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Mindfulness vs. sleep education during autologous hematopoietic cell transplantation for multiple myeloma: Feasibility of a randomized controlled pilot study.

BackgroundSleep disturbance is common in patients receiving hematopoietic stem cell transplantation (HCT). Mindfulness-based interventions (MBIs) can improve sleep quality during and following cancer treatment by reducing treatment-related symptoms and enhancing immune function.MethodsWe conducted a randomized controlled pilot study investigating the feasibility of implementing Mindfulness Awareness Practices for Insomnia (MAP-I) in patients with multiple myeloma (MM) undergoing autologous HCT. Patients were randomized to receive either MAP-I or a Sleep Health Education (SHE) intervention, bot

Patient reported change in pain outcome among stage IV cancer patients with bone metastases following palliative radiotherapy: A prospective study from Ethiopia.

BackgroundCancer is reported to be on the rise in low-income countries where most patients present in either locally advanced or metastatic stage of the disease. The standard treatment for cancer patients with metastatic bone disease includes radiotherapy, systemic agents and surgical intervention. Most cancer patients in Ethiopia present in advanced stage of the disease. Among these patients with advanced cancer are those with painful metastasis to the bone. Most commonly these patients are offered palliative single fraction 8 gy or fractionated 20 gy of radiotherapy to painful bone metastase

The Immuno-oncology-Induced Cytokine Release Syndrome Patient Diary: A Content-Valid, Patient-Reported Outcome Measure.

INTRODUCTION: Cytokine release syndrome (CRS) occurs when the immune system reacts excessively to infections or certain immunotherapies, leading to a systemic inflammatory response. The clinical presentation of CRS is highly variable, ranging from mild symptoms, such as fever and fatigue, to severe, life-threatening conditions. Currently, there is no standardized method for collecting patient-reported data on CRS experiences. This study aims to develop a novel patient-reported outcome measure (PROM) to capture patients' experience with CRS. METHODS: A comprehensive, multistep evidence-generat

Ремдезивирско-ассоциированные результаты выживания среди иммунокомпромиссных пациентов, госпитализированных COVID-19: Реальные улики о микродоминантной эпохе.

Пациенты с иммунокомпромиссными заболеваниями подвергаются повышенному риску заболевания коронавирусом 2019 (В тыс.COVID-19) связанная с этим госпитализация и смерть. Случайные клинические испытания обеспечивают ограниченное число пациентов, если таковые имеются, для получения информации о результатах лечения таких пациентов ремдезивиром. COVID-19 в период с декабря 2021 и февраль 2024. Главным результатом этого стало то, что стационарная смертность была проверена у пациентов, у которых характерные показатели сравниваются с оценками, в группах ремдесивир против нередесивирных групп. Были прове

American Medical Society for Sports Medicine position statement: concussion in sport.

UNLABELLED: PURPOSE OF THE STATEMENT: ▸ To provide an evidence-based, best practises summary to assist physicians with the evaluation and management of sports concussion. ▸ To establish the level of evidence, knowledge gaps and areas requiring additional research. IMPORTANCE OF AN AMSSM STATEMENT: ▸ Sports medicine physicians are frequently involved in the care of patients with sports concussion. ▸ Sports medicine physicians are specifically trained to provide care along the continuum of sports concussion from the acute injury to return-to-play (RTP) decisions. ▸ The care of athletes with spo

Навигация экономического бремени множественной миеломы: понимание экономической эффективности терапии CAR-T и биконкретной антителной терапии.

Цель обзора Multiple mieloma - хроническая злокачественность, и с учетом изменяющихся вариантов лечения понимание экономического бремени и экономической эффективности лечения имеет решающее значение для врачей и исследователей. В этой связи мы рассматриваем недавнее утверждение биконкретных антител и CAR-T для миэломы и их финансовые последствия, включая прямые и косвенные издержки. Мы сравниваем это с нынешними режимами и представляем в настоящем обзоре сопоставление затрат. Мы пришли к выводу о том, что использование более эффективных методов лечения, таких, как CAR-T, в более ранних направл

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… Indirect costs like loss of income, supportive care service costs, disability claims, absenteeism, presenteeism, caregiver absenteeism, loss from early retirement and premature death etc. are often ignored underestimating the economic burden on multiple myeloma patients and the society. … In an analysis on multiple myeloma patients from Portugal, Miguel et al. suggested that indirect costs account to 18% of total cost burden with early retirement being the major driver of this cost and caregiver’s work absence being the least affecting factor [ 20 ]. Hence therapies which can 1. …

Facing the COVID-19 pandemic: An Italian feasibility study of a mixed in-person/telerehabilitation intervention for cancer patients.

