Cancer practice最新文献_第10页

Colorectal Cancer Screening Barriers in Persons with Low Income 低收入人群的结直肠癌筛查障碍

Cancer practice Pub Date : 2002-09-20 DOI: 10.1046/j.1523-5394.2002.105003.x

Margaret Holmes-Rovner PhD, Gilbert A. Williams PhD, Susan Hoppough MSN, RN, Lisa Quillan BS, Rishan Butler BS, MA, C. William Given PhD

{"title":"Colorectal Cancer Screening Barriers in Persons with Low Income","authors":"Margaret Holmes-Rovner PhD, Gilbert A. Williams PhD, Susan Hoppough MSN, RN, Lisa Quillan BS, Rishan Butler BS, MA, C. William Given PhD","doi":"10.1046/j.1523-5394.2002.105003.x","DOIUrl":"10.1046/j.1523-5394.2002.105003.x","url":null,"abstract":"purpose: The purpose of this study was to provide insight into the modest success of a physician and patient education and reminder program that improved screening rates from 37% to 49% among rural Medicaid-eligible patients in western Michigan.description of study: The following four focus groups were conducted: African American men, African American women, White men, and White women, matched with moderators by gender and ethnicity. The sample was selected by contacting prior eligible screening refusers, completing groups with a convenience sample who had accepted screening. Twenty-one patients participated who were ages >50 years. The screening refusal rates were 19% for men and 9% for women. Open-ended questions guided the discussion of colorectal cancer (CRC) attitudes, beliefs, and practices.results: All participants believed in the efficacy of cancer screening. White women were better informed about screening purposes and procedures. The major barriers to screening were quality of care (ie, the perceived lack of offering screening and the follow-up of test results) and the potential for pain from screening or treatment of CRC, should it be discovered.clinical implications: Successful efforts to improve awareness of the importance and efficacy of screening must further address deeply held skepticism and fears about CRC screening in this population. A fruitful direction for this difficult problem appears to be improved communication (both negative and positive test results). Without feedback, patients with negative results may assume lack of provider follow-through.","PeriodicalId":79323,"journal":{"name":"Cancer practice","volume":"10 5","pages":"240-247"},"PeriodicalIF":0.0,"publicationDate":"2002-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5394.2002.105003.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21995443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 82

Evaluating Post-Treatment Screening in Women with Breast Cancer 评价乳腺癌妇女治疗后筛查

Cancer practice Pub Date : 2002-09-20 DOI: 10.1046/j.1523-5394.2002.105001.x

Azadeh Stark phd, Angela Prince mph , Gena Kucera mph , Mei Lu phd, Usha Raju md , David Nathanson md

{"title":"Evaluating Post-Treatment Screening in Women with Breast Cancer","authors":"Azadeh Stark \u0000 phd, Angela Prince \u0000 mph\u0000 , Gena Kucera \u0000 mph\u0000 , Mei Lu \u0000 phd, Usha Raju \u0000 md\u0000 , David Nathanson \u0000 md","doi":"10.1046/j.1523-5394.2002.105001.x","DOIUrl":"10.1046/j.1523-5394.2002.105001.x","url":null,"abstract":"purpose: The objective of this study was to evaluate the 5-year post-treatment use rate for screening mammography and clinical breast examination (CBE) among women treated for atypical hyperplasia (AH) or carcinoma in situ (CIS).description of study: A total of 103 women, who had received diagnoses and had been treated for primary AH or CIS, were observed for 5 years through a review of medical records and electronic databases. Adequate screening use was defined as the patient undergoing one mammography examination and at least one CBE per year.results: Multivariate logistic regression showed that screening activity declined significantly with time. During the first year, 83.5% and 80.6%, respectively, of women were screened by CBE and mammography. By year 2, CBE screening had dropped by 25.2% (P < .01) and mammography screening by 9.7% (P = .08). Attrition in CBE and mammography screening continued for each consecutive year and was significant (P < .01). During the first year, 70.9% of women received both methods of screening, which declined to 9.7% by year 5. Women who had received diagnoses of CIS and those married with children were more likely to use post-treatment screening, while fee-for-service insurance was negatively associated with screening.clinical implications: The reasons for the observed decline in the annual post-treatment screening are not known. Negative findings from follow-up screenings might have lowered the perception of cancer susceptibility and promoted the decline in screening use. A communication gap between physicians and patients might have reinforced this perception. The importance of annual screening may be verbally emphasized at each clinic visit, and reminder notes and telephone calls may be used to remind patients of upcoming screenings. Additional studies are planned to evaluate the effect of various intervention strategies in improving post-treatment screening use.","PeriodicalId":79323,"journal":{"name":"Cancer practice","volume":"10 5","pages":"228-233"},"PeriodicalIF":0.0,"publicationDate":"2002-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5394.2002.105001.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21995441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

