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Associations among navigational support and health care utilization and costs in patients with advanced cancer: An analysis based on administrative health insurance data.

BackgroundFragmented and complex healthcare systems make it difficult to provide continuity of care for patients with advanced cancer near the end of life. Nurse-based cross-sectoral navigation support has the potential to increase patients' quality of life. The objective of this paper was to evaluate associations between navigation support and health care utilization, and the associated costs of care.MethodsThe evaluation is based on claims data from 37 statutory health insurance funds. Non-randomized recruitment of the intervention group (IG) took place between 2018 and 2019 in four German h

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… The processing of the anonymized data of the comparison group was carried out with approval by the federal supervisory authority of the health insurance funds (Federal Office for Social Security). … Approval was granted upon request in accordance with § 75 Social Security Code 10 (Transmission of Social Data for Research and Planning). Data collection The analysis is based on claims data from 37 statutory company health insurance funds (BKK). …

The Role of Social Support in the Experience of Informal Caregivers of Cancer Patients: An Umbrella Review.

ObjectiveTo understand the role of social support in the caregiving experience of cancer patients through a narrative synthesis of systematic reviews and meta-analyses, providing a comprehensive overview in the field.MethodsA systematic search of systematic reviews and meta-analyses published between 2013 and 2024 was conducted in PubMed, EMBASE, PsycINFO, CINAHL, Web of Science, and Scopus using PCC-based search terms related to informal caregivers, social support, and cancer.ResultsThe search resulted in a total of 1377 articles, of which 32 met the inclusion criteria and quality assessment.

"Let him die. He caused it": A qualitative study on cancer stigma in Tanzania.

Cancer stigma presents a critical barrier to care seeking, contributing to delayed presentation and poor cancer outcomes worldwide. The burden of cancer in Tanzania is on the rise, with cancer being the third-leading cause of death in the country. Despite rising incidence and poor outcomes of cancer, cancer-related stigma interventions have received low prioritization. There is a need for sound research that focuses on understanding attitudes driving stigma, its impact on care-seeking and treatment adherence, and intervention models to reduce stigma. We used a cross-sectional qualitative study

The Impact of a Health Coaching App on the Subjective Well-Being of Individuals With Multimorbidity: Mixed Methods Study.

BackgroundMultimorbidity, the coexistence of 2 or more chronic conditions, is associated with poor well-being. Health coaching apps offer cost-effective and accessible support. However, there is a lack of evidence of the impact of health coaching apps on individuals with multimorbidity.ObjectiveThis study aimed to assess the impact and acceptability of a health coaching app (the Holly Health [HH] app) on the subjective well-being (SWB) of adults with multimorbidity.MethodsThis study used an explanatory-sequential mixed methods design, with quantitative secondary data analysis in the first phas

Oncology Nursing During a Pandemic: Critical Reflections in the Context of COVID-19.

ObjectivesTo provide a critical reflection of COVID-19 in the context of oncology nursing and provide recommendations for caring for people affected by cancer during this pandemic.Data sourcesElectronic databases, including CINAHL, MEDLINE, PsychINFO, Scopus, professional web sites, and grey literature were searched using Google Scholar.ConclusionNurses are key stakeholders in developing and implementing policies regarding standards of care during the COVID-19 pandemic. This pandemic poses several challenges for oncology services. Oncology nurses are providing a pivotal role in the care and ma

Взаимосвязь между БМИ и когнитивом, инвалидностью и качеством жизненных показателей при множественном склерозе: вторичный анализ DISCOMS.

СВЯЗЬ МЕЖДУ индексом массы тела (ИОВ) и когнитивированием, инвалидностью и качеством жизни (QOL) является спорной при множественном склерозе (MS). Мы изучили связь между BMI и когнитивной функцией, инвалидностью и QoL в MS. МЕТОДЫ: Был проведен перекрестный вторичный анализ процесса ДИСКОМС для изучения связи между БМИ и когнитивом, инвалидностью и QoL. Когнитивная функция измерялась по методу проверки символических цифр (ССРМ), а инвалидность измерялась на основе расширенной шкалы показателей инвалидности (СЭДСС) и установленных пациентом ступеней инвалидности (ПДДС). Кольные маркеры измеряли

The EPICURE study: a pilot prospective cohort study of heterogeneous and massive data integration in metastatic breast cancer patients.

BackgroundBreast cancer is the most common cancer in women and the first cancer concerning mortality. Metastatic breast cancer remains a disease with a poor prognosis and about 30% of women diagnosed with an early stage will have a secondary progression. Metastatic breast cancer is an incurable disease despite significant therapeutic advances in both supportive cares and targeted specific therapies. In the management of a metastatic patient, each clinician follows a highly complex and strictly personal decision making process. It is based on a number of objective and subjective parameters whic

COVID-19 and Palliative Care Services: Comparative Patterns of Inpatient, Outpatient, and Consultation Services in a Tertiary Care Center in Riyadh.

