A partir de données d'études menées en Europe et au Canada, cette étude analyse l'incidence des épisodes de douleur aiguë et leurs modalités de prise en charge chez les patients atteints de cancer

Breakthrough cancer pain: a comparison of surveys with European and Canadian patients

Bedard, Gillian ; Davies, Andrew ; McDonald, Rachel ; Hawley, Philippa ; Buchanan, Alison ; Popovic, Marko ; Wong, Erin ; Chow, Edward

Introduction : Breakthrough cancer pain is defined as a transient exacerbation of pain that occurs spontaneously or in response to a trigger, despite stable and controlled background pain. Breakthrough pain often causes significant functional impairments for patients and can decrease quality of life. Objective : The objective of the study was to determine differences between breakthrough cancer pain incidence and management in Canada and Europe. Methods : Data collected from previous studies of [...]

Menée au Royaume-Uni par entretiens auprès de 15 patients atteints d'un mélanome cutané (âge : de 27 à 78 ans), cette étude analyse leurs besoins en soins de support et en prise en charge psychosociale après le diagnostic de la maladie

Assessing the impact of diagnosis and the related supportive care needs in patients with cutaneous melanoma

Stamataki, Zoe ; Brunton, L. ; Lorigan, P. ; Green, A. C. ; Newton-Bishop, J. ; Molassiotis, A.

Purpose : Despite the large number of people affected by melanoma, little is known about the specific needs of melanoma patients. Understanding the effects of melanoma diagnosis and the specific supportive care needs of this group of patients is a necessary step towards provision of effective psychosocial care. Methods : Semi-structured interviews were carried out with 15 patients with malignant melanoma of the skin. The sample size, which was purposive, included 8 females and 7 males from 27 [...]

Menée en Irlande auprès de 496 survivants d'un cancer colorectal (186 femmes, 310 hommes), cette étude analyse les disparités de qualité de vie en fonction de la distance entre le lieu de résidence et l'hôpital

Distance from treating hospital and colorectal cancer survivors’ quality of life: a gendered analysis

Thomas, AudreyAlforque ; Gallagher, Pamela ; O’Céilleachair, Alan ; Pearce, Alison ; Sharp, Linda ; Molcho, Michal

Purpose : Distance from residence to hospital has been associated with clinical outcomes for colorectal cancer patients. However, little is known about the association of remoteness with quality of life (QoL) for colorectal cancer survivors. We examined the relationship between distance from hospital and colorectal cancer survivors’ QoL, with a specific focus on gender. Methods : Colorectal cancer survivors in Ireland who were more than 6-months postdiagnosis completed the European Organization [...]

Cet article présente des recommandations pour la prise en charge des complications orales liées à une chimiothérapie ou à une greffe de cellules souches hématopoïétiques chez des patients atteints d'un cancer

Basic oral care for hematology–oncology patients and hematopoietic stem cell transplantation recipients: a position paper from the joint task force of the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO) and the European Society for Blood and Marrow Transplantation (EBMT)

Elad, Sharon ; Raber-Durlacher, JudithE ; Brennan, MichaelT ; Saunders, DeborahP ; Mank, ArnoP ; Zadik, Yehuda ; Quinn, Barry ; Epstein, JoelB ; Blijlevens, NicoleM A. ; Waltimo, Tuomas ; Passweg, JakobR ; Correa, M. ElviraP ; Dahllöf, Göran ; Garming-Legert, KarinU E. ; Logan, RichardM ; Potting, CarinM J. ; Shapira, MichaelY ; Soga, Yoshihiko ; Stringer, Jacqui ; Stokman, MoniqueA ; Vokurka, Samuel ; Wallhult, Elisabeth ; Yarom, Noam ; Jensen, SiriBeier

Purpose : Hematology–oncology patients undergoing chemotherapy and hematopoietic stem cell transplantation (HSCT) recipients are at risk for oral complications which may cause significant morbidity and a potential risk of mortality. This emphasizes the importance of basic oral care prior to, during and following chemotherapy/HSCT. While scientific evidence is available to support some of the clinical practices used to manage the oral complications, expert opinion is needed to shape the current [...]

Menée aux Pays-Bas par questionnaire auprès de 343 survivantes d'un cancer du col de l'utérus et de 154 partenaires de vie, cette étude de cohorte analyse leurs préoccupations relatives à leur vie sexuelle et leurs besoins de prise en charge

Sexual issues among cervical cancer survivors: how can we help women seek help?

Vermeer, Willemijn M. ; Bakker, Rinske M. ; Kenter, Gemma G. ; de Kroon, Cor D. ; Stiggelbout, Anne M. ; ter Kuile, Moniek M.

