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Наблюдение за финансовыми трудностями пациентов с множественной миеломой и хронической лимфоцитической лейкемией, проходящих лечение в онкологических клиниках США (Alliance A231602CD).

ЦЕЛИ: Оценка доли и корреляции финансовых трудностей, о которых сообщают сами пациенты с множественной миеломой (ММ) или хронической лимфоцитической лейкемией (КЛ). Вечеринка: Sixty-six Общинная практика США и практики меньшинств в области онкологии связана с Программой общинных онкологических исследований Национального института раковых заболеваний (НКОРП). Участники: в целом 521 (больные)≥18 С согласия MM или CLL и 416 :: ответы на опрос (процент завершения)79.8%). Респонденты имели диагноз MM (MM-диагностика)74.0%), степень бакалавра или выше (53.4%), белые (или белые).89.2%), застрахованны

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… Questionnaire items assessing socioeconomic indicators, health and well-being were drawn from the Health and Retirement Survey, a validated national survey, and questionnaire items assessing financial difficulty and cost coping behaviours were drawn from other previously published study instruments ( … 3 | 1 | 4 | | Current Employment Status | | | | 0.44 | 0.56 Employed | 79 (25.8) | 32 (29.6) | 111 (26.8) | | Unemployed | 227 (74.2) | 76 (70.4) | 303 (73.2) | | Missing | 2 | 0 | 2 | | Reason for Unemployment | | | | 0.01 | 0.04 On Temporary Layoff | 3 (1.3) | 0 (0) | 3 (1.0) | | Retired …

Качество жизни, связанное со здоровьем человека, после аутологической трансплантации стволовых клеток в случае множественной миеломы или лимфомы влияет на профессиональную деятельность - анализ, two Немецкие центры третичного ухода.

ЦЕЛЬ: Использование автологичных стволовых клеток (АСК) для лечения пациентов с мультиплексной миеломой и лимфомой было сообщено о том, что улучшает свободу от рецидива (RFS) и общую выживаемость (ОС). Тем не менее, влияние на пациентские показатели, такие как профессиональная активность и здоровье-связанная качество жизни (HRQoL), остается неясным. ПАЦИЕНТЫ И МЕТОДЫ: В кросс-секционном двухцентровом исследовании мы собрали данные 122 пациентов, получающих высокодозную химиотерапию, за которой следует АСК для мультиплексной миеломы (ММ) или лимфомы между 2007 и 2023 годами в двух немецких цен

Prevalence of anaemia and associated factors among geriatric population from rural Mangalore: a cross-sectional study.

BackgroundAnaemia is a major public health problem in all age groups. Anaemia in elderly individuals may result in several adverse health outcomes, including functional dependence and increased risk of therapeutic complications, falls, dementia, and death. Anaemia is often overlooked as symptoms such as weakness, fatigue, shortness of breath etc., are also associated with ageing. Hence, early detection of anaemia in elderly individuals is necessary to prevent delays in diagnosing potentially treatable conditions.MethodsThis community-based cross-sectional study aimed to estimate haemoglobin le

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… Among the participants last occupation prior to retirement, 66.7% ( n = 204) were engaged in unskilled work, 23.9% ( n = 73) were engaged in clerical/shop owner/farmer occupations, 6.3% ( n = 20) were in semi-skilled and skilled occupations while 2.9% ( n = 9) were semi-professional and professionals … Prevalence and health correlates of anaemia among community-dwelling Chinese older adults: the China Health and Retirement Longitudinal Study. BMJ Open. 2020;1;10(10):e038147. Available from: 10.1136/bmjopen-2020-038147. 22. Onem Y, Terekeci H, Kucukardali Y, Sahan B, Solmazgül E, Şenol MG, et al. …

Patients' and caregivers' perspectives on preparedness for and experience with chimeric antigen receptor T-cell therapy.

