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Real-World Data on Therapies for Relapsed or Refractory Multiple Myeloma: Key Data from ASH 2023-A Podcast.

Immunotherapies have significantly improved outcomes in patients with multiple myeloma yet maintaining a durable response in heavily pretreated patients remains challenging. Therapies that target B cell maturation antigen (BCMA) provide additional treatment options in patients whose disease becomes refractory to several drug classes in early lines of therapy. Clinical trial data from selected patient populations and controlled settings are complemented by real-world data (RWD) from actual clinical practice. In this podcast, the authors reviewed and discussed seven abstracts presented at the 65

Psychological empowerment and quality of life in haematopoietic stem cell transplantation patients: A quantitative study.

AimThis study aimed to evaluate the relationship between psychological empowerment, depression, anxiety, and quality of life in people with haematopoietic stem cell transplantation (HSCT).DesignA longitudinal prospective study.MethodsA sample of 150 people with haematological was recruited at Santaros Clinics in Lithuania between September 2020 and April 2022. Demographic characteristics, cancer-related characteristics, depression, anxiety, psychological empowerment and quality of life (QoL) were assessed using self-report questionnaires before and 10-12 weeks after HSCT. Descriptive statistic

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… In recent psycho‐oncological studies, we can also find concepts such as informed consent and health literacy (Eskildsen et al., 2017 ; Merluzzi et al., 2019 ). Park and Park ( 2013 ) argued that all these constructs can be considered as characteristics of empowerment. …

A discrete choice experiment analysis to understand patient preferences for multiple myeloma treatments.

IntroductionMultiple myeloma (MM) is a malignant plasma cell disorder characterized by the clonal expansion of abnormal plasma cells within the bone marrow. The management of relapsed/refractory multiple myeloma (RRMM) represents a significant challenge as the disease relapses or becomes refractory to previous treatments. Recent advances in therapy have expanded RRMM treatment options. This study aimed to gain a deeper understanding of patients' treatment preferences regarding available therapeutic options.MethodsThis study was designed as a non-interventional descriptive cross-sectional study

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… In practice, patients’ actual choices are influenced by factors such as physician recommendations, emotional responses, trust, health literacy, and the way risks and benefits are communicated. …

Measuring quality of life in people living with and beyond cancer in the UK.

PurposeThe aim of this study was to identify the most appropriate measure of quality of life (QoL) for patients living with and beyond cancer.MethodsOne hundred eighty-two people attending cancer clinics in Central London at various stages post-treatment, completed a series of QoL measures: FACT-G, EORTC QLQ-C30 , IOCv2 (positive and negative subscales) and WEMWBS, a wellbeing measure. These measures were chosen as the commonest measures used in previous research. Correlation tests were used to assess the association between scales. Participants were also asked about pertinence and ease of com

ESMO/ASCO Recommendations for a Global Curriculum in Medical Oncology Edition 2023.

The European Society for Medical Oncology (ESMO) and ASCO are publishing a new edition of the ESMO/ASCO Global Curriculum (GC) with contributions from more than 150 authors. The purpose of the GC is to provide recommendations for the training of physicians in medical oncology and to establish a set of educational standards for trainees to qualify as medical oncologists. This edition builds on prior ones in 2004, 2010, and 2016 and incorporates scientific advances and input from an ESMO/ASCO survey on GC adoption conducted in 2019, which revealed that GC has been adopted or adapted in as many a

Adapting Yoga Therapy to Meet the Needs of Inpatients Undergoing Hematopoietic Stem Cell Transplantation: Insights From an International, Multisite, Qualitative Study.

PurposeYoga therapy (YT) is a growing mind-body approach in oncology. However, its integration into hematopoietic stem cell transplantation (HSCT) remains limited, particularly in non-Western and resource-constrained settings. This formative qualitative study aimed to explore the lived experiences of HSCT patients in the United States, India, and Tanzania to inform the development of a culturally adapted YT protocol.MethodsFifteen post-HSCT adult participants were recruited from three international cancer centers using purposive sampling. Semistructured interviews were conducted in participant

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… Key adaptation domains explored included target audience (eg, age, health literacy), service settings (physical barriers, space, resources), mode of delivery (eg, session length, mode), cultural context (eg, values, norms, worldview), and core intervention components (intervention elements essential …

Feasibility of decentralized real-world monitoring of SARS-CoV-2 booster vaccines and COVID-19 outcomes in myeloma.

AbstractPatients with multiple myeloma have an elevated risk of severe complications from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; COVID-19) infection. To demonstrate proof of concept for a pandemic preparedness and response network, the American Society of Hematology Research Collaborative Multiple Myeloma Program developed a prospective, decentralized study within a site-based provider network. In the COVID-19 outcomes in myeloma and the impact of vaccines (COSMIC) study, patients provided consent, permitted electronic health record data collection, completed patient-repo

15 years supporting adherence to oral anti-cancer treatment: use of the MASCC Oral Agent Teaching Tool (MOATT) worldwide, a review for the future.

