Article
Oncology
Fernando A. Angarita, Nicole Jedrzejko, David Eisen, Maria Muraca, Marla Ash, Fahima Osman
Summary: This study investigated the perspective of primary care physicians (PCPs) in Toronto, Canada, regarding the barriers and needs associated with transitioning breast cancer follow-up care to their practices. The results revealed that PCPs require support in the form of follow-up care plans upon discharge, rapid re-referral to specialists, and regular updates of best practice changes. The majority of PCPs supported transitioning to a PCP-led model.
CLINICAL BREAST CANCER
(2022)
Article
Oncology
Christian Stephens, Dori Klemanski, Maryam B. Lustberg, Anne M. Noonan, Seuli Brill, Jessica L. Krok-Schoen
Summary: The study reveals that many primary care physicians lack confidence in providing survivorship care, which may be due to inadequate training, poor communication with oncologists, and underutilization of survivorship care plans.
SUPPORTIVE CARE IN CANCER
(2021)
Article
Oncology
Bernard Tawfik, Shoshana Adler Jaffe, Lisa Mohler, Jamina Oomen-Hajagos, Inigo San Gil, Rachel Chamberlain, Suzanne Gagnon, Miria Kano, Amy Gundelach, Shawnia R. Ryan, Janet Abernathy, Charles Wiggins, Andrew Sussman, Zoneddy Dayao
Summary: This study demonstrates that SCPs can be effectively delivered to a poor, rural, and minority patient population, but there are challenges in terms of PCP receipt and integration. Future efforts should focus on ensuring that an oncologist to PCP education and communication tool can be effectively received and integrated by PCPs.
SUPPORTIVE CARE IN CANCER
(2021)
Article
Oncology
Niharika Dixit, Gladys Rodriguez, Urmimala Sarkar, Nancy Burke, Evelin Trejo, Denise Joanna Devore, Paul Couey, Anna Maria Napoles
Summary: With the increasing number of cancer survivors and shortage of oncology clinicians in safety-net health care settings, primary care providers (PCPs) are taking on a greater role in cancer survivorship care. This study explores the perspectives of PCPs in safety-net settings and identifies their needs in caring for low-income and underserved breast and colon cancer survivors. The findings highlight the importance of care coordination, education and training, and addressing the unique needs of older cancer survivors.
JOURNAL OF CANCER EDUCATION
(2023)
Article
Oncology
Larissa Nekhlyudov, Craig Snow, Lauren P. Knelson, Kate E. Dibble, Catherine M. Alfano, Ann H. Partridge
Summary: Personalized, risk-stratified care is important in involving primary care providers, oncology, and specialized practitioners in caring for cancer survivors. The survey found that PCPs have limited comfort in cancer surveillance and managing treatment-related effects. Risk-stratification strategies should identify patients who may transition to primary care and those who require ongoing survivorship-focused follow-up.
PEDIATRIC BLOOD & CANCER
(2023)
Review
Oncology
Julien A. M. Vos, Barbara M. Wollersheim, Adelaide Cooke, Carolyn Ee, Raymond J. J. Chan, Larissa Nekhlyudov
Summary: This systematic review explores the knowledge and confidence of primary care physicians (PCPs) in cancer survivorship care. The results indicate variations in PCPs' knowledge and confidence in managing physical and psychosocial effects, as well as surveillance for cancer recurrences. There is a need for improved education on long-term and late physical effects, as well as cancer surveillance guidelines for PCPs.
JOURNAL OF CANCER SURVIVORSHIP
(2023)
Review
Oncology
Raymond J. Chan, Oluwaseyifunmi Andi Agbejule, Patsy M. Yates, Jon Emery, Michael Jefford, Bogda Koczwara, Nicolas H. Hart, Megan Crichton, Larissa Nekhlyudov
Summary: This study identified 21 cancer survivorship education programs for primary care providers, with evidence suggesting benefits for PCP learners but caution needed due to potential methodological bias. Some studies reported positive outcomes at the patient and organizational levels, highlighting the importance of tailored and evidence-based programs for PCPs to improve health outcomes among cancer survivors.
