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Cancer Patients' Experiences with Telehealth before and during the COVID-19 Pandemic in British Columbia.

BackgroundPatients have had their cancer care either postponed or changed to telehealth visits to reduce exposure to COVID-19. However, it is unclear how these changes may have affected their experiences. We aim to identify patient characteristics that affect telehealth experiences and evaluate their preferences for using telehealth in the future.MethodsPatients who completed the Outpatient Cancer Care (OCC) Patient Experience Survey were invited to participate. They comepleted the modified OCC Survey, which focused on telehealth during the pandemic. Linear and logistic regression analyses wer

The impact of the COVID-19 pandemic on health-related quality of life of cancer patients in British Columbia.

BackgroundThe COVID-19 pandemic resulted in unprecedented changes to cancer care in many countries, impacting cancer patients' lives in numerous ways. This study examines the impact of changes in cancer care on patient's health-related quality of life (HRQL), which is a key outcome in cancer care. The study aims to estimate patients' self-reported HRQL before and during the pandemic and identify predictive factors for their physical and mental wellbeing.MethodThe study employed the large-scale Outpatient Cancer Care (OCC) Patient Experience Survey, including the Veterans RAND 12-Item Health Su

Оказываешь новую клиническую услугу - что у тебя в лифте?

Люди с множественным склерозом (PwMS) определяют эмоциональное благополучие как одну из ключевых неудовлетворенных потребностей в уходе. Меры, основанные на заботливости, могут повысить эмоциональное благосостояние в ПВМС; вместе с тем отсутствует информация о том, как они применяются в рамках обычного ухода. Лица, оказывающие влияние на политику в области здравоохранения, могут получить критическую информацию о процессе осуществления. Цель этого исследования заключалась в изучении потребностей и приоритетов тех, кто оказывает влияние на политику в области здравоохранения, в деле внедрения МБМ

Health problems in agricultural workers occupationally exposed to pesticides.

Agricultural workers are susceptible to several health problems as a result of occupational exposure to toxic substances, especially pesticides. The aim of this review was to describe the health issues associated with occupational exposure to pesticides in agricultural workers. A descriptive study, in the form of an integrative literature review, was conducted based on articles retrieved from the LILACS, SciELO and PubMed databases, published between January 2015 and October 2018. The searches were conducted using the keywords "pesticides," "workers' health," "occupational exposure" and "agric

Bridging Perspectives: How Canadian Patients and Caregivers View Quality of Life in Multiple Myeloma Compared to Validated Instruments.

Background: Validated patient- and caregiver-reported outcome (PRO and CRO) questionnaires are widely used to assess quality of life (QoL) in multiple myeloma (MM). However, most were developed before recent therapeutic advances that have modified disease trajectories and may no longer fully reflect patients' and caregivers' experiences. Methods: A Canadian cross-sectional observational study was conducted in collaboration with the PROxy Network and Myeloma Canada. Patients with MM completed the EORTC QLQ-C30, EORTC QLQ-MY20, EQ-5D-5L, and ESAS-R questionnaires and caregivers of patients with

A Map of the Initiatives That Harmonize Patient Cohorts Across the World.

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Identifying Frail Patients by Using Electronic Health Records in Primary Care: Current Status and Future Directions.

With the rapidly aging population, frailty, characterized by an increased risk of adverse outcomes, has become a major public health problem globally. Several frailty guidelines or consensuses recommend screening for frailty, especially in primary care settings. However, most of the frailty assessment tools are based on questionnaires or physical examinations, adding to the clinical workload, which is the major obstacle to converting frailty research into clinical practice. Medical data naturally generated by routine clinical work containing frailty indicators are stored in electronic health r

Disease Characteristics and Outcomes of 493 Young Myeloma Patients Treated With Modern Therapies: A Canadian Myeloma Research Group Database Study.

BackgroundYoung patients ≤ 50 years old with multiple myeloma (MM) account for about 10% of cases and are underrepresented in the literature.MethodsWe explored disease characteristics, treatments, and outcomes following modern therapies of young MM patients using the Canadian Myeloma Research Group (CMRG) database. We included 493 patients ≤ 50 years old diagnosed with MM or plasma cell leukemia without concurrent amyloidosis or POEMS syndrome from January 1, 2010, to July 1, 2022.ResultsThe median age was 46 years old (range: 25.6-50). Most patients fell into the R-ISS II category (72.7%), an

Symptoms, Symptom Profiles, and Healthcare Utilization in Patients with Hematologic Malignancies: A Retrospective Observational Cohort Study and Latent Class Analysis.

