Current Problems in Cancer最新文献_第9页

Creating a culture for change: Lessons from behavioral economics and complexity science to increase serious illness conversations for patients with cancer 创造变革文化：从行为经济学和复杂性科学中汲取经验教训，增加癌症患者的严重疾病对话。

IF 2.6 4区医学

Current Problems in Cancer Pub Date : 2023-10-01 DOI: 10.1016/j.currproblcancer.2023.101020

Ramy Sedhom , Jasmine Tomita-Barber , Christopher R. Manz , Ravi B Parikh , Arjun Gupta , Qasim Hussaini , David Dougherty

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Barriers, blocks, and barricades: Disparities to access of palliative care in cancer care 障碍、阻碍和障碍:癌症治疗中获得姑息治疗的差异

IF 2.6 4区医学

Current Problems in Cancer Pub Date : 2023-10-01 DOI: 10.1016/j.currproblcancer.2023.101024

Sonia Malhotra , Michelle Christopher , Rajasree Pia Chowdry , Brenna Mossman , Amanda Cooke , Josh Deblieux , Cameron Simmons , Kiondra Fisher , Jason Webb , Michael Hoerger

{"title":"Barriers, blocks, and barricades: Disparities to access of palliative care in cancer care","authors":"Sonia Malhotra , Michelle Christopher , Rajasree Pia Chowdry , Brenna Mossman , Amanda Cooke , Josh Deblieux , Cameron Simmons , Kiondra Fisher , Jason Webb , Michael Hoerger","doi":"10.1016/j.currproblcancer.2023.101024","DOIUrl":"10.1016/j.currproblcancer.2023.101024","url":null,"abstract":"<div><p>Palliative care<span> (PC) is specialized medical care for people living with a serious illness. PC models have stressed pain and symptom management, communication that is patient- and family-centric and longitudinal support for families living with serious illness that is contiguous across multiple settings. Despite the benefits that PC provides from a patient, family and quality of care standpoint, several barriers and disparities exist. Included in these barriers are the lack of geographic access to PC programs as well as the focus on inpatient, hospital-based PC programs versus outpatient and home-based models. Workforce shortages, challenges with defining and designing PC, and racial, cultural and language barriers have all contributed to disparities within PC.</span></p><p>This review article outlines PC disparities including geographic access challenges, cross-cultural barriers and symptom and communication specific disparities. We discuss the impact these inequities have on patients living with cancer.</p></div>","PeriodicalId":55193,"journal":{"name":"Current Problems in Cancer","volume":"47 5","pages":"Article 101024"},"PeriodicalIF":2.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135810157","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

Integrated dual training in palliative care and oncology 姑息治疗和肿瘤学的综合双重培训

IF 2.6 4区医学

Current Problems in Cancer Pub Date : 2023-10-01 DOI: 10.1016/j.currproblcancer.2023.101012

Kathryn DeCarli , Rachel Rodenbach , Ramy Sedhom , Jamie Von Roenn , Briana Ketterer

{"title":"Integrated dual training in palliative care and oncology","authors":"Kathryn DeCarli , Rachel Rodenbach , Ramy Sedhom , Jamie Von Roenn , Briana Ketterer","doi":"10.1016/j.currproblcancer.2023.101012","DOIUrl":"10.1016/j.currproblcancer.2023.101012","url":null,"abstract":"<div><p><span>Fellowship training in Hospice and Palliative Medicine (HPM) and Hematology/Oncology (Hem/Onc) share common themes and roots in the </span>holistic care of people living with cancer. As of 2021, approximately 630 physicians in the United States were board-certified in both HPM and Hem/Onc. There is increasing demand for an integrated fellowship pathway, and the inaugural integrated fellowship Match took place in 2022. We present the historical context of the overlap in HPM and Hem/Onc fellowship training, limitations of the standard training paradigm, and an overview of the recently developed integrated training pathway accredited by the Accreditation Council for Graduate Medical Education (ACGME). We explore applications of dual training in clinical care, program development, and research at the intersection of HPM and Hem/Onc. Finally, we consider challenges to the success and how best to assess the outcomes of this program. Integrated fellowship training in HPM and Hem/Onc is 1 avenue to develop a cohort of dual-trained physicians poised to effect broad cultural change in this important and evolving space. A subset of physicians with dual training has the potential to fill unmet needs by promoting enhanced patient-centered care, developing infrastructure for heightened collaboration between these distinct but closely related fields, and prioritizing research focused on advanced communication skills and symptom management for patients with cancer.</p></div>","PeriodicalId":55193,"journal":{"name":"Current Problems in Cancer","volume":"47 5","pages":"Article 101012"},"PeriodicalIF":2.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10317052","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