JOURNAL OF CANCER SURVIVORSHIP
(2022)
Article
Oncology
Alanna K. Chu, Brittany Mutsaers, Sophie Lebel
Summary: Survivorship care plans play a crucial role in facilitating the transition from tertiary to primary care settings, and their acceptance is influenced by various sociodemographic and medical factors. A study found that receiving a survivorship care plan is associated with higher confidence and satisfaction in primary care providers.
Article
Oncology
Sarah Nicole Hamilton, Fuchsia Howard, Narsis Afghari, Sara Mahdavi, Isabel Serrano Martinez, Karen Goddard
Summary: This study conducted a cross-sectional study on adolescent and young adult head and neck cancer survivors to assess the late effects. Survivorship care plans (SCPs) were created and evaluated by the participants and their primary care providers (PCPs). The results showed that most participants and PCPs had a positive view of the SCPs.
SUPPORTIVE CARE IN CANCER
(2023)
Article
Oncology
Kathryn P. Lowry, Laura Ichikawa, Rebecca A. Hubbard, Diana S. M. Buist, Erin J. A. Bowles, Louise M. Henderson, Karla Kerlikowske, Jennifer M. Specht, Brian L. Sprague, Karen J. Wernli, Janie M. Lee
Summary: In women with previously treated breast cancer, the risk of second breast cancers is higher in those with ER-negative primary cancer during the first 5 years after diagnosis compared to those with ER-positive cancer.
Article
Oncology
Aisha Lofters, Ielaf Khalil, Nicolette Sopcak, Melissa Shea-Budgell, Christopher Meaney, Carolina Fernandes, Rahim Moineddin, Denise Campbell-Scherer, Kris Aubrey-Bassler, Donna Patricia Manca, Eva Grunfeld
Summary: The BETTER WISE intervention is an evidence-based approach to prevention and screening for cancers and chronic diseases in primary care, with a focus on breast, prostate, and colorectal cancer survivors. The study evaluates the impact of the intervention, taking into account the COVID-19 pandemic. The findings suggest that BETTER WISE has potential in providing comprehensive care for cancer survivors in primary care settings.
SUPPORTIVE CARE IN CANCER
(2023)
Article
Oncology
Kristin N. Kelly, Alexandra Hernandez, Sina Yadegarynia, Emily Ryon, Dido Franceschi, Eli Avisar, Erin N. Kobetz, Nipun Merchant, Susan Kesmodel, Neha Goel
Summary: This study examined the long-term oncologic outcomes of breast cancer patients treated at public safety net hospitals (SNH). The results showed that patients receiving surgery, chemotherapy, and endocrine therapy had better overall survival rates, indicating that SNHs can achieve equitable outcomes in breast cancer care through multidisciplinary approaches and appropriate treatment initiation despite socio-economic barriers.
BREAST CANCER RESEARCH AND TREATMENT
(2021)
Article
Oncology
Amina Silva, Jacqueline Galica, Kevin Woo, Marian Luctkar-Flude
Summary: The study developed a virtual simulation game to help primary care providers address sexual health disturbances among breast cancer survivors. Participants perceived the VSG as feasible and potentially effective in improving PCPs' knowledge and practice related to breast cancer follow-up care.
SUPPORTIVE CARE IN CANCER
(2023)
Article
Oncology
Katherine Marie Cole, Mark Clemons, Meshari Alzahrani, Gail Larocque, Fiona MacDonald, Lisa Vandermeer, Brian Hutton, Ardelle Piper, Greg Pond, Sharon McGee
Summary: Health care providers in Canada who treat early stage breast cancer patients participated in a survey about the management of vasomotor symptoms (VMS). The survey found that VMS are common and bothersome in patients, with lifestyle modifications and pharmacologic strategies being the most common interventions recommended. Providers expressed uncertainty about the efficacy of interventions for VMS and the variability in treatment recommendations, highlighting the need for more real-world trials to optimize patient care.
BREAST CANCER RESEARCH AND TREATMENT
(2021)
Article
Oncology
Jordana K. McLoone, Weihan Chen, Claire E. Wakefield, Karen Johnston, Rachael Bell, Elysia Thornton-Benko, Richard J. Cohn, Christina Signorelli
Summary: The care of childhood cancer survivors is a complex specialty that requires the integration of tertiary and primary care. Pediatric oncologists and survivorship nurse coordinators emphasize specialist expertise and holistic family-centered care as the key benefits of tertiary and primary care, respectively. However, challenges faced by tertiary-led survivorship care include a lack of dedicated funding and costs/travel burden, while primary-led survivorship care is challenged by insufficient GP training and reliance on oncologist-developed action plans. GPs also express the need for ongoing access to survivorship expertise/consultants to support care decisions at critical times.