BackgroundChimeric antigen receptor-T (CAR-T) cell therapy has improved survival, yet its toxic profile may impact on survivors' well-being. We examined patients' and caregivers' perspectives on the most common, severe, and distressing side effects across recovery (ie, first 60 days) and survivorship (ie, 60 days and onwards) and explored their perspectives on the education received to prepare for CAR-T.Materials and methodsWe conducted semi-structured interviews with patients and caregivers addressing (1) how they prepared for CAR-T, (2) the side effects experienced during the first-year post

Продольная оценка качества жизни взрослых, связанная со здоровьем, с использованием ОВД.

Диализ связан с более низким качеством жизни по сравнению с пациентами, страдающими трансплантацией, и пациентами, имеющими ККД. Тенденции в области качества жизни являются схожими как в плане показателей качества жизни по конкретным областям, так и в целом. СПРАВОЧНАЯ ИНФОРМАЦИЯ: Имеются недостаточные данные об изменении качества жизни, связанного со здоровьем (HRQOL), с временным развитием ОВЗ. В этом исследовании мы провели оценку взаимосвязи между изменениями на этапах ОВК, общим и специфическим качеством жизни и определили факторы, связанные с этими изменениями. МЕТОДЫ: Данные были получе

Феноменологическое понимание старения с множественным склерозом.

СПРАВОЧНАЯ ИНФОРМАЦИЯ И ЗАДАЧИ: По мере увеличения продолжительности жизни сообщества, занимающегося множественным склерозом (МС), необходимы новые новшества и понимание того, что такое возраст «здорового». Опираясь на ряд направлений работы по изучению значения и опыта старения с нетрудоспособным состоянием и показав, как и почему люди, стареющие с MS, по-разному ощущают это явление, эта газета развивает литературу по вопросам старения и инвалидности путем (пере) концептуализации того, что «благосостояние» означает для людей, стареющих с MS, и как благополучие может быть повышено или поставле

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… This is supported by Paula (65) who at the time of interviewing was forced to choose her health insurance due to retirement: I have to choose a new insurance as I’m 65 and coz of this disease I have so few options and that’s it, I can’t change my mind. … So I’m gonna lose money when I retire, my co-pay is gonna go through the roof, my insurance is gonna suck, so I really don’t know what I’m gonna do. My freedom is gone and I’m gonna be counting cents and dimes to get by. …

Willingness of advanced cancer patients to receive palliative care and its determinants: A cross-sectional study in Northern Tanzania.

BackgroundThe purpose of this study was to assess willingness of advanced cancer patients to receive palliative care and its determinants at Cancer Care Centre in Kilimanjaro Christian Medical Centre Northern Tanzania.ObjectiveThe purpose of this study was to assess willingness of advanced cancer patients to receive palliative care and its determinants at Cancer Care Centre in Kilimanjaro Christian Medical Centre Northern Tanzania.MethodsThis was an institution-based cross-sectional study and the target population was all advanced cancer patients attending care at Cancer care Centre in Norther

Myeloma Patient Value Mapping: A Discrete Choice Experiment on Myeloma Treatment Preferences in the UK.

BackgroundMyeloma is an incurable life-threatening hematological cancer. Recent treatment developments have seen improvements in survival; however, while patients are living longer, they are living with symptoms and treatment side effects.ObjectiveTo evaluate myeloma patients' preferences for treatment using a discrete choice experiment (DCE). This study set out to define the relative importance of key treatment attributes, characterize the risk-benefit trade-offs in patients' decision-making, and to analyze the predictive power of basic demographic factors.MethodsFour hundred seventy-five mye

Patient-reported time toxicity with bispecific antibody therapies in relapsed/refractory follicular lymphoma and diffuse large B-cell lymphoma.

