Radium-223 international early access program: results from the Spanish subset.

AIM: To report results from the Spanish subset included in the radium-223 international early access program (iEAP). PATIENTS & METHODS: Ninety patients with castration-resistant prostate cancer and bone metastases received radium-223 55 kBq/kg every 4 weeks for six cycles. RESULTS: The median time to disease progression was 8 months and to prostate-specific antigen progression was 4 months. The percentage of patients with ≥50% confirmed declines in prostate-specific antigen was 9%. The median overall survival was 14 months. Grade 3 or 4 treatment emergent adverse events (TEAEs) occurred in 34% of patients (serious TEAEs 28%, TEAEs leading to discontinuation 27%). CONCLUSION: Outcomes of the Spanish subset are consistent with the iEAP. Radium-223 was generally well tolerated with no safety concerns.

Relation Between Social Support Received and Provided by Parents of Children, Adolescents and Young Adults With Cancer and Stress Levels and Life and Family Satisfaction.

INTRODUCTION: The present study aims at analysing how social support received and provided by parents of children, adolescents and young adults (AYA) diagnosed with cancer, as well as their sociodemographic and clinical variables, affect those parents' stress levels and life and family satisfaction. MATERIALS AND METHODS: A total of 112 parents of children and AYAs who had been diagnosed with cancer and who received treatment in Malaga participated in the study. In the study, participated all parents who voluntarily agreed to fulfil the questionnaire. The main inclusion criterion was that their child had cancer. Instruments used were Questionnaire on the Frequency of and Satisfaction with Social Support (QFSSS), Paediatric Inventory for Parents (PIP), Life Satisfaction Scale and Family Satisfaction Scale. RESULTS: In the mean difference analyses, male parents showed 3.38 (SD = 0.56) in social support received and female parents showed M = 3.08 (SD = 0.72). Conversely, in social support provided, female parents showed 3.22 and male parents showed M = 3.55 (p = 0.020). Significant differences were also found in family satisfaction, where female parents (M = 3.64) feel more satisfied than male parents (M = 3.06; p = 0.027). Parents of children aged between 0 and 14 years (M = 3.06) feel more stress than those parents of children aged 15-21 (M = 2.61; p = 0.021). The correlation analysis shows that there is a negative and significant relation between stress levels experienced by parents when facing different situations related to the child's disease and both types of support, received r = -0.411, p < 0.001 and provided r = -0.282, p < 0.01. There is also a positive and significant relation between life satisfaction and social support received r = 0.292, p < 0.01, and social support provided r = 0.409, p < 0.001. There is a positive and significant relation between family satisfaction and social support received r = 0.330, p < 0.01, in the same way as with social support provided r = 0.222, p < 0.05. The regression analysis related to stress levels of parents indicates that social support received predicts levels of stress significantly p < 0.001, with the variable of number of children being the one that showed to be significant p < 0.05. Social support provided showed the most significant results p = 0.001, meaning that social support provided increased life satisfaction. Social support received explains family satisfaction (p = 0.50), as it increases the family satisfaction of parents of children with cancer. DISCUSSION: Analysing social support received and provided, as well as sociodemographic and clinical variables, allowed us to broaden the knowledge on the effect social support has on stress levels, life satisfaction and family satisfaction in parents of children and AYAs diagnosed with cancer. This may have relevant practical implications for the design of interventions that would improve parents' lives.

The Association of Sources of Support, Types of Support and Satisfaction with Support Received on Perceived Stress and Quality of Life of Cancer Patients.

INTRODUCTION: The aim of the present study is to carry out a multidimensional analysis of the relationship of social support with quality of life and the stress perceived by cancer patients. METHODS: The participants were 200 patients with cancer. Data was gathered on sociodemographic characteristics, health, quality of life, social support and perceived stress. RESULTS: Frequency of and satisfaction with different sources and types of support are related positively with improvement of quality of life and negatively with perceived stress. The emotional support from the partner and the emotional and informational support from the family are significant predictors of quality of life. Emotional support from the family reduces patients' perceived stress. Satisfaction with emotional support from the partner and with the informational support from friends and family increases quality of life. Satisfaction with emotional support from the family and with informational support from friends decreases patients' perceived stress. Instrumental support and support provided by health professionals are not good predictors of quality of life and perceived stress. Satisfaction with the support received is more significantly related with quality of life and stress than the frequency with which the sources provide support. CONCLUSIONS: These results have important practical implications to improve cancer patients' quality of life and reduce their perceived stress through social support. Designing intervention strategies to improve satisfaction with the support provided to patients by their closest networks results in a global benefit for the patient's quality of life.

Experience with Sunitinib in metastatic renal cell carcinoma (mRCC) patients: pooled analysis from 3 Spanish observational prospective studies.

