Expert review of quality of life in cancer care最新文献

Non-pharmacological interventions for breathlessness in people with cancer 癌症患者呼吸困难的非药物干预

Expert review of quality of life in cancer care Pub Date : 2018-10-03 DOI: 10.1080/23809000.2018.1524708

S. Booth, Chloe Chin, A. Spathis, M. Maddocks, J. Yorke, J. Burkin, Catherine Moffat, M. Farquhar, C. Bausewein

引用次数: 6

The supportive roles of spirituality and mindfulness in patients’ cancer journeys 精神和正念在患者癌症旅程中的支持作用

Expert review of quality of life in cancer care Pub Date : 2018-09-10 DOI: 10.1080/23809000.2018.1519371

Crystal L. Park, Lauren M. Carney

引用次数: 4

Fertility decision-making in cancer patients – current status and future directions 癌症患者的生育决策——现状与未来方向

Expert review of quality of life in cancer care Pub Date : 2018-07-04 DOI: 10.1080/23809000.2018.1503539

V. Ehrbar, C. Urech, S. Tschudin

{"title":"Fertility decision-making in cancer patients – current status and future directions","authors":"V. Ehrbar, C. Urech, S. Tschudin","doi":"10.1080/23809000.2018.1503539","DOIUrl":"https://doi.org/10.1080/23809000.2018.1503539","url":null,"abstract":"ABSTRACT Introduction: With long-term cancer survivor rates increasing, quality of life, and a pivotal component of it, the ability to procreate are of growing importance. As treatment can compromise fertility, patients need to be informed about the currently available options to preserve it. However, decisional conflict may arise, as decisions have to be made within the short time frame after diagnosis and before treatment. Areas covered: Decisional conflict reflects the personal perception of uncertainty in choosing between different options. It is typical in decision-making in the context of fertility preservation (FP). It comprises factors such as feeling uninformed, lack of clarity regarding personal values, lack of support, and uncertainty and is associated with decisional regret. Research has shown that additional support tools such as decision aids have the potential to increase knowledge and reduce decisional conflict. Expert commentary: Improvement in the availability of and access to adequate and personalized support for all young cancer patients concerning FP is needed. Information provision should be comprehensive and tailored to individual needs and ideally complemented with a decision aid. Future research should focus on more individualized decision aids and on the male perspective, as existing decision aids are targeted at female cancer patients.","PeriodicalId":91681,"journal":{"name":"Expert review of quality of life in cancer care","volume":"3 1","pages":"113 - 119"},"PeriodicalIF":0.0,"publicationDate":"2018-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23809000.2018.1503539","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47891814","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: 5

Predicting survival of patients treated with palliative radiotherapy: a systematic review 预测姑息性放射治疗患者的生存率：一项系统综述

Expert review of quality of life in cancer care Pub Date : 2018-07-04 DOI: 10.1080/23809000.2018.1495561

Y. Razvi, Stephanie Chan, Pearl Zaki, E. McKenzie, H. Lam, J. M. van der Velden, A. AlQaderi, Maurício F. Silva, E. Chow

{"title":"Predicting survival of patients treated with palliative radiotherapy: a systematic review","authors":"Y. Razvi, Stephanie Chan, Pearl Zaki, E. McKenzie, H. Lam, J. M. van der Velden, A. AlQaderi, Maurício F. Silva, E. Chow","doi":"10.1080/23809000.2018.1495561","DOIUrl":"https://doi.org/10.1080/23809000.2018.1495561","url":null,"abstract":"ABSTRACT Introduction: Clinician predicted survival (CPS) is a crucial part of palliative care but is often found to be inaccurate with most clinicians providing overestimates of survival, potentially leading to suboptimal care. The present paper reviews the literature on CPS in patients receiving palliative radiotherapy and assesses the accuracy of clinician generated survival estimates. Method: A search of Cochrane Central Register of Controlled Trials, Embase, and Ovid MEDLINE was conducted on 2 February 2018 to identify English articles analyzing the accuracy of CPS in cancer patients receiving palliative radiotherapy. Results: Seven studies were included in this review. Survival was overestimated on average, with overestimates ranging from +22.8 to +167.3 days. One study reported average underestimates of survival. No significant differences in accuracy were seen between disciplines. There was no correlation between years of experience and accuracy of CPS. Expert commentary: The incorporation of accurate CPS into treatment and family-related decisions can improve quality of life of palliative radiotherapy patients. Research is needed on survival estimates informed by prognostic tools, validation of prognostic tools specific to palliative settings, and the effects of CPS on dose fractionation and other treatment decisions.","PeriodicalId":91681,"journal":{"name":"Expert review of quality of life in cancer care","volume":"3 1","pages":"105 - 111"},"PeriodicalIF":0.0,"publicationDate":"2018-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23809000.2018.1495561","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49602426","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: 1

Physical activity and nutritional interventions and health-related quality of life in colorectal cancer survivors: a review 大肠癌癌症幸存者的体力活动和营养干预与健康相关的生活质量：一项综述