Introduction The coronavirus disease 2019 (COVID-19) outbreak caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) marked the third introduction of a highly pathogenic and large-scale epidemic coronavirus into the human population in the 21st century. The World Health Organization declared the COVID-19 outbreak as a pandemic on March 11, 2020. Lockdowns were imposed in multiple countries affecting patient flow in hospitals. Methods This is a retrospective study conducted at King Fahad Medical City (KFMC), a tertiary care hospital in Riyadh, Saudi Arabia, which examined th

Rationale and design of platelet transfusions in haematopoietic stem cell transplantation: the PATH pilot study.

IntroductionIn patients with transient thrombocytopenia being treated with high-dose chemotherapy followed by stem cell rescue-haematopoietic stem cell transplantation (HSCT), prophylactic transfusions are standard therapy to prevent bleeding. However, a recent multicentre trial suggests that prophylactic platelet transfusions in HSCT may not be necessary. Additionally, the potential overuse of platelet products places a burden on a scarce healthcare resource. Moreover, the benefit of prophylactic platelet transfusions to prevent clinically relevant haemorrhage is debatable. Current randomised

Неинфекционные заболевания на юго-западе Ирана: профиль и базовые данные из исследования < < Шахрекорд ПЕРСИАН Корт > > .

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Критические межпровинциальные различия в структуре неинфекционных заболеваний (НИЗ) в Иране и трудности, связанные с определением методов профилактики для сокращения смертности от НИЗ, поставили под угрозу осуществление провинциального плана в области здравоохранения. Исследование < < Шахрекорд кохорт > > (СКС) было предназначено для устранения этих пробелов в Чахармахале и Бахтиари, провинции с высокой высотой на юго-западе Ирана, характеризующейся большим населением Бахтиари, а также этническими группами Фарса и Турка. МЕТОДЫ: Эта текущая группа, перспектив

Response-The Road Less Travelled: Why did Miles Little Turn to Qualitative Research and Where Did This Lead?

Miles Little is an Australian surgeon, poet, and philosopher whose published work spans diverse topics in surgery, medicine, philosophy, and bioethics. In 1974 he co-authored a survey that included an analysis of interviews conducted with amputees. This was his first foray into qualitative research. Twenty years later he established a research centre at the University of Sydney that initiated a programme of qualitative research in cancer medicine. For twenty years after that, the centre acted as a hub for research that applied qualitative methods from the social sciences to study the experienc

Assessment of Patient Reported Outcomes (PROs) in Outpatients Taking Oral Anticancer Drugs Included in the Real-Life Oncoral Program.

Background In previous studies, patient-reported outcomes (PROs) have been shown to improve survival in cancer patients. The aim of the present study was to assess symptoms potentially related to adverse events experienced by cancer outpatients treated by oral anticancer agents (OAAs) using PROs. Methods Between September 2018 and May 2019, outpatients starting OAAs were included in a 12-week follow-up to assess 15 symptoms listed in the National Cancer Institute PRO Common Terminology Criteria for Adverse Events, using a 5-point scale of severity or frequency. Patients were requested to alert

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… Adult patients with cancer for which an OAA is prescribed, i.e., cytotoxic agent, targeted therapy, or hormonal therapy (excluding adjuvant treatments), with ambulatory status (not hospitalized) and affiliated to the social security scheme or equivalent could be included in the program. …

Challenges for cancer patients returning home during SARS-COV-19 pandemic after medical tourism - a consensus report by the emirates oncology task force.

BackgroundThe COVID-19 pandemic has caused a global health crisis. Numerous cancer patients from non-Western countries, including the United Arab Emirates (UAE), seek cancer care outside their home countries and many are sponsored by their governments for treatment. Many patients interrupted their cancer treatment abruptly and so returned to their home countries with unique challenges. In this review we will discuss practical challenges and recommendations for all cancer patients returning to their home countries from treatment abroad.MethodExperts from medical, surgical and other cancer subsp

A cost-utility and budget impact analysis of allogeneic hematopoietic stem cell transplantation for severe thalassemic patients in Thailand.

BackgroundHematopoietic stem cell transplantation (HSCT) is the only curative treatment available to severe thalassemic patients. The treatment, however, is very costly, particularly in the context of low and middle income countries, and no studies have been carried out to explore its economic justifiability. This study aimed to estimate the cost-utility of HSCT compared with blood transfusions combined with iron chelating therapy (BT-ICT) for severe thalassemia in Thailand, and to investigate the affordability of HSCT using a budget impact analysis.MethodsA Markov model was used to estimate t

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… HSCT is provided with full coverage to thalassemic patients who are government employees and their dependents enrolled under the Civil Servant Medical Benefit Scheme (9% of the Thai population) as well as employees enrolled under the Social Security Scheme (11% of the population). …

A Pilot Program Implementing an Evidence-Based Walking Plan to Improve Cancer-Related Fatigue in Adult Patients on Oral Cancer Treatments.