Title Page 标题页

IF 2.6 4区医学

Current Problems in Cancer Pub Date : 2023-10-01 DOI: 10.1016/S0147-0272(23)00081-8

引用次数: 0

Innovations and Opportunities for the Integration of Palliative Care in Cancer Care 癌症姑息治疗整合的创新与机遇。

IF 2.6 4区医学

Current Problems in Cancer Pub Date : 2023-10-01 DOI: 10.1016/j.currproblcancer.2023.101016

Kristina B. Newport , Jason A. Webb

引用次数: 0

Examining the Cultural Appropriateness of Advance Care Planning Tools for Adolescents and Young Adults With Cancer: An Example of Cross-Cultural Adaptation of the Voicing My CHOiCES Tool 检查患有癌症的青少年和年轻人的预先护理计划工具的文化适宜性:表达我的选择工具的跨文化适应的一个例子

IF 2.6 4区医学

Current Problems in Cancer Pub Date : 2023-10-01 DOI: 10.1016/j.currproblcancer.2023.101010

Holly E. Evans , Sophie Jessop , Sima Z. Bedoya , Maureen E. Lyon , Lori Wiener , Ursula M. Sansom-Daly

{"title":"Examining the Cultural Appropriateness of Advance Care Planning Tools for Adolescents and Young Adults With Cancer: An Example of Cross-Cultural Adaptation of the Voicing My CHOiCES Tool","authors":"Holly E. Evans , Sophie Jessop , Sima Z. Bedoya , Maureen E. Lyon , Lori Wiener , Ursula M. Sansom-Daly","doi":"10.1016/j.currproblcancer.2023.101010","DOIUrl":"10.1016/j.currproblcancer.2023.101010","url":null,"abstract":"<div><p><span>Advance care planning (ACP) is crucial in supporting optimal, patient-centered care for adolescents and young adults (AYAs) with life-limiting illnesses and can reduce unwanted outcomes at end-of-life. While several ACP tools and interventions have been designed for AYAs, most of these were developed in the United States of America (USA). This paper describes a study designed to adapt the AYA ACP tool, Voicing My CHOiCES (VMC), for the Australian population. A 2-stage mixed methods approach was used. Stage 1 involved a multiperspective interview to determine changes for the new Australian VMC. Participants were AYAs between the ages of 15 to 25, healthcare professionals, and parents. For each section, participants responded to questions targeting the helpfulness and usefulness of the items as well as open-ended questions about any suggested content or formatting changes. Stage 2 used think-aloud interviews asking </span>AYA cancer patients and survivors aged between 15 and 39 years to respond to proposed changes for the Australian VMC. Stage 1 participants suggested changes to all pages of VMC, with proposed changes being based around language, content, and format. Stage 2 participants qualitatively confirmed the acceptability of these changes. Our data suggests that even between similar Western cultures, significant adaptations can be made to make ACP tools more culturally appropriate. More research is needed to further adapt ACP tools like VMC for culturally and linguistically diverse groups and to ensure these tools can be accessed by all AYAs with life-limiting illness.</p></div>","PeriodicalId":55193,"journal":{"name":"Current Problems in Cancer","volume":"47 5","pages":"Article 101010"},"PeriodicalIF":2.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10262259","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

Integrating palliative care into the evolving landscape of oncology 将姑息治疗纳入不断发展的肿瘤学领域

IF 2.6 4区医学

Current Problems in Cancer Pub Date : 2023-10-01 DOI: 10.1016/j.currproblcancer.2023.101013

Harry J. Han , Carol R. Pilgrim , Mary K. Buss

{"title":"Integrating palliative care into the evolving landscape of oncology","authors":"Harry J. Han , Carol R. Pilgrim , Mary K. Buss","doi":"10.1016/j.currproblcancer.2023.101013","DOIUrl":"10.1016/j.currproblcancer.2023.101013","url":null,"abstract":"<div><p>Patients with cancer have many palliative care<span><span><span> needs. Robust evidence supports the early integration of palliative care into the care of patients with advanced cancer. International organizations, such as the American Society of Clinical Oncology (ASCO) and the European Society for </span>Medical Oncology (ESMO), have recommended early, longitudinal integration of palliative care into </span>oncology<span> care throughout the cancer trajectory. In this review, we pose a series of clinical questions related to the current state of early palliative care integration into oncology. We review the evidence to address each of these questions and highlight areas for further investigation. As cancer care continues to evolve, incorporating new treatment modalities and improving patient outcomes, we reflect on how to apply the existing evidence supporting early palliative care-oncology integration into this ever-changing therapeutic landscape and how specialty palliative care might adapt to meet the evolving needs of patients, caregivers, and the multidisciplinary oncology team.</span></span></p></div>","PeriodicalId":55193,"journal":{"name":"Current Problems in Cancer","volume":"47 5","pages":"Article 101013"},"PeriodicalIF":2.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10317054","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