BACKGROUND: Several bispecific antibodies (BsAbs), including mosunetuzumab, glofitamab, and epcoritamab, are approved for non-Hodgkin lymphoma (NHL). However, real-world patient-centered data evaluating treatment-related time burden and preferences are lacking. METHODS: We conducted an online survey of 120 patients with relapsed/refractory follicular lymphoma (FL; N = 60) and diffuse large B-cell lymphoma (DLBCL; N = 60) receiving BsAbs. Participants reported all-cause healthcare visits and time spent on cancer-related healthcare resource utilization over the past 30 days, including travel, t

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… Common employment changes included disability leave, early retirement, and unemployment. All participants had unpaid caregivers ( Table S3 ). Table 1. Patient-reported characteristics. … Most common reasons for employment changes were disability leave, early retirement, and unemployment. Most (98.3%) participants had caregivers, most of whom were unpaid ( Table S3 ). …

Different attitudes towards estimating indirect costs of disease: The example of cancer.

GoalCost estimations in healthcare are crucial to make sound and adequate economic evaluations and assessments. The concept of indirect costs' estimation seems to be still not very well developed and systematized. This article is dedicated to the problem of indirect costs estimation of different types of cancer. The main aim of the article is to analyse the frequency of usage of different methods used for estimating indirect costs in economic analysis.MethodsThere are discussed various methods used for indirect costs' estimations. Among them, in details, there are described: human capital appr

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… According to the authors the word potentially is used because in case of permanent disablement or premature death at a specific age, the total productive value from that age until the age of retirement is counted as indirect costs. … HCA method includes the cost of lost productivity due to disability, early retirement and presenteeism when FC method does not consider these types of non-work-related productivity costs. 26 − | The human capital approach over-estimates the value of lost production as a result of the inclusion of indirect …

Программа оказания помощи пациентам, страдающим множественным склерозом, позволяет повысить уровень знаний и расширить права и возможности людей: предварительное, послеиспытательное многоцентральное исследование.

ЦЕЛЬ: Множественный склероз (МС) связан со сложными потребностями и потребностями, которые требуют ухода с учетом интересов пациентов. Программы для пациентов-экспертов (ЭО) способствуют передаче знаний посредством взаимного обучения, способствуя расширению возможностей пациентов в плане самостоятельного лечения своих заболеваний. На основе предыдущего исследования целевой группы мы разработали программу ЕР для НР, координируемую профессионалами-медиками, для осуществления в различных справочных единицах НР Каталонии (Южная Западная Европа). Цель этого исследования состояла в том, чтобы органи

Decision regret of cancer patients after radiotherapy: results from a cross-sectional observational study at a large tertiary cancer center in Germany.

PurposeThe decision-making process regarding cancer treatment is emotionally challenging for patients and families, harboring the risk of decision regret. We aimed to explore prevalence and determinants of decision regret following radiotherapy.MethodsThis cross-sectional observational study was conducted at a tertiary cancer center to assess decision regret following radiotherapy. The study employed the German version of the Ottawa Decision Regret Scale (DRS) which was validated in the study population. Decision regret was categorized as absent (0 points), mild (1-25 points), and strong (> 25

Validation of a scale to assess adherence to oral chemotherapy based on the experiences of patients and healthcare professionals (EXPAD-ANEO).

Background: Lack of adherence to Oral antineoplastic agents (OAAs) treatment has important clinical, social and economic consequences. Objective: To develop and validate a novel instrument for assessing adherence to OAAs, based on the reported experiences of people with cancer in relation to their treatment and the opinions of the healthcare professionals who care for them. Methods: We performed a multicenter validation study of a scale designed to assess adherence to OAAs. First, a steering committee developed the items for an initial scale, based on the results of a qualitative study that ev

The impact of chemotherapy-induced inner ear damage on quality of life in cancer survivors: a qualitative study.

