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Family caregiver ambassador support for caregivers of patients with newly diagnosed hematological cancer: a feasibility study.

PurposeThis study investigated the feasibility of a one-on-one peer support intervention in family caregivers of newly diagnosed patients with a hematological cancer during initial treatment.MethodsThe study was a one-arm feasibility study including family caregivers of newly diagnosed patients with hematological cancer (n = 26) and caregiver ambassadors who were family caregivers of previously treated patients as peer supporters (n = 17). The one-on-one peer support intervention consisted of three components: a caregiver ambassador preparatory course; 12 weeks of one-on-one peer support, and

Returning to work after sick leave due to cancer: a 365-day cohort study of Japanese cancer survivors.

PurposeMore employees are experiencing a cancer diagnosis during their working-age years, yet there have been no large-scale Japanese studies investigating sick leave due to cancer. We clarified differences in the cumulative partial and full return to work (RTW) rates between different cancer types among Japanese cancer survivors.MethodsData on Japanese employees who experienced an episode of sick leave due to clinically certified cancer diagnosed between 1 January 2000 and 31 December 2011 were obtained from an occupational health register. Subject outcomes within the 365-day period following

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… As the age of retirement will likely be increased in the future, it is estimated that more working-age employees are expected to experience a cancer diagnosis, as in Western countries [ 1 , 13 , 14 ]. … Bottcher HM Steimann M Rotsch M Zurborn KH Koch U Bergelt C Occupational stress and its association with early retirement and subjective need for occupational rehabilitation in cancer patients Psycho-Oncology 2013 22 8 1807 1814 10.1002/pon.3224 23175474 31. …

The relationship between dipping-non-dipping arterial blood pressure pattern and frequency of restless leg syndrome with related factors.

ObjectiveThe lack of nocturnal decline in blood pressure (BP) is associated with an increase in cardiovascular events. Restless leg syndrome (RLS) is an uncomfortable feeling in which the patient wants to budge the legs with ache in the legs. RLS also increases the hypertension and cardiovascular risk. In this study, we aimed to evaluate the relationship between dipping and non-dipping blood pressure patterns with RLS and its severity.MethodsTwo hundred patients who had 24-hour ambulatory blood pressure monitoring (ABPM) were enrolled into this cross-sectional study. They were classified by bl

Exploring the impact of a decision support algorithm to improve clinicians' chemotherapy-induced peripheral neuropathy assessment and management practices: a two-phase, longitudinal study.

BACKGROUND: Chemotherapy-induced peripheral neuropathy (CIPN) negatively affects physical function and chemotherapy dosing, yet, clinicians infrequently document CIPN assessment and/or adhere to evidence-based CIPN management in practice. The primary aims of this two-phase, pre-posttest study were to explore the impact of a CIPN clinician decision support algorithm on clinicians' frequency of CIPN assessment documentation and adherence to evidence-based management. METHODS: One hundred sixty-two patients receiving neurotoxic chemotherapy (e.g., taxanes, platinums, or bortezomib) answered pati

Pressures do not equal volumes: implications for heart failure management in patients with CardioMEMS.

Pulmonary arterial pressures are often used as surrogates for intravascular blood volume. However, the relationship between pressure and volume remains controversial. To contextualize and provide concrete examples and impact on clinical management, we report two cases of heart failure (one in heart failure with reduced ejection fraction and one in heart failure with preserved ejection fraction) where pressure-based measurements did not accurately represent the intravascular status and affected clinical management.

The impact of multiple sclerosis on wellbeing, productivity, and societal relations.

Multiple sclerosis (MS) is the main cause of nontraumatic neurological disabilities in the population under 50 years of age.To evaluate the most prevalent symptoms in a national sample of people with MS and to analyze their correlation with disease characteristics, demographics, quality of life, employment status, and use of social benefits.Cross-sectional, online, self-reported survey, concerning demographic and clinical data, employment status, and use of social benefits.A total of 466 patients answered the survey. The median age at onset was 30 years, the current age, of 39, and disease dur

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… The term social benefit was used to define any financial governmental aid, such as disease related retirement, temporary leave aid/insurance, temporary or permanent disability aid, bolsa família (a national money redistribution program), or any other social program that generates income. …

A Focus on Newly Diagnosed Multiple Myeloma.

Multiple myeloma (MM) is an incurable plasma cell disorder that affects nearly 35,000 people annually. Over 149,000 individuals are estimated to live in the United States with MM. Research has generated a greater understanding of the pathology of this disease, now combined with mature clinical trial data that support the use of combination therapy in treatment. This article focuses on updated diagnosis, prognosis, and treatment of newly diagnosed patients. While the diagnosis of MM remains based on the 2014 International Myeloma Working Group (IMWG) guidelines, we review these and updated reco

Supportive care needs of adults living with a peripherally inserted central catheter (PICC) at home: a qualitative content analysis.

