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1.
Eur J Cancer Care (Engl) ; 28(5): e13102, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31184786

RESUMO

INTRODUCTION: This study aims to assess the impact of paediatric benign and malignant solid tumours and its treatment on the health-related quality of life of children and adolescents who were followed up in a Reference Center in Pediatric Oncology in Rio de Janeiro. METHODS: It is a prospective cohort study. Quality of life assessment was performed using the PedsQL™ 4.0 Generic Core Scales and PedsQL™ 3.0 Cancer Module protocols three times: during hospital admission (T1), 6 months after admission (T2) and 1 year after admission (T3). RESULTS: We evaluated 132 patients, 59 men and 73 women, aged 2-17 years. In PedsQL™4.0, the Emotional Functioning scale was the one with the worst scores, while the scores on the Social Functioning scale was the best. In PedsQL™ 3.0, the worst domains were Procedural Anxiety and Worry. Patients with malignant bone tumours had the worst health-related quality of life. The group who received only surgery had better results. Total scores of PedsQL™4.0 and PedsQL™ 3.0 improved between T1 and T3. CONCLUSION: Children and adolescents with malignant and benign neoplasms undergo changes in quality of life as a result of the disease and treatment, but an improvement has been observed over time.


Assuntos
Saúde Mental , Neoplasias/fisiopatologia , Qualidade de Vida , Participação Social , Adolescente , Neoplasias Ósseas/fisiopatologia , Neoplasias Ósseas/psicologia , Neoplasias Ósseas/terapia , Brasil , Neoplasias do Sistema Nervoso Central/fisiopatologia , Neoplasias do Sistema Nervoso Central/psicologia , Neoplasias do Sistema Nervoso Central/terapia , Criança , Pré-Escolar , Estudos de Coortes , Emoções , Feminino , Humanos , Neoplasias Renais/fisiopatologia , Neoplasias Renais/psicologia , Neoplasias Renais/terapia , Neoplasias Hepáticas/fisiopatologia , Neoplasias Hepáticas/psicologia , Neoplasias Hepáticas/terapia , Masculino , Neoplasias/psicologia , Neoplasias/terapia , Neoplasias Embrionárias de Células Germinativas/fisiopatologia , Neoplasias Embrionárias de Células Germinativas/psicologia , Neoplasias Embrionárias de Células Germinativas/terapia , Neuroblastoma/fisiopatologia , Neuroblastoma/psicologia , Neuroblastoma/terapia , Pais , Estudos Prospectivos , Retinoblastoma/fisiopatologia , Retinoblastoma/psicologia , Retinoblastoma/terapia , Sarcoma/fisiopatologia , Sarcoma/psicologia , Sarcoma/terapia , Instituições Acadêmicas , Neoplasias de Tecidos Moles/fisiopatologia , Neoplasias de Tecidos Moles/psicologia , Neoplasias de Tecidos Moles/terapia , Neoplasias Urogenitais/fisiopatologia , Neoplasias Urogenitais/psicologia , Neoplasias Urogenitais/terapia
2.
J Geriatr Oncol ; 9(1): 53-59, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28888555

RESUMO

OBJECTIVE: To investigate the prognostic value of elements of the Geriatric Assessment, in particular the Timed Up and Go (TUG) Test and the Barthel Index of Activities of Daily Living (ADL) for one-year post-operative mortality in elderly patients with cancer. MATERIALS AND METHODS: This prospective cohort study included patients 65years of age or older undergoing elective major surgery for cancer between June 2008 and June 2010. Preoperative functional status was measured by the TUG Test and the Barthel Index of ADL Cognitive state was assessed by the Mini Mental State Examination (MMSE). Complications were recorded prospectively. The degree of resection was noted. RESULTS: Data from 131 patients (56% women; median age, 71years) were analysed at 1year of follow-up. Mortality after 1year was 28.2%. Twenty-nine patients (22.3%) were dependent in ADLs, and 43 (35.2%) impaired in TUG. Thirteen patients (10.7%) were both, dependent in ADLs and impaired in TUG. Short-term complications after surgery occurred in 66% of patients, and major complications occurred in 29%. Patients who were dependent in ADLs and impaired in TUG had significantly higher 1-year mortality (OR, 4.5; 95% CI, 1.21-18.25; p=0.034). Lower scores on the MMSE (OR, 0.64; 95% CI, 0.43-0.95; p=0.048) and incomplete surgical resection (OR, 3.25; 95% CI, 1.15-9.20; p=0.026) were independently associated with higher 1-year mortality. CONCLUSION: Functional assessments, such as ADL and TUG scores, as well as mild cognitive impairment, are predictors of long-term outcome in elderly cancer patients. TRIAL REGISTRATION: German Clinical Trials Register (DRKS 00005150).


