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Cancer Survivor Care

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121. Financial Burden in Survivors of Childhood Cancer: A Report From the Childhood Cancer Survivor Study. (PubMed)

Financial Burden in Survivors of Childhood Cancer: A Report From the Childhood Cancer Survivor Study. Purpose Survivors of childhood cancer may experience financial burden as a result of health care costs, particularly because these patients often require long-term medical care. We sought to evaluate the prevalence of financial burden and identify associations between a higher percentage of income spent on out-of-pocket medical costs (≥ 10% of annual income) and issues related to financial (...) burden (jeopardizing care or changing lifestyle) among survivors of childhood cancer and a sibling comparison group. Methods Between May 2011 and April 2012, we surveyed an age-stratified, random sample of survivors of childhood cancer and a sibling comparison group who were enrolled in the Childhood Cancer Survivor Study. Participants reported their household income, out-of-pocket medical costs, and issues related to financial burden (questions were adapted from national surveys on financial burden

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2017 Journal of Clinical Oncology

122. Physical activity in the community improves mobility for cancer survivors

cancer teams, not just in palliative care. NHS England’s 2016 Commissioning Guidance recommends rehabilitation for a number of conditions, including cancer. What are the implications? Older cancer survivors can find their physical functioning reduced after cancer and treatment, adding to any physical issues they may already have associated with ageing. Home- and community-based physical rehabilitation appears to help to improve these cancer survivors’ physical functioning. The participants were (...) . London: National Institute for Health and Care Excellence; 2014. NICE. CG80. London: National Institute for Health and Care Excellence; 2017. NICE. CG175. London: National Institute for Health and Care Excellence; 2014. Why was this study needed? As cancer treatments improve, more people are surviving cancer. Recent projections indicate that by 2040, nearly three out of four cancer survivors will be 65 years and older. However, cancer and its treatments affect the body and can impact on people’s

2018 NIHR Dissemination Centre

123. Prevention and Monitoring of Cardiac Dysfunction in Survivors of Adult Cancers

the progression of cardiac dysfunction. INTRODUCTION Section: Recent advances in cancer treatment and supportive care have resulted in a growing number of survivors of cancer. With longer survival, attention to the chronic and long-term adverse treatment effects has become increasingly important. Heart failure (HF), presenting during or after completion of cancer treatment, is a well-recognized complication impacting survival and quality of life. The American College of Cardiology (ACC) and American Heart (...) harms; Evidence quality: low; Strength of recommendation: moderate) 5. What are the preferred surveillance and monitoring approaches after treatment in patients at risk for cardiac dysfunction? Recommendation 5.1. Clinicians should complete a careful history and physical examination in survivors of cancer previously treated with potentially cardiotoxic therapies. (Informal consensus; benefits outweigh harms; Evidence quality: insufficient; Strength of recommendation: strong) Recommendation 5.1.1

2016 American Society of Clinical Oncology Guidelines

124. Management of Chronic Pain in Survivors of Adult Cancers

; Lakshmi Koyyalagunta and Eduardo Bruera, MD Anderson Cancer Center, Houston, TX; Michael Levy, Fox Chase Cancer Center, Philadelphia, PA; Christine Miaskowski, University of California-San Francisco, San Francisco; Shirley Otis-Green, Coalition for Compassionate Care of California, Sacramento, CA; and Paul Sloan, University of Kentucky, Lexington, KY. Abstract Section: Purpose To provide evidence-based guidance on the optimum management of chronic pain in adult cancer survivors. Methods An ASCO (...) the more nuanced care required when pain persists for months or years. This situation is in part caused by the relative absence of studies exploring the experiences of chronic pain in cancer survivors, or the long-term safety and effectiveness of analgesic interventions. THE BOTTOM LINE Management of Chronic Pain in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline Guideline Question How should chronic pain be managed in the adult cancer survivor? Target

