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Associations Between Self-Rated Health and Mortality in the Norwegian Women and Cancer (NOWAC) Study.

PurposeWe investigated the association between self-rated health (SRH) and cancer incidence and SRH and all-cause mortality among Norwegian women.Population and methodsWe used data from 110,104 women in the Norwegian Women and Cancer (NOWAC) cohort aged 41-70 years at baseline. We used flexible parametric survival analysis with restricted cubic splines to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) for the association between SRH and mortality in the entire cohort. We employed the same method in a multistate design to assess associations between baseline SRH and 1) cancer

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… Self-rated health in the last 12 years of life compared to matched surviving controls: the health and retirement study. PLoS One . 2014;9(9):e107879. doi: 10.1371/journal.pone.0107879 34. Lund E, Kumle M, Braaten T, et al. …

Experiences of Multiple Myeloma Patients With Treatment in the Palestinian Practice: A Multicenter Qualitative Study in a Resource-Limited Healthcare System.

Background Multiple myeloma is a crippling cancer that puts a significant strain on patients and their families alike. The long and exhausting treatment journey with the disease is challenging not only for patients but also for healthcare systems. This exploratory study was conducted to look into these patients' experiences with their treatment and explore their recommendations and views to improve the Palestinian healthcare system, which can be viewed as an evolving healthcare system within a resource-limited and developing country. Methods The consolidated criteria for reporting qualitative

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… Other recommendations included offering financial assistance to cancer patients because multiple myeloma patients face significant financial challenges in the areas of employment, disability, and retirement [ 41 ]. …

Исследование тенденций беременности, репродуктивных характеристик и инвалидности у женщин с множественным склерозом: вторичный анализ данных национального регистра в Иране.

Справочная информация: Множественный склероз (МС) в основном затрагивает женщин детородного возраста, что оказывает значительное влияние на качество их жизни (КОЛ). Диагноз MS может влиять на намерение беременности, а уровень инвалидности, связанный с MS, может меняться до и после беременности. Цель этого исследования заключается в анализе репродуктивных характеристик иранских женщин-болельщиков с НРЖС и их связи с расширенной шкалой взносов в связи с инвалидностью (РПСС) и тенденцией к беременности, что позволяет получить ценную информацию о динамике заболеваний и разработке специальных метод

Caregiver Quality of Life: Satisfaction and Burnout.

Informal caregivers (ICs) of cancer patients play a crucial role in health care. Several of the challenges they face can affect their quality of life (QoL). This cross-sectional study explored role of burnout and caregiving satisfaction in their relationship to QoL. Portuguese ICs of adult cancer patients (N = 92) answered a sociodemographic and caregiving questionnaire, the WHOQOL-SRPB BREF, assessing physical, psychological, social, environmental, and spiritual QoL domains; the Maslach Burnout Interview, assessing the dimensions of depersonalization, emotional exhaustion, and personal accomp

Healthcare Resource Utilization and Cost of Patients with Multiple Myeloma in Germany: A Retrospective Claims Data Analysis.

ObjectiveThis study aimed to analyze the healthcare resource use (HCRU) and associated costs of multiple myeloma (MM) using German claims data.MethodsAnonymized claims data from one of the largest sickness funds in Germany were analyzed. Costs and HCRU were calculated from the perspective of the statutory health insurance. To analyze MM-associated incremental costs in a most recent calendar period for an overall MM population (31 March 2018-31 March 2019), a prevalent cohort of MM patients (continuously insured during 01 January 2010 until 31 March 2019 or death; two or more outpatient and/or

Therapeutic education and physical activity are feasible and safe in hematologic cancer patients referred to chemotherapy: results of a randomized controlled trial.

PurposeAlthough over 60% of patients with hematologic cancer report distressing fatigue, they often do not receive recommendations on fatigue management strategies. The aim of this pilot study was to estimate the feasibility of therapeutic education and physical activity (TEPA) by measuring the patients' adherence to this multidimensional intervention. The secondary aim was to estimate the impact of TEPA on clinical outcomes.MethodsPatients with hematologic cancer participated in this single-center, open-label, randomized controlled trial. The control group (CG) received two educational group

Narrative review of the epidemiology, economic burden, and societal impact of metastatic bone disease.

As the prevalence of cancer continues to rise in the United States due to a combination of both early detection and increased life expectancy, the number of clinically symptomatic skeletal metastases will continue to grow. Healthcare expenditures on cancer treatment have steadily increased each decade to our estimated level of approximately $200 billion in 2020. Metastatic bone disease is a significant driver of this cost, accounting for nearly one-fifth of the total cost of oncologic treatment. Understanding the impact of metastatic bone disease can help to identify the gaps between diagnosis

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… Potential impacts on a caregivers employment: (I) loss of employment; (II) loss of employer-based health insurance and other benefits; (III) loss of income; retirement savings, and employer contributions; (IV) time away from work (paid and unpaid), (V) reduced work productivity; (VI) working extra hours …

Immunomodulatory drugs in multiple myeloma: Impact of the SCARMET (Self CARe and MEdication Toxicity) educational intervention on outpatients' knowledge to manage adverse effects.

