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Supportive Care for Cancer Patients Via Telehealth: Breaking Bad News and Providing Palliative Care Virtually. 通过远程医疗为癌症患者提供支持性护理：打破坏消息，虚拟提供姑息治疗。
IF 2.2 4区 医学
Cancer journal Pub Date : 2024-01-01 DOI: 10.1097/PPO.0000000000000699
Tara E Soumerai, Therese M Mulvey, Vicki A Jackson, Inga T Lennes
{"title":"Supportive Care for Cancer Patients Via Telehealth: Breaking Bad News and Providing Palliative Care Virtually.","authors":"Tara E Soumerai, Therese M Mulvey, Vicki A Jackson, Inga T Lennes","doi":"10.1097/PPO.0000000000000699","DOIUrl":"10.1097/PPO.0000000000000699","url":null,"abstract":"<p><strong>Abstract: </strong>Delivering oncologic care via telemedicine has presented a unique set of benefits and challenges. Discussions of sensitive topics between patients and providers can be difficult on a virtual platform. Although it was imperative to utilize telemedicine to keep cancer patients safe during the height of the pandemic, its continued use in the postvaccination era has provided important conveniences to both providers and patients. In the case of breaking bad news and end-of-life discussions, however, in-person care has remained the overwhelming preference of both groups. If face-to-face consultation is not possible or feasible in these situations, virtual visits are a viable option to connect oncologists with their patients.</p>","PeriodicalId":9655,"journal":{"name":"Cancer journal","volume":"30 1","pages":"27-30"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139545085","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
Telemedicine and Cancer Care: Barriers and Strategies to Optimize Delivery. 远程医疗与癌症护理：优化服务的障碍与策略》（Telemedicine and Cancer Care: Barriers and Strategies to Optimize Delivery）。
IF 2.6 4区 医学
Cancer journal Pub Date : 2024-01-01 DOI: 10.1097/PPO.0000000000000691
Sahil D Doshi, Erin M Bange, Bobby Daly, Gilad Kuperman, Katherine S Panageas, Michael J Morris
{"title":"Telemedicine and Cancer Care: Barriers and Strategies to Optimize Delivery.","authors":"Sahil D Doshi, Erin M Bange, Bobby Daly, Gilad Kuperman, Katherine S Panageas, Michael J Morris","doi":"10.1097/PPO.0000000000000691","DOIUrl":"10.1097/PPO.0000000000000691","url":null,"abstract":"<p><strong>Abstract: </strong>Telemedicine holds the potential to transform cancer care delivery and optimize value, access, and quality of care. A transformed regulatory environment coupled with the need to continue medical care despite operational limitations led to the rapid expansion of telemedicine in cancer care during the COVID-19 pandemic. Its utilization has since varied, and it has faced significant challenges. In this review, we will explore the state of telemedicine in cancer care delivery, the challenges it faces, and strategies to enhance its successful implementation.</p>","PeriodicalId":9655,"journal":{"name":"Cancer journal","volume":"30 1","pages":"8-15"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10832391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139545326","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}
引用次数: 0
Prostate Cancer, Race, and Health Disparity: What We Know. 前列腺癌、种族和健康差异:我们所知道的。
IF 2.2 4区 医学
Cancer journal Pub Date : 2023-11-01 DOI: 10.1097/PPO.0000000000000688
Mack Roach, Pamela W Coleman, Rick Kittles
{"title":"Prostate Cancer, Race, and Health Disparity: What We Know.","authors":"Mack Roach, Pamela W Coleman, Rick Kittles","doi":"10.1097/PPO.0000000000000688","DOIUrl":"10.1097/PPO.0000000000000688","url":null,"abstract":"<p><strong>Abstract: </strong>Prostate cancer (PCa) in African American men is one of the most common cancers with a great disparity in outcomes. The higher incidence and tendency to present with more advanced disease have prompted investigators to postulate that this is a problem of innate biology. However, unequal access to health care and poorer quality of care raise questions about the relative importance of genetics versus social/health injustice. Although race is inconsistent with global human genetic diversity, we need to understand the sociocultural reality that race and racism impact biology. Genetic studies reveal enrichment of PCa risk alleles in populations of West African descent and population-level differences in tumor immunology. Structural racism may explain some of the differences previously reported in PCa clinical outcomes; fortunately, there is high-level evidence that when care is comparable, outcomes are comparable.</p>","PeriodicalId":9655,"journal":{"name":"Cancer journal","volume":"29 6","pages":"328-337"},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590341","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
Building a Bridge to Equity in Health and Health Care in Cancer Care. 在健康和癌症护理方面建立通向公平的桥梁。
IF 2.2 4区 医学
Cancer journal Pub Date : 2023-11-01 DOI: 10.1097/PPO.0000000000000690
Lori J Pierce
