Menée au Japon, cette étude présente des recommandations concernant la prise en charge des symptômes gastro-intestinaux chez des patients atteints de cancer

Clinical Guidelines for Management of Gastrointestinal Symptoms in Cancer Patients: The Japanese Society of Palliative Medicine Recommendations

Hisanaga Takayuki ; Shinjo Takuya ; Imai Kengo ; Katayama Kanji ; Kaneishi Keisuke ; Honma Hideyuki ; Takagaki Nobumasa ; Osaka Iwao ; Matsuo Naoki ; Kohara Hiroyuki ; Yamaguchi Takashi ; Nakajima Nobuhisa

Background: Gastrointestinal symptoms, including nausea, vomiting, bowel obstruction, ascites, constipation, and anorexia, are common and often refractory in advanced cancer patients. The palliation of gastrointestinal symptoms is important in improving the quality of life of cancer patients, as well as that of their families and caregivers. Currently published clinical guidelines for the management of gastrointestinal symptoms in cancer patients do not comprehensively cover the topics or are [...]

A partir d'une revue des essais randomisés (29 essais), cette étude analyse l'intérêt du yoga pour prendre en charge les symptômes et améliorer la qualité de vie chez des patients atteints d'un cancer, pendant et après les traitements

Yoga for symptom management in oncology: A review of the evidence base and future directions for research

Danhauer, Suzanne C. ; Addington, Elizabeth L. ; Cohen, Lorenzo ; Sohl, Stephanie J. ; Van Puymbroeck, Marieke ; Albinati, Natalia K. ; Culos-Reed, S. Nicole

Because yoga is increasingly recognized as a complementary approach to cancer symptom management, patients/survivors and providers need to understand its potential benefits and limitations both during and after treatment. The authors reviewed randomized controlled trials (RCTs) of yoga conducted at these points in the cancer continuum (N = 29; n = 13 during treatment, n = 12 post-treatment, and n = 4 with mixed samples). Findings both during and after treatment demonstrated the efficacy of yoga [...]

A partir d'une revue systématique de la littérature (8 études, 685 patients), cette étude analyse l'intérêt, pour améliorer la qualité de vie, d'interventions de réadaptation combinant activité physique et soutien nutritionnel chez des patients atteints d'un cancer incurable

Combined exercise and nutritional rehabilitation in outpatients with incurable cancer: a systematic review

Hall, Charlie C. ; Cook, Jane ; Maddocks, Matthew ; Skipworth, Richard J. E. ; Fallon, Marie ; Laird, Barry J.

Purpose : The optimal components for rehabilitation in patients with incurable cancer are unclear. However, principles of exercise and nutrition-based interventions used in cancer cachexia may be applied usefully to this population of cancer patients. This systematic review examines current evidence for rehabilitation combining exercise and nutritional support in patients with incurable cancer. Methods : MEDLINE, EMBASE and Cochrane databases were searched. Eligible studies included patients [...]

A partir d'une revue des essais randomisés (81 essais, 10 003 patients), cette méta-analyse compare l'efficacité de divers types de médicaments pour réduire la douleur chronique chez des patients atteints d'un cancer

Comparative Efficacy of Therapeutics for Chronic Cancer Pain: A Bayesian Network Meta-Analysis

Rongzhong Huang ; Lihong Jiang ; Yu Cao ; Hongli Liu ; Minsheng Ping ; Wei Li ; Yu Xu ; Jie Ning ; Yuqing Chen ; Xiaojing Wang

PURPOSE: Opioids are the primary choice for managing chronic cancer pain. However, many nonopioid therapies are currently prescribed for chronic cancer pain with little published evidence comparing their efficacy. METHODS : Electronic databases were searched for randomized controlled trials (RCTs) comparing any systemic pharmaceutical intervention and/or combination thereof in treating chronic cancer pain. The primary outcome was global efficacy reported as an odds ratio (OR). The secondary [...]

Menée aux Etats-Unis par enquête auprès de 85 patientes ayant survécu à un cancer gynécologique, cette étude analyse les changements survenus dans leur vie sexuelle après les traitements anticancéreux et identifie leurs attentes concernant le rôle de leur médecin pour améliorer la qualité de leur sexualité

Sexual quality of life after the treatment of gynecologic cancer: what women want

Hubbs, J. L. ; Dickson Michelson, E. L. ; Vogel, R. I. ; Rivard, C. L. ; Teoh, D. G. K. ; Geller, Melissa A.

Purpose : While the incidence of sexual dysfunction after treatment for gynecologic malignancies is well documented, few studies describe how patients want healthcare providers to address these concerns. The objective of this study was to evaluate changes in sexual function and describe patient preferences regarding healthcare provider roles in addressing and treating sexual dysfunction in gynecologic cancer survivors. Methods : Patients undergoing gynecologic cancer treatment from 2013 to 2014 [...]