Long-term multiple myeloma therapy by immunomodulatory drugs (IMiDs) raises the question of management of adverse effects. The aim of this study is to assess the impact of an educational session for patients on the acquisition of knowledge to manage hematologic and thromboembolic adverse effects of IMiDs. In this prospective single-center study, patients attended an educational session with a hospital clinical pharmacist and a nurse. The primary endpoint was the patient's level of knowledge for the management of IMiDs adverse effects, assess with a dedicated questionnaire administered before t

Integrating Emerging Data Into Clinical Practice: A Case-Based Approach for Multiple Myeloma.

Selected Patient Cases From the APSHO Regional Lecture SeriesINTRODUCTION As the official publication of the Advanced Practitioner Society for Hematology and Oncology (APSHO), JADPRO is pleased to offer Part 2 of an accredited educational activity based on the recently concluded APSHO Regional Lecture Series. Hosted in collaboration with major cancer centers around the country, the APSHO Regional Lecture Series brought case-based didactic presentations and skills workshops to advanced practitioners. In the spirit of JADPRO, three accredited Grand Rounds articles by Beth Eaby-Sandy, MSN, CRNP,

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… The patient is an avid tennis player and lives with his partner in an active adult retirement community. The patient has no children. Discussion These cases illustrate the diversity of patients with NDMM. …

Meeting the challenge of cancer survivorship in public health: results from the evaluation of the chronic disease self-management program for cancer survivors.

IntroductionSelf-management has been identified as an important opportunity to improve health outcomes among cancer survivors. However, few evidence-based interventions are available to meet this need.MethodsThe effectiveness of an adapted version of the Chronic Disease Self-Management Program for cancer survivors called Cancer Thriving and Surviving was evaluated in a randomized trial. Outcomes were assessed at baseline and 6-months post program via written survey among 244 participants in Colorado. Repeated measures analysis was used to analyze pre/post program change.ResultsStatistically si

Cross-cultural development of an item list for computer-adaptive testing of fatigue in oncological patients.

IntroductionWithin an ongoing project of the EORTC Quality of Life Group, we are developing computerized adaptive test (CAT) measures for the QLQ-C30 scales. These new CAT measures are conceptualised to reflect the same constructs as the QLQ-C30 scales. Accordingly, the Fatigue-CAT is intended to capture physical and general fatigue.MethodsThe EORTC approach to CAT development comprises four phases (literature search, operationalisation, pre-testing, and field testing). Phases I-III are described in detail in this paper. A literature search for fatigue items was performed in major medical data

The impact of experiential avoidance on anxiety and depressive disorders in hematological cancer patients.

Anxiety disorders and/or depressive disorders co-occurring with hematological cancer are an additional burden for patients. Experiential avoidance (EA; efforts to avoid negative emotions, thoughts, or memories) is an empirically evident transdiagnostic factor for the onset and maintenance of anxiety and depressive disorders in non-cancer populations. There is lack of evidence on the impact of EA in predicting anxiety and depression in cancer patients. A total of 291 patients with hematological cancer (60% male, mean age 55 years) were included in this cross-sectional observational study. Parti

Bias reported by family caregivers in support received when assisting patients with cancer-related decision-making.

BackgroundFamily caregivers play an increasing role in cancer treatment decision-making. We examined bias reported by family caregivers in the support they and their patient received from their healthcare team when making these decisions, including associations with distress.MethodsAnalysis of 2021 national survey data of family caregivers of patients with cancer (N = 2703). Bias experienced in decision support was assessed with the item: "Have you felt that the support you and the person with cancer have received for making cancer-related decisions by your doctor or healthcare team has been n

Identification of Psychological and Social Problems in Caregivers of Individuals Diagnosed with Hematologic Malignancy.

ObjectiveCaring for patients with hematological malignancy could lead to many problems in different aspects regarding the lives of caregivers. However, there is limited data on the emotional and social problems of caregivers, who deal with patients of hematological malignancy. The aim of this study is to determine the emotional and social problems in caregivers of individuals diagnosed with hematological malignancy.MethodsThe study was carried out descriptively to identify the emotional and social problems in the relatives of the patients diagnosed with hematological malignancy as their caregi

The Effect of Disability on the Diagnosis and Treatment of Multiple Myeloma in Korea: A National Cohort Study.

