Xuan Zhu, Linda Squiers, Gabriel Madson, Leah Helmueller, Brian G Southwell, Shama Alam, Lila J Finney Rutten
{"title":"Patient-Provider Communication and Colorectal Cancer Screening Completion Using Multi-target Stool DNA Testing.","authors":"Xuan Zhu, Linda Squiers, Gabriel Madson, Leah Helmueller, Brian G Southwell, Shama Alam, Lila J Finney Rutten","doi":"10.1007/s13187-024-02479-w","DOIUrl":"10.1007/s13187-024-02479-w","url":null,"abstract":"<p><p>Colorectal cancer (CRC) screening continues to be underutilized in the USA despite the availability of multiple effective, guideline-recommended screening options. Provider recommendation has been consistently shown to improve screening completion. Understanding how patient-provider communication influences CRC screening can inform interventions to improve screening completion. We developed a behavioral theory-informed survey to identify patient-provider communication factors associated with multi-target stool DNA (mt-sDNA) screening completion. The survey was administered by RTI International between 03/2022 and 06/2022 to a sample of US adults ages 45-75 who received a valid order for mt-sDNA screening with a shipping date between 5/2021 and 9/2021. Respondents completed an electronic or paper survey. Multivariable logistic regression was used to identify patient-provider communication factors associated with mt-sDNA test completion. A total of 2973 participants completed the survey (response rate, 21.7%) and 81.6% of them (n = 2427) reported having had a conversation with provider about mt-sDNA testing before the test was ordered. Having a conversation with the provider about the test, including discussions about costs, the need for follow-up testing and test instructions were associated with higher odds of test completion and being \"very likely\" to use the test in the future. Lack of discussion about advantages and disadvantages of available CRC screening options and lack of patient involvement in CRC screening decision-making were associated with reduced odds of test completion and likelihood of future use. Healthcare providers play a key role in patient adherence to CRC screening and must be appropriately prepared and resourced to educate and to engage patients in shared decision-making about CRC screening.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"115-123"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731611","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}
{"title":"Reflection on the Human Experience of Cancer-Related Fatigue.","authors":"Waseem Jerjes","doi":"10.1007/s13187-024-02490-1","DOIUrl":"10.1007/s13187-024-02490-1","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"148-149"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction: Evaluation of a pilot cancer patient navigation program in the limited-resource setting of Trinidad and Tobago.","authors":"Kimberly Badal, Nalisha Monroe, Alisha Mohamed, Akash Maniam, Michelle Badal, Kamira Maharaj","doi":"10.1007/s13187-024-02542-6","DOIUrl":"10.1007/s13187-024-02542-6","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"110"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing the Impact of Digital Therapeutics in Cancer Prevention: Reflections on Recent Findings.","authors":"Emad Shash","doi":"10.1007/s13187-024-02474-1","DOIUrl":"10.1007/s13187-024-02474-1","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"146-147"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494101","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}
Luana Conte, Roberto Lupo, Alessia Lezzi, Serena Sciolti, Ivan Rubbi, Maicol Carvello, Antonino Calabrò, Stefano Botti, Annarita Fanizzi, Raffaella Massafra, Elsa Vitale, Giorgio De Nunzio
{"title":"Breast Cancer Prevention Practices and Knowledge in Italian and Chinese Women in Italy: Clinical Checkups, Free NHS Screening Adherence, and Breast Self-Examination (BSE).","authors":"Luana Conte, Roberto Lupo, Alessia Lezzi, Serena Sciolti, Ivan Rubbi, Maicol Carvello, Antonino Calabrò, Stefano Botti, Annarita Fanizzi, Raffaella Massafra, Elsa Vitale, Giorgio De Nunzio","doi":"10.1007/s13187-024-02463-4","DOIUrl":"10.1007/s13187-024-02463-4","url":null,"abstract":"<p><p>Breast cancer remains a significant global concern, underscoring the critical need for early detection and prevention strategies. Primary and secondary preventive measures, such as routine screenings and behaviors like breast self-examination (BSE), play a crucial role in facilitating early diagnosis. While the National Health System (NHS) in Italy offers free regular screenings for women aged 50-69, there is a lack of clarity regarding the participation of both Italian and Chinese women residing in Italy in these screening programs. This study aims to bridge this knowledge gap by thoroughly assessing the involvement in regular clinical check-ups and the types of screening employed, the adherence to free screenings offered by the NHS, and the practice of BSE among women aged 50-69 of these two groups. Furthermore, it investigates their knowledge and perceptions regarding breast cancer and BSE. Results reveal disparities in breast cancer control practice between Italian and Chinese