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Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study.

IntroductionAbout 50% of patients do not take their long-term therapy for chronic conditions as prescribed. Many studies have centered on patients' adherence to a specific treatment or single conditions, but few have taken all chronic conditions into consideration from a patient's perspective. This study aims to explore factors that impact on drug compliance and to identify strategies to improve this from the perspective of patients with at least one chronic condition.MethodsPatients were recruited by healthcare professionals from a hospital pharmacy, four community pharmacies, patient associa

Устойчивые выгоды мультидоменального стиля жизни при множественном склерозе в исследовании LIMS: A 24-Month Продолжайте.

СПРАВОЧНАЯ ИНФОРМАЦИЯ И ЦЕЛИ: Множественный склероз (МС) часто приводит к физическим, когнитивным и психологическим расстройствам, существенно влияющим на повседневное функционирование и качество жизни. Поскольку нынешняя медикаментозная медикаментозная терапия не в полной мере предотвращает прогресс в развитии заболеваний, интерес к потенциальной роли изменяемых факторов образа жизни растет. Мы провели оценку.1) сохранялось ли воздействие на результаты, представляемые пациентами 24 месяцев и2) долгосрочные изменения в образе жизни после завершения программы MS.МЕТОДЫ: УЧАСТНИКИ СООБЩЕНИЙ 3-mo

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… ), n (%) | 559 (84) | 425 (85) | 134 (84) Education, n (%) | | | Low | 23 (3) | 15 (3) | 8 (5) Middle | 490 (74) | 369 (74) | 121 (76) High | 146 (22) | 116 (23) | 30 (19) Work, n (%) | | | Paid work | 282 (43) | 211 (42) | 71 (45) Unpaid work | 14 (2) | 14 (3) | 0 (0) Paid work, partially on sick … leave | 67 (10) | 52 (1) | 15 (9) Paid work, fully on sick leave | 35 (5) | 28 (6) | 7 (4) Permanently disabled for work | 188 (29) | 144 (29) | 44 (27) Unemployed/job seeking | 11 (2) | 8 (2) | 3 (2) Student | 11 (2) | 6 (1) | 5 (3) Homemaker | 33 (5) | 22 (4) | 11 (7) Retired | 18 (3) | 15 (3) | 3 …

Translation, cultural adaptation and validation of the Danish version of the haematological malignancy patient-reported outcome measure (HM-PRO).

BackgroundAssessment of cancer patients´ quality of life (QoL) through patient-reported outcomes (PRO) during and after treatment is gaining ground. The HM-PRO is the first generic Haematological Malignancy specific PRO measure for use in clinical practice and clinical trials. Such generic tools are needed in Denmark. The study aim was to translate and cross-culturally adapt the HM-PRO into Danish and evaluate the psychometric properties.MethodsTranslation and cross-cultural adaptation of the original English HM-PRO into Danish followed established guidelines. After cognitive debriefing interv

Living and dying with incurable cancer: a qualitative study on older patients' life values and healthcare professionals' responsivity.

BackgroundIn ageing Western societies, many older persons live with and die from cancer. Despite that present-day healthcare aims to be patient-centered, scientific literature has little knowledge to offer about how cancer and its treatment impact older persons' various outlooks on life and underlying life values. Therefore, the aims of this paper are to: 1) describe outlooks on life and life values of older people (≥ 70) living with incurable cancer; 2) elicit how healthcare professionals react and respond to these.MethodsSemi-structured qualitative interviews with 12 older persons with advan

Early, Patient-Centered, and Multidisciplinary Approach in Newly Diagnosed Multiple Myeloma: What Are We Talking About? A Case Description and Discussion.

Specialized palliative care (SPC) is a multidisciplinary need-based approach from the time a life-threatening disease is diagnosed. Patients with multiple myeloma (MM) will, at the time of diagnosis, often present with symptoms and needs that require a multidisciplinary approach. This case describes the course of a patient with newly diagnosed MM, involving all vertebrae and with no common analgesic treatment providing sufficient relief. High symptom burden and psychosocial and existential factors contribute to his total suffering. SPC, anesthesiological, and radio-oncological disciplines are

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… Both the patient and his wife are on sick leave, and at home they have three children aged 11–12 years. Through the SPC team, the couple receive counseling from a social worker and a psychologist. …

Methods for measuring financial toxicity after cancer diagnosis and treatment: a systematic review and its implications.