Symptom burden is known to be high in patients with hematologic malignancies and can adversely impact patients' quality of life. The aims of this retrospective observational cohort study were to explore symptoms in patients with hematologic malignancies, including during the last year of life, to explore symptom profiles in patients with hematologic malignancies, and to explore associations among symptoms/symptom profiles and demographic, clinical, and treatment-related variables. Symptom prevalence and severity and symptom profiles were explored in patients with hematologic malignancies who c

Radiological Diagnosis and Advances in Imaging of Vertebral Compression Fractures.

Vertebral compression fractures (VCFs) affect 1.4 million patients every year, especially among the globally aging population, leading to increased morbidity and mortality. Often characterized with symptoms of sudden onset back pain, decreased vertebral height, progressive kyphosis, and limited mobility, VCFs can significantly impact a patient's quality of life and are a significant public health concern. Imaging modalities in radiology, including radiographs, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) studies and bone scans, play crucial

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… In the Canadian Longitudinal Study on Aging, 7.8% of the study cohort, including 30,097 participants aged 45 to 85 years, had osteoporosis [ 4 ]. As the aging population continues to grow worldwide, it is projected that the prevalence of VCFs will continue to rise. … An update of the prevalence of osteoporosis, fracture risk factors, and medication use among community-dwelling older adults: Results from the Canadian Longitudinal Study on Aging (CLSA) Arch. Osteoporos. 2022 17 31 10.1007/s11657-022-01073-1 35122160 PMC8816745 5. Kado D.M. Browner W.S. …

Management of Multiple Myeloma: A Review for General Practitioners in Oncology.

Multiple myeloma (MM) is a malignant clonal plasma cell disorder in the bone marrow and is the second-most common hematologic malignancy in adults. Although patients with MM have a moderate life expectancy, it remains a heterogeneous disease that often requires multiple lines of chemotherapy for durable control and long-term survival. This review outlines current management strategies for both transplant-eligible and transplant-ineligible patients as well as for relapsed and refractory disease. Advances in drug therapies have widened management options and improved survival. In this paper, we

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… Health Heterogeneity in Older Adults: Exploration in the Canadian Longitudinal Study on Aging. J. Am. Geriatr. Soc. 2021;69:678–687. doi: 10.1111/jgs.16919. 26. Möller M.-D., Gengenbach L., Graziani G., Greil C., Wäsch R., Engelhardt M. …

Troponins and Natriuretic Peptides in Cardio-Oncology Patients-Data From the ECoR Registry.

BackgroundThe long-term survival of cancer patients has significantly improved over the past years. Despite their therapeutic efficacy, various cancer therapies are associated with cardiotoxicity. Therefore, timely detection of cardiotoxic adverse events is crucial. However, the clinical assessment of myocardial damage caused by cancer therapy remains difficult.MethodsThis retrospective study was performed to evaluate the diagnostic value of cardiac troponin I (cTnI) and N-terminal pro-B-type natriuretic peptide (NT-proBNP) for monitoring cancer therapy-induced cardiomyopathy. A total of 485 c

Меры по согласованию и износостойкости в рамках системы многоразового склероза-системного обзора доказательств и применимости используемых систем скоринга в клинических и реальных данных.

В случае множественного склероза (MS) все большее внимание уделяется соприкосновениям и слабостям, влияющим на курс болезни, лечение и качество жизни. Цель этого обзора литературы заключается в оценке фактических данных, сильных и слабых сторон инструментов оценки соответствия и слабости у людей с НР (МСУ). МЕТОДЫ: Мы провели всеобъемлющий систематический обзор литературы, включая исследования, опубликованные между 2014 и 2024 с первоначальными данными или систематическими обзорами показателей комординации или слабости в ПТУС с использованием PRISMA 2020 методология. Были проанализированы меры

Variation in Kidney Transplant Referral, Living Donor Contacts, Waitlisting, and Kidney Transplant Across Regional Renal Programs in Ontario, Canada: A Population-Based Cohort Study.

