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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

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

Качество жизни и симптомы тревоги и депрессии у пациентов с раком: выводы из тертиарной клиники.

Рак является одной из главных причин глобальной смертности и заболеваемости, на долю которой ежегодно приходится миллионы смертей. Цель этого исследования заключалась в оценке качества жизни (QoL), изучении демографических, клинических и психологических факторов, связанных с QoL, оценке распространенности беспокойства и депрессивных симптомов, а также в оценке связей между методами лечения и областями QoL среди пациентов с раком, получающих антираковую терапию в Лахоре, Пакистан. МАТЕРИАЛЫ И МЕТОДЫ 385 больные раком с помощью удобного отбора проб. Данные собирались с помощью вопросника "

Resilience provides mediating effect of resilience between fear of progression and sleep quality in patients with hematological malignancies.

BackgroundHematological tumors are common malignant tumors, with high morbidity and mortality rates. Most patients with hematological malignancies develop sleep disorders that seriously affect their life and health because of acute onset of disease, rapid progression, high recurrence rates, complex treatment methods, and treatment costs.AimTo explore the mediating effect of resilience on fear of disease progression and sleep quality in patients with hematological malignancies.MethodsA cross-sectional analysis of 100 patients with hematological malignancies, treated in the First Affiliated Hosp

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… The effect of health literacy, self-efficacy, social support and fear of disease progression on the health-related quality of life of patients with cancer in China: a structural equation model. Health Qual Life Outcomes. 2023;21:75. doi: 10.1186/s12955-023-02159-1. 21. …

Epidemiological profile of patients with malignant neoplasm admitted to a tertiary care center in India: a retrospective cross-sectional study.

BackgroundCancer poses a growing public health challenge in India, with significant urban-rural disparities in diagnosis and treatment. This study aimed to evaluate the epidemiological profile and treatment patterns of cancer patients in Rajasthan, focusing on differences in disease presentation, treatment modalities, and outcomes between urban and rural populations.MethodsA retrospective observational study was conducted at the National Institute of Medical Sciences and Research, Jaipur, including 1,366 histopathologically confirmed cancer patients admitted between January 2021 and December 2

Elective Surgical Care Pathways Are Associated With Lower Fracture Rates at Presentation and Contribute to Superior Clinical Outcomes in Metastatic Bone Disease.

BACKGROUND AND OBJECTIVES: Metastatic bone disease (MBD) often necessitates orthopaedic surgical intervention, which occurs through either emergent or elective care pathways. This study compared post-operative outcomes between patients undergoing elective versus emergent surgery for MBD involving the pelvis and appendicular skeleton. METHODS: We performed a retrospective, multicenter, propensity-matched cohort study of patients who underwent surgery for MBD. Emergent surgery was defined as an unplanned admission followed by unscheduled surgery, while elective surgery referred to cases with an

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… Furthermore, factors including socioeconomic status and health literacy were not accounted for in this study and may differ across treatment groups. …

Cancer in the Oldest-Old Population in the MENA Region: Epidemiology and Temporal Trends Based on GBD 2021.

IntroductionCancer among the oldest-old (aged ≥85) is an escalating public health concern, particularly in the Middle East and North Africa (MENA), where demographic aging is advancing rapidly.MethodsWe analyzed cancer incidence and mortality trends among the oldest-old in MENA from 1990 to 2021 using Global Burden of Disease (GBD) 2021 data, and compared these trends to global patterns.ResultsCancer incidence and mortality among the oldest-old in MENA increased substantially, surpassing global trends. Between 1990 and 2021, incidence rose by 54.2% in MENA vs 25.3% globally, while mortality in

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… Addressing this requires regionally adapted, age-sensitive screening protocols, stronger patient–provider communication, and greater investment in health literacy and geriatric oncology. … Addressing this challenge requires age-sensitive cancer control strategies, equitable access to healthcare, strengthened caregiver support, and interventions that overcome barriers such as low health literacy and high comorbidity rates. …

Symptomatic spinal epidural lipomatosis after combined hormonal and steroidal palliative therapy of prostate cancer.

To meet the demand for kidney transplants (KTx), organs are frequently retrieved not only from standard criteria donors (SCD; a donor who is aged <50 years and suffered brain death from any number of causes, such as traumatic injuries or a stroke) but also from expanded criteria donors (any donor aged >60 years or donors aged >50 years with two of the following: A history of high blood pressure, a creatinine serum level ≥1.5 mg/dl or death resulting from a stroke). This comes at the cost of a higher risk of primary non‑function (the permanent hyperkalemia, hyperuremia and fluid overload that r

Trends in US Hematology/Oncology Physician Perceptions and Referral Practices for Hematopoietic Cell Transplant: A National Survey Conducted by NMDP.