women in Italy: the former demonstrates higher adherence to clinical checkups (53% vs. 3%, p < 0.001), while both groups show low participation in free NHS screenings (70% vs. 4%, p < 0.001). Additionally, Chinese women reported significantly lower frequency of mammography (96% vs. 33%, p < 0.001) and ultrasound (69% vs. 16%, p < 0.001). The frequency of BSE also differed substantially, with 47% of Chinese women never performing BSE compared to 12% of Italian women (p < 0.001). This comprehensive exploration provides valuable insights, attitudes, and knowledge into the disparities and potential areas for improvement in breast cancer prevention, thus contributing to the overall well-being of these communities. The findings highlight the necessity for educational initiatives aimed at improving awareness and participation in screenings, particularly among the Chinese population. These initiatives could have profound implications for patient education by equipping women with the knowledge and skills necessary to engage in proactive health behaviors.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"30-43"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460419","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}
{"title":"A Cancer Patient Navigation Training Program for Limited-Resource Settings: Results from 5 Years of Training.","authors":"Kimberly Badal, Nalisha Monroe, Alisha Mohamed, Akash Maniam, Michelle Badal, Kamira Maharaj","doi":"10.1007/s13187-024-02511-z","DOIUrl":"10.1007/s13187-024-02511-z","url":null,"abstract":"<p><p>Limited research exists on the effectiveness of cancer patient navigation (CPN) in limited-resource countries which are challenging for patients to navigate. The aim of this study was to report on the workflow, resources developed, and outcomes of pilot CPN program developed by the Caribbean Cancer Research Institute (CCRI) in the limited-resource country of Trinidad and Tobago. Three part-time navigators and a part-time program manager were trained in CPN and hired by the CCRI. A network of local service providers, program policies, an electronic medical records system, and informational blog posts were developed to support the pilot. Patients were referred at monthly multi-disciplinary team meetings of the Sangre Grande Hospital. Navigators provided navigation services for a maximum of 10 h. Changes in distress before and after navigation were measured using the National Comprehensive Cancer Network distress thermometer and evaluated using a paired t-test. Patient satisfaction with the navigator and the navigation service was evaluated in a post-navigation survey. One hundred and fifty-eight breast, prostate, pancreatic, and colon cancer patients were navigated. There was an average of 14 contacts between patient and navigator with an average of 30 min per contact. There were 631 barriers identified of which physical (27%; n = 172), informational (26%; n = 164), and emotional or psychological (25%; n = 158) were the top three most frequently reported. Resolutions were offered for 62% (n = 391) of reported barriers. The CPN intervention resulted in a statistically significant reduction in patient distress overall (- 2.4 [2.07-2.79], < 0.001) and across most patient subgroups. Almost all patients reported high satisfaction with navigation. CPN significantly improved patient distress, and patients reported high satisfaction with navigation in the limited-resource setting of Trinidad and Tobago.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"102-109"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308997","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}
Taylor Gabbard, Anthony J Perissinotti, Lydia L Benitez, Martina Fraga, Kristen M Pettit, Dale L Bixby, Patrick W Burke, Bernard L Marini
{"title":"Impact of Chemotherapy Educational Videos for Patients with Acute Myeloid Leukemia.","authors":"Taylor Gabbard, Anthony J Perissinotti, Lydia L Benitez, Martina Fraga, Kristen M Pettit, Dale L Bixby, Patrick W Burke, Bernard L Marini","doi":"10.1007/s13187-024-02473-2","DOIUrl":"10.1007/s13187-024-02473-2","url":null,"abstract":"<p><p>Patient education in acute myeloid leukemia (AML) has become increasingly complex with the introduction of new treatments and chemotherapy regimens. Video education presents an opportunity to supplement traditional patient education and address some of the gaps associated with standard methods. This single-center study sought to assess the potential impact of supplemental video education on patients receiving induction chemotherapy for AML. Participants were consented to be randomized to receive their education with or without a supplemental video designed for their treatment regimen. We then provided a survey to each participant to assess knowledge retention, anxiety, and overall satisfaction with their care. Patients that received video education were found to have significantly improved knowledge retention compared to those that did not. There were no differences detected in anxiety or patient satisfaction. Video education appears to be an effective supplemental method for patient education in AML. Limitations include the single-center nature of the study at an urban academic medical center with a relatively well-educated, primarily Caucasian, younger population. Future research is warranted to assess the video in a diverse set of languages and to explore its broader benefits.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"73-78"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494102","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}