Patients experiencing financial distress as a side-effect of cancer are not only reported in the United States, but also in third-party payer healthcare systems in Europe. Since validated survey instruments are a prerequisite for robust and comparable results, we aimed to compile and classify available instruments to enable both a better understanding of the underlying construct of financial toxicity and to facilitate further studies that are adjustable to various healthcare systems. We did a systematic literature search on studies that provide data on perceived cancer-related financial distre

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… In Europe, most countries provide paid sick leave for at least some weeks. While this might still not be enough, the United States has by and large no statutory mandate for such regulation [ 73 ]. …

The work of managing multiple myeloma and its implications for treatment-related decision making: a qualitative study of patient and caregiver experiences.

BackgroundThe evolving nature of multiple myeloma (MM) therapies, including the introduction of novel oral agents, has produced a shift in the delivery of care from hospital to home. Within this context, patients and their caregivers are becoming increasingly engaged in the work of illness management, however the exact nature of this work as well as the ways in which this work informs treatment preferences and decisions within this population has not been explored. This qualitative study sought to develop an in-depth understanding of patient and caregiver experiences with different MM treatmen

Workforce participation in relation to cancer diagnosis, type and stage: Australian population-based study of 163,556 middle-aged people.

PurposeTo quantify the relationship of cancer diagnosis to workforce participation in Australia, according to cancer type, clinical features and personal characteristics.MethodsQuestionnaire data (2006-2009) from participants aged 45-64 years (n=163,556) from the population-based 45 and Up Study (n=267,153) in New South Wales, Australia, were linked to cancer registrations to ascertain cancer diagnoses up to enrolment. Modified Poisson regression estimated age- and sex-adjusted prevalence ratios (PRs) for non-participation in the paid workforce-in participants with cancer (n=8,333) versus with

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Narrative review of the epidemiology, economic burden, and societal impact of metastatic bone disease.

As the prevalence of cancer continues to rise in the United States due to a combination of both early detection and increased life expectancy, the number of clinically symptomatic skeletal metastases will continue to grow. Healthcare expenditures on cancer treatment have steadily increased each decade to our estimated level of approximately $200 billion in 2020. Metastatic bone disease is a significant driver of this cost, accounting for nearly one-fifth of the total cost of oncologic treatment. Understanding the impact of metastatic bone disease can help to identify the gaps between diagnosis

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… In the absence of sweeping policies that offer sick leave and affordable care, the oncology care team and researchers need to work together to develop interventions, or modify existing interventions, to include a financial component ( 44 , 45 ). …

Эффективность применения цифровых технологий для лечения депрессии и общего тревожного расстройства в Германии, отвечающих установленным требованиям: систематический обзор и метаанализ.

В Германии были внедрены цифровые прикладные программы в области психического здоровья, отвечающие установленным требованиям (ДИГ) 2020 в качестве многообещающих мероприятий, направленных, в частности, на борьбу с депрессией и расстройствами, вызывающими тревогу, two - наиболее распространенных в мире психических заболеваний. Несмотря на растущий интерес к ДИГ, их общая эффективность остается неопределенной. Это исследование было направлено на систематическую оценку и количественную оценку эффективности требуемых по рецепту цифровых средств для лечения депрессии и общего тревожного расстройств

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… More than half of these excess costs were attributable to indirect costs resulting from sick leave and early retirement (€2,835), exceeding direct healthcare costs €2,212 5 . These calculations do not reflect the substantial intangible burden, including reduced quality of life and life expectancy. …

Older cancer patients' information and support needs surrounding treatment: An evaluation through the eyes of patients, relatives and professionals.

BackgroundProviding cancer patients with adequate treatment information is important for patients' health, well-being and satisfaction. Nurses play an important role in patient education. So far, few studies focused on the specific information needs of older cancer patients surrounding chemotherapy treatment. Given the growing incidence of cancer among older individuals, insight in these needs is crucial. This article describes the views of older cancer patients, their relatives and professionals on older patients' specific communication needs regarding chemotherapy treatment.MethodsA qualitat

Participation of older newly-diagnosed cancer patients in an observational prospective pilot study: an example of recruitment and retention.

BackgroundThere have been few prospective observational studies which recruited older newly-diagnosed cancer patients, and of these only some have reported information on the number needed to screen to recruit their study sample, and the number and reasons for refusal and drop-out. This paper reports on strategies to recruit older newly-diagnosed cancer patients prior to treatment into an observational prospective pilot study and to retain them during a six-month period.MethodsMedical charts of all patients in the Segal Cancer Centre aged 65 and over were screened and evaluated for inclusion.