BackgroundPeripherally inserted central catheters (PICCs) are common vascular access devices inserted for adults undergoing intravenous treatment in the community setting. Individuals with a PICC report challenges understanding information and adapting to the device both practically and psychologically at home. There is a lack of research investigating the supportive care needs of individuals with a PICC to inform nursing assessment and the provision of additional supports they may require to successfully adapt to life with a PICC. The aim of this study was to identify the supportive care need

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… Infusion/dressing changed at home | Lives alone in retirement village 2 | 71 | F | Outer Metro | Bladder Cancer | N | PICC inserted as an outpatient Infusion/dressing at main cancer centre/local hospital | Lives with spouse at home 3 | 59 | M | Metro | Acute myeloid leukaemia | Y –4 previous PICCs | … Most participants were not in paid employment prior to PICC insertion (due to retirement or caring responsibilities) or stopped work due to the impact of their health condition. …

Cured but not well - haematological cancer survivors' experiences of chemotherapy-induced peripheral neuropathy in everyday life: a phenomenological-hermeneutic study.

PurposeTo explore haematological cancer survivors' experience of chemotherapy-induced peripheral neuropathy (CIPN) in everyday life.MethodsData were generated by means of individual semi-structured interviews with 12 haematological cancer survivors who experience CIPN after completion of treatment. Data were analysed using thematic analysis.ResultsThe thematic analysis yielded an in-depth description of the experience of CIPN symptoms and the influence of the symptoms on everyday life as being unwell despite being cured. Four main themes emerged from the analysis: (1) A diffuse and contradicto

Factors associated with medication adherence trajectory among patients treated with oral anticancer drugs: a multicentre cohort study.

PurposeOptimal medication adherence to oral systemic anticancer therapies (SACTs) is critical for effective cancer management. However, the factors influencing adherence, particularly in relation to the longitudinal course of the disease, remain poorly understood. This study aimed to identify factors associated with medication adherence trajectories among patients initiating oral SACTs.MethodsA multicentre cohort study was conducted among patients initiating oral SACTs and enrolled in a multidisciplinary risk management programme during day hospitalisation. Medication adherence trajectories we

Множественная миелома у людей трудоспособного возраста в Германии, Польше и Чехии: результаты качественного исследования.

ЦЕЛЬ: Цель исследования состояла в том, чтобы понять опыт взрослых трудоспособного возраста с миеломой и их партнерами/членами семьи, проживающими в Германии, Чешской Республике и Польше. МЕТОДЫ: КОНСУЛЬТАТИВНЫЕ СООБРАЖЕНИЯ 36 взрослых трудоспособного возраста, живущих с миеломой, и three Члены семьи. Данные были собраны в период с мая по октябрь 2022. К данным был применен тематический анализ. Результаты: Описано медицинское обслуживание и государственная поддержка в каждой стране. Степень участия в трудовой деятельности зависит от бремени симптомов пациентов, потребностей в лечении, государс

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… As ‘working age’ is a concept that varies by country, genders, and professions, the country’s official retirement age was adopted as the upper limit, with 18 as the lower age limit. … OECD data [ 27 ] shows the standard retirement age at the time of recruiting to the study (2022) were: Czechia: 63 years for men; 62 years 4 months for women, Germany: 65 years and 9 or 10 months (depending on year of birth), Poland: 65 years for men; 60 years for women. …

Минимальная клиническая разница EQ-5D-5L, SF-6Dv2, и QLU-C10D в гематологовых халатных пациентах Китая.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Оценка минимальной клинически важной разницы (MCID) в Евроколе five- Размер five- уровеньEQ-5D-5L) Короткая форма Six- Многомерная версия 2 (В тыс.SF-6Dv2), и качество жизни 10 РазмерыQLU-C10D) у китайских пациентов с гематологическими микроорганизмами. МЕТОДЫ: Продольные данные были получены от лимфомы и нескольких пациентов с миеломой, проходящих лечение в третичной больнице в Шанхае, Китай. Базовые обследования были проведены в 2022, с последующими мерами 2023 на 3- до 6-month интервалы. Всего 200 лимфома и 139 Множество пациентов миэломы были зачислены 78 и 89 Пациен

Sexual health in older adults with hematologic malignancies - a sub-analysis of a Danish cross-sectional study.