IntroductionThe MASCC Oral Agent Teaching Tool (MOATT®) was developed to address the challenges of patient education and adherence in the context of oral anticancer agents. Despite its evidence-based design and global availability, there is limited documentation on its application in clinical practice and research. This review aims to assess the extent of MOATT usage and evaluate the impact on patient outcomes.MethodsA scoping review was conducted following Joanna Briggs Institute and PRISMA-ScR reporting standards. Databases included CINAHL, Embase, PsycInfo, Web of Science, and PubMed. Inclu

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… MOATT adapted with awareness of potentially lower health literacy and language barriers Gallagher 2021; USA [ 32 ] | Multiple myeloma;11 | Oral CT agents | ✓ | ✓ | F | | Decrease in ASK-12 medication adherence scores from pre (M = 18.64, SD = 3.85) to post (M = 18.27, SD = 3.66). …

Longitudinal Collection of Patient-Reported Outcomes and Activity Data during CAR-T Therapy: Feasibility, Acceptability, and Data Visualization.

Background: Clinicians must closely monitor patients for toxicities after chimeric antigen receptor T-cell therapy (CAR-T). Patient-reported outcomes (PROs) (e.g., toxicities, quality of life) and activity data (e.g., steps, sleep) may complement clinicians’ observations. This study tested the feasibility and acceptability of collecting PROs and activity data from patients with hematologic malignancies during CAR-T and explored preliminary data patterns. Methods: Participants wore a Fitbit tracker and completed PROs at several timepoints through 90-days post-infusion. Feasibility was assessed

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… In addition, this study did not include an assessment of digital health literacy prior to enrolling participants, which future studies should consider. 5. …

Financial Toxicity of Hematologic Malignancy Therapies, Including Cellular Therapy and Its Impact on Access to Care: Prospective Pilot Study.

BackgroundPatients with cancer often face significant financial challenges, known as financial toxicity (FT), which is associated with reduced quality of life. Patients with hematologic malignancies (HMs) are especially vulnerable due to intensive and prolonged treatments, frequent hospital visits, and a high risk of complications. While FT affects many in the general population, it is particularly severe among racial and ethnic minorities, especially those below the poverty line. To our knowledge, no studies have specifically examined FT in this vulnerable group in the United States.Objective

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… Additionally, these patients are likely to have lower health literacy, leading to late disease presentation, increasing the intensity and cost of treatment. These findings underscore the structural inequities that contribute to FT among racial and ethnic minorities and immigrant populations. …

Лечение пациентов с гематологическим раком на дому в Дании - национальный обзор.

ЦЕЛЬ: Изучение масштабов и практики лечения на дому пациентов с гематологическими заболеваниями в Дании. МЕТОДЫ: Это общенациональное исследование проводилось во всех датских гематологовых департаментах (n = 9). На каждом сайте был получен онлайновый вопросник для сбора данных о типе терапии, применяемой в качестве лечения на дому, о конкретных методах лечения с подробной информацией о целевых группах населения, критериях для пациентов, ходе осуществления и практике клинического лечения.Результаты: Six В датских гематологических отделениях в качестве домашнего лечения предлагались такие виды т

Психосоциальные и поведенческие корреляции ВИЧ-инфицированных мужчин, имеющих сексуальные отношения с мужчинами в Португалии: перекрестное исследование.

Справочная информация/задачи: Мужчины, вступающие в половые отношения с мужчинами (МСМ), несут в Португалии непропорционально большую долю ВИЧ-инфекции, однако социально-психологические характеристики ВИЧ-инфицированных лиц по-прежнему недостаточно описаны. В этом перекрестном исследовании изучалось, как навязчивое сексуальное поведение, интернализованный хомонегатив, психологическое расстройство, трудности с регулированием эмоций и употребление веществ связаны с ВИЧ серостатусом, независимо от социально-демографических характеристик. Методы: Удобная выборка из 480 Cisgender MSM (66 человек, ж

Перспективы медицинских работников и пациентов с повторной/редактированной миеломой в отношении приоритетных направлений лечения и новообразований.

ПППОСА: В связи с новыми методами лечения, включая химерик антигенный рецептор T-клетка (CAR-T) и биконкретные антитела (BSAbs), медицинские работники (HCP) сталкиваются с трудностями, связанными с лечением пациентов с повторной/рефрактурной множественной миеломой (RRMMM). В рамках этого исследования, проведенного в рамках самых крупных обследований, посвященных ОРМ, были изучены неудовлетворенные потребности в доступе к медицинскому обслуживанию, препятствия на пути использования новых методов лечения и принятия решений о лечении. МЕТОДЫ: Это исследование, основанное на результатах обследован

mHealth-Supported Exercise Rehabilitation to Reverse Frailty After Autologous Transplantation in Multiple Myeloma: Randomized Controlled Trial.