An Evaluation of the Man to Man Self-Help Group in Colorado and Utah 对科罗拉多州和犹他州“人与人”自助小组的评估

Cancer practice Pub Date : 2002-09-20 DOI: 10.1046/j.1523-5394.2002.105002.x

Roberta L. Smith MSPH, Lori A. Crane PhD, MPH, Tim Byers MD, MPH, Paula Nelson-Marten RN, PhD

{"title":"An Evaluation of the Man to Man Self-Help Group in Colorado and Utah","authors":"Roberta L. Smith MSPH, Lori A. Crane PhD, MPH, Tim Byers MD, MPH, Paula Nelson-Marten RN, PhD","doi":"10.1046/j.1523-5394.2002.105002.x","DOIUrl":"10.1046/j.1523-5394.2002.105002.x","url":null,"abstract":"purpose: Two surveys were conducted to evaluate the Man to Man program, a prostate cancer self-help group of the American Cancer Society (ACS).description of study: The study involved two surveys in Colorado and Utah in 2001, one of program participants, the other of area urologists, respectively. A focus group also was conducted of African American men with prostate cancer in Denver, Colo.results: In total, 112 participants in the Man to Man program and 66 urologists participated in the study. Results of the participant survey indicated that men and their families found out about the group through other prostate cancer survivors, doctors, or the ACS. Monthly attendance at the groups ranged from 2 to 50 participants. Participants valued the prostate cancer treatment information, physician presentations, and social aspects that were offered. The results of the urologist survey indicated that 67% were aware of the Man to Man program, but most were not aware of the services it offered. Urologists learned of the group through Man to Man participants, other physicians, and the ACS. Focus group results suggested that a personal preference for access to other sources of support and information was a primary reason for nonattendance at Man to Man meetings.clinical implications: Attendance at Man to Man meetings is likely to be enhanced by focusing on basic prostate cancer information topics. Future evaluations of Man to Man meeting participation should focus on the role of women in the program. Most urologists were not familiar with the services offered by Man to Man. The ACS and the organizers of local Man to Man programs should target urologists in future outreach efforts.","PeriodicalId":79323,"journal":{"name":"Cancer practice","volume":"10 5","pages":"234-239"},"PeriodicalIF":0.0,"publicationDate":"2002-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5394.2002.105002.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21995442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Factors in Making the Decision to Forgo Conventional Cancer Treatment 决定放弃传统癌症治疗的因素

Cancer practice Pub Date : 2002-07-11 DOI: 10.1046/j.1523-5394.2002.104002.x

Marja J. Verhoef phd, Margaret A. White MIR

{"title":"Factors in Making the Decision to Forgo Conventional Cancer Treatment","authors":"Marja J. Verhoef \u0000 phd, Margaret A. White \u0000 MIR","doi":"10.1046/j.1523-5394.2002.104002.x","DOIUrl":"10.1046/j.1523-5394.2002.104002.x","url":null,"abstract":"purpose: The purpose of this study was to explore why and how patients with cancer decide to forgo conventional cancer treatments in favor of alternative treatments and which factors influence such decisions.description of study: Due to the exploratory nature of the study, this was a qualitative study using focus groups and in-depth interviews in a convenience sample of patients. All patients had received diagnoses of cancer and had refused one or more conventional treatments offered to them by their cancer healthcare professionals.results: Thirty-one persons with cancer, widely varying in age and tumor sites, volunteered to take part in the study. Of these, 12 refused all conventional treatment, 13 refused most or some of the treatments recommended, and 6 discontinued conventional treatment. The decision-making model, which emerged from the data, identifies several groups of variables. These include factors that predispose participants to the decision to forgo conventional treatment(s), such as having a close relative or friend who has died from cancer when receiving conventional treatment; experiences around the diagnosis; and factors relevant after the diagnosis, such as beliefs, need for control, side effects of conventional cancer treatment, and communication with physicians. Last, perceived outcomes of the decision proved to be an important theme in the focus groups and interviews.clinical implications: Patients with cancer may benefit from counseling to help them explore the difference between their diagnosis and treatment plan and those of family members or friends who died of cancer while receiving conventional treatment. Counseling also may be helpful in resolving emotional issues underlying the decision to forgo treatment. Last, patients should have access to healthcare professionals, including physicians and counselors, who would assist them with their decision making without judging or intimidating them.","PeriodicalId":79323,"journal":{"name":"Cancer practice","volume":"10 4","pages":"201-207"},"PeriodicalIF":0.0,"publicationDate":"2002-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5394.2002.104002.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57668375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 66

