المؤلفون: Amélie Cambriel, Kevin Serey, Adrien Pollina-Bachellerie, Mathilde Cancel, Morgan Michalet, Jacques-Olivier Bay, Carole Bouleuc, Jean-Pierre Lotz, Francois Philippart

المصدر: BMC Medical Ethics, Vol 25, Iss 1, Pp 1-10 (2024)

مصطلحات موضوعية: Ethics, Advance directives, Cancer, Tumor, Oncologist, Trust person, Medical philosophy. Medical ethics, R723-726

الوصف: Abstract Background The often poor prognosis associated with cancer necessitates empowering patients to express their care preferences. Yet, the prevalence of Advance Directives (AD) among oncology patients remains low. This study investigated oncologists' perspectives on the interests and challenges associated with implementing AD. Methods A French national online survey targeting hospital-based oncologists explored five areas: AD information, writing support, AD usage, personal perceptions of AD's importance, and respondent's profile. The primary outcome was to assess how frequently oncologists provide patients with information about AD in daily clinical practice. Additionally, we examined factors related to delivering information on AD. Results Of the 410 oncologists (50%) who responded to the survey, 75% (n = 308) deemed AD relevant. While 36% (n = 149) regularly inform patients about AD, 25% (n = 102) remain skeptical about AD. Among the respondents who do not consistently discuss AD, the most common reason given is the belief that AD may induce anxiety (n = 211/353; 60%). Of all respondents, 90% (n = 367) believe patients require specific information to draft relevant AD. Physicians with experience in palliative care were more likely to discuss AD (43% vs 32.3%, p = 0.027). Previous experience in critical care was associated with higher levels of distrust towards AD (31.5% vs 18.8%, p = 0.003), and 68.5% (n = 281) of the respondents expressed that designating a “person of trust” would be more appropriate than utilizing AD. Conclusion Despite the perceived relevance of AD, only a third of oncologists regularly apprise their patients about them. Significant uncertainty persists about the safety and relevance of AD.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1472-6939Test

الوصول الحر: https://doaj.org/article/794efb59a5b846e9902e574ca78fda53Test

المؤلفون: Laura Feighan, Lesley MacDonald‐Wicks, Robin Callister, Yolanda Surjan

المصدر: Journal of Medical Radiation Sciences, Vol 70, Iss 4, Pp 444-453 (2023)

مصطلحات موضوعية: breast, cancer, patient care, radiation effects, radiation oncologist, radiation therapist, Medical physics. Medical radiology. Nuclear medicine, R895-920

الوصف: Abstract Introduction Radiation therapy treatment for breast cancer may negatively impact patients' health‐related quality of life. Evidence suggests exercise and nutrition interventions may be beneficial to patients experiencing compromised health‐related quality of life. This study investigates whether radiation oncology practitioners support the implementation of a tailored exercise and nutrition intervention for patients and explores their interest in participating in training for exercise and nutrition as interventions. Methods Data were collected by an online survey, deployed to public and private radiation oncology departments, across three Australian states (Australian Capital Territory, New South Wales, Queensland). The survey was completed between June and August 2020. Radiation oncologists, radiation oncology registrars, radiation therapists and radiation oncology nurses completed the survey. The survey included demographics, patient assessment and questions regarding the radiation oncology practitioners' use of exercise and nutrition as interventions. Results Of 192 practitioners targeted, 76 completed the survey, for a response rate of 40%. Of 76 respondents, 42% ‘sometimes’ recommended exercise and 41% ‘sometimes’ recommended nutrition as health‐related quality of life interventions to their patients. The majority indicated they would benefit from more training in these subjects, with 58% for exercise and 55% for nutrition. 47 per cent of respondents thought patients would benefit from a tailored exercise and nutrition programme and 62% agreed they would refer patients to a programme if it were available. Conclusions Radiation oncology practitioners reported they need training in exercise and nutrition to better understand how this can benefit the health‐related quality of life of breast cancer patients. Also, the findings indicate that if such an exercise and nutrition intervention were readily available, practitioners would refer patients who may benefit from this intervention.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2051-3895Test; https://doaj.org/toc/2051-3909Test

الوصول الحر: https://doaj.org/article/f3c69d279b3849778f3d7776ce977994Test

المؤلفون: N. V. Malachkova, Ye. L. Prus, S. O. Mahdebura

المصدر: Journal of Ophthalmology, Iss 5, Pp 65-70 (2023)