Objective : Many women treated for cervical cancer (CC) report sexual complaints and sexual distress. It is important to assess these women's and their partners' sexual healthcare needs. This study aims to (a) investigate the prevalence of psychosexual healthcare needs and help-seeking behaviour among CC survivors, (b) identify the association between psychosocial variables and help-seeking intentions among CC survivors and (c) assess survivors' and partners' preferences regarding psychosexual [...]

Menée en Corée auprès de 137 cas et 111 témoins, cette étude analyse les caractéristiques clinicopathologiques et la survie de patients atteints d'un cancer de l'estomac et présentant des métastases osseuses

Gastric cancer with initial bone metastasis: A distinct group of diseases with poor prognosis

Kim, Yu Jung ; Kim, Se Hyun ; Kim, Jin Won ; Lee, Jeong-Ok ; Kim, Jee Hyun ; Bang, Soo-Mee ; Lee, Jong Seok ; Lee, Keun-Wook

Background : Bone metastasis (BM) is reported as a poor prognostic factor in gastric cancer. However, the clinicopathologic characteristics and clinical outcomes of patients with BM compared with patients without BM have not been well described. Patients and methods : The medical records of all metastatic or recurrent gastric cancer (MRGC) patients who visited our institution were reviewed. A total of 137 evaluable patients with BM were analysed together with historical control without BM [...]

Menée aux Etats-Unis, cette étude cas-témoins (249 cas) évalue l'association entre une consommation de viande rouge et de fruits et la survie de patients atteints d'un mélanome cutané d'épaisseur supérieure à 1 millimètre

Red meat and fruit intake is prognostic among patients with localized cutaneous melanomas more than 1 mm thick

Gould Rothberg, Bonnie E. ; Bulloch, Kaleigh J. ; Fine, Judith A. ; Barnhill, Raymond L. ; Berwick, Marianne

Background : As the 10-year mortality for localized cutaneous melanoma more than 1.00 mm thick approaches 40% following complete resection, non-therapeutic interventions that can supplement recommended active surveillance are needed. Although guidelines recommending nutrition, physical activity and tobacco cessation for cancer survivors have been published, data describing their associations with melanoma survivorship are lacking. Methods : Analysis of modifiable lifestyle behaviors collected [...]

Menée à partir d'une enquête auprès de 15 582 femmes sans antécédent de cancer du sein et âgées de 35 à 85 ans, cette étude américaine évalue, en fonction de l'origine ethnique, l'association entre le fait d'habiter en zone rurale ou en zone urbaine et la probabilité à 5 ans, estimée à partir des facteurs de risque connus, de développer un cancer du sein

Cross-sectional Study to Assess the Association of Population Density with Predicted Breast Cancer Risk

Lee, Jeannette Y. ; Klimberg, Suzanne ; Bondurant, Kristina L. ; Phillips, Martha M. ; Kadlubar, Susan A.

The Gail and CARE models estimate breast cancer risk for white and African-American (AA) women, respectively. The aims of this study were to compare metropolitan and nonmetropolitan women with respect to predicted breast cancer risks based on known risk factors, and to determine if population density was an independent risk factor for breast cancer risk. A cross-sectional survey was completed by 15,582 women between 35 and 85 years of age with no history of breast cancer. Metropolitan and [...]

Menée en Suisse par questionnaire auprès de 207 couples dont l'un des partenaires est atteint de cancer, cette étude suggère l'intérêt d'une psychothérapie de couple pour traiter les symptômes de dépression et améliorer la qualité de vie

Mutual associations between patients' and partners' depression and quality of life with respect to relationship quality, physical complaints, and sense of coherence in couples coping with cancer

Drabe, Natalie ; Klaghofer, Richard ; Weidt, Steffi ; Zwahlen, Diana ; Büchi, Stefan ; Jenewein, Josef

Purpose : The aim of this article is to examine the mutual associations between patients' and partners' depression and quality of life (QOL) in couples facing cancer with respect to potential resources (sense of coherence and relationship quality (RQ)) and stressors (physical complaints). Patients and Methods : Questionnaires rating depression, QOL, sense of coherence, RQ, and physical complaints were completed by 207 couples facing different cancer types and stages. Multiple regression models [...]