PURPOSE: This study aimed to determine whether the diagnosis, treatment approach, and prognosis of multiple myeloma (MM) vary according to the presence and type of disability. MATERIALS AND METHODS: Demographic, socioeconomic, and medical data were obtained from the National Disability Database, the Korean Central Cancer Registry, and the Korean National Health Insurance claims database. An age- and sex-matched cohort was established using a 1:3 ratio constituted with 2,776,450 people with disabilities and 8,329,350 people without disabilities. Adult patients diagnosed with MM were subsequent

COPD patients in need of palliative care: Identification after hospitalization through the surprise question.

Currently, few patients suffering from chronic obstructive pulmonary disease (COPD) who might benefit from a palliative care approach are referred to a palliative care team. Tools to identify patients eligible for a palliative care approach have been found to be difficult to apply in daily practice. Therefore, there is need for a simple and easily applicable tool to identify those patients who would benefit from referral to a palliative care team. The aim of this study was to determine if the surprise question (SQ) "Would I be surprised if this patient dies within 12 months?" in a subset of re

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… reported by the patient or caregivers) Choice of no further active treatment (do not resuscitate order, no admission to ICU) Acute/unplanned hospital admissions (≥3 in last 12 months due to COPD) Progressive weight loss (>10%) in past 6 months Sentinel event (e.g. serious fall, bereavement, divorce, and retirement …

Virtual music therapy during the COVID-19 pandemic: an updated scoping review.

ObjectiveThe objective of this update to a previously published scoping review was to map how music therapists used virtual music therapy during the COVID-19 pandemic.IntroductionVirtual music therapy underwent significant development during the COVID-19 pandemic. Consequently, the number of publications increased dramatically compared to early 2021, when only 10 records were available. An update to the previous scoping review was necessary to explore the current state of this emerging music therapy discipline and provide important information for health care practitioners, scholars, and resea

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… In other cases, patients received VMT in retirement homes, 33 care homes, 154 children’s homes, or assisted living facilities/residential facilities. 32 , 85 , 159 McIntyre 98 notes that some music therapists who had access to their own premises continued to provide virtual services from there, ensuring … Studies excluded from the original scoping review Spectrum Retirement Communities, LLC. The enclave at Round Rock Senior Living hosts a patio music party with the help of North Austin Music Therapy [internet]. PR Newswire; 2020. …

Прогнозирующая Симптомная модель включает симптомы, о которых сообщают пациенты, для пациентов, не имеющих права на трансплантацию, с несколькими миеломами.

ВВЕДЕНИЕ: Пациенты с несколькими миэломами (ММ), имеющими право на трансплантацию (TIE), имеют высокий уровень симптомного бремени. Цель этого исследования заключалась в разработке и подтверждении перспективной модели прогнозирования симптомов у пациентов с ТИЭ ММ. МЕТОДЫ: В рамках этого исследования, основанного на данных о населении, с использованием многочисленных баз данных административной медицинской помощи, увязанных с использованием уникального зашифрованного идентификатора пациента в Онтарио, Канада, симптомы были выявлены с использованием саморегистрируемой системы оценки симптомов Э

Что делают физиотерапевты в борьбе с недержанием мочи у женщин в системе первичной медико-санитарной помощи?

Недержание мочесодержания, определяемое как недобровольная потеря мочи, широко распространено среди женщин и оказывает значительное воздействие на физическое, эмоциональное и социальное благополучие. Несмотря на широкое признание того, что обучение мускулам тазового пола является первым направлением деятельности для легкого и умеренного УИ, роль физиотерапевтов в лечении этого заболевания в рамках системы первичной медико-санитарной помощи (ПМС) по-прежнему недостаточно изучена. Учитывая центральную роль ПМО в системах здравоохранения и преобладание общих и многопрофессиональных групп в этой с

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… Direct costs include medical consultations, therapies, medications, surgical procedures, and supplies such as absorbent products; indirect costs encompass productivity loss, absenteeism, and early retirement ( 17 ). …

Предсказатели способности работать в множестве склерозов.

Множественный склероз (MS) — хроническое расстройство, которое, как правило, свидетельствует об аккумулировании инвалидности и влияет на трудоспособность. Острота заболевания, как правило, определяется врачами, имеющими расширенную шкалу учета инвалидности (EDSS) в клинике, однако имеются также опросные листы, о которых сообщают пациенты, такие, как шкала множественных последствий склероза (MSIS-29) или шкала утомления моторных и когнитивных функций (FSMC). Цель этой работы заключалась в изучении количественной связи между степенью серьезности заболеваний и числом дней с выплатой пособий по бо

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… For the analysis, only records corresponding to MS‐related sickness periods (ICD‐10 codes: G35, G36, G37, and H46), from all subjects between 18 and 62 (as this is the start of the governmental retirement age range) years of age were considered. …