PurposeThis study aimed to explore the burden of inner ear damage (ototoxicity) on adults living with and beyond cancer treated with chemotherapy and the impact on their quality of life (QoL). Furthermore, this study aimed to explore patient awareness surrounding chemotherapy-induced inner ear damage, known as ototoxicity, and assess what support they had been offered.MethodsParticipants were adults who had undergone chemotherapy, recruited from cancer clinics, charities and social media. Using semi-structured interviews and fieldnotes, an inductive thematic analysis was used to develop key th

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… PhD) | 3 Employment status | Student | 1 Unemployed | 1 Employed | 10 Retired | 6 Sick leave | 2 Table 2 Displays the medical characteristics from the 20 participants in this study Medical participant characteristics Years since chemotherapy | Median | 4.5 Range | 0.5–20 Interquartile range | 2–6.75 … If they had said my hearing was going to go on top of all that, I would have been straight down the pub, my backup retirement plan, which is a large bottle of single malt and a massive pile of paracetamol.” …

SARC-F and SARC-CalF Scores as Mortality Risk Factors in Older Men with Cancer: A Longitudinal Study from Peru.

ObjectivesWe aimed to evaluate the role of SARC-F and SARC-CalF scores as risk factors for mortality in adults over 60 years of age with cancer of the Centro Médico Naval (CEMENA) in Callao, Peru during 2012-2015.MethodsWe performed a secondary analysis of data from a prospective cohort carried out from September 2012 to February 2013 in the Geriatrics Department of CEMENA. The outcome variable was mortality at two years of follow-up, while the exposure variable was the risk of sarcopenia assessed using the SARC-F and SARC-CalF scales. We carried out Cox proportional-hazards models to assess t

Understanding what matters most to people with multiple myeloma: a qualitative study of views on quality of life.

BACKGROUND: Multiple myeloma is an incurable haematological cancer that affects physical, psychological and social domains of quality of life (QOL). Treatment decisions are increasingly guided by QOL issues, creating a need to monitor QOL within clinical practice. The development of myeloma-specific QOL questionnaires has been limited by a paucity of research to fully characterise QOL in this group. Aims of the present study are to (1) explore the issues important to QOL from the perspective of people with multiple myeloma, and (2) explore the views of patients and clinical staff on existing Q

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… level | | | | Did not finish school | 3 | 0 | 3 | 6 Secondary school graduate | 5 | 9 | 3 | 17 College/technical qualification | 9 | 9 | 2 | 20 First degree | 2 | 1 | 3 | 6 Higher degree | 1 | 1 | 0 | 2 Occupation status | | | | Working or student | 3 | 5 | 1 | 9 Not working | 3 | 3 | 2 | 8 Retired … Figure 2 ), this participant reported a reduction in QOL because the illness was preventing him from walking, travelling and socialising, but the impact of these functional impairments on QOL seemed to be driven partly by the individual’s expectation that these activities would be possible during their retirement …

Integrative oncology in Cancer Care Continuum

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Quality of Life Evaluation in Patients with Follicular Cell Lymphoma: A Real-World Study in Europe and the United States.

INTRODUCTION: Follicular lymphoma (FL) is an indolent subtype of non-Hodgkin's lymphoma (NHL), characterized by a long natural course of remissions/relapses. We aimed to evaluate real-world quality of life (QoL) in patients with FL, by line of therapy (LOT), and across countries. METHODS: Data were drawn from the Adelphi FL Disease Specific Programme™, a cross-sectional survey of physicians and their patients in Europe [France, Germany, Italy, Spain, the United Kingdom (UK)], and the United States (US) from June 2021 to January 2022. Patients provided demographics and patient-reported outcome

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

beta Testing a Medical Symptom Management для людей с продвинутым раком: Исследование одноразовой осуществимости и приемлемости.

КОЛИЧЕСТВО: Люди, страдающие раком, имеют более частые и серьезные симптомы, чем лица, страдающие ранней стадией заболевания. Обычные, тревожные симптомы включают трудности со сном, беспокойство и неуверенность, усталость и депрессию. Когнитивная поведенческая терапия (КБТ) и терапия принятия и принятия обязательств (АКТ) эффективно устраняют эти симптомы, но зачастую они являются слишком продолжительными для пациентов с несколькими назначениями, ограниченной энергией и конкурирующими приоритетами. Кратко говоря, мобильные медицинские услуги (медицинское обслуживание) являются доступной альтер