgen deprivation therapy in prostate cancer.","authors":"Marie-Lyssa Lafontaine, Andrea Kokorovic","doi":"10.1097/SPC.0000000000000624","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000624","url":null,"abstract":"Purpose of review: Androgen-deprivation therapy (ADT) is widely employed for treatment of advanced prostate cancer and it is considered the frontline therapy. However, the numerous adverse reactions associated with this treatment option are concerning and its potential association with cardiovascular diseases (CVD) should not be overlooked. In this review, we examine the literature on the cardiovascular side effects of ADT and the physiologic mechanisms underpinning the association with CVD. We will also specifically discuss the different findings regarding the interesting potential disparity in major cardiovascular events among GnRH agonist-treated patients compared with patients undergoing GnRH antagonist treatment.Recent findings: Androgen-deprivation therapy increases the risk of developing CVD by altering the body composition, metabolism, vascular system, and cardiac physiology. GnRH agonists may pose a higher risk of cardiovascular mortality and morbidity than GnRH antagonists; however, this link remains to be determined. Furthermore, screening for cardiovascular risk factors before and during ADT treatment is a crucial step in preventing major adverse cardiac events in prostate cancer patients. Notably, preexisting CVD and comorbidities have been identified as major key elements predicting cardiovascular events. Early implementation of pharmacological and nonpharmacological treatment strategies is strongly suggested, and regular follow-up visits should be scheduled to continuously assess patients' cardiovascular risk under ADT.Summary: ADT is a very powerful treatment option for advanced prostate cancer that improves survival outcomes but has the potential of considerably impacting patients' cardiovascular health. Medical optimization and close monitoring are crucial during treatment with ADT.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10628878","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}

引用次数: 2

Fertility preservation in uro-oncology. 泌尿肿瘤中的生育能力保存。

IF 2.1 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2022-12-01 DOI: 10.1097/SPC.0000000000000621

Kieran J Moore, Carlos Delgado, Jesse Ory

{"title":"Fertility preservation in uro-oncology.","authors":"Kieran J Moore, Carlos Delgado, Jesse Ory","doi":"10.1097/SPC.0000000000000621","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000621","url":null,"abstract":"Purpose of review: The purpose of this review is to highlight the demand for fertility preservation among cancer survivors and to draw attention to areas where healthcare workers need to improve. As technology advances, maximizing cryopreservation rates will be paramount to increase the ability individuals to conceive after cancer treatment.Recent findings: Guidelines recommending discussion of fertility for those diagnosed with cancer have been shown to increase patient satisfaction and overall quality of life. Our review demonstrated that increasing counseling rates remains an ongoing challenge and should remain an area of improvement for all healthcare professionals working in the oncology field. Formal programs to improve patient and provider education and access to fertility preservation increase uptake of fertility preservation. For men, many options exist to cryopreserve sperm; a slight delay to achieve fertility preservation has not been shown to lead to worse outcomes. Cryopreservation strategies differ based on puberty status and remain an active area of clinical research.Summary: Improving fertility outcomes for cancer survivors is possible with appropriate counseling techniques at the time of cancer diagnosis. Clinicians should challenge current barriers for patient access to fertility preservation surrounding cancer treatments.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10628880","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}

引用次数: 0

Post-COVID-19 respiratory problems: burden and management. covid -19后呼吸道问题:负担和管理。

IF 2.1 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2022-12-01 DOI: 10.1097/SPC.0000000000000619

Anna Kessler, Melissa Heightman, Ewen Brennan

{"title":"Post-COVID-19 respiratory problems: burden and management.","authors":"Anna Kessler, Melissa Heightman, Ewen Brennan","doi":"10.1097/SPC.0000000000000619","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000619","url":null,"abstract":"Purpose of review: To describe the burden of post-COVID respiratory sequelae in posthospital and nonhospitalized COVID-19 survivors and to describe the priorities of clinical management.Recent findings: Due to varying definitions of 'Long COVID' or 'Post-COVID', the prevalence of post-COVID sequelae or persisting symptoms is challenging to estimate but ranges from 2.3 to 51%. Risk factors for persistent post-COVID symptoms include age, female sex, deprivation, presence of comorbidities; and in posthospital COVID-19 survivors, the severity of acute infection. Common post-COVID respiratory symptoms include breathlessness, cough and chest pain and many individuals also experience exercise intolerance. The most common pulmonary function test abnormality is impaired diffusing capacity for carbon monoxide. In posthospital COVID-19 survivors, the prevalence of interstitial lung damage is 5-11%. Disordered breathing is common in all post-COVID patients and respiratory physiotherapy is helpful.Summary: The vast numbers of COVID-19 infections globally implies that a large number of people will be affected by post-COVID sequelae even with conservative estimates. A significant number of people are affected for several months and up to years following acute infection. Post-COVID sequelae have a detrimental impact on quality of life and ability to work.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9184244","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}

引用次数: 1