DMW - Deutsche Medizinische Wochenschrift, Год журнала: 2024, Номер 150(01/02), С. 15 - 21
Опубликована: Дек. 11, 2024
The number of people living with or after cancer is steadily increasing due to an ageing society and improved treatment. However, once treatment has been completed, the consequences disease are often felt for a long time. These affect many different areas life lead high level suffering need care. Psycho-oncological support offers effective those affected.
Язык: Английский
Journal of Cancer Research and Clinical Oncology, Год журнала: 2024, Номер 150(4)
Опубликована: Апрель 12, 2024
Abstract Purpose Recognizing unmet care needs among cancer patients is crucial for improving a person-centered and tailored approach to survivorship care. This study aimed explore the prevalence of supportive needs, pinpointing entity-specific areas burden, identify factors associated with within diverse sample patients. Methods In this cross-sectional sub-study large multicenter study, 944 adult reported via well-validated SCNS. Most frequent diagnoses included breast (n = 276), prostate 237), hematological 90) gynecological 74), which were analyzed needs. Results Across most entities, health system information, psychological commonly reported, fear spreading information regarding control/diminishment ranking as prevalent individual concerns. Notable differences in emerged patients, who exhibited more ( p 0.007, OR 2.01) physical 0.005, 2.02), showed higher sexuality < 0.001, 2.95) but fewer 0.55), 0.31) patient 0.006, 0.62). Non-distressed participants had each domain (all 0.001). Patients functional impairments female respondents increased across domains. Conclusion The high feeling inadequately informed about their disease aspects, particularly those impairments, reflects key challenge healthcare system. Specific interventions improvements patient-doctor communication are essential address
Язык: Английский
Процитировано
8
Journal of Affective Disorders, Год журнала: 2025, Номер 374, С. 11 - 25
Опубликована: Янв. 8, 2025
Язык: Английский
Процитировано
0
European Journal of Internal Medicine, Год журнала: 2025, Номер unknown
Опубликована: Март 1, 2025
Язык: Английский
Процитировано
0
Acta Oncologica, Год журнала: 2025, Номер 64, С. 516 - 526
Опубликована: Апрель 15, 2025
Background: Older patients form the largest group of cancer yet remain underrepresented in clinical research. This scoping review aims to synthesize findings on quality life (QoL) older adults with cancer, comparing them younger counterparts and individuals without identifying associated factors. Methods: PubMed PsychINFO databases were searched for articles published until January 2024. Studies included exclusively (≥ 65 years), age-mixed samples (mean/median ≥ 70 or that report results separately cancer. Out 6, 397 identified studies, 87 met inclusion criteria. Results: Most studies cross-sectional, conducted 14 countries a mean age 74.2 years. Physical QoL (PQoL) demonstrates an age-related decline, primarily influenced by comorbidity burden, physical activity, lifestyle. In contrast, mental (MQoL) remained stable increased advancing age, reflecting resilience effective coping patients. While cognitive role functioning tended show declining values regarding social mixed. Socioeconomic factors, e.g. education, income, marital status, mainly impacted MQoL, as well other domains. Symptom management support represent unmet needs contribute impairments. underreport symptoms they perceive normal their experience ageism healthcare, reduced participation. Interpretation: Comprehensive, multidisciplinary care is essential focusing prevention functional health geriatric assessment, socioeconomic disparities, enhancing symptom management.
Язык: Английский
Процитировано
0
Clinical Psychology Review, Год журнала: 2024, Номер 115, С. 102520 - 102520
Опубликована: Ноя. 26, 2024
Язык: Английский
Процитировано
3
Deleted Journal, Год журнала: 2024, Номер 30(8), С. 710 - 719
Опубликована: Июнь 26, 2024
Digitale Gesundheitsanwendungen (DiGA) können seit 2020 verordnet werden. Wie ist die Nutzung von DiGA für Psychoonkologie einzuschätzen? Die im DiGA-Verzeichnis gelisteten Anwendungen wurden gesichtet sowie deren und Wirksamkeit Perspektiven verschiedener Akteur*innen (Firmen, Krankenversicherung, Solidargemeinschaft, Patient*innen, Leistungserbringende) in einem Literaturreview (einschließlich grauer Literatur) eruiert. Zusätzlich qualitative Interviews mit Ärzt*innen, medizinischen Fachangestellten Psychotherapeut*innen zu ihren Erfahrungen geführt. Der DiGA-Markt dynamisch. Gegenwärtig sind psychische Erkrankungen 26 zugelassen, drei Brustkrebserkrankungen. Sechs zunächst zugelassen danach wieder aus dem Verzeichnis gestrichen. Bis September 2023 451.056 DiGA-Codes genehmigt, 11 % davon direkt durch Krankenkasse, also ohne dass Behandelnde involviert waren. Unabhängige Reviews kommen Schluss, Evidenz positive Versorgungseffekte bislang ungenügend sei ein hohes Biasrisiko bestehe (Hauptprobleme: keine aktive Kontrollgruppe, unizentrische Studien, direkte Mitwirkung der Hersteller, Verblindung, Drop-out, fehlende Erfassung unerwünschter Wirkungen). auf unterschiedlich. Es insgesamt 13 Leistungserbringenden Sie erwarten eine zügige Unterstützung, vor allem als Überbrückung bis Psychotherapieplatz zur Verfügung steht, Psychoedukation Empowerment. Bemängelt Wirksamkeitsnachweise schwache Zulassungskriterien Vergleich Medikamenten. Sorgen richten sich Enthumanisierung des psychotherapeutische Prozesse wichtigen menschlichen Kontakts Datenschutz Datensicherheit, nicht ausreichend vermutet bisherigen ergeben gemischtes Bild. gibt noch wenig gute Belege Verbesserung patientenrelevanter Endpunkte. Ärzt*innen sollten Vorfeld einer Verordnung über jeweilige gut informieren. Informationen Datensicherheit müssen unabhängigen Einrichtungen zusammengestellt, kritisch geprüft zugänglich sein.
