{"title":"Getting sample size right in nurse-led oncology trials: A practical guide.","authors":"Wai Hang Kwok, Jing-Yu Benjamin Tan","doi":"10.1016/j.ejon.2026.103313","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103313","url":null,"abstract":"","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":" ","pages":"103313"},"PeriodicalIF":3.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892937","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}
Amy Solnica, Noam Shussman, Ido Mizrahi, Baha Siam, Ian White, Michal Liebergall-Wischnitzer
{"title":"The lived experiences of patients exercising with the Paula method for Low Anterior Resection Syndrome: A qualitative study.","authors":"Amy Solnica, Noam Shussman, Ido Mizrahi, Baha Siam, Ian White, Michal Liebergall-Wischnitzer","doi":"10.1016/j.ejon.2026.103312","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103312","url":null,"abstract":"<p><strong>Purpose: </strong>Curative treatment for rectal cancer includes removal of part or all of the rectum. As a result, patients may experience Low Anterior Resection Syndrome (LARS), characterized by bowel dysfunction that negatively affects quality of life. Nurses assist patients in the self-management of LARS, yet there is a need to develop more self-care modalities. Therefore, this study aimed to describe the experience using the Paula method of exercise in patients with LARS.</p><p><strong>Methods: </strong>A qualitative study of semi-structured interviews of 17 patients who completed a 12-week exercise intervention as part of a larger multicenter randomized controlled trial. Interviews were recorded, transcribed, and analyzed thematically.</p><p><strong>Results: </strong>Three main themes were identified: (1) The Paula Method Exercises with subthemes, Preferred/Nonpreferred Exercises and Frequency, Feeling in the Body, and The Paula Method Instructor; (2) Change in Bowel Function with subthemes, urgency, frequency/fragmentation, and incontinence/unpredictable stools; (3) Additional Self-Care Modalities to Manage LARS, with subthemes dietary/over-the-counter medications and schedule bowel movements/self-navigate.</p><p><strong>Conclusions: </strong>Participants perceived the Paula method exercises to be acceptable and reported that they helped alleviate symptoms, particularly bowel frequency and urgency. The exercises provided confidence and a feeling of reducing uncertainty. The Paula method may be added to complement existing self-care modalities.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"84 ","pages":"103312"},"PeriodicalIF":3.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889045","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}
Jie Zhang, Nan Wang, Lihong Wu, Jing Li, Min Zhang, Chaonan Fei, Peibei Duan
{"title":"Postoperative weight loss trajectories and early risk stratification in gastric cancer patients receiving adjuvant chemotherapy after gastrectomy.","authors":"Jie Zhang, Nan Wang, Lihong Wu, Jing Li, Min Zhang, Chaonan Fei, Peibei Duan","doi":"10.1016/j.ejon.2026.103310","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103310","url":null,"abstract":"<p><strong>Purpose: </strong>To identify postoperative weight-loss trajectories during the first six months after gastrectomy and develop an interpretable machine-learning model to predict rapid decline before adjuvant chemotherapy.</p><p><strong>Methods: </strong>This single-centre retrospective cohort included 546 patients undergoing radical gastrectomy followed by adjuvant chemotherapy. Patients were divided into a training cohort (n = 435) and an independent test cohort (n = 111). Group-based trajectory modelling was fitted exclusively in the training cohort, with fixed parameters applied to the test cohort. Six machine-learning models used predictors available by admission for the first chemotherapy cycle. Discrimination, calibration, and decision curve analysis assessed performance, and SHapley Additive exPlanations interpreted the final model.</p><p><strong>Results: </strong>Three trajectories were identified: stable (n = 177, 32.4%), moderate decline (n = 279, 51.1%), and rapid decline (n = 90, 16.5%). The rapid-decline trajectory reached approximately 22% weight loss by postoperative month 6. CatBoost showed the best overall performance in the test cohort, with an area under the receiver operating characteristic curve of 0.808 (95% confidence interval, 0.695-0.902), a Brier score of 0.112, and a calibration slope of 0.954. Decision curve analysis indicated greater net benefit than the treat-all and treat-none strategies across threshold probabilities of approximately 5%-30%. Preoperative body mass index, histological subtype, and gastrointestinal reconstruction were the leading predictors, while psychosocial variables provided complementary information.</p><p><strong>Conclusions: </strong>Postoperative weight loss followed distinct trajectories. CatBoost may identify patients at risk of rapid, sustained weight loss when adjuvant chemotherapy begins. External multicentre validation is required before clinical implementation.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"84 ","pages":"103310"},"PeriodicalIF":3.6,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898288","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}
Rani Hassan, Tasnim Diab, Ghina Jaber, Fatme Daou, Joy Al Tabib, Joey El Helou, Hazem I Assi