Frailty and Preoperative Palliative Care in Surgical Oncology 肿瘤外科的虚弱和术前姑息治疗。

IF 2.6 4区医学

Current Problems in Cancer Pub Date : 2023-10-01 DOI: 10.1016/j.currproblcancer.2023.101021

Zoe Tao , Elizabeth Hays , Gabrielle Meyers , Timothy Siegel

引用次数: 0

Bridging the gap: Palliative care integration into survivorship care 弥合差距：将姑息治疗纳入生存护理。

IF 2.6 4区医学

Current Problems in Cancer Pub Date : 2023-10-01 DOI: 10.1016/j.currproblcancer.2023.101019

Brianna Morgan , Vishal Kapadia , Lesa Crawford , Samina Martin , Joseph McCollom

{"title":"Bridging the gap: Palliative care integration into survivorship care","authors":"Brianna Morgan , Vishal Kapadia , Lesa Crawford , Samina Martin , Joseph McCollom","doi":"10.1016/j.currproblcancer.2023.101019","DOIUrl":"10.1016/j.currproblcancer.2023.101019","url":null,"abstract":"<div><p><span>As the number of cancer survivors grows, there is an increasing need for comprehensive care to address the unique physical, psychological, and social needs of this population. Palliative care (PC) integration within </span>survivorship<span> care offers a promising model of care, however, there is no comprehensive review of literature to guide clinical practice. This manuscript presents a scoping review of the research literature on models of care that integrate PC with survivorship care, as well as a detailed description of an exemplar clinical model. We identified 20 articles that described various models of survivorship care with integrated PC, highlighting the diversity of approaches and the multidisciplinary nature of interventions. Few studies reported outcomes but those that did demonstrated improvements in pain, self-efficacy, depression, function, and documentation of advance care planning. The evidence base remains limited, indicating the need for further research in this area with a focus on exploring outcomes using prospective experimental designs. Future clinical practice and research should explore sustainable payment models and the implementation of integrated survivorship care in value-based payment systems.</span></p></div>","PeriodicalId":55193,"journal":{"name":"Current Problems in Cancer","volume":"47 5","pages":"Article 101019"},"PeriodicalIF":2.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49694174","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

Early and often: Promoting early integration of pediatric palliative care for seriously ill children with cancer 早期和经常：促进癌症重症儿童的儿科姑息治疗的早期整合。

IF 2.6 4区医学

Current Problems in Cancer Pub Date : 2023-10-01 DOI: 10.1016/j.currproblcancer.2023.101023

Sara Taub, Robert Macauley

{"title":"Early and often: Promoting early integration of pediatric palliative care for seriously ill children with cancer","authors":"Sara Taub, Robert Macauley","doi":"10.1016/j.currproblcancer.2023.101023","DOIUrl":"10.1016/j.currproblcancer.2023.101023","url":null,"abstract":"<div><p>Pediatric palliative care<span><span>, despite substantial overlap with its adult counterpart, is also distinct in some ways. Serious illness and comorbidities are less common in children, for whom there is a stronger presumption toward aggressive treatment<span>. This, along with impressive cure rates for pediatric cancer, can help explain why children typically survive for a longer period of time following initial </span></span>palliative care consultation. Though many of the studies demonstrating benefit of integration of palliative care early in the course of the disease for seriously ill patients rather than near or at end-of-life were conducted in adults, similar findings have been documented for children with serious illness. Several barriers to early integration exist, however, including misperceptions that palliative care constitutes “giving up” and concerns about potential role confusion with the primary team. By directly addressing these misperceptions and challenges, it is possible for palliative care and oncology to work in constructive partnerships that will benefit children with cancer and their families.</span></p></div>","PeriodicalId":55193,"journal":{"name":"Current Problems in Cancer","volume":"47 5","pages":"Article 101023"},"PeriodicalIF":2.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61566109","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