FRONTIERS IN ONCOLOGY
(2022)
Article
Oncology
Antonio Di Meglio, Julie Havas, Davide Soldato, Daniele Presti, Elise Martin, Barbara Pistilli, Gwenn Menvielle, Agnes Dumas, Cecile Charles, Sibille Everhard, Anne-Laure Martin, Charles Coutant, Carole Tarpin, Laurence Vanlemmens, Christelle Levy, Olivier Rigal, Suzette Delaloge, Nancy U. Lin, Patricia A. Ganz, Ann H. Partridge, Fabrice Andre, Stefan Michiels, Ines Vaz-Luis
Summary: This article presents a predictive model for assessing fatigue among breast cancer survivors. By collecting clinical data from patients, the researchers identified risk factors associated with severe fatigue and developed a predictive model. This is important for early management of fatigue, correcting modifiable risk factors, and providing more accurate monitoring and education for patients at risk of severe post-treatment fatigue.
JOURNAL OF CLINICAL ONCOLOGY
(2022)
Review
Oncology
Judith E. Carroll, Julienne E. Bower, Patricia A. Ganz
Summary: There is a growing body of evidence suggesting that cancer patients receiving cytotoxic treatments may have an increased risk of accelerated physical and cognitive ageing, with biological ageing playing a role in this process. Specific behavioral factors, such as stress, sleep, and lifestyle habits, are important in the accelerated ageing of cancer patients and survivors. Modifiable behaviors can either increase the risk of accelerated ageing, provide protection, or promote resilience at both the biological and patient-reported outcome levels.
NATURE REVIEWS CLINICAL ONCOLOGY
(2022)
Article
Oncology
Karen L. Syrjala, Casey A. Walsh, Jean C. Yi, Wendy M. Leisenring, Emily Jo Rajotte, Jenna Voutsinas, Patricia A. Ganz, Linda A. Jacobs, Steven C. Palmer, Ann Partridge, K. Scott Baker
Summary: The study compared a self-management survivorship intervention to usual care in young adult cancer survivors, finding that the intervention group showed better improvement in distress. However, the study also indicates a need for alternative strategies for providing survivorship care to young adult survivors.
JOURNAL OF CANCER SURVIVORSHIP
(2022)
Article
Oncology
Eden R. Brauer, Elisa F. Long, Laura Petersen, Patricia A. Ganz
Summary: Despite the availability of breast cancer-specific survivorship care guidelines, adherence to their recommendations in clinical practice is suboptimal. Survey results identified key gaps in survivorship care for breast cancer survivors, particularly related to subsequent primary cancers and psychosocial long-term and late effects.
JOURNAL OF CANCER SURVIVORSHIP
(2023)
Article
Oncology
Antonio Di Meglio, Julie Havas, Arnauld S. Gbenou, Elise Martin, Mayssam El-Mouhebb, Barbara Pistilli, Gwenn Menvielle, Agnes Dumas, Sibille Everhard, Anne-Laure Martin, Paul H. Cottu, Florence Lerebours, Charles Coutant, Anne Lesur, Olivier Tredan, Patrick Soulie, Laurence Vanlemmens, Florence Joly, Suzette Delaloge, Patricia A. Ganz, Fabrice Andre, Ann H. Partridge, Lee W. Jones, Stefan Michiels, Ines Vaz-Luis
Summary: This study aimed to characterize the long-term quality of life trajectories among breast cancer patients receiving adjuvant chemotherapy and identify patterns of health behaviors. The results showed that a group of patients experienced deteriorating quality of life after chemotherapy and factors such as obesity, smoking, age, comorbidities, income, and endocrine therapy were associated with membership in this group.
