Diagnosis, assessment and management of constipation in advanced cancer: ESMO Clinical Practice Guidelines.

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Delphi initiative for early-onset colorectal cancer (DIRECt). International Management Guidelines.

BACKGROUND AND AIMS: Patients with early-onset colorectal cancer (eoCRC) are managed according to guidelines that are not age-specific. A multidisciplinary international group (DIRECt), comprised of 69 experts, was convened to develop the first evidence-based consensus recommendations for eoCRC. METHODS: After reviewing the published literature, a Delphi methodology was employed to draft and respond to clinically relevant questions. Each statement underwent 3 rounds of voting and reached a consensus level of agreement of ≥80%. RESULTS: The DIRECt group produced 31 statements in 7 areas of interest: diagnosis, risk factors, genetics, pathology-oncology, endoscopy, therapy, and supportive care. There was strong consensus that all individuals younger than 50 should undergo CRC risk stratification and prompt symptom assessment. All newly diagnosed eoCRC patients should receive germline genetic testing, ideally before surgery. Based on current evidence, endoscopic, surgical, and oncologic treatment of eoCRC should not differ from later onset CRC, except for individuals with pathogenic or likely pathogenic germline variants. The evidence on chemotherapy is not sufficient to recommend changes to established therapeutic protocols. Fertility preservation and sexual health are important to address in eoCRC survivors.The DIRECt group highlighted areas with knowledge gaps that should be prioritized in future research efforts, including age at first screening for the general population, use of fecal immunochemical tests, chemotherapy, endoscopic therapy, and post-treatment surveillance for eoCRC patients. CONCLUSIONS: The DIRECt group produced the first consensus recommendations on eoCRC. All statements should be considered together with the accompanying comments and literature reviews. We highlighted areas where research should be prioritized. These guidelines represent a useful tool for clinicians caring for patients with eoCRC

Relationships among unmet needs, depression, and anxiety in non–advanced cancer patients

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Table_S2 – Supplemental material for Relationships among unmet needs, depression, and anxiety in non–advanced cancer patients

<p>Supplemental material, Table_S2 for Relationships among unmet needs, depression, and anxiety in non–advanced cancer patients by Martina Ferrari, Carla I. Ripamonti, Nicholas J. Hulbert-Williams and Guido Miccinesi in Tumori Journal</p

Combinatorial laser synthesis of biomaterial thin films: selection and processing for medical applications.

A new generation of implantable biomaterials should possess smart surfaces and interfaces able to modulate cellular behaviour and directly address specific clinical issues. This chapter provides an overview of recent advances in the field of laser-based combinatorial synthesis of thin biomaterial films with gradient of composition on solid substrates for medical applications. Laser processing methods and selected applications for tissue engineering and regenerative medicine are reviewed in sequel