Mucosal Tissue Injury in Cancer Therapy 肿瘤治疗中的粘膜组织损伤

Cancer practice Pub Date : 2002-07-11 DOI: 10.1046/j.1523-5394.2002.104009.x

Deborah B. McGuire phd,rn,faan

{"title":"Mucosal Tissue Injury in Cancer Therapy","authors":"Deborah B. McGuire \u0000 phd,rn,faan","doi":"10.1046/j.1523-5394.2002.104009.x","DOIUrl":"10.1046/j.1523-5394.2002.104009.x","url":null,"abstract":"purpose: The purpose of this article is as follows: 1) to describe the characteristics and scope of mucosal tissue injury associated with cancer treatment; 2) to discuss recent advances in related basic and clinical science; and 3) to articulate research needs and opportunities to be addressed through collaborative interdisciplinary research.overview: Mucosal tissue injury is both a direct and indirect consequence of cancer therapy, with manifestations that include damage and a number of other potentially serious sequelae. Current research in mucosal tissue injury is focused on the biology, immunology, and genetics of mucosal injury; clinical problems; assessment and management; and processes and outcomes of care.clinical implications: Results from these various areas of research enhance the understanding of the mechanisms of mucosal tissue injury, provide direction for the development of policy and for clinical practice, and help to define research needs and opportunities. Future research on the complex process of mucosal tissue injury will be interdisciplinary and will cross the boundaries among basic, translational, and clinical science.","PeriodicalId":79323,"journal":{"name":"Cancer practice","volume":"10 4","pages":"179-191"},"PeriodicalIF":0.0,"publicationDate":"2002-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5394.2002.104009.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57668488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 38

Resources for Treatment of Chemotherapy-Related Cognitive Difficulty 化疗相关认知困难的治疗资源

Cancer practice Pub Date : 2002-07-11 DOI: 10.1046/j.1523-5394.2002.104005.x

Susan E. Grober phd

引用次数: 15

Zoledronic Acid Zoledronic酸

Cancer practice Pub Date : 2002-07-11 DOI: 10.1046/j.1523-5394.2002.104006.x

Alison M. Massaro pharmd (c)

引用次数: 4

Exercise Counseling and Programming Preferences of Cancer Survivors 癌症幸存者的运动咨询和节目偏好

Cancer practice Pub Date : 2002-07-11 DOI: 10.1046/j.1523-5394.2002.104003.x

Lee W. Jones phd, Kerry S. Courneya phd

{"title":"Exercise Counseling and Programming Preferences of Cancer Survivors","authors":"Lee W. Jones \u0000 phd, Kerry S. Courneya \u0000 phd","doi":"10.1046/j.1523-5394.2002.104003.x","DOIUrl":"10.1046/j.1523-5394.2002.104003.x","url":null,"abstract":"purpose: Exercise has emerged as an important quality-of-life intervention for cancer survivors, but exercise motivation is a challenge. The purpose of this study was to provide a comprehensive assessment of the exercise preferences of cancer survivors.description of study: A mailed, self-administered survey was completed by 307 survivors of prostate, breast, colorectal, or lung cancer. The survey contained questions on demographic and medical variables, past exercise, and various exercise counseling and programming preferences.results: For exercise counseling, 84% of participants said they preferred or maybe preferred to receive exercise counseling at some point during their cancer experience. Moreover, 85% preferred to receive exercise counseling face to face, and 77% preferred to receive it from an exercise specialist affiliated with a cancer center. For exercise programming, 98% preferred recreational exercises, 8!% preferred walking, 57% preferred unsupervised exercise (57%), and 56% preferred moderate-intensity exercise. In addition, 48% preferred to exercise in the morning, 44% preferred to exercise alone, 40% preferred to exercise at home, and 32% preferred to start their exercise program before treatment. Chi-square analyses revealed that a small number of exercise preferences were moderated by demographic, medical, and exercise variables.clinical implications: The results of this study indicate that cancer survivors have unique and varied exercise counseling and programming preferences. Fifty-six percent of cancer survivors preferred to exercise at moderate intensity rather than at high intensity. Moderate-intensity exercise has been shown previously to be relatively safe even for cancer survivors who are advanced in age. The key to success for inactive cancer survivors may be to provide reassurance that exercise is a safe and beneficial modality for cancer survivors and to prescribe an exercise program that builds their confidence by slowly increasing the level of exercise intensity.","PeriodicalId":79323,"journal":{"name":"Cancer practice","volume":"10 4","pages":"208-215"},"PeriodicalIF":0.0,"publicationDate":"2002-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5394.2002.104003.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57668415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 255

Quality of Life through Rehabilitation at End of Life 通过生命末期康复的生活质量

Cancer practice Pub Date : 2002-07-11 DOI: 10.1046/j.1523-5394.2002.104007.x

Sheri L. Wolfe RN, BSN, OCN, Stephanie Elkins MD, Andrew D. Shiller MD, Jayne Fernsler Dsn, RN, AOCN, Barbara W. Hale MSW, LCSW

引用次数: 4

The Quest for Understanding: A Challenge in Cancer Care 寻求理解:癌症治疗的挑战

Cancer practice Pub Date : 2002-07-11 DOI: 10.1046/j.1523-5394.2002.104004.x

引用次数: 1