Expert review of quality of life in cancer care Pub Date : 2018-07-04 DOI: 10.1080/23809000.2018.1503538

L. Soares-Miranda, S. Abreu, A. Ruiz-Casado, A. Lucia

引用次数: 1

Mental health in patients with advanced cancer at the end of life: evaluation of evidence and future directions 晚期癌症患者生命末期的心理健康：证据评估和未来方向

Expert review of quality of life in cancer care Pub Date : 2018-05-04 DOI: 10.1080/23809000.2018.1483192

R. Lehto, Sara E. Miller, M. Flanigan, G. Wyatt

{"title":"Mental health in patients with advanced cancer at the end of life: evaluation of evidence and future directions","authors":"R. Lehto, Sara E. Miller, M. Flanigan, G. Wyatt","doi":"10.1080/23809000.2018.1483192","DOIUrl":"https://doi.org/10.1080/23809000.2018.1483192","url":null,"abstract":"ABSTRACT Introduction: The mental health of patients with advanced cancer at the end of life is a strong contributor to suffering on the part of both the patient and family. A closer look is needed to address the complexity of psychological adaptation to provide a comfortable transition between life and death. Areas covered: This review describes patient related factors, interventions, and outcomes targeting maintaining and improving mental health for individuals with advanced cancer at the end of life. The Preferred Reporting Items for Systematic reviews and Meta-analyses was used to review the state of the science and the evidence-based hierarchy provided a structure for ranking research quality. Expert commentary: Psychological adaptation for patients with advanced cancer is often comingled with physical symptoms to the extent that neither is distinct. Quality of life is essential in comfort care at end of life. All contributing factors must be considered including the often-missed spiritual needs, cultural factors, developmental issues, and communication relative to end of life. Discussed are both gaps in the science and interventions useful to enhancement of mental health comfort for patients with advanced cancer and their families at the end of life.","PeriodicalId":91681,"journal":{"name":"Expert review of quality of life in cancer care","volume":"3 1","pages":"73 - 94"},"PeriodicalIF":0.0,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23809000.2018.1483192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44610533","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: 6

The importance of patient-reported outcomes in cancer studies 癌症研究中患者报告结果的重要性

Expert review of quality of life in cancer care Pub Date : 2018-05-04 DOI: 10.1080/23809000.2018.1472524

A. Retzer, D. Kyte, L. Calman, A. Glaser, R. Stephens, M. Calvert

{"title":"The importance of patient-reported outcomes in cancer studies","authors":"A. Retzer, D. Kyte, L. Calman, A. Glaser, R. Stephens, M. Calvert","doi":"10.1080/23809000.2018.1472524","DOIUrl":"https://doi.org/10.1080/23809000.2018.1472524","url":null,"abstract":"ABSTRACT Introduction: Cancer incidence is increasing; one in two people in the UK are expected to develop cancer during their lifetime. However, survival rates of people living with cancer have improved over the last few decades. More than 50% of all UK cancer patients survive for beyond 10 years, this rate has doubled in the last 40 years. Areas covered: This article provides a scientific review of the use of patient reported outcomes (PROs) to assess the short and longer term impact of cancer and treatment on patient quality of life and symptoms. Expert commentary: There is increasing recognition that, in addition to survival and other clinical metrics, we need to understand more about the impact that cancer and its treatment has on the everyday lives of people living with and beyond cancer. Patients must have access to information around quality of life and survival with which they can make more informed decisions about their care. We need to understand more about the natural history of recovery and wellbeing and the contributory factors to identify those who are not doing well and to understand how we can support them better, plan appropriate services and support patients in making choices about treatment.","PeriodicalId":91681,"journal":{"name":"Expert review of quality of life in cancer care","volume":"3 1","pages":"65 - 71"},"PeriodicalIF":0.0,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23809000.2018.1472524","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47972117","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: 9

The Edmonton Classification System for Cancer Pain: a tool with potential for an evolving role in cancer pain assessment and management 埃德蒙顿癌症疼痛分类系统:在癌症疼痛评估和管理中具有发展潜力的工具

Expert review of quality of life in cancer care Pub Date : 2018-04-26 DOI: 10.1080/23809000.2018.1467211