2016 American Society of Clinical Oncology Guidelines

125. Parent and Health Care Provider Perceptions for Development of a Web-Based Weight Management Program for Survivors of Pediatric Acute Lymphoblastic Leukemia: A Mixed Methods Study (PubMed)

be promotion and support.Parents and pediatric oncology professionals are interested in and supportive of early weight management in pediatric ALL survivors. Future research needs to identify strategies to integrate this into pediatric cancer care and to evaluate the feasibility and efficacy of these strategies.©Sara Folta, Winnie Chang, Rachel Hill, Michael Kelly, Susan Meagher, W Paul Bowman, Fang Fang Zhang. Originally published in JMIR Cancer (http://cancer.jmir.org), 09.02.2017. (...) Parent and Health Care Provider Perceptions for Development of a Web-Based Weight Management Program for Survivors of Pediatric Acute Lymphoblastic Leukemia: A Mixed Methods Study Survivors of pediatric acute lymphoblastic leukemia (ALL) may experience unhealthy weight gain during treatment, which has been associated with higher risk for chronic health issues.The purpose of this study was to obtain feedback on weight management in pediatric ALL survivors and on the content and implementation

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2017 JMIR cancer

128. Improving quality of care and health outcomes for cancer survivors: Insights from the Patient-Centered Outcomes Research Institute's (PCORI) cancer portfolio. (PubMed)

Improving quality of care and health outcomes for cancer survivors: Insights from the Patient-Centered Outcomes Research Institute's (PCORI) cancer portfolio.

2016 Journal of Clinical Oncology

129. Self-reported financial burden of cancer care and its effect on physical and mental health-related quality of life among US cancer survivors. (PubMed)

Self-reported financial burden of cancer care and its effect on physical and mental health-related quality of life among US cancer survivors. Cancer-related financial burden has been linked to cancer survivors (CS) forgoing/delaying medical care, skipping follow-up visits, and discontinuing medications. To the authors' knowledge, little is known regarding the effect of financial burden on the health-related quality of life of CS.The authors analyzed 2011 Medical Expenditure Panel Survey data (...) . Financial burden was present if one of the following problems was reported: borrowed money/declared bankruptcy, worried about paying large medical bills, unable to cover the cost of medical care visits, or other financial sacrifices. The following outcomes were evaluated: Physical Component Score (PCS) and Mental Component Score (MCS) of the 12-Item Short-Form Health Survey (SF-12), depressed mood, psychological distress, and worry related to cancer recurrence. The authors also assessed the effect

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2016 Cancer

130. Young female cancer survivors' use of fertility care after completing cancer treatment (PubMed)

Young female cancer survivors' use of fertility care after completing cancer treatment The purpose of the present study is to investigate factors associated with female young adult cancer survivors' (YCSs) use of fertility care (FC), including consultation or fertility treatment, after completing their cancer treatment.In this cross-sectional study, females between that ages of 18 and 35 years who had been diagnosed with childhood, adolescent, or young adult cancers completed a 20-min web-based (...) survey that included demographics, reproductive history, use of FC, fertility-related informational needs, and reproductive concerns.A total of 204 participants completed the survey. Participants' mean age was 28.3 ± 4.5 years. Thirty (15 %) participants reported using FC after cancer treatment. The majority of participants recalled not receiving enough information about fertility preservation options at the time of cancer diagnosis (73 %). In multivariable analysis, those with higher concerns about

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2016 Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

131. One-Year Experience Managing a Cancer Survivorship Clinic Using a Shared-Care Model for Gastric Cancer Survivors in Korea (PubMed)

One-Year Experience Managing a Cancer Survivorship Clinic Using a Shared-Care Model for Gastric Cancer Survivors in Korea Given the rapid growth of the population of cancer survivors, increased attention has been paid to their health problems. Although gastric cancer is one of the most common cancers, empirical evidence of survivorship care is limited. The objectives of this study were to describe the health care status of gastric cancer survivors and to report the experience of using (...) the shared-care model during a one-year experience at the cancer survivorship clinic in Seoul National University Hospital. This is a descriptive, single-center study of 250 long-term gastric cancer survivors who were referred to the survivorship clinic. The status of their health behaviors, comorbid conditions, secondary cancer screenings, and survivorship care status were investigated through questionnaires and examining the medical records. Among the survivors, 7.2% were current smokers, 8.8% were

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2016 Journal of Korean medical science

132. Recommendations for ototoxicity surveillance for childhood, adolescent, and young adult cancer survivors: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group in collaboration with the PanCare Consortium. (PubMed)