BackgroundTo evaluate trends in allogeneic hematopoietic cell transplant (HCT) referral perceptions and practices, we compared surveys of Hematology-Oncology (Hem-Onc) physicians conducted in 2015 (N = 150), 2019 (N = 302), and 2024 (N = 183) and reported changes over time.MethodsEligible participants included Hem-Onc physicians in the United States seeing at least 10 hematologic malignancy patients in the last year. Questions covered perceptions of HCT, referral practices, perceived barriers to referral, and endorsement of HCT education and patient support resources.ResultsThere were positive

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… The listed options in the surveys were broadly focused on patient‐level factors (patient age, comorbid medical or psychosocial issues, patient health literacy), disease risk (patient does not have high‐risk disease), donor factors (patient likelihood of finding a donor), systemic factors (caregiver availability …

Cancer Pain Is Not One-Size-Fits-All: Evolving from Tradition to Precision.

Cancer pain remains a significant challenge in oncology, profoundly affecting patients' quality of life, function, and prognosis. Historically under-recognized and managed with a uniform, opioid-centric approach, cancer pain was often inadequately treated. Advances in pain assessment, multimodal analgesia, and supportive care have improved outcomes, yet traditional algorithms frequently fail to address the complex, heterogeneous nature of cancer pain. Contemporary management is shifting toward precision and personalized medicine, integrating genetic, molecular, and biomarker data with individu

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… Psychological factors (depression, anxiety), substance use, cultural background, language barriers, and health literacy all impact pain expression, reporting, and treatment adherence. Addressing these factors is crucial for equitable and adequate pain control. … Sociocultural | - Language barriers - Cultural beliefs about pain/opioids - Health literacy - Access to care and insurance - Equity focus | - Use interpreters and culturally sensitive communication - Educate patients and families about pain control and opioid safety - Address stigma and fear associated …

Symptom Management Guideline Implementation Among Nurses in Cancer-Specific Outpatient Settings: A Scoping Review of Barriers, Facilitators, and Implementation Strategies.

BackgroundOncology outpatients experience high levels of distressing cancer-related symptoms. Nurses can provide high-quality outpatient cancer symptom management following clinical practice guideline recommendations; however, these guidelines are inconsistently used in practice. Understanding contextual factors influencing implementation is necessary to develop tailored implementation strategies.ObjectivesTo identify and describe (1) barriers and facilitators influencing symptom management guideline adoption, implementation, and/or sustainability among nurses in cancer-specific outpatient set

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… Within capability, barriers were limited patient education, health literacy, and understanding of symptom management and self-management strategies. 32 , 50 , 54 , 67 , 76 Within opportunity, it was noted that the unpredictable nature of cancer and socioeconomic factors can limit patient adherence to … Although patient-related factors such as health literacy, socioeconomic status, and motivation were noted to influence the uptake of symptom management guideline recommendations, few projects (17%) actively involved patients and family members as consumers of evidence-informed nursing practice changes …

Struggling with extensive informed consent procedures for cancer trials-is there even a benefit for the patients?

PurposeInformed consent procedures in clinical trials often differ in length and complexity to those in clinical routine care. Little is known about the benefit of extensive procedures as intended in clinical trials compared to procedures in routine cancer treatment.MethodsIn two different clinical studies performed at a comprehensive cancer center, we compared patients' comprehension and satisfaction of current informed consent procedures in routine clinical care with the level of comprehension and satisfaction of patients treated within clinical trials. Patients with a new cancer diagnosis a

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… The effectiveness of health literacy interventions on the informed consent process of health care users: a systematic review protocol. JBI Database System Rev Implement Rep. 2015;13(10):82–94. doi: 10.11124/jbisrir-2015-2304. 6. Nishimura A, et al. …

Повышенное использование медицинских услуг two За несколько десятилетий до первого демиелионирующего события, которое отличается по возрасту и полу.