مصطلحات موضوعية: orbit, non-hodgkin’s lymphoma, oncologist, brain, biopsy, Internal medicine, RC31-1245

الوصف: Background: Non-Hodgkin lymphoma (NHL) represents a heterogenous group of malignant lymphoproliferative neoplasms originating from lymphoid tissue cells and having distinct clinical, cytomorphological, immunological and molecular and genetic features. Primary orbital lymphomas are rare and account for approximately 1% of all NHL. Lymphomas are, however, the most common primary orbital tumor in adults 60 years of age and older. Purpose: To present a rare case of primary B-cell MALT lymphoma of marginal zone of the upper eyelid, to highlight its clinical features, and to demonstrate the importance of a multidisciplinary approach to its treatment. Results: A male patient presented to the eye clinic complaining of bilateral pterygium and periodic nasal congestion. Within the course of examination and prolonged observation, the ophthalmologist suspected the symptoms of massive orbital disease, and the patient was referred for magnetic resonance imaging (MRI) of the brain. On the basis of imaging assessment and the oncologist’s opinion, the patient was hospitalized at the Podillia Regional Oncology Center with a preliminary diagnosis of orbital lymphoma. Thereat, a final diagnosis of “extranodal, non-Hodgkin’s B-cell lymphoma of the marginal zone (MALT lymphoma) of Stage 3a, with metastases in the lungs, pleura and lymph nodes of the mediastinum” was established. At the moment, he is under observation by an oncologist and on the way to stabilization of his major disease. Conclusion: Management of orbital non-Hodgkin’s lymphomas remains a challenge requiring a multidisciplinary approach involving ophthalmologists and oncologists.

وصف الملف: electronic resource

العلاقة: https://www.ozhurnal.com/en/archive/2022/5/10-fulltextTest; https://doaj.org/toc/2412-8740Test

الوصول الحر: https://doaj.org/article/32232626cae2491880ea07e5b3e75ae0Test

المؤلفون: Cristina M. Caperchione, Madeleine English, Paul Sharp, Meera R. Agar, Jane L. Phillips, Winston Liauw, Carole A. Harris, Susan McCullough, Ruth Lilian

المصدر: BMC Health Services Research, Vol 23, Iss 1, Pp 1-10 (2023)

مصطلحات موضوعية: Cancer and exercise, Cancer care services, Exercise referral, Oncologist-patient communication, Exercise physiologist, Exercise professionals, Public aspects of medicine, RA1-1270

الوصف: Abstract Background The majority of cancer patients and cancer care clinicians-CCCs (e.g., oncologists) believe that exercise is an important adjunct therapy that should be embedded in standard practice. Yet, CCCs do not routinely discuss exercise with their patients, nor do they regularly refer them to exercise professionals (e.g., exercise physiologists-EPs). This study evaluated the feasibility and acceptability of an evidence-based approach to improving exercise communication between CCCs and their patients, including an exercise referral pathway. Methods Implementation and testing of the Exercise Communication and Referral Pathway (ECRP) occurred in Sydney, Australia. The ECRP included a brief oncology-initiated communication exchange with patients, CCC exercise referral to an EP, followed by EP-initiated telephone consultation with patients concerning tailored exercise advice. Participant perceptions concerning the feasibility and applicability of the ECPR were evaluated. Semi-structured interviews were conducted with CCCs (n = 3), cancer patients (n = 21), and an EP (n = 1). Inductive thematic analysis was undertaken. Results Analysis generated three themes: (1) Navigating the role of CCCs in the ECRP, suggesting that oncology-initiated communication is a cue to action, however there was a lack of role clarity regarding exercise referral; (2) Implementing Patient-Orientated Care within a Standardised Pathway, highlighting the need for tailored information and advice for patients that reflects individual disease, socio-cultural, and environmental factors, and; (3) Taking Steps Towards Action, revealing the need for structural (e.g., EP initiated contact with patients) and policy changes (i.e., changes to Medicare, direct oncologist referral) to engage patients and better integrate exercise as part of standard care. Conclusions Findings provide important insights into improving oncology-patient exercise communication and developing an exercise referral pathway to increase engagement and patient reach. However, individual (e.g., experience, knowledge) and contextual factors (e.g., time, resources) need consideration when implementing an ECRP. Trial registration This trial was prospectively registered with the Australian New Zealand Clinical (#ACTRN12620000358943) on March 13, 2020.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1472-6963Test