Menée à Taïwan auprès de 28 454 participants (14 227 cas et 14 227 témoins), cette étude évalue les risques d'anxiété et de dépression associés à un dagnostic de cancer de l'œsophage

Anxiety and depressive disorders among patients with esophageal cancer in Taiwan: a nationwide population-based study

Hu, Li-Yu ; Ku, Fan-Chen ; Wang, Yen-Po ; Shen, Cheng-Che ; Hu, Yu-Wen ; Yeh, Chiu-Mei ; Chen, Pan-Ming ; Chiang, Huey-Ling ; Lu, Ti ; Chen, Tzeng-Ji ; Teng, Chung-Jen ; Liu, Chia-Jen

Background : The comorbidity of depression with anxiety disorders is associated with poorer treatment outcomes, worse quality of life, poorer adherence to treatment, and greater suicide risk in cancer patients. Objective : To assess the risk of comorbid anxiety and depressive disorders after the diagnosis of esophageal cancer compared with a matched cohort by using the Taiwan National Health Insurance Research Database (NHIRD). Methods : We conducted a retrospective study of 28,454 patients [...]

Menée aux Etats-Unis par enquête auprès de 1 562 médecins généralistes et 2 144 médecins spécialistes, cette étude analyse les obstacles rencontrés par les généralistes pour adresser leurs patients atteints de cancer à un spécialiste

Physician-reported barriers to referring cancer patients to specialists: Prevalence, factors, and association with career satisfaction

Kwon, Daniel H. ; Tisnado, Diana M. ; Keating, Nancy L. ; Klabunde, Carrie N. ; Adams, John L. ; Rastegar, Afshin ; Hornbrook, Mark C. ; Kahn, Katherine L.

BACKGROUND Quality care for patients with cancer often requires access to specialty providers, but little is known about barriers to referring cancer patients for specialized care. Referral barriers may also lessen physician career satisfaction. The study was aimed at determining what factors are associated with these barriers and whether greater barriers are associated with low career satisfaction. METHODS This cross-sectional study examined 1562 primary care physicians (PCPs) and 2144 [...]

A partir des données Globocan portant sur 30 pays européens en 2008, cette étude évalue les coûts induits par les pertes de productivité liées à la mortalité prématurée par cancer

Measuring the societal burden of cancer: The cost of lost productivity due to premature cancer-related mortality in Europe

Hanly, Paul ; Soerjomataram, Isabelle ; Sharp, Linda

Every cancer-related death in someone of working age represents an economic loss to society. To inform priorities for cancer control, we estimated costs of lost productivity due to premature cancer-related mortality across Europe, for all cancers and by site, gender, region and country. Cancer deaths in 2008 were obtained from GLOBOCAN for 30 European countries across four regions. Costs were valued using the human capital approach. Years of productive life lost (YPLL) were computed by [...]

Menée aux Pays-Bas, cette étude analyse le rapport coût-efficacité d'une psychothérapie comportementale et d'exercices physiques pour réduire les symptômes d'une ménopause induite par les traitements chez des survivantes d'un cancer du sein

Cost-effectiveness of cognitive behavioral therapy and physical exercise for alleviating treatment-induced menopausal symptoms in breast cancer patients

Mewes, JanneC ; Steuten, LotteM G. ; Duijts, SaskiaF A. ; Oldenburg, HesterS A. ; van Beurden, Marc ; Stuiver, MartijnM ; Hunter, MyraS ; Kieffer, JacobienM ; van Harten, WimH ; Aaronson, NeilK

Purpose: Many breast cancer patients experience (severe) menopausal symptoms after an early onset of menopause caused by cancer treatment. The aim of this study was to assess the cost-effectiveness of cognitive behavioral therapy (CBT) and physical exercise (PE), compared to a waiting list control group (WLC). Methods : We performed a cost-effectiveness analysis from a healthcare system perspective, using a Markov model. Effectiveness data came from a recent randomized controlled trial that [...]

Menée en France auprès de 158 patientes atteintes d'un cancer du sein, cette étude analyse l'efficacité de deux types de messages incitant à pratiquer une activité physique

Understanding narrative effects in physical activity promotion: the influence of breast cancer survivor testimony on exercise beliefs, self-efficacy, and intention in breast cancer patients

Falzon, Charlène ; Radel, Rémi ; Cantor, Ambre ; d’Arripe-Longueville, Fabienne

Purpose : Research in health communication has shown that narratives contribute more positively to changing health behaviors than informational messages. The main purposes of this study were to examine and to compare the effects of two messages promoting physical activity, one narrative and the other informational, on the perceptions and behavioral intentions of cancer patients. Methods : A total of 158 women with breast cancer, undergoing chemotherapy and sedentary, were assigned to read the [...]