BACKGROUND: Frailty is highly prevalent in survivors of multiple myeloma (MM) after autologous hematopoietic cell transplantation and is associated with poor functional recovery and adverse clinical outcomes. Although exercise is known to improve physical function, traditional center-based rehabilitation models are often inaccessible to this population during early posttransplant recovery. Mobile health (mHealth)-supported exercise may offer a scalable alternative; however, evidence in hematologic malignancies remains limited. OBJECTIVE: This study aimed to evaluate the effects of a 16-week m

Effects of dyadic-based physical activity intervention on cancer-related fatigue among cancer survivors: A scoping review.

ObjectiveCancer-related fatigue is one of the most common adverse reactions to cancer survivors, which has a significant impact on the daily life. As a traumatic event, cancer not only brings great physical and mental harm to patients, but also poses a threat to the physical and psychological health of caregivers. Current studies have shown that physical activity improves cancer-related fatigue in cancer survivors. And studies have suggested that dyadic interventions are more effective in improving patient outcomes and may also provide some benefits to caregivers. But the literature on the eff

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… Health literacy and functional exercise adherence in postoperative breast cancer patients . Patient Prefer. Adherence . 11 , 781 – 786 . 10.2147/PPA.S127925 28458522 PMC5402901 Thieser S. Dörfler J. Rudolph I. Wozniak T. Schmidt T. Hübner J. . ( 2021 ). …

Implementation of a model integrating primary and oncology pharmacists' care for patients taking oral anticancer agents (OAA).

Improvements in chronic myeloid leukemia (CML), chronic lymphocytic leukemia (CLL), and multiple myeloma (MM) treatment options have increased the 5-year survival rates for patients with these hematologic malignancies. In addition to cancer management, these patients may need help to manage multiple chronic conditions (MCC). The overall objective of this study is to examine the impact and implementation of a model that coordinates care between oncology and primary care pharmacists for people taking an oral anti-cancer agent (OAAs) and medications for comorbid chronic conditions. This is a mult

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… In addition to symptom assessment, the PROM asks about patients' confidence in self-management of and ability to recognize the need to seek medical care for symptoms using a 0 (not confident) to 10 (confident) scale and includes a health literacy item. …

Искусственный интеллект в педиатрической нейрорадиологии: текущий ландшафт, проблемы и будущие направления.

В настоящем обзоре содержится информация о нынешнем ландшафте искусственного интеллекта (АИ) в области педиатрической и эмбриональной нейрорадиологии, критическая оценка текущей практики, барьеров на пути к клиническому усыновлению и будущего потенциала. Мы искали рецензированные исследования за последнее десятилетие, сфокусировавшись на сегментации изображений, обнаружении повреждений, классификации, прогнозировании и поддержке клинического решения при педиатрической съемке мозга. Особое внимание было уделено уникальным педиатрическим факторам, таким, как развитие мозга и нехватка данных. Мет

Инструменты и наборы инструментальных средств по лечению рака и психическому здоровью: обзор с целью анализа в соответствии с Руководящими принципами ПОРСМА-СКР.

Справочная информация: Наборы инструментальных средств/наборы инструментальных средств представляют собой перспективный инструмент для лечения раковых заболеваний и охраны психического здоровья. Однако для определения их ключевых компонентов и эффективных стратегий осуществления необходимы исследования. Методы: В соответствии с PRISMA-ScR поиск проводился по пяти базам данных с использованием ключевых терминов. Включены исследования по вопросам психического здоровья или лечения раковых заболеваний с использованием комплектов инструментов или инструментов для взрослых, документируются стратегии

От прогнозирования к вмешательству: Искусственный интеллект для адаптивного реагирования и моделирования токсичности в клеточной терапии для гематологовых злодеяний.

Гематологическая магнелезность, включая острую лейкемию миэлоида, миэлодипластические синдромы, лимфому и множественную миелому, характеризуется глубокой биологической гетерогенностью и высокодинамичными траекториями лечения, которые традиционные статические прогнозирующие системы неполно улавливают. Клеточная терапия, такая, как химерик антигенная рецепторная терапия Т-клеток и трансплантация стволовых клеток с гематополией, предлагает потенциально лечебные варианты для рецидива или рефракторного заболевания, однако результаты остаются весьма различными, а управленческие решения, касающиеся и

Impact of genetic polymorphisms on the response to transdermal fentanyl in cancer patients-a single-center, prospective, biological study.

BACKGROUND/OBJECTIVES: Transdermal fentanyl (TDF) is widely used for moderate-to-severe cancer pain, yet substantial variability in fentanyl exposure, analgesic response, and tolerability remains incompletely explained by clinical factors. We evaluated whether pharmacogenetic variability is associated with pharmacokinetic parameters and clinical outcomes in cancer patients receiving TDF. METHODS: In this prospective, single-center study, adults with solid or hematological malignancies and chronic cancer pain treated with stable-dose 72 h TDF were enrolled. Blood samples were collected for pha

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… Factors such as caregiver availability, living situation, health literacy, cultural attitudes toward opioids, previous pain experiences, and patient-clinician communication may influence pain reporting, adherence, and perceived treatment benefit. …