Mené sur 242 patientes atteintes d'un cancer du sein, cet essai randomisé évalue l'efficacité de bandes d'acupression, utilisées en complément d'une musique de relaxation, pour prévenir les nausées induites par la chimiothérapie

Positive effects of acupressure bands combined with relaxation music/instructions on patients most at risk for chemotherapy-induced nausea

Peoples, Anita R. ; Culakova, Eva ; Heckler, Charles E. ; Shayne, Michelle ; O’Connor, Tracey L. ; Kirshner, Jeffrey J. ; Bushunow, Peter W. ; Morrow, Gary R. ; Roscoe, Joseph A.

Purpose : Research by our group has shown that acupressure bands are efficacious in reducing chemotherapy-induced nausea (CIN) for breast cancer patients who expect nausea, and that their effectiveness in controlling CIN can largely be accounted for by patients’ expectations of efficacy, i.e., a placebo effect. The present research examined if the effectiveness of acupressure bands could be enhanced by boosting patients’ expectation of the bands’ efficacy. Methods : Two hundred forty-two [...]

Mené aux Etats-Unis sur 556 patients ayant survécu à un cancer de la prostate (âge moyen : 67 ans), cet essai randomisé évalue l'intérêt d'une intervention personnalisée, automatisée et dispensée par téléphone permettant d'améliorer la capacité des patients à prendre en charge leurs symptômes

Self-Management in Long-Term Prostate Cancer Survivors: A Randomized, Controlled Trial

Ted A. Skolarus ; Tabitha Metreger ; Daniela Wittmann ; Soohyun Hwang ; Hyungjin Myra Kim ; Robert L. Grubb III ; Jeffrey R. Gingrich ; Hui Zhu ; John D. Piette ; Sarah T. Hawley

PURPOSE : This randomized clinical trial compared a personally tailored, automated telephone symptom management intervention to improve self-management among long-term survivors of prostate cancer with usual care enhanced with a nontailored newsletter about symptom management. We hypothesized that intervention-group participants would have more confident symptom self-management and reduced symptom burden. METHODS : A total of 556 prostate cancer survivors who, more than 1 year after treatment, [...]

A partir d'une revue systématique de la littérature publiée entre 1984 et 2016 (45 études), cette étude analyse l'association entre le lieu de résidence (zone rurale ou urbaine) et la survie, chez des patients atteints d'un cancer dans les pays à revenus élevés

Rural–urban residence and cancer survival in high-income countries: A systematic review

Afshar, Nina ; English, Dallas R. ; Milne, Roger L.

There is some evidence that place of residence is associated with cancer survival, but the findings are inconsistent, and the underlying mechanisms by which residential location might affect survival are not well understood. We conducted a systematic review of observational studies investigating the association of rural versus urban residence with cancer survival in high-income countries. We searched the Ovid Medline, EMBASE, and CINAHL (Cumulative Index to Nursing and Allied Health Literature) [...]

Menée en Chine par questionnaire auprès de 285 patients atteints d'un cancer (173 cas de cancer du sein, 112 cas de cancer colorectal), cette étude analyse, 8 semaines après un traitement chirugical, les facteurs associés à la peur de la récidive, et notamment les processus métacognitifs

Fear of cancer recurrence among Chinese cancer survivors: prevalence and associations with Metacognition and Neuroticism

Ng, D.W.L. ; Kwong, A. ; Suen, D. ; Chan, M. ; Or, A. ; Ng, S.S. ; Foo, C.C. ; Fielding, B.F.S. ; Lam, W.W.T.

Objective : Fear of cancer recurrence (FCR) represents a chronic burden for many cancer survivors. We determined FCR prevalence and potential correlates, specifically metacognitive styles and Neuroticism among Chinese cancer survivors with breast or colorectal cancer. Methods : This study included 285 Chinese patients with breast (N=173) or colorectal (N=112) cancers at eight weeks post‐surgery. Participants completed a set of baseline questionnaires evaluating FCR (FCRI‐SF), Metacognition [...]

A partir d'une revue systématique de la littérature publiée entre 1980 et 2017 (21 études), cette étude analyse l'efficacité de divers types d'interventions psychologiques pour réduire la détresse psychique et améliorer la qualité de vie chez des patients atteints d'un cancer de la tête et du cou

A systematic review of psychological interventions for patients with head and neck cancer

Richardson, Amy E. ; Broadbent, Elizabeth ; Morton, Randall P.

Aim : The purpose of this systematic review is to identify psychological interventions that have been effective at improving quality of life and reducing psychological distress (depression and anxiety) in patients with head and neck cancer. Methods : All relevant peer-reviewed articles published between March 1980 and March 2017 were identified through an electronic search of five databases: Medline, Embase, PsycINFO, Scopus, and Academic Search Complete. Risk of bias was independently assessed [...]