BackgroundFatigue is a prevalent symptom among cancer patients, even after completing treatment. The National Comprehensive Cancer Network Guidelines recommend incorporating physical activity as a strategy to combat cancer-related fatigue.ObjectivesThe goal was to develop and implement an evidence-based translational research quality improvement project to improve fatigue in patients starting oral cancer treatment.MethodsOutpatient oncology nurses (registered nurses and licensed practical nurses) responsible for educating patients starting treatment for cancer were provided education about the

Understanding In-Person and Online Exercise Oncology Programme Delivery: A Mixed-Methods Approach to Participant Perspectives.

Alberta Cancer Exercise (ACE) is an exercise oncology programme that transitioned from in-person to online delivery during COVID-19. The purpose of this work was to understand participants' experiences in both delivery modes. Specifically, survivors' exercise facilitators and barriers, delivery mode preference, and experience with programme elements targeting behaviour change were gathered. A retrospective cohort design using explanatory sequential mixed methods was used. Briefly, 57 participants completed a survey, and 19 subsequent, optional interviews were conducted. Most participants indic

Электронные платформы отчетов о результатах лечения, предоставляемых пациентами, используемые в онкологии крови: систематический обзор.

ЦЕЛЬ: Использование электронных показателей результатов (ЭПРОМ), сообщаемых пациентами, продемонстрировало свои преимущества в онкологии; однако их использование в гематологических отклонениях по-прежнему ограничено. Мы поставили перед собой цель выявить платформы, которые используются в гематологии, и описать их особенности, приемлемость, удобство использования, осуществимость, темпы осуществления и поглощения, а также данные о результатах. МЕТОДЫ: Систематический обзор был проведен после ПРИСМА 2020 Руководящие принципы. Электронные базы данных (MedLINE, EMBASE, CINAHL, PsycINFO, Cochrane) и

Relationship between chemotherapy-induced peripheral neuropathy and physical activity in cancer survivors: A prospective longitudinal study.

ObjectiveThe purpose of this research is to evaluate the relationship between the degree of peripheral neuropathy associated with treatment and physical activity through the use of objective indicators such as wristband activity tracker and subjective evaluations obtained through interviews.MethodsThis study included 11 patients with gynecological cancer, gastrointestinal cancer, and malignant lymphoma. Participants were requested to wear a wristband activity meter at two time points: early and mid-treatment. Activity-meter step counts were compared with factors such as energy expenditure and

Identifying and handling unbalanced baseline characteristics in a non-randomized, controlled, multicenter social care nurse intervention study for patients in advanced stages of cancer.

PurposeGiven the psychosocial burdens patients in advanced stages of cancer face, innovative care concepts are needed. At the same time, such vulnerable patient groups are difficult to reach for participation in intervention studies and randomized patient inclusion may not be feasible. This article aims to identify systematic biases respectively selection effects occurring during the recruitment phase and to discuss their potential causes based on a non-randomized, multicenter intervention study with patients in advanced stages of cancer.MethodsPatients diagnosed with at least one of 16 predef

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… For a period of 12 months patients and their relatives receive monthly regular counseling sessions during which they are supported with respect to psychosocial, medical as well as social security related issues to facilitate the path through the health system [ 24 ]. … security support and care services for affected persons and their relatives, theory and practice of participatory decision-making. …

Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based Study.

ObjectivesTo examine cancer mortality rates in Colombia by ethnic groups (Indigenous, Rom, Raizal, Afro-Colombian, and Mestizo) and assess trends from 2011 to 2022.MethodsNational vital statistics from death certificates and the Colombian census data were used. Crude and direct age-standardized mortality rates were determined by ethnicity for the study period, by year, sex, and cancer type and Joinpoint analysis was conducted to examine trends.ResultsAge-standardized cancer mortality of Mestizos (60.1 per 100,000 population) was lower than in Rom and Raizales (557.3 and 77.7 per 100,000), and

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… Measures The dataset provided by the DANE included over 45 variables related to demographics (sex, age, marital status, ethnicity, educational level, social security system), residence location (place of residence, area of residence), death location (place of death, region of death), person certifying … Finally, the variable indicating the deceased’s social security program (type of health insurance), was included. The original options were contributory, special, exception (all three of which are private insurance options), subsidized (government sponsored), and uninsured. …