{"title":"Addressing the awareness-behavior gap in skin cancer prevention: A large-scale multi-institutional cross-sectional study among young adults.","authors":"Rani Hassan, Tasnim Diab, Ghina Jaber, Fatme Daou, Joy Al Tabib, Joey El Helou, Hazem I Assi","doi":"10.1016/j.ejon.2026.103306","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103306","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to assess skin cancer knowledge, attitudes, and sun-protective behaviors among university students in Lebanon, and to examine the effects of gender, university type, and geographic region on protective practices.</p><p><strong>Method: </strong>A cross-sectional survey of 1330 university students in Lebanon assessed skin cancer knowledge, attitudes, and sun-protective behaviors using a structured questionnaire. Participants recruited via convenience and snowball sampling from randomly selected public and private institutions across various regions were analyzed using Pearson correlations and multivariate regression to identify behavioral predictors.</p><p><strong>Results: </strong>Despite 86.4% awareness of skin cancer, misconceptions were widespread: 35.9% believed that darker-skinned individuals are protected against sunburn, and only 38.2% identified melanoma as a type of skin cancer. Just 33.8% consistently used sun protection, and only 12.6% reapplied sunscreen every 2-3 h. Knowledge, attitude, and behavior scores were positively moderately correlated (r = 0.193-0.274; p < 0.001). Female sex independently predicted higher scores across all domains, with the strongest effect on protective behaviors (β = 1.45; p < 0.001). Although students at private universities exhibited significantly greater knowledge than their public counterparts (β = 0.36; p < 0.001), their sun-protective behaviors were notably poorer (β = -0.31; p < 0.001), revealing a persistent and clinically relevant knowledge-behavior gap. Less urbanized regions showed lower knowledge and practice scores (p < 0.05). Only 46.8% of students sought medical advice for a changing mole, and 79.3% reported ≥1 lifetime sunburn.</p><p><strong>Conclusions: </strong>Among young adults, awareness alone does not translate into protective behavior. Behaviorally informed interventions are needed to bridge this gap and reduce the future skin cancer burden.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"84 ","pages":"103306"},"PeriodicalIF":3.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876572","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":"Oncology nursing at an inflection point: Five imperatives for the next five years","authors":"Alex Molassiotis, Jing-Yu (Benjamin) Tan","doi":"10.1016/j.ejon.2026.103236","DOIUrl":"10.1016/j.ejon.2026.103236","url":null,"abstract":"","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"83 ","pages":"Article 103236"},"PeriodicalIF":3.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220578","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":"Corrigendum to “The effect of hand-foot exercises on chemotherapy-induced peripheral neuropathy-related pain, falls, and quality of life in colorectal cancer: A randomized controlled trial” [Europ. J. Oncol. Nurs. 71 (2024) 102641]","authors":"İlayda Eroğlu, Sevinç Kutlutürkan","doi":"10.1016/j.ejon.2026.103223","DOIUrl":"10.1016/j.ejon.2026.103223","url":null,"abstract":"","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"83 ","pages":"Article 103223"},"PeriodicalIF":3.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165461","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}
{"title":"Mapping the home-based symptom management journey of lung cancer patients receiving combination therapy: A longitudinal qualitative study","authors":"Qiuhong Chen , Chenxing Zhang , Zhishan Zeng , Biqin Ye , Qing Lin , Rachel Arbing , Wei-Ti Chen , Feifei Huang","doi":"10.1016/j.ejon.2026.103213","DOIUrl":"10.1016/j.ejon.2026.103213","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore symptom management experiences and evolving information needs among lung cancer patients receiving combination therapy and to construct a patient symptom journey map that informs personalized and intelligent symptom management strategies.</div></div><div><h3>Methods</h3><div>A prospective, longitudinal qualitative descriptive exploratory design was employed. Using purposive sampling, 27 lung cancer patients were recruited from two top-tier tertiary hospitals in Fuzhou and Putian, Fujian Province, China, between March and August 2024. Using purposive sampling, 27 lung cancer patients were recruited from two top-tier tertiary hospitals in Fuzhou and Putian, Fujian Province, China, between March and August 2024. Semi-structured in-depth interviews were conducted at the end of each of the first four combination therapy intervals (T1-T4) to explore patients' symptom management experiences and information support needs. The data were analyzed via conventional content analysis. A patient symptom journey map was developed on the basis of the thematic findings from this longitudinal analysis.</div></div><div><h3>Results</h3><div>A total of 94 interview datasets were collected across four time points, yielding four themes and fourteen categories. A symptom journey map for lung cancer patients was developed, encompassing five key dimensions: symptom experiences, symptom management challenges, opportunities, information support needs, and emotional experiences.</div></div><div><h3>Conclusion</h3><div>Lung cancer patients receiving combination therapy experience complex, dynamic symptom trajectories and have evolving unmet needs, highlighting the critical importance of dynamic, phase-specific symptom monitoring and tailored supportive care. The patient symptom journey map may help inform the development of timely and personalized supportive interventions addressing management challenges, information gaps, and psychological distress.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"82 ","pages":"Article 103213"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018774","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}
Tzu-Yun Chiu , Wei-Shu Lai , Sheng-Yu Fan , Su-Ying Fang , Yu-Hsuan Liu
{"title":"Corrigendum to “Cultural acceptability and potential effectiveness of dignity therapy for patients with terminal cancer in Taiwan: A Quasi-Experimental study” [Eur. J. Oncol. Nurs. 80 (2026) 103113]","authors":"Tzu-Yun Chiu , Wei-Shu Lai , Sheng-Yu Fan , Su-Ying Fang , Yu-Hsuan Liu","doi":"10.1016/j.ejon.2026.103201","DOIUrl":"10.1016/j.ejon.2026.103201","url":null,"abstract":"","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"82 ","pages":"Article 103201"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845888","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}