Menée aux Etats-Unis auprès de 30 patients ayant subi une prostatectomie radicale (âge moyen : 59 ans), cette étude qualitative évalue l'efficacité d'une intervention psychologique destinée à améliorer leur adhésion à un programme de rééducation de la fonction érectile

Men's experience with penile rehabilitation following radical prostatectomy: a qualitative study with the goal of informing a therapeutic intervention

Nelson, Christian J. ; Lacey, Stephanie ; Kenowitz, Joslyn ; Pessin, Hayley ; Shuk, Elyse ; Mulhall, John P.

Background : Erectile rehabilitation (ER) following radical prostatectomy (RP) is considered an essential component to help men regain erectile functioning; however, many men have difficulty adhering to this type of program. This qualitative study explored men's experience with ER, erectile dysfunction (ED), and ED treatments to inform a psychological intervention designed to help men adhere to ER post-RP. Methods : Thirty men, 1-to-3-years post-RP, who took part in an ER program, participated [...]

Menée aux Etats-Unis auprès de 60 patientes atteintes d'un cancer du sein et socioéconomiquement défavorisées, cette étude analyse l'efficacité d'une intervention destinée à améliorer la prise en charge de la douleur liée au cancer

Automated pain intervention for underserved minority women with breast cancer

Anderson, Karen O. ; Palos, Guadalupe R. ; Mendoza, Tito R. ; Cleeland, Charles S. ; Liao, Kai-Ping ; Fisch, Michael J. ; Garcia-Gonzalez, Araceli ; Rieber, Alyssa G. ; Nazario, L. Arlene ; Valero, Vicente ; Hahn, Karin M. ; Person, Cheryl L. ; Payne, Richard

BACKGROUND Minority patients with breast cancer are at risk for undertreatment of cancer-related pain. The authors evaluated the feasibility and efficacy of an automated pain intervention for improving pain and symptom management of underserved African American and Latina women with breast cancer. METHODS Sixty low-income African American and Latina women with breast cancer and cancer-related pain were enrolled in a pilot study of an automated, telephone-based, interactive voice response (IVR) [...]

A partir des données des registres américains des cancers, cette étude analyse l'évolution des disparités dans la survie des patients atteints de cancer, en fonction du critère ethnique, de l'âge et du sexe de l'individu, pour les principaux types de cancer (colon-rectum, sein, prostate, poumon, foie, pancréas, ovaire), sur la période 1999-2010

Disparities by race, age, and sex in the improvement of survival for major cancers: Results from the National Cancer Institute Surveillance, Epidemiology, and End Results (SEER) Program in the United States, 1990 to 2010

Zeng, C. ; Wen, W. ; Morgans, A. K. ; Pao, W. ; Shu, X. ; Zheng, W.

Importance : Substantial progress has been made in cancer diagnosis and treatment, resulting in a steady improvement in cancer survival. The degree of improvement by age, race, and sex remains unclear. Objective  : To quantify the degree of survival improvement over time by age, race, and sex in the United States.Design, Setting, and Participants  Longitudinal analyses of cancer follow-up data from 1990 to 2010, from 1.02 million patients who had been diagnosed as having cancer of the colon or [...]

Menée sur un échantillon de la population de l'Etat de la Nouvelle-Galles du Sud (Australie) incluant 204 953 personnes âgées de 45 ans ou plus (durée de suivi : 874 120 personnes-années), cette étude évalue la mortalité, toutes causes confondues, associée au tabagisme

Tobacco smoking and all-cause mortality in a large Australian cohort study: findings from a mature epidemic with current low smoking prevalence

Emily Banks; ; Grace Joshy; ; Marianne F Weber; ; Bette Liu; ; Robert Grenfell; ; Sam Egger; ; Ellie Paige; ; Alan D Lopez; ; Freddy Sitas; ; Valerie Beral

Background : The smoking epidemic in Australia is characterised by historic levels of prolonged smoking, heavy smoking, very high levels of long-term cessation, and low current smoking prevalence, with 13% of adults reporting that they smoked daily in 2013. Large-scale quantitative evidence on the relationship of tobacco smoking to mortality in Australia is not available despite the potential to provide independent international evidence about the contemporary risks of smoking. Methods : This [...]

A partir de données portant sur 32 745 participants inclus dans 25 essais randomisés entre 1977 et 2012 dans 41 pays, cette étude analyse la survie de patients atteints d'un cancer colorectal de stade précoce

Survival following early-stage colon cancer: an ACCENT-based comparison of patients versus a matched international general population

Renfro, L. A. ; Grothey, A. ; Kerr, D. ; Haller, D. G. ; André, T. ; Van Cutsem, E. ; Saltz, L. ; Labianca, R. ; Loprinzi, C. L. ; Alberts, S. R. ; Schmoll, H. ; Twelves, C. ; Yothers, G. ; Sargent, D. J.