الوصول الحر: https://doaj.org/article/0c7557b901794ac08f1902a750736cefTest

المؤلفون: Biplab Sarkar, Anirudh Pradhan

المصدر: South Asian Journal of Cancer, Vol 12, Iss 04, Pp 311-313 (2023)

مصطلحات موضوعية: gender parity, woman radiation oncologist, India, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2278-330XTest; https://doaj.org/toc/2278-4306Test

الوصول الحر: https://doaj.org/article/4481008184b24a858a701d5b7f98c911Test

المؤلفون: Aitor Martínez Aguirre-Betolaza, Ander Dobaran Amezua, Fatma Hilal Yagin, Jon Cacicedo, Jurgi Olasagasti-Ibargoien, Arkaitz Castañeda-Babarro

المصدر: Cancers, Vol 16, Iss 9, p 1720 (2024)

مصطلحات موضوعية: physical activity recommendations, oncologist, cancer, survey, barriers, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282

الوصف: Objectives: The purposes of this current questionnaire-based study were to analyse whether oncologists prescribed PA to their patients in Spain, as well as the type of exercise recommended, the variables that influence whether or not to recommend it and to compare these recommendations with the values reported by their patients. Methods: Two online questionnaires were designed for this study. The first one, filled in by the oncologists (n = 93), contained aspects such as the attitude or barriers to promoting PA. The second was designed for patients with cancer (n = 149), which assessed PA levels and counselling received from oncologists, among other facets. Results: The majority of oncologists (97%) recommend PA during their consultations. Instead, only 62% of patients reported participating in exercise within the last 7 days. Walking was the most common form of exercise, reported by 50% of participants. Patients who received exercise recommendations from their oncologist walked for more days (p = 0.004; ES = 0.442) and more minutes per day (p = 0.022; ES = 0.410). The barriers most highlighted by patients were lack of time and not knowing how to perform PA. Conclusion: Oncologists and patients seem to be interested and able to participate in PA counselling and programmes. However, there was a discrepancy between what was reported by oncologists and expressed by patients in terms of recommendations for PA and the modality itself.

وصف الملف: electronic resource

العلاقة: https://www.mdpi.com/2072-6694/16/9/1720Test; https://doaj.org/toc/2072-6694Test

الوصول الحر: https://doaj.org/article/f60c3ac52be14d94991eaf8483ee7042Test

المؤلفون: Igor V. Reshetov, Anastasia S. Fatyanova

المصدر: Consilium Medicum, Vol 25, Iss 6, Pp 381-383 (2023)

مصطلحات موضوعية: education, oncology, professional standard of oncologist, professional retraining, Medicine (General), R5-920, Therapeutics. Pharmacology, RM1-950

الوصف: The article reflects practical aspects of the introduction of a new professional standard of oncologist. These are segreagation of competences according to the new labor functions, admission to professional retraining in oncology of doctors of new specialties, preparation of a new educational standard, as well as new requirements for work experience in the main specialty for retraining.

وصف الملف: electronic resource

العلاقة: https://consilium.orscience.ru/2075-1753/article/viewFile/622990/138824Test; https://doaj.org/toc/2075-1753Test; https://doaj.org/toc/2542-2170Test

الوصول الحر: https://doaj.org/article/20767c63f76f48369bf675f322a3187eTest

المؤلفون: Ulrich Kaiser, Ursula Vehling-Kaiser, Ana Hoffmann, Florian Kaiser

المصدر: Palliative Medicine Reports, Vol 3, Iss 1, Pp 169-180 (2022)

مصطلحات موضوعية: hematologist/oncologist, hospice, supportive-oncology therapy, symptom control, tumor patient, Medicine (General), R5-920