Interpretability and fairness evaluation of deep learning models on MIMIC-IV dataset.

The recent release of large-scale healthcare datasets has greatly propelled the research of data-driven deep learning models for healthcare applications. However, due to the nature of such deep black-boxed models, concerns about interpretability, fairness, and biases in healthcare scenarios where human lives are at stake call for a careful and thorough examination of both datasets and models. In this work, we focus on MIMIC-IV (Medical Information Mart for Intensive Care, version IV), the largest publicly available healthcare dataset, and conduct comprehensive analyses of interpretability as w

Burden of Disease and Cost of Illness of Triple-Negative Breast Cancer in Portugal.

BackgroundTriple-negative breast cancer accounts for 15% of all breast cancer cases, and it has a lower survival rate and higher incidence of early recurrence, particularly during the first 10 years after diagnosis.ObjectiveThis study aimed to estimate the cost and burden of triple-negative breast cancer among the female population in 2019 in Portugal from a societal perspective.MethodsThe prevalence of triple-negative breast cancer was calculated using a cumulative incidence model on the basis of national epidemiological data. The burden of disease was expressed as disability-adjusted life ye

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… The indirect costs, such as early retirement, sick leave and work absences due to TNBC, were established following the human capital approach, according to which the indirect costs are estimated on the basis of the company´s expenditure on each employee lost to adverse health disorders [ 27 ]. …

Vertebroplasty in patients with multiple myeloma with vertebral compression fractures: protocol for a single-blind randomised controlled trial.

INTRODUCTION: Multiple myeloma (MM) is a plasma cell cancer where about 1/3 of the patients present with pathological fractures at the time of diagnosis. Despite treatment, the majority of the patients will develop additional fractures. Because survival and prognosis has improved significantly over the last two decades for patients with MM, there is an increased need to focus on optimal fracture treatment. Traditionally, fracture pain is treated conservatively with opioids, bisphosphonates, bracing and radiation therapy. Vertebral augmentation has been used for the last three decades as a mini

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… Questionnaire about general health services, including questions about for example, sick leave and home care. …

Treatment Decision Making at Diagnosis for Children Presenting With Advanced Cancer in Low- and Middle-Income Countries.

PurposeAlthough most children diagnosed with cancer live in low- and middle-income countries (LMICs), research exploring decision making in these settings remains sparse. When children present with advanced cancer in LMICs, local centers may lack resources to provide treatment required to achieve cure. Existing treatment guidelines often do not account for contextual and resource variations influencing decision making. This qualitative study sought to understand physician approaches to treatment decision making for children presenting with advanced cancer at diagnosis in LMICs.MethodsSemistruc

Multidisciplinary supportive care in systemic light chain amyloidosis.

The immunoglobulin light-chain amyloidosis is a multisystemic disease which manifests by damage to the vital organs by light chain-derived amyloid fibril. Traditionally, the treatment has been directed to the underlying plasma cell clone with or without high dose chemotherapy followed by autologous stem cell transplantation using melphalan based conditioning. Now with the approval of highly tolerable anti-CD38 monoclonal antibody daratumumab based anti-plasma cell therapy in 2021, high rates of hematologic complete responses are possible even in patients who are otherwise deemed not a candidat

Innovative Approaches in Knee Osteoarthritis Treatment: A Comprehensive Review of Bone Marrow-Derived Products.

Knee osteoarthritis (OA) is a chronic articular disease characterized by the progressive degeneration of cartilage and bone tissue, leading to the appearance of subchondral cysts, osteophyte formation, and synovial inflammation. Conventional treatments consist of non-steroidal anti-inflammatory drugs (NSAIDs), analgesics, and glucocorticoids. However, the prolonged use of these drugs causes adverse effects. NSAIDs, for instance, are known to be nephrotoxic, increasing the damage to articular cartilage. New therapies capable of accelerating the process of tissue regeneration and repair are bein

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… The growing incidence of OA, leading to increased sick leaves and early retirement, underscores the need for effective treatments. Current treatments often fall short, being either invasive or inadequate. …

Amyloidosis: A story of how inframammary erosions eclipsed inconspicuous periorbital ecchymoses.

Systemic amyloidosis is a rare disease that can be rapidly progressive due to widespread organ involvement. There are well-described renal, cardiac, pulmonary, neurological, and dermatologic findings. Here, we outline one patient's experience with the condition from presentation to making the diagnosis. She presented with pathognomonic dermatologic findings including pinch purpura and ecchymoses found in the skin folds.