BackgroundPrevious studies conducted in publicly and privately funded health care systems suggest that access to kidney transplants may vary depending on where a patient receives their kidney care. It is poorly understood whether variability exists across the key steps required to receive a kidney transplant in a publicly funded health care system.ObjectiveTo determine whether there is variation across Ontario's regional renal programs (RRPs) in key steps completed toward receiving a kidney transplant.DesignPopulation-based cohort study from November 1, 2017, to December 31, 2021, using linked

40th Annual CAPO Conference-Responding to the Human Experience of Cancer and Caring for the Soul: Building on 40 Years of Global Leadership in Psychosocial Oncology.

On behalf of the Canadian Association of Psychosocial Oncology, we are pleased to present the Abstracts from the 2025 Annual Conference, titled "Responding to the Human Experience of Cancer and Caring for the Soul: Building on 40 years of global leadership in psychosocial oncology". The 40th Annual CAPO Conference was held in Toronto from 23 April 2025 to 25 April 2025. In an era marked by the rapid advancement of biologically focused precision medicine, it is imperative to redirect our attention towards the human experience of illness and the soul of medicine. Biomedicine has conceptualized i

A systematic review of the incidence and prevalence of comorbidity in multiple sclerosis: overview.

BackgroundComorbidity is an area of increasing interest in multiple sclerosis (MS).ObjectiveThe objective of this review is to estimate the incidence and prevalence of comorbidity in people with MS and assess the quality of included studies.MethodsWe searched the PubMed, SCOPUS, EMBASE and Web of Knowledge databases, conference proceedings, and reference lists of retrieved articles. Two reviewers independently screened abstracts. One reviewer abstracted data using a standardized form and the abstraction was verified by a second reviewer. We assessed study quality using a standardized approach.

The impact of an "acute dialysis start" on the mortality attributed to the use of central venous catheters: a retrospective cohort study.

BackgroundCentral venous catheters (CVCs) are associated with early mortality in dialysis patients. However, some patients progress to end stage renal disease after an acute illness, prior to reaching an estimated glomerular filtration rate (eGFR) at which one would expect to establish alternative access (fistula/peritoneal dialysis catheter). The purpose of this study was to determine if exclusion of this "acute start" patient group alters the association between CVCs and mortality.MethodsWe conducted a retrospective cohort study of 406 incident dialysis patients from 1 Jan 2006 to 31 Dec 200

Перинатальное психическое заболевание у матерей с множественным склерозом и другими хроническими заболеваниями в Онтарио, Канада.

СОСТОЯНИЕ И ЦЕЛИ: Перинатальные расстройства настроения и тревоги являются наиболее частой формой материнской заболеваемости среди населения в целом, однако мало что известно о перинатальных психических заболеваниях у матерей с множественным склерозом (МС). Мы сравнили частоту и распространенность перинатальных психических заболеваний у матерей с склерозом, эпилепсией, воспалительным кишечным заболеванием (ИБД), диабетом и женщин без этих заболеваний.МЕТОДЫ: Используя взаимосвязанные данные об административном здоровье населения, полученные из ON, Канада, мы провели когортное исследование мате

Обзор терапии CAR T-Cell in Multieloma: канадская точка зрения.

Множественная миелома (ММ) — неизлечимая порча плазменных клеток. В контексте нынешнего стандарта лечения в Канаде результаты среди пациентов с рецидивистской/редактированной множественной миеломой (RRMM), особенно больных трехклассной (или более) рефрактной болезнью, остаются низкими. Иммунотерапия значительно изменила условия лечения MM. С тех пор 2021, two Продукты T-клетотерапии, предназначенные для ЦАРМ, а именно Idecabtagen vcleucel (Ide-Sel) (ABECMA) и Ciltacabtagen Autoleucel (Cilta-cel) (CARVYKTI)), которые имеются в США и Европе. Несмотря на то, что они продемонстрировали беспрецеден

Health and aging in elderly farmers: the AMI cohort.

BackgroundThe health of the agricultural population has been previously explored, particularly in relation to the farming exposures and among professionally active individuals. However, few studies specifically focused on health and aging among elders retired from agriculture. Yet, this population faces the long-term effects of occupational exposures and multiple difficulties related to living and aging in rural area (limited access to shops, services, and practitioners). However, these difficulties may be counter-balanced by advantages related to healthier lifestyle, richer social support and