Recommendations for ototoxicity surveillance for childhood, adolescent, and young adult cancer survivors: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group in collaboration with the PanCare Consortium. Childhood, adolescent, and young adult (CAYA) cancer survivors treated with platinum-based drugs, head or brain radiotherapy, or both have an increased risk of ototoxicity (hearing loss, tinnitus, or both). To ensure optimal care and reduce consequent (...) problems-such as speech and language, social-emotional development, and learning difficulties-for these CAYA cancer survivors, clinical practice guidelines for monitoring ototoxicity are essential. The implementation of surveillance across clinical settings is hindered by differences in definitions of hearing loss, recommendations for surveillance modalities, and remediation. To address these deficiencies, the International Guideline Harmonization Group organised an international multidisciplinary

2019 Lancet Oncology

133. Long-Term Risk of Skin Cancer Among Childhood Cancer Survivors: A DCOG-LATER Cohort Study. (PubMed)

Long-Term Risk of Skin Cancer Among Childhood Cancer Survivors: A DCOG-LATER Cohort Study. Skin cancer is common after radiotherapy among childhood cancer survivors (CCSs). We studied risks and risk factors for subsequent skin cancers, with emphasis on radiation dose, exposed skin surface area, and chemotherapeutic agents.The DCOG-LATER cohort study includes 5-year Dutch CCSs diagnosed 1963-2001. Subsequent skin cancers were identified from record linkages with the Netherlands Cancer Registry (...) the need for awareness by survivors and their health care providers.© The Author(s) 2019. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

2019 Journal of the National Cancer Institute

134. Bone health in childhood cancer: review of the literature and recommendations for the management of bone health in childhood cancer survivors. (PubMed)

-term adverse effects, and improve patient care. Children and adolescents with cancer history should be carefully monitored, and patients should be informed of possible late complications of their previous medical treatment. The International Osteoporosis Foundation convened a working group to review the bone complications of pediatric cancer survivors, outlining recommendations for the management of bone health, in order to prevent and treat these complications.© The Author 2019. Published (...) Bone health in childhood cancer: review of the literature and recommendations for the management of bone health in childhood cancer survivors. In the past decades, new cancer treatment approaches for children and adolescents have led to a decrease in recurrence rates and an increase in long-term survival. Recent studies have focused on the evaluation of the late effects on bone of pediatric cancer-related treatments, such as chemotherapy, radiation and surgery. Treatment of childhood cancer can

2019 Annals of Oncology

135. Second primary anal and oropharyngeal cancers in cervical cancer survivors. (PubMed)

) is significantly less than the NNS for cervical cancer.Squamous cell cervical cancer survivors have a substantially increased risk of anal and oropharyngeal cancers. This increased risk is significant 10 or more years after the cervical cancer diagnosis. Health care providers and survivors should be aware of this increased risk. The development of effective and economical surveillance methods for anal and oropharyngeal cancers in cervical cancer survivors is urgently needed.Copyright © 2019 Elsevier Inc. All (...) Second primary anal and oropharyngeal cancers in cervical cancer survivors. Human papilloma virus (HPV) infection is responsible for approximately 31,500 new cancers in the United States annually. Almost all cervical cancers are linked to HPV infection. As early identification and treatment of cervical cancer improve, the incidence of cervical cancer has decreased and survival has improved. However, survivors continue to remain at risk for other HPV-related malignancies. The purpose

2019 American Journal of Obstetrics and Gynecology

136. OVQUEST - Life after the diagnosis and treatment of ovarian cancer - An international survey of symptoms and concerns in ovarian cancer survivors. (PubMed)

OVQUEST - Life after the diagnosis and treatment of ovarian cancer - An international survey of symptoms and concerns in ovarian cancer survivors. Our aim was to investigate the prevalence and potential risk factors for persistent and troublesome physical and psychological symptoms following treatment for ovarian cancer (OC).OvQuest is an international, internet-based, cross-sectional questionnaire which explored symptom burden and quality of life (QOL) after treatment for OC. Eligible women (...) were aged 18 and over, diagnosed with OC at least 6 months previously and had received chemotherapy. Self-report data were collected including demographics, diagnosis and treatment, and standardised instruments for treatment-related toxicities, QOL, physical activity (PA) and supportive care needs.The survey included 1360 patients, of whom 421 (31%) had been treated for recurrent OC. 78% reported symptoms of peripheral neuropathy, 60% significant fatigue, 48% mood disturbance and 59% moderate

