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Факторы, связанные с саморегистрацией способностей к труду у людей с множественным склерозом в Швеции.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Индекс способностей к труду (ИПТ) является инструментом, измеряющим способность к труду при проведении обследований на рабочем месте и медицинских обследований в области гигиены труда и исследований. Он используется в различных группах населения. Но исследования ограничены среди людей с множественным склерозом (PwMS). ЦЕЛЬ: Определение факторов, связанных с производственными способностями, среди ПТМС в Швеции. МЕТОДЫ: В анализ было включено в общей сложности 4103 ПВМС, которые ответили на вопросы обследования на базе Интернета. Способность к труду оценивалась с использов

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… Of these, fatigue has been associated with not having paid work, higher levels of absenteeism, reduced work hours, presenteeism, and lower work ability. 1 Early job loss, early retirement, and unemployment have also been associated with higher expanded disability status scale (EDSS) score. 2 , 3 The …

Когнитивный резерв при множественном склерозе: роль депрессии и усталости.

В ряде докладов указывается, что когнитивный резерв (CR) может защитить от когнитивных нарушений в MS. Усталость и депрессия широко распространены в MS. Однако их влияние на участие в деятельности, направленной на создание ЧР, остается неясным. ЦЕЛИ: Данное исследование было направлено на обеспечение более глубокого понимания понятия CR-building в MS, путем изучения того, как CR отличается у людей с MS (pwMS) по сравнению с неврологическими здоровыми людьми, а также путем изучения того, как распространенные симптомы MS взаимодействуют с CR-building. В общей сложности в этом перекрестном исслед

Расовые различия в лечении и выживании пожилых пациентов с множественной миеломой.

С течением времени эволюционировали фоновые характеристики миеломы (ММ) и улучшили выживание MM. Несмотря на то, что расовые различия в лечении MM и прогнозах между неиспаноязычными афроамериканцами (NHAA) и неиспанскими белыми пациентами (NHW) хорошо зарекомендовали себя, неясно, сохранялись ли они после внедрения новых агентов. 1 год после диагностирования и оценки результатов выживаемости среди бенефициаров программы " Медикэр "≥66 ) с диагнозом MM от 2007 в адрес 2017. Мы применили многовариантные модели пропорциональных рисков кокса для оценки связи между расой и выживанием и пр

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… Validation of a claims‐based frailty index against physical performance and adverse health outcomes in the health and retirement study. J Gerontol A Biol Sci Med Sci. 2019;74(8):1271‐1276. 16. Klabunde CN, Potosky AL, Legler JM, Warren JL. …

A Mobile App to Support Self-Management in Patients with Multiple Myeloma or Chronic Lymphocytic Leukemia: Pilot Randomized Controlled Trial.

BackgroundPatients with blood cancer experience serious physical and emotional symptoms throughout their cancer journey.ObjectiveBuilding on previous work, we aimed to develop an app designed to help patients with multiple myeloma and chronic lymphocytic leukemia self-manage symptoms and test it for acceptability and preliminary efficacy.MethodsWe developed our Blood Cancer Coach app with input from clinicians and patients. Our 2-armed randomized controlled pilot trial recruited participants from Duke Health and nationally in partnerships with the Association of Oncology Social Work, Leukemia

Cultural Adaptation of Patient Health Questionnaire-9 in Hindi for Use with Patients with Cancer in Community Palliative Care Settings.

ObjectivesPatient Health Questionnaire-9 (PHQ-9) in Indian settings is yet not very often used in palliative care with the Hindi-speaking population. The Hindi version of PHQ-9 is available but its cultural adaptation to the Hindi-speaking population in North India receiving palliative care services is required to be tested. PHQ-9 as a depression screening questionnaire may help to identify depression symptoms among patients with cancer. This study aimed to examine the cultural equivalence of PHQ-9 Hindi for use with patients with cancer receiving palliative care services in North India.Materi

What do patients think about palliative care? A national survey of hematopoietic stem cell transplant recipients.

Palliative care (PC) benefits patients undergoing hematopoietic stem cell transplantation (HSCT), but it remains underutilized. Although transplant physicians report concerns regarding how patients perceive PC, HSCT recipients' perceptions about PC remain unaddressed. We conducted a multisite, cross-sectional survey of autologous and allogeneic HSCT recipients 3 to 12 months after transplant to assess their familiarity, knowledge, and perception of PC, as well as their unmet PC needs. We computed a composite score of patients' perceptions of PC and used a generalized linear regression model to

Identifying and describing cancer survivors: Implications for cancer survivorship research and clinical care.