IntroductionThe COVID-19 pandemic impacted healthcare organizations, necessitating a rapid transition from in-person to virtual care. Our study explored the feasibility of a mixed in-person/telerehabilitation intervention for cancer patients and its effects on cancer-related fatigue (CRF), quality of life (QoL), physical function, patient satisfaction, and perceived usefulness.MethodsTRACE 2020 is an observational prospective study that enrolled adult cancer patients, between January 2021 and March 2023, who were eligible for a rehabilitation program to be provided also in telerehabilitation.

Principles of Therapeutic Apheresis in Neurological Disease.

BackgroundTherapeutic plasma exchange (TPE) is a well-known apheresis technology since many years and is available worldwide. Myasthenia gravis is one of the first neurological diseases successfully treated with TPE. TPE is also frequently applied in acute inflammatory demyelinating polyradiculoneuropathy (Guillain-Barré syndrome). Both neurological disorders are immunologically mediated and might cause life-threatening symptoms in patients.SummaryThere is a large body of evidence from many randomized controlled trials (RCTs) that the application of TPE in myasthenia gravis crisis or in acute

Outcomes and quality of life after major bile duct injury in long-term follow-up.

IntroductionRecently new standards for reporting outcomes of bile duct injury (BDI) have been proposed. It is unclear how these treatment outcomes are reflected in quality of life (QOL). The aim of this study was to report outcomes and QOL after repair of major BDI and compare repairs by hepatobiliary surgeon to repairs by non-hepatobiliary surgeons.MethodsThis was a retrospective study of patients treated for major (Strasberg E-type) BDI after cholecystectomy at a tertiary hepatobiliary center. Outcomes were assessed using Cho-Strasberg proposed standards. QOL was assessed using Short Form He

Relevant parameters for recommendations of physical activity in patients suffering from multiple myeloma : A pilot study.

PURPOSE: This pilot study aimed to describe physical performance, self-reported physical activity, health-related quality of life, anxiety and depression in patients who were assigned from Austrian self-help groups for multiple myeloma patients. These parameters were then discussed in the context of clinical decision-making concerning the recommended type of regular physical activity and exercise. METHODS: Members of the self-help groups were invited to participate. Physical performance and physical activity were assessed with the 6 min walk test (6MWT), handgrip strength test, timed up and g

The relationship between acceptance, fatigue, and subjective cognitive impairment in hematologic cancer survivors.

Background/Objective: Cancer and its treatment can have a detrimental impact on psychological well-being. Acceptance as the basis of acceptance and commitment therapy (ACT) has shown beneficial effects on depression and anxiety. However, its relationship to fatigue and cognitive impairment has not been investigated. A protective effect of acceptance may open up a new target for psychological intervention. Method: A cross-sectional postal survey was undertaken. 922 hematological cancer survivors (≥ 2.5 years post diagnosis) were recruited through two regional cancer registries in Germany. Accep

Mayo Clinic Hematology Fellowship for Advanced Practice Providers.

Advanced practice providers (APPs), including nurse practitioners (NPs) and physician assistants (PAs), are part of a growing cancer care workforce. Current hematology-specific education provided by most graduate NP and PA school educations is limited. Mayo Clinic School of Health Sciences launched a hematology-specific fellowship in 2018 to provide APPs with the skills and knowledge required to deliver high-quality specialty care in hematology and blood and marrow transplant (BMT). The fellowship curriculum was developed based on a needs-based assessment study as well as the qualitative repor

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… Despite the growing demand, the workforce of current hematologists and oncologists is also aging, with approximately 1 in 5 cancer specialists nearing retirement age (ASCO, 2017). All these factors contribute to the physician shortage. …

Повышение роли пациентов в научном написании: понимание на основе глобального подхода с участием людей с множественным склерозом.

ВВЕДЕНИЕ: Цель настоящего исследования заключается в том, чтобы охарактеризовать процесс участия путем изучения представлений и ожиданий людей с множественным склерозом (СМЖП) в отношении процесса научного написания (ЗП) и роли участия и качества жизни пациентов в оказании на них влияния. МЕТОДЫ: На основе модели MULTI-ACT было проведено двухэтапное многометодическое исследование. Было организовано четыре семинара-практикума по совместному созданию, и их результаты были использованы для подготовки обследования, которое было переведено на восемь языков и распространено на международном уровне с

Different Therapeutic Paths (Colchicine vs. Anakinra) in Two Patients With Schnitzler's Syndrome.

Schnitzler's syndrome is a rare autoinflammatory syndrome with unidentified mechanism of disease and etiology with unknown definitive treatment algorithm. The two obligatory criteria for the diagnosis of Schnitzler's syndrome include chronic urticarial rash and monoclonal gammopathy (immunoglobulin M or immunoglobulin G). In this article, we describe two patients with different courses of disease with different average lengths of time between initial symptoms and the final diagnosis (6 months to 8 years). Exclusion of more common conditions is needed to ensure the correct diagnosis. Treatment

Investigation of the stresses on pterygoid and zygomatic implants used in atrophic maxilla rehabilitation by finite element analysis.