PurposeThis study aims to emphasize the importance of sexual health in older adults with hematologic malignancy (HM) in Denmark by exploring the prevalence of sexual symptoms and factors that influence sexual activity and function.MethodsA sub-analysis of a Danish cross-sectional study including older adults (≥ 65 years) diagnosed with a HM from 20/1-2013 to 20/8-2022. Eligible participants received electronic validated questionnaires about quality of life, sexuality, and sexual health in their officially assigned digital mailbox.ResultsDecreased libido, impaired sexual activity, diminished co

Vegetable Gardening and Health Outcomes in Older Cancer Survivors: A Randomized Clinical Trial.

IMPORTANCE: Cancer survivors experience accelerated functional decline that threatens independence and quality of life. Previous studies have suggested that vegetable gardening may improve diet, physical activity, and physical function in this vulnerable population, which comprises more than 5% of the US population. OBJECTIVE: To assess whether diet, physical activity and functioning, and other outcomes improved in older cancer survivors assigned to a vegetable gardening intervention compared with a waitlist. DESIGN, SETTING, AND PARTICIPANTS: From May 11, 2016, to May 2, 2022, a 2-arm, asse

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… Most were married, urban dwelling, and currently retired or unemployed. A total of 218 (57.2%) were college graduates, and 94 (24.7%) reported an annual income less than $30 000. … Predictors of falls among community-dwelling older adults with cancer: results from the health and retirement study . Support Care Cancer . 2014 ; 22 ( 2 ): 479 - 485 . doi: 10.1007/s00520-013-2000-7 24122385 37 Cohen S , Kamarck T , Mermelstein R . A global measure of perceived stress . …

Patient perspectives on symptoms, health-related quality of life, and treatment experience associated with relapsed/refractory multiple myeloma.

Abstract Purpose This study aimed to better understand the patient perspective and treatment experience of relapsed and/or refractory multiple myeloma (RRMM). Methods This qualitative study enrolled adult RRMM patients from 6 US clinics who had ≥ 3 months of life expectancy, ≤ 6 prior lines of therapy, and ≥ 1 treatment regimen with a proteasome inhibitor and immunomodulator, or a CD38 monoclonal antibody or an alkylating agent, and a steroid. In-person semi-structured qualitative interviews were conducted to capture concepts that were relevant and important to patients. Topics included RRMM s

Rotating Nightshift Work and Hematopoietic Cancer Risk in US Female Nurses.

BACKGROUND: Nightshift work is a plausible risk factor for hematologic cancer, but epidemiological evidence remains sparse, especially for individual subtypes. We prospectively examined the association of rotating nightshift work with hematopoietic cancer risk. METHODS: This cohort study included US women from the Nurses' Health Study (NHS: n = 76 846, 1988-2012) and Nurses' Health Study II (NHSII: n = 113 087, 1989-2013). Rotating nightshift work duration was assessed at baseline (both cohorts) and cumulatively updated (NHSII). Cox regression was used to estimate hazard ratios (HRs) and 95%

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… Because most of the NHS participants were close to their retirement age (and hence, close to stopping rotating nightshift work) when reporting lifetime shiftwork history at baseline, we performed secondary analyses specifically among those aged older than 60 years and 60 years and younger in 1988, respectively … By contrast, in NHS, where we had enough power to perform histologic subtype analyses, our assessment of rotating nightshift work history was crudely measured (assessed only once, at baseline, when participants were mostly close to retirement age). …

Improving the assessment of quality of life in the clinical care of myeloma patients: the development and validation of the Myeloma Patient Outcome Scale (MyPOS).

BACKGROUND: Multiple myeloma is an incurable cancer with a rising incidence globally. Less toxic treatments are increasingly available, so patients are living longer and treatment decisions are increasingly guided by QOL concerns. There is no QOL assessment tool designed specifically for use in the clinical care of people with myeloma. This study aimed to develop and test the psychometric properties of a new myeloma-specific QOL questionnaire designed specifically for use in the clinical setting - the MyPOS. METHODS: The MyPOS was developed using findings from a previously reported literature

Distress and symptom burden in patients with monoclonal gammopathy of undetermined significance and smoldering myeloma.

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Homemade and Handmade.

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Nutritional Issues and Self-care Measures Adopted by Cancer Patients Attending a University Hospital in Turkey.

ObjectiveThis study aimed to assess the nutritional status of cancer patients and the self-care measures they adopted as a response to nutritional problems.MethodsThis descriptive study included seventy cancer patients staying in the oncology and internal disease clinics of a university hospital in Turkey. Data were collected using a questionnaire with 29 questions.ResultsThe mean age of participants was 40.2 ± 1.82 years. Approximately, 62.9% of the patients ate only half of the meals offered to them, 65.7% experienced weight loss, and 45.7% had difficulty eating their meals on their own. Mor