Drew T Bergman, Colin J McNamara, Alexys C Gayne, Charles R Jr Thomas, Nirav S Kapadia
{"title":"A Comprehensive Survey of 2024 Funding for Radiation Oncology Visiting Medical Student Electives.","authors":"Drew T Bergman, Colin J McNamara, Alexys C Gayne, Charles R Jr Thomas, Nirav S Kapadia","doi":"10.1007/s13187-024-02476-z","DOIUrl":"10.1007/s13187-024-02476-z","url":null,"abstract":"<p><p>Visiting electives provide an opportunity for medical students to engage with radiation oncology (RO) programs, likely influencing residency match outcomes. However, some student's out-of-pocket costs may be prohibitive, and in attempts to offset the financial burden of visiting electives, particularly for students underrepresented in medicine (URiM), some institutions offer scholarships. Here, we characterized the current domestic landscape of funded RO electives. Visiting electives were identified through the FREIDA and VSLO databases in April 2024. Funded elective availability and departmental characteristics were identified via internet search by two independent reviewers. Fisher's exact test was used to determine whether there was a difference in the distribution of scholarships across the US due to the small sample size. Ninety-two visiting electives were identified, with 40 programs offering URiM elective scholarships (43.5%). Twelve (30%) were funded specifically by RO departments, and 28 (70%) were part of broader institutional URiM scholarship initiatives. The median stipend provided was $2000 (IQR $500), range $1000-$5000. Analysis of scholarships by US census division and metro area revealed unequal distribution. Electives in New England, Mountain, and East North Central divisions had higher funding proportion compared to electives in the East South Central, West South Central, and Middle Atlantic divisions. Only 1/9 electives in New York City were funded compared with 4/6 in Los Angeles. Departments with funded electives had more faculty physicians and medical residents. In our review of the 2024 landscape, over 40% of RO electives offer financial support. However, we identified geographical disparities in the distribution of scholarships, highlighting the need for interventions to address unequal access to a wide array of training programs. Our study represents a valuable resource for students interested in RO and highlights the continued need to positively contribute to increasing diversity in the field. Future work exploring the impact of funded electives is needed.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"88-92"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894771","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}
Nazim Bhimani, Mbathio Dieng, Patrick J Kelly, Thomas J Hugh
{"title":"Information Provision for Patients Who Undergo Resection of Colorectal Liver Metastases.","authors":"Nazim Bhimani, Mbathio Dieng, Patrick J Kelly, Thomas J Hugh","doi":"10.1007/s13187-025-02573-7","DOIUrl":"https://doi.org/10.1007/s13187-025-02573-7","url":null,"abstract":"<p><p>Information provision to patients is helpful prior to and during cancer treatment. However, the level of information required or warranted varies, and no studies have examined this in patients who have had resection of colorectal liver metastases (CRLM). The aims of this study are to assess how patients perceive information received from different healthcare providers and to examine factors that might be associated with the quality and satisfaction of the information received. This was a cross-sectional study of patients with a potentially curative resection for CRLM between 2010 and June 2021. Patients completed the European Organisation for Research and Treatment of Cancer QLQ-INFO25 questionnaire. In total, 121 patients underwent resection. Of these, 85 were alive and were sent the questionnaire, and 52 (61%) responded. Overall, patients were very satisfied with the information they received and found it helpful (median score 100). No specific patient or disease-related factors were associated with the degree of satisfaction. This study demonstrates excellent overall satisfaction with the information provided to patients with CRLM. Areas of improvement include information about other supportive services outside the hospital. This information may be given by the specialists providing the care but may also be provided by the patient's general practitioners and the cancer nurse coordinators.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Pathologist Job.","authors":"Konstantin Bräutigam","doi":"10.1007/s13187-024-02492-z","DOIUrl":"10.1007/s13187-024-02492-z","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"150-151"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114349","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}