P. Lawlor, Niamh Lawlor, P. Reis-Pina

{"title":"The Edmonton Classification System for Cancer Pain: a tool with potential for an evolving role in cancer pain assessment and management","authors":"P. Lawlor, Niamh Lawlor, P. Reis-Pina","doi":"10.1080/23809000.2018.1467211","DOIUrl":"https://doi.org/10.1080/23809000.2018.1467211","url":null,"abstract":"ABSTRACT Introduction: Undertreatment of cancer pain is associated with inadequate assessment and inconsistent or non-standardized classification, resulting in failure to both appreciate its multidimensional nature and appropriately target therapeutic interventions. This review examines the classification of cancer pain with a focus on the progressive development of the Edmonton Classification System for Cancer Pain (ECS-CP); the appropriateness of its constituent features, associated outcomes and its potential future development in cancer pain classification. Areas covered: A Medline search from 1989 to November 2017, using combined terms ‘cancer’ or ‘oncology’, ‘Edmonton’, ‘pain’ or ‘analgesia’, and ‘staging’ or ‘classification’, identified 280 records. A total of 20 studies with empirical data relating to validation studies of the ECS-CP or evaluation of either its constituent or proposed domains were selected for inclusion in the core review. Expert commentary: The ECS-CP is a tool in evolution and a valid template for further cancer pain classification development. The assessment of ECS-CP domains requires a standardized approach. The domain ratings can inform the therapeutic strategy, and are associated with pain management outcomes, particularly stable pain control. The ECS-CP enables standardized reporting, based on patients’ pain and related characteristics, and thus may improve the validity of comparisons across research study samples.","PeriodicalId":91681,"journal":{"name":"Expert review of quality of life in cancer care","volume":"3 1","pages":"47 - 64"},"PeriodicalIF":0.0,"publicationDate":"2018-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23809000.2018.1467211","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47438014","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: 10

Minimizing hematological toxicity in the management of anal cancer patients 在肛门癌症患者治疗中尽可能减少血液毒性

Expert review of quality of life in cancer care Pub Date : 2018-01-02 DOI: 10.1080/23809000.2018.1438845

K. Joseph, H. Warkentin, K. Mulder, C. Doll

{"title":"Minimizing hematological toxicity in the management of anal cancer patients","authors":"K. Joseph, H. Warkentin, K. Mulder, C. Doll","doi":"10.1080/23809000.2018.1438845","DOIUrl":"https://doi.org/10.1080/23809000.2018.1438845","url":null,"abstract":"ABSTRACT Introduction: Hematological toxicity (HT) remains a major side effect of anal cancer (AC) treatment that can lead to unplanned treatment breaks and may affect clinical outcome. Areas covered: This review paper analyses the predictive factors related to HT and methods to minimize HT. Expert commentary: The destruction of red bone marrow (BM) stem cells are responsible for acute HT. BM damage is correlated with radiation dose and volume of BM irradiated. Functional imaging has been used to precisely quantify specific regions of active Pelvic BM . Studies using LKB modelling confirmed that PBM and LSBM act like parallel organs with a consistent volume effect in the development of HT. BM dose-volume constraints are recommended to minimise HT. BM-sparing IMRT plans incorporating active BM sites as avoidance structures resulted in significant reduction of dose to PBM without compromising target coverage and decreased the dose delivered to the functional BM volume. The increased incidence of HT is attributed more to MMC rather than IMRT. A single dose of MMC could be considered to minimize the incidence of HT. Clinical research should focus on newer more potent and potentially less toxic systemic agents to be used in combination with radiation.","PeriodicalId":91681,"journal":{"name":"Expert review of quality of life in cancer care","volume":"3 1","pages":"27 - 33"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23809000.2018.1438845","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42420727","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

Pain management in multiple myeloma 多发性骨髓瘤的疼痛管理

Expert review of quality of life in cancer care Pub Date : 2018-01-02 DOI: 10.1080/23809000.2018.1425994

M. Salvini, Giusy Cetani

{"title":"Pain management in multiple myeloma","authors":"M. Salvini, Giusy Cetani","doi":"10.1080/23809000.2018.1425994","DOIUrl":"https://doi.org/10.1080/23809000.2018.1425994","url":null,"abstract":"ABSTRACT Introduction: Pain afflicts quality of life and is common in cancer patients. Multiple myeloma is a hematological malignancy often associated with pain. In the last two decades overall survival improved thanks to introduction of novel chemotherapeutic agents such as the proteasome inhibitor bortezomib, and the immunomodulatory drug thalidomide. Unfortunately, these agents could be responsible for development of painful peripheral neuropathy. Areas covered: This review describes strategies for prevention and treatment of pain in multiple myeloma, focusing especially on bone lesions and neuropathy, considered as the main causes of pain in the disease. Expert commentary: Management of pain in multiple myeloma requires a multidisciplinary clinical assessment and a careful follow-up to offer the best treatment, best matched to each patient. Mild to moderate pain could be treated with paracetamol and/or weak opioids, while severe pain requires stronger analgesics. Bisphosphonates, kyphoplasty, vertebroplasty, and radiotherapy are specifically indicated for bone involvement. Neuropathy could be treated removing the cause and controlling symptoms. If it is drug-related, appropriate dose modification/suspension is mandatory. Further studies are needed to better understand pain etiopathogenesis, allowing elaboration of more efficacious analgesic strategies, especially for neuropathic and chronic pain management in order to improve quality of life in cancer patients.","PeriodicalId":91681,"journal":{"name":"Expert review of quality of life in cancer care","volume":"3 1","pages":"18 - 9"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23809000.2018.1425994","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41574971","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: 0