JOURNAL OF CLINICAL ONCOLOGY
(2022)
Editorial Material
Oncology
Eden R. Brauer, Patricia A. Ganz
JOURNAL OF CLINICAL ONCOLOGY
(2022)
Article
Oncology
Ines Vaz-Luis, Antonio Di Meglio, Julie Havas, Mayssam El-Mouhebb, Pietro Lapidari, Daniele Presti, Davide Soldato, Barbara Pistilli, Agnes Dumas, Gwenn Menvielle, Cecile Charles, Sibille Everhard, Anne-Laure Martin, Paul H. Cottu, Florence Lerebours, Charles Coutant, Sarah Dauchy, Suzette Delaloge, Nancy U. Lin, Patricia A. Ganz, Ann H. Partridge, Fabrice Andre, Stefan Michiels
Summary: This study aimed to characterize long-term fatigue trajectories among breast cancer survivors. Three trajectory groups were identified for severe global fatigue, and it was found that different dimensions of fatigue were influenced by different factors. This helps identify patients at increased risk of severe fatigue and inform personalized interventions.
JOURNAL OF CLINICAL ONCOLOGY
(2022)
Article
Oncology
Mary E. Sehl, Jill E. Henry, Anna Maria Storniolo, Steve Horvath, Patricia A. Ganz
Summary: Estrogen promotes breast tissue proliferation and telomerase activation. Nulliparous women have longer age-adjusted DNAmTL in both breast and blood, potentially explaining their higher risk of breast cancer.
Editorial Material
Oncology
Michael E. Roth, Susan K. Parsons, Patricia A. Ganz, Lynne Wagner, Pamela S. Hinds, Sarah Alexander, Kristin Bingen, Sharon L. Bober, Julienne Brackett, David Cella, N. Lynn Henry, Daniel J. Indelicato, Rebecca H. Johnson, Tamara P. Miller, Shoshana M. Rosenberg, Kathryn H. Schmitz, Gita Thanarajasingam, Bryce B. Reeve, John M. Salsman
Summary: Disparities in care, treatment-related toxicity, and health-related quality of life for adolescents and young adults with cancer are often disregarded due to limited collection of patient-reported outcomes in cancer clinical trials. Standardizing the assessment of HRQoL and treatment toxicity in AYA CCTs is crucial for improving patient outcomes. The National Cancer Institute's Clinical Trials Network AYA PRO Task Force has identified key considerations and selected appropriate measures to address this issue.
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE
(2023)
Article
Surgery
Janice H. Yang, Emmett D. Goodman, Aaron J. Dawes, John V. Gahagan, Micaela M. Esquivel, Cara A. Liebert, Cindy Kin, Serena Yeung, Brooke H. Gurland
Summary: In this study, an interpretable automated method using artificial intelligence was designed and validated to evaluate technical proficiency in colorectal robotic surgery videos. The results showed that the measurements of technical proficiency extracted from AI algorithms correlated with those given by expert surgeons.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Aaron J. Dawes, Juan O. Mariscal, Peter J. White, Emily F. Midura, Anne E. Sirany, Ann C. Lowry, Christine C. Jensen, Amy J. Thorsen
Summary: This study aimed to determine whether patients with rectoanal intussusception achieve similar benefits from device implantation to patients without rectoanal intussusception. The results showed that rectoanal intussusception does not affect the clinical outcomes or quality of life after sacral nerve stimulation for fecal incontinence. Therefore, patients with fecal incontinence and rectoanal intussusception can be considered for sacral nerve stimulation placement.
DISEASES OF THE COLON & RECTUM
(2023)
Editorial Material
Oncology
Patricia A. Ganz
JOURNAL OF CLINICAL ONCOLOGY
(2023)
Letter
Gastroenterology & Hepatology
Aaron J. Dawes, Ann C. Lowry, Christine C. Jensen, Amy J. Thorsen
DISEASES OF THE COLON & RECTUM
(2023)
Article
Gastroenterology & Hepatology
Aaron J. Dawes, John V. Gahagan
Summary: Stoma-related complications are common in colorectal surgery and can occur during or after the operation. Most complications can be treated non-surgically through education, adjustment of appliances, and behavioral intervention. A multidisciplinary team approach is necessary for optimal management, involving surgeons, enterostomal therapists, and other healthcare professionals. The goal is to improve stoma function and enhance the patient's quality of life. Preoperative planning and meticulous stoma creation are crucial for successful treatment.
CLINICS IN COLON AND RECTAL SURGERY
(2023)
Meeting Abstract
Gastroenterology & Hepatology
C. Sakurai Kimura, A. J. Dawes, B. H. Gurland
DISEASES OF THE COLON & RECTUM
(2022)