Процитировано
1
Deleted Journal, Год журнала: 2024, Номер 63(9), С. 878 - 885
Опубликована: Июль 12, 2024
The number of patients living with or after cancer is constantly increasing due to improved diagnostics and care as well the ageing society. This particularly true for group older survivors complex health supportive needs. For many those affected their relatives, disease its treatment are accompanied by high levels emotional stress, an impaired quality life, a variety psychosocial challenges. Psychosocial distress, such depression anxiety, sometimes persists years has ended. most common unmet needs include psychological information Therefore, it essential implement effective screening low-threshold needs-based referral evidence-based psycho-oncological support services. Around third all express desire professional support. Although there compelling evidence that interventions can reduce distress improve need further research into design effectiveness intervention services specific subgroups, prostate patients.
Язык: Английский
Процитировано
1
Digital Health, Год журнала: 2024, Номер 10
Опубликована: Янв. 1, 2024
Modern healthcare is experiencing a significant transformation, utilizing technology to improve patient outcomes and make processes more efficient. Breast cancer, being the most commonly diagnosed cancer in women globally, requires innovative approaches for effective management. Digital Therapeutics (DTx) Clinical Decision Support Systems (CDSSs) have emerged as pivotal technologies, offering personalized, patient-centered care optimizing clinical decision-making. This review provides comprehensive analysis of applications, benefits, challenges these digital tools breast treatment. We examine DTx tools’ ability offer real-time symptom monitoring, treatment adherence, psychological support, lifestyle modification guidance. Simultaneously, role CDSSs providing personalized recommendations, early detection, data analysis, enhancing multidisciplinary collaborations evaluated. The implementing such privacy, interoperability, accessibility are also discussed, along with potential solutions. By exploring current research findings, underscores impact on outcomes, efficiency, overall quality life. manuscript concludes forward-looking perspective, emphasizing importance collaborative efforts overcome obstacles unlock full innovations oncology. Our suggests that adopting can lead holistic, efficient, patient-centric care, marking shift paradigm
Язык: Английский
Процитировано
1
International Journal of Clinical Oncology, Год журнала: 2024, Номер unknown
Опубликована: Ноя. 16, 2024
Abstract Improved cancer treatment outcomes have increased the demand for medical care that considers quality of life patients with cancer. Patient-reported (PROs) help assess because they involve direct evaluation patients. Recently, electronic PROs (ePROs) been used in clinical settings Europe and United States. Electronic positively affected communication between healthcare providers, enhanced education, optimized self-management, contributed to economics, assisted monitoring adverse events, improved prognosis. However, challenges such as adherence, burden on lack personalized formats, low digital literacy, implementation costs remain. Therefore, carefully selecting items be recorded by ePROs alignment specific objectives is essential. Additionally, developing systems using lifelogs—digital records daily activities—and creating mechanisms automatically encourage patient behavioral changes based reported data are crucial. This review delineates advantages according their history proposes prospects ePRO.
Язык: Английский
Процитировано
0
DMW - Deutsche Medizinische Wochenschrift, Год журнала: 2024, Номер 150(01/02), С. 15 - 21
Опубликована: Дек. 11, 2024
The number of people living with or after cancer is steadily increasing due to an ageing society and improved treatment. However, once treatment has been completed, the consequences disease are often felt for a long time. These affect many different areas life lead high level suffering need care. Psycho-oncological support offers effective those affected.
Язык: Английский
Процитировано
0