IMPORTANCE: The Electronic Activity Card Sort (ACS3) is an online adaptation of the in-person Activity Card Sort (ACS). It is important to validate the ACS3 within clinical populations. OBJECTIVE: To assess the discriminant validity of the ACS3 between persons with multiple sclerosis (MS) and those with traumatic brain injury (TBI). DESIGN: Cross-sectional. SETTING: Telehealth. PARTICIPANTS: Community-dwelling adults with either MS (n = 11) or TBI (n = 11). OUTCOMES AND MEASURES: The ACS3 was administered via virtual interview. Analyses (t tests) were conducted to compare persons with TBI

Unveiling economic and humanistic burden of hematologic malignancies in Japan with personal health record data.

To characterize the economic and humanistic burden of patients with hematologic malignancies in Japan using real-world data. Patients with a claim record for a hematologic malignancy who responded to a survey regarding productivity loss and quality of life (QoL) were analyzed to assess their direct medical cost, productivity loss, and QoL along with their levels of comorbidity. This study identified a main cohort of 122 patients with a hematologic malignancy who responded to Work Productivity and Activity Impairment (WPAI) and EQ-5D-5 L questionnaires. Median patient age was 54.5 years (range

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… It should also be noted that some patients in advanced age may have chosen to retire and drop out of the workforce, thereby excluding them from the productivity loss calculation. … Similarly, those patients over the retirement age would be excluded from the QoL questionnaire linked to the employment-based insurance claims database. Thus, findings of this study should be interpreted in the context of patients with hematological malignancies within working ages. …

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

Patient-reported outcomes in patients with hematologic malignancies treated with CAR T-cell therapy in Europe.

AbstractPatient-reported outcomes (PROs) give direct insights into the treatment's impact on patient's life and complement clinical outcomes. However, since the advent of chimeric antigen receptor T-cell therapy (CAR-T), PROs have been underreported. Particularly, little is known about long-term health-related quality of life (HRQoL) and dimensions such as mental- and social well-being, working life, and financial burden. Therefore, we evaluated multidimensional PROs in a cross-sectional study among European patients who received CAR-T for hematologic malignancies. Patients completed validated

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… with paid work or you are currently applying for paid work)” to the question if they did start/continue paid work after receiving CAR-T therapy. c A total of 10 patients initially continued/started paid work after receiving CAR-T therapy but subsequently also stopped doing paid work because of (early) retirement … with paid work or you are currently applying for paid work)” to the question if they did start/continue paid work after receiving CAR-T therapy. c A total of 6 patients initially continued/started paid work after receiving CAR-T therapy but subsequently also stopped doing paid work because of (early) retirement …

Psychometric properties of the Chinese version of the M.D. Anderson symptom Inventory-Multiple Myeloma Module: a translation and validation study.

BACKGROUND: The reliability of the M.D. Anderson Symptom Inventory-Multiple Myeloma Module (MDASI-MM) was evaluated through its Chinese translation among Chinese patients with multiple myeloma. METHODS: The MDASI-MM scale underwent translation into Chinese following Brislin's two-way translation paradigm, incorporating ortho-translation, back-translation, pre-surveying, and cultural adaptation. The scale's validity and reliability were assessed using a sample of five hundred multiple myeloma patients from three tertiary general hospitals in Zhejiang Province, China, selected through convenien

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… 7.6 Gender Male 281 56.2 Female 219 43.8 Body mass index < 18.5 33 6.6 18.5–23.9 277 55.4 24.0-27.9 159 31.8 > 28.0 31 6.2 Nationality Han ethnic group 500 100 Residence Towns 289 57.8 Countryside 211 42.2 Marital status Unmarried/Divorced/Widowed 26 5.2 Married 474 94.8 Work Employed 38 7.6 Leave/Retirement … 33 | 6.6 | 18.5–23.9 | 277 | 55.4 | 24.0-27.9 | 159 | 31.8 | > 28.0 | 31 | 6.2 Nationality | Han ethnic group | 500 | 100 Residence | Towns | 289 | 57.8 | Countryside | 211 | 42.2 Marital status | Unmarried/Divorced/Widowed | 26 | 5.2 | Married | 474 | 94.8 Work | Employed | 38 | 7.6 | Leave/Retirement …

Oral Health-Related Quality of Life and Mental Health Impairment in Patients Affected by Medication-Related Osteonecrosis of the Jaws: A Case-Control Pilot Study.

In the present case-control study, the impact of medication-related osteonecrosis of the jaws (MRONJ) on patients' oral health-related quality of life (OHRQoL), overall quality of life (QoL), and psychological status was evaluated using a set of questionnaires. These questionnaires included the Oral Health Impact Profile-14 (OHIP-14), the Short Form 36 Health Survey Questionnaire (SF-36), and the hospital anxiety and depression scale (HADS). A total of 25 MRONJ patients and 25 controls were included in the study. The results showed that MRONJ patients had a significantly poorer OHRQoL (OHIP-14