الوصف: Background: More than 80% of the residents in German hospices suffer from tumor disease. But the administration of supportive-oncological therapies in hospices for symptom control is controversially discussed. Objectives: This study aims to investigate the care situation of tumor patients in German hospices with regard to medical care and the use of supportive-oncological therapies. Methods: In February 2019, all hospices in Germany were offered the opportunity to participate in an anonymous online survey on medical and drug care for their tumor patients. The survey was conducted using the online platform SoSci Survey and ended in April 2019. The analysis was descriptive. Results: Of 202 hospices, 112 responded to the questionnaire. The hospices were distributed nationwide. Most have 8 to 10 places. More than 80% of hospice residents are tumor patients, and the length of stay is usually three to four weeks. Medical care is primarily provided by primary care physicians. While specialized outpatient palliative care is increasingly involved in care, hematologists/oncologists are rarely represented. Supportive-oncological therapies are rarely prescribed, whereas medication for other chronic conditions is often continued. The percentage of supportive-oncological therapies prescribed is higher in hospices with oncology co-care. Conclusions: Although most hospice residents suffer from malignant disease, co-care by a hematologist/oncologist is rare. Supportive-oncology therapies, particularly for symptom relief, may therefore be rarely used. However, since a small select group of hospice residents may benefit from these therapies, further investigation in this direction should be undertaken.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2689-2820Test

الوصول الحر: https://doaj.org/article/b908b7f02ad64b09824bb506afaf4108Test

المؤلفون: Miho Kimachi, Kenji Omae, Tsukasa Kamitani, Shingo Fukuma

المصدر: Journal of General and Family Medicine, Vol 23, Iss 3, Pp 149-157 (2022)

مصطلحات موضوعية: cancer survivor, collaboration, oncologist, primary care physician, survivor care, Medicine (General), R5-920

الوصف: Abstract Background Given the growing diversity among cancer survivors and the fact that oncologists typically do not perform long‐term care, the expected role of primary care physicians (PCPs) in survivor care is expanding. However, communication and collaboration between oncologists and PCPs are lacking. Therefore, we assessed the perception of cancer survivor care among PCPs. Methods We sent a questionnaire to 767 Japanese Board–certified PCPs, regardless of facility type (clinics and hospitals), inquiring about PCPs' perceptions of their role in survivor care. Additionally, we included vignette‐based scenarios focused on colorectal and prostate cancer survivors to explore factors associated with their clinical decisions. Results We obtained 91 replies (response rate: 11.9%). A total of 75% of PCPs had encountered at least 1 cancer patient in actual practice. Even for patients actively receiving cancer treatment, >70% of PCPs reported that they were willing to engage in comprehensive survivor care, except for the administration of anticancer drugs. Further, 49% of PCPs considered that both PCPs and oncologists were suited to performing regular screening for cancer recurrence in high‐risk patients. Multivariable logistic regression analyses revealed that clinic PCPs were less inclined to conduct screening for recurrence than hospital PCPs in both colorectal (odds ratio, 3.85 [95% confidence interval 1.40–10.6]) and prostate (4.36 [95% confidence interval 1.51–12.6]) cancer scenarios. Conclusions Our findings suggest that Japanese PCPs are willing to engage in survivor care and encourage closer collaboration between oncologists and PCPs. However, oncologists might need to request cooperation, considering the facility type with which PCPs are affiliated.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2189-7948Test

الوصول الحر: https://doaj.org/article/9004ee071cd5488c9514af6656be70ddTest

المؤلفون: Attai, Deanna J, Anderson, Patricia F, Fisch, Michael J, Graham, David L, Katz, Matthew S, Kesselheim, Jennifer, Markham, Merry Jennifer, Pennell, Nathan A, Sedrak, Mina S, Thompson, Michael A, Utengen, Audun, Dizon, Don S, Oncology, for the Collaboration for Outcomes on Social Media in

المصدر: Seminars in Hematology. 54(4)

مصطلحات موضوعية: Biomedical and Clinical Sciences, Cardiovascular Medicine and Haematology, Hematology, Cancer, Patient Safety, Clinical Research, Humans, Oncologists, Risk Assessment, Social Media, Telemedicine, Twitter, Social media, Health information, Hematologist-Oncologist, Patient education, Digital engagement, Collaboration for Outcomes on Social Media in Oncology, Hematologist–Oncologist, Cardiorespiratory Medicine and Haematology, Immunology, Cardiovascular medicine and haematology

الوصف: Twitter use by physicians, including those in the hematology-oncology field, is increasing. This microblogging platform provides a means to communicate and collaborate on a global scale. For the oncology professional, an active Twitter presence provides opportunities for continuing medical education, patient engagement and education, personal branding, and reputation management. However, because Twitter is an open, public forum, potential risks such as patient privacy violations, personal information disclosures, professionalism lapses, and time management need to be considered and managed. The authors have summarized the benefits and risks of Twitter use by the hematology-oncology physician. In addition, strategies to maximize benefit and minimize risk are discussed, and resources for additional learning are provided.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/2gr807wmTest