BackgroundGathering information directly from cancer survivors has advanced our understanding of the cancer survivorship experience. However, it is unknown whether surveys can distinguish important subgroups of cancer survivors. This study aimed to describe the current landscape of survey questions used to identify and describe cancer survivors in national cross-sectional studies.MethodsUsing publicly available databases, the authors identified national cross-sectional surveys used in the United States within the past 15 years that included a question on self-reported history of cancer. After

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… Health and Retirement Study. Accessed April 21, 2021. https://hrs.isr.umich.edu/documentation/questionnaires 27. Midlife in the United States (MIDUS Refresher), 2011‐2014 (ICPSR 36532). Inter‐University Consortium for Political and Social Research (ICPSR). …

The PATHFINDER Study: Assessment of the Implementation of an Investigational Multi-Cancer Early Detection Test into Clinical Practice.

To examine the extent of the evaluation required to achieve diagnostic resolution and the test performance characteristics of a targeted methylation cell-free DNA (cfDNA)-based multi-cancer early detection (MCED) test, ~6200 participants ≥50 years with (cohort A) or without (cohort B) ≥1 of 3 additional specific cancer risk factors will be enrolled in PATHFINDER (NCT04241796), a prospective, longitudinal, interventional, multi-center study. Plasma cfDNA from blood samples will be analyzed to detect abnormally methylated DNA associated with cancer (i.e., cancer "signal") and a cancer signal ori

Validation of an Instrument for Measuring Adherence to Treatment With Immunomodulators in Patients With Multiple Myeloma.

Background: Validate the Treatment Adherence Measure (TAM) instrument in outpatients with MM concerning construct validity, reliability and the ceiling and floor effects. Methods: This cross-sectional study included patients diagnosed with MM previously treated with an immunomodulator for at least one month, aged 18 or over, and followed-up in the investigated outpatient clinics. Adherence to immunomodulators was measured by TAM. The TAM's reliability was assessed using Cronbach's alpha; The association between adherence and health-related quality of life was investigated to analyze the diverg

A pilot randomized clinical trial of a peer support intervention for hematopoietic stem cell transplantation.

AbstractPeer support has been associated with improved patient-reported outcomes (PROs), including reduced psychological distress, among patients undergoing hematopoietic stem cell transplantation (HSCT), but structured interventions are limited. This study assessed the feasibility, acceptability, and preliminary effects of a scalable peer support intervention to reduce psychological distress and enhance quality of life (QOL) post-HSCT. We conducted a pilot randomized clinical trial evaluating the Supporting Transplant Experiences with Peer Program (STEPP), a 5-session, telephone-based interve

Prevalence of Cancer Survivors in 2019 Among Patients Diagnosed Between 1975 and 2019: A Population-Based Study in Japan.

Owing to improved prognosis, cancer survivors are a growing population; however, little is known about their prevalence in Asian countries. This study estimated the prevalence and characteristics of cancer survivors in Japan, including long-term survivors. Using data from the Osaka Cancer Registry, which covers 8.8 million residents in Osaka Prefecture, Japan, we identified individuals diagnosed with cancer between 1975 and 2019 who were alive in 2019. Cancer prevalence was calculated as the number of patients alive in 2019, stratified by sex, age in 2019, time since diagnosis, and 22 cancer t

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… In 2019, 28.4% of the Japanese population was aged ≥ 65 years, the typical retirement age in Japan, and this proportion is projected to reach 35.7% by 2050 [ 21 , 27 ]. …

Потребность в помощи и соответствующий вопросник для семей, обеспечивающих уход за пациентами с множественной миеломой: исследование по вопросам развития и перекрестной проверки.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: В течение всего периода болезни пациентов с множественной миеломой (ММ) те, кто ухаживает за членами семьи, играют важнейшую вспомогательную роль, и они сами имеют вспомогательные потребности в уходе (СХН), которые зачастую не удовлетворяются. Одной из неотложных проблем является быстрое и точное выявление удовлетворяемых и неудовлетворенных потребностей семей, обеспечивающих уход за членами семьи. ЦЕЛИ: Разработка вопросника для лиц, осуществляющих уход за пациентами с множественной миеломой, в целях удовлетворения потребностей в поддержке и снабжения, а также оценка ег

Physical health outcomes and step cadence improvements: a digital physical activity intervention in cancer survivors.

BackgroundCancer survivors experience symptoms that can often be managed with moderate-to-vigorous physical activity. Most studies are short, small, and in-person, limiting scalability. This study evaluated a 12-month digital moderate-to-vigorous physical activity intervention and its impact on long-term physical health outcomes in a large sample of cancer survivors.MethodsThis 2-arm trial was embedded within the Cancer Prevention Study-3 prospective cohort study and included survivors with cancers associated with physical inactivity. Eligible participants were randomly assigned to a digital m

Innovative Approaches in Knee Osteoarthritis Treatment: A Comprehensive Review of Bone Marrow-Derived Products.

