Factors Associated With Unplanned Hospitalizations Among Patients With Nonmetastatic Colorectal Cancers Intended for Treatment in the Ambulatory Setting

Chemotherapy administration and supportive management for solid tumors is intended to take place in the ambulatory setting, but little is known about why some patients experience treatment-related, adverse events so severe as to require acute inpatient care

Quality of life domains among non-Hodgkin lymphoma survivors: an integrative literature review

Survival rates of individuals with non-Hodgkin lymphoma (NHL) have increased in the past several years, as has the prevalence of older adults who are managing late and long-term effects of the disease and its treatment. In this integrative review, the state of the science for determining the quality of life (QOL) among NHL survivors is outlined. An online search of Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and the Cochrane Library databases was conducted using the following Keywords: non-Hodgkin lymphoma, health-related quality of life, quality of life, and impact of cancer. Eighteen studies published between 2000 and 2010 are reviewed. Of these, 17 were descriptive, cross-sectional designs, and one was a systematic review. The studies included participants of varying ages and years post-diagnosis as reported in several countries. Importantly, many used one or more QOL measures as outcome variables. Future research is needed on older and minority cancer populations and should include longitudinal and interventional studies

A Systematic Review of Psychometric Properties of Health-Related Quality-of-Life and Symptom Instruments in Adult Acute Leukemia Survivors

Acute leukemia represents 4% of cancer cases in the United States (US) annually. There are over 302,000 people living with acute and chronic leukemia in the US. Treatment has been shown to have both positive and negative effects on health-related quality of life (HRQOL)

A randomized trial of a Facebook-based physical activity intervention for young adult cancer survivors

Over half of young adult cancer survivors do not meet physical activity (PA) guidelines. PA interventions can enhance health and quality of life among young adult cancer survivors. However, few exercise interventions have been designed and tested in this population. This study evaluated the feasibility and preliminary efficacy of a 12-week, Facebook-based intervention (FITNET) aimed at increasing moderate-to-vigorous intensity PA compared to a Facebook-based self-help comparison (SC) condition

Exploring Mediators of Physical Activity in Young Adult Cancer Survivors: Evidence from a Randomized Trial of a Facebook-Based Physical Activity Intervention

Purpose: This study examined the effects of a physical activity (PA) intervention for young adult cancer survivors on changes in self-efficacy, social support, and self-monitoring and determined whether changes in these social cognitive theory constructs mediated the relationship between the intervention and changes in PA

Physical Activity in Young Adults: A Signal Detection Analysis of Health Information National Trends Survey (HINTS) 2007 Data

Many young adults are insufficiently active to achieve the health benefits of regular physical activity (PA). We examined distinct subgroups of young adults (18–39y) that vary in their likelihood of not meeting PA recommendations using signal detection analysis of data from the Health Information National Trends Survey 2007. The sample was randomly split and signal detection analysis was conducted on the exploratory half to identify subgroups and interactions among sociodemographic and health communication variables that predicted engaging in <150 weekly minutes of moderate-intensity PA (low PA). Rates of low PA among subgroups were compared with similarly defined subgroups in the validation sample. Overall, 62% were not meeting PA recommendations. Among eight subgroups identified, low PA rates ranged from 31%-90%. Predictors of low PA were general health, BMI, perceived cancer risk, health-related Internet use, and trust in information sources. The least active subgroup (90% low PA) included young adults in poor to good health with a BMI≥30.8 (obese). The most active subgroup (31% low PA) comprised those in very good to excellent health, who used a website to help with diet, weight or PA, and had no to little trust in health information on television. Findings suggest potential intervention communication channels and can inform targeted PA interventions for young adults

Survivorship Care Plans: Prevalence and Barriers to Use

Survivorship care plans (SCPs) are intended to educate survivors and providers about survivors’ transition from cancer treatment to follow-up care. Using a survey of 23 cancer programs in the South Atlantic United States, we (1) describe the prevalence and barriers to SCP use and (2) assess relationships between SCP use and (a) barriers and (b) cancer program characteristics. Most cancer programs (86%) reported some SCP use; however, less than a quarter of cancer programs’ providers had ever used an SCP. The majority (61%) began using SCPs because of professional societies’ recommendations. Key barriers to SCP use were insufficient organizational resources (75%) and systems for SCP use. We found patterns in SCP use across location, program type and professional society membership. Most cancer programs have adopted SCPs, but use remains inconsistent. Efforts to promote SCP use should address barriers, particularly in cancer programs that are susceptible to barriers to SCP use

Health Disparities Across the Breast Cancer Continuum

To provide a brief overview of disparities across the spectrum of breast cancer incidence, treatment, and long-term care during the survivorship period

Why Do Cancer Patients Die in the Emergency Department?: An Analysis of 283 Deaths in NC EDs

Emergency department (ED) visits are made by cancer patients for symptom management, treatment effects, oncologic emergencies, or end of life care. While most patients prefer to die at home, many die in health care institutions. The purpose of this study is to describe visit characteristics of cancer patients who died in the ED and their most common chief complaints using 2008 ED visit data from the North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT). Of the 37,760 cancer-related ED visits, 283 resulted in death. For lung cancer patients, 104 died in the ED with 70.9% dying on their first ED visit. Research on factors precipitating ED visits by cancer patients is needed to address end of life care needs

Parenting while living with advanced cancer: A qualitative study

Patients with advanced cancer who have dependent children are an important population with a life-limiting illness and high levels of psychological distress. Few studies have addressed the experience of being a parent with advanced cancer and their potential palliative needs