Background : Post-treatment survival experience of early colon cancer (CC) patients is well described in the literature, which states that cure is probable for some patients. However, comparisons of treated patients' survival versus that expected from a matched general population (MGP) are limited. Patients and Methods : 32,745 patients from 25 randomized adjuvant trials conducted from 1977 to 2012 in 41 countries were pooled. Observed long-term survival of these patients was compared to [...]

Menée au Canada à partir de données portant sur 14 633 patientes atteintes d'un cancer du sein de stade I à III, cette étude analyse leur survie en fonction du traitement reçu, qu'il s'agisse d'une mastectomie seule ou d'une mastectomie avec radiothérapie

Survival in stage I-III breast cancer patients by surgical treatment in a publicly-funded healthcare system

Fisher, S. ; Gao, H. ; Yasui, Y. ; Dabbs, K. ; Winget, M.

Background : Recent investigations of breast cancer survival in the United States suggest that patients who receive mastectomy have poorer survival than those who receive BCS plus radiotherapy, despite clinically-established equivalence. This study investigates breast cancer survival in the publicly-funded health care system present in Alberta, Canada. Patients and Methods : Surgically-treated stage I-III breast cancer cases diagnosed in Alberta from 2002-2010 were included. Demographic, [...]

Menée aux Etats-Unis à partir de l'analyse des dossiers médicaux informatisés de patients atteints de cancer, cette étude rétrospective analyse l'adhésion de deux établissements de lutte contre le cancer aux protocoles de détection de la détresse psychologique

Psychosocial Distress Screening Implementation in Cancer Care: An Analysis of Adherence, Responsiveness, and Acceptability

Zebrack, Brad ; Kayser, Karen ; Sundstrom, Laura ; Savas, Sue Ann ; Henrickson, Chris ; Acquati, Chiara ; Tamas, Rebecca L.

Purpose : The American College of Surgeons Commission on Cancer has mandated implementation of a systematic protocol for psychosocial distress screening and referral as a condition for cancer center accreditation beginning in 2015. Compliance with standards requires evidence that distress screening protocols are carried out as intended and result in appropriate referral and follow-up when indicated. The purpose of this study was to examine the fidelity of distress screening protocols at two [...]

Menée aux Etats-Unis, cette étude décrit la mise en oeuvre d'un programme pédagogique sur internet destiné à améliorer, pour les patients atteints de cancer, la communication sur leurs difficultés et besoins psychologiques avec leurs soignants

Development and implementation of an online program to improve how patients communicate emotional concerns to their oncology providers

Porter, LauraS ; Pollak, KathrynI ; Farrell, David ; Cooper, Meredith ; Arnold, RobertM ; Jeffreys, AmyS ; Tulsky, JamesA

Purpose : Patients often struggle to express their emotional concerns to their oncology providers and may therefore experience unmet needs. This paper describes the development and implementation of an online program that teaches patients how to communicate their emotions to their oncology providers. Methods : The intervention was developed by a multidisciplinary team consisting of palliative care physicians, psychologists, and an intervention software developer and included input from [...]

Menée aux Etats-Unis à partir de données portant sur 5 284 patients atteints d'un cancer du poumon ou du côlon-rectum, cette étude de cohorte prospective analyse le rôle des familles dans la prise de décision thérapeutique

The role of families in decisions regarding cancer treatments

Hobbs, Gabriela S. ; Landrum, Mary Beth ; Arora, Neeraj K. ; Ganz, Patricia A. ; van Ryn, Michelle ; Weeks, Jane C. ; Mack, Jennifer W. ; Keating, Nancy L.

BACKGROUND Shared decision-making is an important component of patient-centered care and is associated with improved outcomes. To the authors' knowledge, little is known concerning the extent and predictors of the involvement of a patient's family in decisions regarding cancer treatments. METHODS The Cancer Care Outcomes Research and Surveillance (CanCORS) Consortium is a large, multiregional, prospective cohort study of the cancer care and outcomes of patients with lung and colorectal cancer. [...]

Menée au Canada par entretiens auprès de 21 oncologues pédiatriques, cette étude qualitative analyse leurs pratiques et leur rôle auprès des familles après la mort d'un enfant atteint de cancer

When a child dies: pediatric oncologists' follow-up practices with families after the death of their child

Granek, Leeat ; Barrera, Maru ; Scheinemann, Katrin ; Bartels, Ute

Objectives : Follow-up practices with bereaved families are considered a part of good medical care, yet little is known about pediatric oncologists' protocol with families when their patients die. The objective of this study was to examine follow-up practices employed by pediatric oncologists after patient death using an in-depth qualitative analysis. Methods : The Grounded Theory method of data collection and analysis was used. Twenty-one pediatric oncologists at two Canadian pediatric [...]