ЦЕЛЬ: Повышение уровня использования медицинских услуг до появления множественных склерозов (MS) говорит о том, что более ранняя возможность для выявления MS существует. Однако их сроки и социально-демографические последствия неясны. Мы изучили показатели использования медицинских услуг (а также в разбивке по возрасту/полу) для >two десятилетия до начала работы. МЕТОДЫ: Мы идентифицировали людей с MS (PwMS), используя административные данные Канады (Ontario) и Швеции (MS).1991-2020) ("административная" группа) и шведский регистр MS ("клиническая" группа). В первом (административном) или симпто

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… Other social determinants of health may be of value to examine (cultural identity and education‐level/health literacy). Our findings are critical in helping inform the design of such future work. …

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

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… Knowledge of MS was assessed using a specific questionnaire developed by the expert panel of the EPPC, including neurologists, nurses, psychologists, neuropsychologists, occupational therapists, physiotherapists, primary care physicians, and experts in health literacy, based on a previous pilot qualitative …

Boosting and broadening recruitment to UK cancer trials: towards a blueprint for action.

Recruitment and retention in cancer trials are long-standing issues, exacerbated by the COVID-19 pandemic. The UK National Institute of Health Research and leading clinicians have emphasised the urgency to achieve and surpass prepandemic levels of participation. Data from a recent UK trial demonstrated the impact of COVID-19 and highlighted factors that limited recruitment. In response to this worldwide problem, studies have identified strategies for remediation at the levels of funding, the research environment, study design and trial team-related aspects, yet evidence of progress is lacking.

Невидимый кризис: выявление скрытого воздействия загрязнения воздуха внутри помещений на здоровье человека - аналитическое исследование.

Загрязнение воздуха внутри помещений представляет собой серьезную проблему для здоровья населения, особенно в таких странах, как Индия, где миллионы людей подвергаются воздействию вредных загрязнителей в своих домах и на рабочих местах. В этом аналитическом обзоре рассматриваются многогранные последствия загрязнения воздуха внутри помещений для здоровья людей, обобщены данные, полученные в ходе различных проектов исследований и в географических регионах. На основе всеобъемлющей стратегии поиска, которая позволила 320 записи, в которых 120 в Паубмеде, 108 Веб-сайт науки, и 92 В SCOPUS. Ten были

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… Ramírez AS Ramondt S Van Bogart K Zuniga RP Public awareness of air pollution and health threats: Challenges and opportunities for communication strategies to improve environmental health literacy J Health Commun 2019 24 75 83 30730281 10.1080/10810730.2019.1574320 PMC6688599 …

Nomogram model for predicting frailty of patients with hematologic malignancies - A cross-sectional survey.

ObjectiveThis study aimed to develop and validate an assessment tool for predicting and mitigating the risk of frailty in patients diagnosed with hematologic malignancies.MethodsA total of 342 patients with hematologic malignancies participated in this study, providing data on various demographics, disease-related information, daily activities, nutritional status, psychological well-being, frailty assessments, and laboratory indicators. The participants were randomly divided into training and validation groups at a 7:3 ratio. We employed Lasso regression analysis and cross-validation technique

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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… Quality of life and fear of disease progression are associated with aspects of health literacy in men with prostate cancer from Germany. Support Care Cancer. 2020;28:2283–2292. doi: 10.1007/s00520-019-05052-0. 54. Fong AJ, Scarapicchia TMF, McDonough MH, Wrosch C, Sabiston CM. …

Validation study of the Functional Assessment of Cancer Therapy-Cognitive Function-Version 3 for the Portuguese population.

BackgroundCancer-related cognitive impairment is a common and potentially debilitating symptom experienced by patients with non-central nervous system (CNS) cancers, with negative impact on their quality of life. The Functional Assessment of Cancer Therapy-Cognitive Function-Version 3 (FACT-Cog-v3) is the most extensively used instrument specifically developed to evaluate cognitive complaints in adult cancer patients. Nevertheless, this self-report measure is not yet validated for the Portuguese population. Therefore, the purpose of this study was to evaluate the psychometric properties of the

Использование услуг здравоохранения 2-3 За десять лет до первого события, связанного с множественным склерозом.

ЦЕЛЬ: визиты в больницу, врачебную службу и отделение скорой помощи (ЭД) с помощью диагностики и специализации 29 :: годы, предшествующие многообразному склерозу (MS), по сравнению с совпадающей популяцией без MS. Мы идентифицировали людей с MS (PwMS) с использованием демографических административных данных из Онтарио (Канада)1991-2020). В первом диагностическом коде MS/Demilelining определяется начало MS (дата индекса). Ежегодные показатели использования медицинских услуг (больницы, врач, медицинский персонал) в разбивке по первичной диагностике (уровень главы) и врачебной специализации были

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… Studies in MS have shown that some groups (e.g., racialized groups, rural dwellers, those of lower socioeconomic status) maybe less likely to use the health system due to specific barriers such as access (due to travel distances, lack of public transport), health literacy or personal beliefs [ 51 , …