{"title":"Building a Bridge to Equity in Health and Health Care in Cancer Care.","authors":"Lori J Pierce","doi":"10.1097/PPO.0000000000000690","DOIUrl":"10.1097/PPO.0000000000000690","url":null,"abstract":"","PeriodicalId":9655,"journal":{"name":"Cancer journal","volume":"29 6","pages":"285-286"},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590332","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
Diversity in Cancer Care: Current Challenges and Potential Solutions to Achieving Equity in Clinical Trial Participation. 癌症治疗的多样性:当前的挑战和实现临床试验参与公平的潜在解决方案。
IF 2.2 4区 医学
Cancer journal Pub Date : 2023-11-01 DOI: 10.1097/PPO.0000000000000675
Kai Akimoto, Kekoa Taparra, Thelma Brown, Manali I Patel
{"title":"Diversity in Cancer Care: Current Challenges and Potential Solutions to Achieving Equity in Clinical Trial Participation.","authors":"Kai Akimoto, Kekoa Taparra, Thelma Brown, Manali I Patel","doi":"10.1097/PPO.0000000000000675","DOIUrl":"10.1097/PPO.0000000000000675","url":null,"abstract":"<p><strong>Abstract: </strong>Access to and participation in cancer clinical trials determine whether such data are applicable, feasible, and generalizable among populations. The lack of inclusion of low-income and marginalized populations limits generalizability of the critical data guiding novel therapeutics and interventions used globally. Such lack of cancer clinical trial equity is troubling, considering that the populations frequently excluded from these trials are those with disproportionately higher cancer morbidity and mortality rates. There is an urgency to increase representation of marginalized populations to ensure that effective treatments are developed and equitably applied. Efforts to ameliorate these clinical trial inclusion disparities are met with a slew of multifactorial and multilevel challenges. We aim to review these challenges at the patient, clinician, system, and policy levels. We also highlight and propose solutions to inform future efforts to achieve cancer health equity.</p>","PeriodicalId":9655,"journal":{"name":"Cancer journal","volume":"29 6","pages":"310-315"},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590335","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
Oncology Physician Workforce Diversity: Rationale, Trends, Barriers, and Solutions. 肿瘤医师劳动力多样性:基本原理、趋势、障碍和解决方案。
IF 2.2 4区 医学
Cancer journal Pub Date : 2023-11-01 DOI: 10.1097/PPO.0000000000000687
Curtiland Deville, Kenechukwu Charles-Obi, Patricia Mae G Santos, Malcolm D Mattes, Syed M Qasim Hussaini
{"title":"Oncology Physician Workforce Diversity: Rationale, Trends, Barriers, and Solutions.","authors":"Curtiland Deville, Kenechukwu Charles-Obi, Patricia Mae G Santos, Malcolm D Mattes, Syed M Qasim Hussaini","doi":"10.1097/PPO.0000000000000687","DOIUrl":"10.1097/PPO.0000000000000687","url":null,"abstract":"<p><strong>Abstract: </strong>This chapter will discuss (1) the rationale for physician workforce diversity and inclusion in oncology; (2) current and historical physician workforce demographic trends in oncology, including workforce data at various training and career levels, such as graduate medical education and as academic faculty or practicing physicians; (3) reported barriers and challenges to diversity and inclusion in oncology, such as exposure, access, preparation, mentorship, socioeconomic burdens, and interpersonal, structural, systemic bias; and (4) potential interventions and evidence-based solutions to increase diversity, equity, and inclusion and mitigate bias in the oncology physician workforce.</p>","PeriodicalId":9655,"journal":{"name":"Cancer journal","volume":"29 6","pages":"301-309"},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590338","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
Overlooked and Damaging Impact of Structural Racism and Implicit Bias on US Health Care: Overarching Policy Implications. 结构性种族主义和隐性偏见对美国医疗保健的忽视和破坏性影响:总体政策影响。
IF 2.2 4区 医学
Cancer journal Pub Date : 2023-11-01 DOI: 10.1097/PPO.0000000000000674
Sybil R Green, Christopher N Cross
{"title":"Overlooked and Damaging Impact of Structural Racism and Implicit Bias on US Health Care: Overarching Policy Implications.","authors":"Sybil R Green, Christopher N Cross","doi":"10.1097/PPO.0000000000000674","DOIUrl":"10.1097/PPO.0000000000000674","url":null,"abstract":"<p><strong>Abstract: </strong>Marginalized populations, including racial and ethnic minorities, have historically faced significant barriers to accessing quality health care because of structural racism and implicit bias. A brief review and analysis of past and historic and current policies demonstrate that structural racism and implicit bias continue to underscore a health system characterized by unequal access and distribution of health care resources. Although advances in cancer care have led to decreased incidence and mortality, not all populations benefit. New policies must explicitly seek to eliminate disparities and drive equity for historically marginalized populations to improve access and outcomes.</p>","PeriodicalId":9655,"journal":{"name":"Cancer journal","volume":"29 6","pages":"297-300"},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590339","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