BACKGROUND: A pivotal, randomized, phase III trial demonstrated a statistically significant superiority of sunitinib over interferon-α in metastatic renal cell carcinoma (mRCC) patients. OBJECTIVE: To evaluate the effectiveness and safety of sunitinib in patients with advanced or mRCC in routine clinical practice. METHODS: Retrospective pooled analysis of clinical data from three observational and prospective studies carried out between 2007 and 2011 in 33 Spanish hospitals. Tumor response, Progression-free survival (PFS) and overall survival (OS), and main sunitinib-related toxicities were registered. RESULTS: 224 patients were analyzed. Median PFS 10.6 months (95% CI: 9.02-12.25), median OS 21.9 months (95% CI: 17.2-26.6). Objective response rate (ORR) 43.8% (95% CI: 36.8-50.7). Median time to PR was 3.8 months (95% CI: 3.86-5.99) and to CR 8.2 months (95% CI: 4.75-9.77). The most common ≥ grade-3 AEs were asthenia/fatigue (18.7%), hand-foot syndrome (6.2%), hypertension (5.8%) and neutropenia (4.8%). Hand-foot syndrome, diarrhea and mucositis were confirmed as independent predictors for PFS and/or OS in a multivariate analysis (p < 0.05) Conclusions: Outcomes with sunitinib in daily clinical practice resemble those obtained in clinical trials. Long-term benefit with sunitinib is possible in advanced RCC patients but the appropriate management of toxicities is mandatory to enable patients to remain on treatment.

La resiliencia de los padres de niños con cáncer y su importancia en el manejo del estrés y la satisfacción vital / Resilence, stress level and life satisfaction in parents of children with cancer

Objetivo: El presente estudio se plantea como objetivo principal analizar cómo la resiliencia de los padres de niños diagnosticados con enfermedad oncológica influye en la percepción de estrés y en la satisfacción vital. Metodología: Participaron 112 padres de niños con patología oncológica que recibían tratamiento en Málaga. Los datos fueron recogidos a través de medidas de autoinforme. Resultados: Existe una relación significativa y negativa entre la resiliencia y el estrés percibido, y una relación significativa y positiva entre la resiliencia y la satisfacción vital. En el estudio por dimensiones de la resiliencia y el estrés, la competencia personal de los padres disminuye el estrés R2 = 0,24; F = 12,12; p<0,0001 y la dimensión de la resiliencia aceptación de uno mismo aumenta la satisfacción vital R2 = 0,42; F = 31,24; p<0,0001. Conclusiones: El análisis de la resiliencia a través de sus dimensiones ha permitido conocer el papel que tiene sobre el estrés y la satisfacción vital de los padres con niños con cáncer. Estos resultados pueden tener importantes implicaciones prácticas en el diseño de las intervenciones que mejoren su calidad de vida (AU)

Objective: The main objective of this study is to analyze how the resilience of the parents of children diagnosed with oncological disease influences the perception of stress and life satisfaction. Methodology: 112 parents of children with oncological pathology who received treatment in Malaga participated. Data were collected through self-report measures. Results: There is a significant and negative relationship between resilience and perceived stress, and a significant and positive relationship between resilience and life satisfaction. In the study by dimensions of resilience and stress, the personal competence of parents decreases stress R2 = 0.24; F = 12.12; p<0.0001 and the dimension of resilience acceptance of oneself increases life satisfaction R2 = 0.42; F = 31.24; p<0.0001. Conclusions: The analysis of resilience through its dimensions has allowed to know the role it has on stress and life satisfaction of parents with children with cancer. These results can have important practical implications in the design of interventions that improve their quality of life (AU)

Social support, burnout and well-being in teaching professionals. Contrast of a direct and buffer effect model

The main aim of this investigation is to determine whether social support has a direct impact n well-being or a buffer effect, reducing the negative consequences of burnout on teaching professionals´ health and well-being. The sample of the study was composed of 158 teachers. The instruments used for the measurement of social support, burnout and well-being were the Perceived Social Support Questionnaire (Herrero, Gracia & Musitu, 1996), adapted to the work context; the Maslach Burnout Inventory (MBI; Maslach & Jackson, 1981); and the Satisfaction with Life Scale (Diener, Emmons, Larsen, & Griffin, 1985), respectively. Overall social support showed a significant main effect on teacher´s well-being. Concerning the buffer effect model, significant interaction effects were verified between social support and burnout. Taking an applied perspective, the results obtained in the present study point out the relevance of interventions focused on social support and burnout coping strategies for teaching professionals (AU)

El objetivo principal de esta investigación es determinar si el apoyo social tiene un impacto directo en el bienestar o un efecto de amortiguación, reduciendo las consecuencias negativas del desgaste en la salud y el bienestar de los profesionales de la enseñanza. La muestra del estudio estuvo compuesta por 158 profesores. Los instrumentos utilizados para la medición del apoyo, el desgaste y el bienestar son el Cuestionario de Apoyo Social Percibido (Herrero, Gracia & Musitu, 1996), adaptado al contexto utilizado, el Maslach Burnout Inventory (MBI; Maslach & Jackson, 1981) y la Escala de Satisfacción con la Vida (Diener, Emmons, Larsen & Griffin, 1985), respectivamente. En general, el apoyo social mostró9 un significativo efecto principal sobre el bienestar de los docentes. En cuanto al modelo de efectos de amortiguación, este efecto se verificó en la interacción significativa entre el apoyo social y el burnout. Adoptando una perspectiva aplicada, los resultados obtenidos en el presente estudio señalan la pertinencia de las intervenciones centradas en el apoyo social y las estrategias de afrontamiento del burnout para profesionales de la enseñanza (AU)