Menée en France par enquête auprès de 60 conjoints de patients atteints de cancer recevant des soins palliatifs (âge moyen : 62 ans), cette étude analyse leurs symptômes d'anxiété et de dépression

Describing and understanding depression in spouses of cancer patients in palliative phase

Fasse, Léonor ; Flahault, Cécile ; Brédart, Anne ; Dolbeault, Sylvie ; Sultan, Serge

Background : The cancer patient's relatives and family constitute one of the patient's main sources of support throughout the disease. In recent years, several studies have emphasized the psychological vulnerability of spouses-caregivers with a high proportion suffering from anxiety and depression symptoms. The literature underlines several factors of detrimental outcomes but critical aspects of the spousal relationship as attachment were neglected. Objectives : This study aims at (1) [...]

Menée en Italie par questionnaire auprès de 262 patients atteints de cancer, cette étude multicentrique analyse leur conscience de la maladie et leur capacité à y faire face, leur satisfaction vis-à-vis des soins et leur détresse émotionnelle

Awareness of cancer, satisfaction with care, emotional distress, and adjustment to illness: an Italian multicenter study

Costantini, Anna ; Grassi, Luigi ; Picardi, Angelo ; Brunetti, Serena ; Caruso, Rosangela ; Nanni, Maria Giulia ; Bonetti, Luisa ; de Feudis, Rossana ; Barni, Sandro ; Marchetti, Paolo

Objective : The aim of the study was to examine awareness of cancer and the relationship with distress and satisfaction with care among Italian cancer patients. Methods : Two hundred sixty-two cancer patients consecutively admitted to the Day Hospital of four cancer centers in Italy completed the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core-30, the EORTC Inpatient Satisfaction-32, the EORTC Information Questionnaire-25, the distress [...]

Menée aux Etats-Unis auprès de 29 patients ayant été traités pour un cancer de la prostate, cette étude qualitative analyse l'intérêt d'un programme multimédia pédagogique en ligne ayant pour objectif de les aider à s'adapter aux conséquences de la maladie et de ses traitements

Development and preliminary testing of PROGRESS: a Web-based education program for prostate cancer survivors transitioning from active treatment

Miller, SuzanneM ; Hudson, ShawnaV ; Hui, Siu-kuenAzor ; Diefenbach, MichaelA ; Fleisher, Linda ; Raivitch, Stephanie ; Belton, Tanisha ; Roy, Gem ; Njoku, Anuli ; Scarpato, John ; Viterbo, Rosalia ; Buyyounouski, Mark ; Denlinger, Crystal ; Miyamoto, Curtis ; Reese, Adam ; Baman, Jayson

Purpose : This formative research study describes the development and preliminary evaluation of a theory-guided, online multimedia psycho-educational program (PROGRESS) designed to facilitate adaptive coping among prostate cancer patients transitioning from treatment into long-term survivorship. Methods : Guided by the Cognitive-Social Health Information Processing Model (C-SHIP) and using health communications best practices, we conducted a two-phase, qualitative formative research study with [...]

Mené aux Etats-Unis auprès de 204 patientes ayant survécu à un cancer du col de l'utérus (âge moyen : 43 ans), cet essai randomisé analyse l'efficacité de conseils psychosociaux par téléphone pour améliorer leur qualité de vie

Psychosocial Telephone Counseling for Survivors of Cervical Cancer: Results of a Randomized Biobehavioral Trial

Wenzel, Lari ; Osann, Kathryn ; Hsieh, Susie ; Tucker, Jo A. ; Monk, Bradley J. ; Nelson, Edward L.

Purpose : Survivors of cervical cancer experience quality-of-life (QOL) disruptions that persist years after treatment. This study examines the effect of a psychosocial telephone counseling (PTC) intervention on QOL domains and associations with biomarkers. Patients and Methods : We conducted a randomized clinical trial in survivors of cervical cancer, who were ≥ 9 and less than 30 months from diagnosis (n = 204), to compare PTC to usual care (UC). PTC included five weekly sessions and a [...]

Menée en Suède à partir de données portant sur 1 989 patients âgés de 18 à 60 ans (âge médian : 33 ans) et 7 956 témoins, cette étude analyse les arrêts de travail pour raisons médicales et le versement de pensions d'invalidité chez des survivants à long terme d'un lymphome hodgkinien, en fonction du stade de la maladie au diagnostic et de l'intensité des traitements reçus

Sick leave and disability pension in Hodgkin lymphoma survivors by stage, treatment, and follow-up time—a population-based comparative study

Glimelius, I. ; Ekberg, S. ; Linderoth, J. ; Jerkeman, M. ; Chang, E. T. ; Neovius, M. ; Smedby, K. E.

Purpose : This study seeks to investigate the long-term public health burden of Hodgkin lymphoma (HL) in terms of work loss following contemporary treatment protocols and associations with established treatment complications and lymphoma relapse. Methods : We identified 1,989 Swedish HL patients (1,082 with clinical information) aged 18–60 (median 33) years at diagnosis 1992–2009, and matched 1:4 to population comparators. Sick leave, disability pension (work loss), and comorbidity were [...]