Health Care Policy and Disparities in Health. 医疗保健政策和健康差距。
IF 2.2 4区 医学
Cancer journal Pub Date : 2023-11-01 DOI: 10.1097/PPO.0000000000000680
Dina George Lansey, Rohan Ramalingam, Otis W Brawley
{"title":"Health Care Policy and Disparities in Health.","authors":"Dina George Lansey, Rohan Ramalingam, Otis W Brawley","doi":"10.1097/PPO.0000000000000680","DOIUrl":"10.1097/PPO.0000000000000680","url":null,"abstract":"<p><strong>Abstract: </strong>The United States has seen a 33% decline in age-adjusted cancer mortality since 1991. Despite this achievement, the United States has some of the greatest health disparities of any developed nation. US government policies are increasingly directed toward reducing health disparities and promoting health equity. These policies govern the conduct of research, cancer prevention, access, and payment for care. Although implementation of policies has played a significant role in the successes of cancer control, inconsistent implementation of policy has resulted in divergent outcomes; poorly designed or inadequately implemented policies have hindered progress in reducing cancer death rates and, in certain cases, exacerbated existing disparities. Examining policies affecting cancer control in the United States and realizing their unintended consequences are crucial in addressing cancer inequities.</p>","PeriodicalId":9655,"journal":{"name":"Cancer journal","volume":"29 6","pages":"287-292"},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590337","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
Disparities in Gynecologic Cancers. 妇科癌症的差异。
IF 2.6 4区 医学
Cancer journal Pub Date : 2023-11-01 DOI: 10.1097/PPO.0000000000000678
Nita K Lee, Jasmin A Tiro, Kunle Odunsi
{"title":"Disparities in Gynecologic Cancers.","authors":"Nita K Lee, Jasmin A Tiro, Kunle Odunsi","doi":"10.1097/PPO.0000000000000678","DOIUrl":"10.1097/PPO.0000000000000678","url":null,"abstract":"<p><strong>Abstract: </strong>Gynecologic cancer disparities have different trends by cancer type and by sociodemographic/economic factors. We highlight disparities in the United States arising due to poor delivery of cancer care across the continuum from primary prevention, detection, and diagnosis through treatment and identify opportunities to eliminate/reduce disparities to achieve cancer health equity. Our review documents the persistent racial and ethnic disparities in cervical, ovarian, and uterine cancer outcomes, with Black patients experiencing the worst outcomes, and notes literature investigating social determinants of health, particularly access to care. Although timely delivery of screening and diagnostic evaluation is of paramount importance for cervical cancer, efforts for ovarian and uterine cancer need to focus on timely recognition of symptoms, diagnostic evaluation, and delivery of guideline-concordant cancer treatment, including tumor biomarker and somatic/germline genetic testing.</p>","PeriodicalId":9655,"journal":{"name":"Cancer journal","volume":"29 6","pages":"343-353"},"PeriodicalIF":2.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590333","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}
引用次数: 0
The Promise of Cancer Health Justice: How Stakeholders and the Community Can Build a Sustained and Equitable System of Cancer Care Through the Lens of Colorectal Cancer Interventions. 癌症健康正义的承诺:利益相关者和社区如何通过结肠直肠癌干预建立一个持续和公平的癌症护理系统。
IF 2.2 4区 医学
Cancer journal Pub Date : 2023-11-01 DOI: 10.1097/PPO.0000000000000676
Dario M Villamar, Blase N Polite
{"title":"The Promise of Cancer Health Justice: How Stakeholders and the Community Can Build a Sustained and Equitable System of Cancer Care Through the Lens of Colorectal Cancer Interventions.","authors":"Dario M Villamar, Blase N Polite","doi":"10.1097/PPO.0000000000000676","DOIUrl":"10.1097/PPO.0000000000000676","url":null,"abstract":"<p><strong>Abstract: </strong>Disparities in outcomes and persistent barriers to adequate care in colorectal cancer are reflective of a system that has failed to achieve the ideals of health equity and health justice. In this review, we discuss that although much research has been done to improve upon gaps in screening, treatment, and supportive care in colorectal cancer, a concerted effort across multiple research, regulatory, and funding stakeholders with community-level organizations is essential in building a self-sustained system that effectively achieves health equity outcomes. We also highlight several examples of novel community-based interventions along the continuum of cancer care that demonstrate the potential of what can be accomplished when we invest in scaling up small-scale solutions to the state and national levels and offer ways in which stakeholders and the community may mutually benefit through a system of incentives, self-assessment tools, and attainable metrics.</p>","PeriodicalId":9655,"journal":{"name":"Cancer journal","volume":"29 6","pages":"338-342"},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590268","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
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