Knee osteoarthritis (OA) is a chronic articular disease characterized by the progressive degeneration of cartilage and bone tissue, leading to the appearance of subchondral cysts, osteophyte formation, and synovial inflammation. Conventional treatments consist of non-steroidal anti-inflammatory drugs (NSAIDs), analgesics, and glucocorticoids. However, the prolonged use of these drugs causes adverse effects. NSAIDs, for instance, are known to be nephrotoxic, increasing the damage to articular cartilage. New therapies capable of accelerating the process of tissue regeneration and repair are bein

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… The growing incidence of OA, leading to increased sick leaves and early retirement, underscores the need for effective treatments. Current treatments often fall short, being either invasive or inadequate. …

Diseases prevalent before major depressive disorder diagnosis: an exploratory nested case-control study using health insurance-based claims data.

ObjectivesMajor depressive disorder (MDD) is often comorbid with other chronic and/or serious diseases. However, little is known about the prevalence of various diseases that are present before MDD onset. We examined the prevalence of all pre-existing diseases in the 12 months before an MDD diagnosis.DesignExploratory nested case-control study.SettingData, including diagnoses based on International Statistical Classification of Diseases and Related Health Problems, 10th revision codes, were from a Japanese health insurance database (JMDC).ParticipantsAdults newly diagnosed with MDD during 2015

Treatment Satisfaction and Burden of Illness in Patients with Newly Diagnosed Multiple Myeloma.

ObjectivesThis observational study identified attributes of patient-reported satisfaction with therapy for multiple myeloma (MM), described the treatment-related time burden and indirect costs, and investigated the effect of administration route (oral vs. injectable) on these outcomes among patients with newly diagnosed MM (NDMM) and among caregivers.MethodsPatients residing in the USA with a self-reported diagnosis of NDMM were recruited from PatientsLikeMe, MyelomaCrowd, and Facebook (16 December 2016 and 6 July 2017) to complete an electronic survey including questions on treatment experien

Unintentional weight loss, its associated burden, and perceived weight status in people with cancer.

PURPOSE: Unintentional weight loss (UWL) is a prevalent problem in people with cancer and is associated with poorer psychosocial outcomes. A gap exists in understanding whether and how perceived and/or weight status impacts experiences of UWL. Thus, we sought to examine subjective experiences of UWL in people with cancer, and whether perceived and/or actual weight status impacts these experiences. METHODS: Participants were recruited through Cancer Support Community's Cancer Experience Registry® and related networks. Participants completed an online survey that included the FAACT Anorexia-Cac

Global comparison of cancer outcomes: standardization and correlation with healthcare expenditures.

BackgroundCancer outcomes vary widely among different countries. However, comparisons of cost-effectiveness and cost-efficiency of different systems are complex because the incidences of different cancers vary across countries and their chances of cure also differ substantially. We aim to propose a new standardized method for global comparison and to explore its relationship with economic indicators.MethodsCancer statistics from all 184 countries and 27 cancers listed in GLOBOCAN 2012 were analyzed. The complement of age-standardized mortality/incidence ratio [1 - (ASM/ASI)] was taken as the p

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… According to the survey from the Health and Retirement Study in the United States [ 29 ], which included 1409 cancer patients who were all community-dwelling Medicare beneficiaries, 24–63% of patients’ household income were spent on health care; the proportion due to cancer was substantially higher than …

Myeloma: Patient accounts of their pathways to diagnosis.

BackgroundPathways to myeloma diagnosis can be prolonged, and are often preceded by multiple GP consultations and emergency presentation. This is the first qualitative study to examine events leading to diagnosis by asking patients about their experiences during this time.MethodsSet within a UK population-based cohort, semi-structured interviews were conducted with 20 myeloma patients with varying characteristics and pathways, 12 of whom invited their relatives to take part. Interviews were audio-recorded and qualitative analysis undertaken.ResultsPre-diagnostic awareness of myeloma was minima

A decision exercise to engage cancer patients and families in deliberation about Medicare coverage for advanced cancer care.

BackgroundConcerns about unsustainable costs in the US Medicare program loom as the number of retirees increase and experiences serious and costly illnesses like cancer. Engagement of stakeholders, particularly cancer patients and their families, in prioritizing insured services offers a valuable strategy for informing Medicare coverage policy. We designed and evaluated a decision exercise that allowed cancer patients and family members to choose Medicare benefits for advanced cancer patients.MethodsThe decision tool, Choosing Health plans All Together (CHAT) was modified to select services fo

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… This included continuing care retirement communities, organizations that provide support to cancer survivors, and non-profit organizations that aid families who are receiving health care from Duke University Medical Center. …