2019 Gynecologic Oncology

137. Acceptance and commitment therapy for breast cancer survivors with fear of cancer recurrence: A 3-arm pilot randomized controlled trial. (PubMed)

Acceptance and commitment therapy for breast cancer survivors with fear of cancer recurrence: A 3-arm pilot randomized controlled trial. Fear of cancer recurrence (FCR) has a profound negative impact on quality of life (QOL) for many cancer survivors. Breast cancer survivors (BCS) are particularly vulnerable, with up to 70% reporting clinically significant FCR. To the authors' knowledge, evidence-based interventions for managing FCR are limited. Acceptance and commitment therapy (ACT) promotes (...) psychological flexibility in managing life's stressors. The current study examined the feasibility and preliminary efficacy of group-based ACT for FCR in BCS.Post-treatment BCS (91 patients with stage I-III disease) with clinical FCR randomly were assigned to ACT (6 weekly 2-hour group sessions), survivorship education (SE; 6 weekly 2-hour group sessions), or enhanced usual care (EUC; one 30-minute group coaching session with survivorship readings). FCR severity (primary outcome) and avoidant coping

2019 Cancer

138. Attitudes of Clinicians about Screening Head and Neck Cancer Survivors for Lung Cancer Using Low-Dose Computed Tomography. (PubMed)

, and the complexity of discussions. They also identified challenges to LCS implementation.While clinicians feel that LDCT LCS may benefit some HNC survivors, there are barriers both to implementing LCS SDM for these patients in primary care as currently recommended and to integrating it into cancer clinics. Challenges for SDM across settings include a lack of decision aids tailored to patients with cancer histories. Given recommendations to broaden LCS eligibility criteria, more research may be required before (...) Attitudes of Clinicians about Screening Head and Neck Cancer Survivors for Lung Cancer Using Low-Dose Computed Tomography. National guidelines recommend lung cancer screening (LCS) using low-dose computed tomography (LDCT) for high-risk patients, including survivors of other tobacco-related cancers like head and neck cancer (HNC). This qualitative study investigated clinicians' practices and attitudes toward LCS with LDCT with patients who have survived HNC, in the context of mandated

2019 Rhinology and Laryngology

139. Machine learning for detection of lymphedema among breast cancer survivors (PubMed)

Machine learning for detection of lymphedema among breast cancer survivors In the digital era when mHealth has emerged as an important venue for health care, the application of computer science, such as machine learning, has proven to be a powerful tool for health care in detecting or predicting various medical conditions by providing improved accuracy over conventional statistical or expert-based systems. Symptoms are often indicators for abnormal changes in body functioning due to illness (...) or side effects from medical treatment. Real-time symptom report refers to the report of symptoms that patients are experiencing at the time of reporting. The use of machine learning integrating real-time patient-centered symptom report and real-time clinical analytics to develop real-time precision prediction may improve early detection of lymphedema and long term clinical decision support for breast cancer survivors who face lifelong risk of lymphedema. Lymphedema, which is associated with more than

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2018 mHealth

140. Recommendations for the identification and management of fear of cancer recurrence in adult cancer survivors

Recommendations for the identification and management of fear of cancer recurrence in adult cancer survivors Recommendations for the identification and management of fear of cancer recurrence in adult cancer survivors JUNE 2014 | Incorporates published evidence to May 2012 A CLINICAL PRACTICE GUIDELINE DEVELOPED BY CANCER AUSTRALIA This document supplements information contained in the Clinical practice guidelines for the psychosocial care of adults with cancer, 2003. 1 ISBN Online: 978-1-74127 (...) -279-6 © Cancer Australia 2014 Purpose This guideline includes statements and recommendations based on available evidence about the identification of fear of cancer recurrence, and support for adult cancer survivors experiencing it. The guideline provides health professionals with information designed to assist in making management recommendations and providing care for improved patient outcomes. This guideline has been developed for use by all health professionals involved in cancer care, and all

2014 Cancer Australia

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