Cet article présente les recommandations d'un groupe de travail de l'"American Society of Clinical Oncology" visant à une meilleure intégration des soins palliatifs dans l'organisation des soins des patients atteints d'un cancer

Developing a Service Model That Integrates Palliative Care Throughout Cancer Care: The Time Is Now

Partridge, Ann H. ; Seah, Davinia S.E. ; King, Tari ; Leighl, Natasha B. ; Hauke, Ralph ; Wollins, Dana S. ; Von Roenn, Jamie Hayden

Palliative care is a fundamental component of cancer care. As part of the 2011 to 2012 Leadership Development Program (LDP) of the American Society of Clinical Oncology (ASCO), a group of participants was charged with advising ASCO on how to develop a service model integrating palliative care throughout the continuum of cancer care. This article presents the findings of the LDP group. The group focused on the process of palliative care delivery in the oncology setting. We identified key [...]

Menée en Allemagne par enquête auprès de médecins et d'infirmières travaillant dans 10 centres de lutte contre le cancer, cette étude transversale analyse leurs perceptions relatives à l'organisation des services pour assurer la dignité de la fin de vie de leurs patients

Dying in cancer centers: Do the circumstances allow for a dignified death?

Jors, Karin ; Adami, Sandra ; Xander, Carola ; Meffert, Cornelia ; Gaertner, Jan ; Bardenheuer, Hubert ; Buchheidt, Dieter ; Mayer-Steinacker, Regine ; Viehrig, Marén ; George, Wolfang ; Becker, Gerhild

BACKGROUND Prior research has shown that hospitals are often ill-prepared to provide care for dying patients. This study assessed whether the circumstances for dying on cancer center wards allow for a dignified death. METHODS In this cross-sectional study, the authors surveyed physicians and nurses in 16 hospitals belonging to 10 cancer centers in Baden-Wuerttemberg, Germany. A revised questionnaire from a previous study was used, addressing the following topics regarding end-of-life care: [...]

Menée au Canada par questionnaire auprès de 40 oncologues, cette étude analyse leurs perceptions relatives aux soins palliatifs et à l'efficacité d'un outil d'évaluation des symptômes chez des patients atteints de cancer

Attitudes of oncologists towards palliative care and the Edmonton Symptom Assessment System (ESAS) at an Ontario cancer center in Canada

Chasen, Martin ; Bhargava, Ravi ; Dalzell, Catherine ; Pereira, JoséLuis

Background : Cancer Care Ontario promotes the Edmonton Symptom Assessment System (ESAS) for standardized systematic screening and assessment of symptoms across cancer centers in Ontario, Canada. Attitudes of medical oncologists (MOs), radiation oncologists (ROs), and general practitioners in oncology (GPOs) toward palliative care, and the ESAS were surveyed in Ottawa. Methods : A four-part questionnaire was developed, drawing on items from similar studies. Results : Forty respondents (17 MOs, [...]

Menée auprès d'enfants atteints de cancer (n = 85), de leurs parents et médecins, cette étude analyse l'association entre le contenu des messages transmis par le médecin au patient et à ses parents, lors d'un entretien visant à obtenir leur consentement pour participer à un essai clinique de phase I, et les perceptions des parents

Hope and Persuasion by Physicians During Informed Consent

Miller, Victoria A. ; Cousino, Melissa ; Leek, Angela C. ; Kodish, Eric D.

Purpose : To describe hopeful and persuasive messages communicated by physicians during informed consent for phase I trials and examine whether such communication is associated with physician and parent ratings of the likelihood of benefit, physician and parent ratings of the strength of the physician’s recommendation to enroll, parent ratings of control, and parent ratings of perceived pressure. Patients and Methods : Participants were children with cancer (n = 85) who were offered a phase I [...]

A partir d'une revue systématique de la littérature (21 études), cette étude fait le point sur le contenu et l'efficacité des questionnaires de satisfaction adressés aux patients traités en ambulatoire

Quality of care in the oncology outpatient setting from patients' perspective: a systematic review of questionnaires' content and psychometric performance

Brédart, A. ; Kop, J. L. ; Efficace, F. ; Beaudeau, A. ; Brito, T. ; Dolbeault, S. ; Aaronson, N. ; for the, Eortc Quality of Life Group

Background : Cancer care is increasingly provided in the outpatient setting, requiring specific monitoring of care quality. The patients' perspective is an important indicator of care quality and needs to be assessed with well designed, psychometrically sound questionnaires. We performed a systematic literature review of currently available patient satisfaction measures for use in cancer outpatient care settings. Methods : We carried out MEDLINE/PubMed, PsycINFO, CINAHL, and Scopus searches of [...]