Assuntos
Disfunção Cognitiva/epidemiologia , Neoplasias Gastrointestinais/mortalidade , Avaliação Geriátrica/métodos , Neoplasias Urogenitais/mortalidade , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Feminino , Neoplasias Gastrointestinais/psicologia , Neoplasias Gastrointestinais/cirurgia , Humanos , Estimativa de Kaplan-Meier , Masculino , Testes de Estado Mental e Demência , Complicações Pós-Operatórias/epidemiologia , Estudos Prospectivos , Neoplasias Urogenitais/psicologia , Neoplasias Urogenitais/cirurgia
3.
Artigo em Inglês | MEDLINE | ID: mdl-28134462

RESUMO

Genitourinary cancers are significant causes of morbidity and mortality around the world. The present review summarises the current literature on suicide and its risk factors among patients with genitourinary cancers. The review was based on relevant articles published in MEDLINE, ProQuest, PsycINFO, Science Direct and Scopus databases. Patients with prostate cancer represented the most important risk group for suicide, among patients with urogenital cancers. Other risk factors are male gender, older age, white race, advanced disease, living alone and co-existing psychological comorbidities. Findings from the review call for a greater caregiver awareness on psychosocial morbidity and suicidality among genitourinary cancer patients pre- and post-treatment and their early identification, adoption of risk-reduction strategies and prompt referral for expert mental health care.


Assuntos
Suicídio , Neoplasias Urogenitais/psicologia , Fatores Etários , Efeitos Psicossociais da Doença , Humanos , Transtornos Mentais/complicações , Fatores de Risco , Fatores Sexuais , Apoio Social , Fatores Socioeconômicos , Suicídio/psicologia , Suicídio/estatística & dados numéricos
4.
J Geriatr Oncol ; 8(3): 216-219, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-27989612

RESUMO

BACKGROUND: Two-thirds of all cancer cases affect patients who are older than 65years, yet the specific conditions of the treatment and supportive care in this age group are poorly studied. There are limited data on the specific psycho-oncological problems in elderly patients with genito-urinary cancers. The aim of this study was to investigate the psychosocial needs of elderly patients with genito-urinary tumors using screening questionnaires and to use such screening questionnaires for an in-patient psychosocial treatment program. METHODS: Patients (≥65years, n=319) who underwent surgical (n=295) or medical treatment (n=24) for genito-urinary malignancies between 06/2014 and 11/2015 in our institution were included for prospective stress assessment. This was done with standardized questionnaires for stress screening and for the identification of need for care (NCCN Distress Thermometer and Hornheider Screening Instrument, HSI). RESULTS: The patients scored an average of 4.4 on the Distress Thermometer. According to the survey evaluation, 28% of patients had need for psychosocial care. However, only a minority of patients (4%) did actually communicate any need for psychosocial care. We also assessed the actual utilization of inpatient psychosocial support which is offered to all patients. CONCLUSION: There is a significant number of elderly patients with genito-urinary cancer with increased psychological stress and a consecutive need of psychosocial care. This is underreported and underused by the patients. Therefore, an easy low-threshold access system with an interdisciplinary and inter-professional collaborative support system would be desirable. Measuring psychological distress systematically can be helpful in treating older patients with malignant diseases.


Assuntos
Avaliação Geriátrica/métodos , Estresse Psicológico/psicologia , Neoplasias Urogenitais/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Estudos Prospectivos , Qualidade de Vida/psicologia , Autorrelato , Fatores Sexuais , Apoio Social , Neoplasias Urogenitais/terapia
5.
Cult. cuid ; 20(46): 14-21, sept.-dic. 2016.
Artigo em Português | IBECS | ID: ibc-159836

RESUMO

Objetivo: Analisar a compreensão e as estratégias de enfrentamento adotadas por homens e mulheres frente ao adoecimento de neoplasias do sistema reprodutor. Metodologia: estudo descritivo de abordagem qualitativa com a participação de 20 sujeitos hospitalizados para tratamento quimioterápico. As informações foram coletadas por meio de entrevista semiestruturada, as quais foram organizadas e analisadas pela técnica de Análise do Discurso do Sujeito Coletivo. Foram seguidas as recomendações éticas mediante o parecer 179/08. Resultados: mediante os discursos dos depoentes emergiram três discursos-síntese, ancorados nas seguintes ideias centrais: masculinidade e câncer; feminilidade e câncer; e, adaptação e superação. Nota-se que as mulheres demonstraram maior capacidade de adaptação e superação frente ao diagnóstico, enquanto os homens percebem a doença como perda da virilidade e da essência do ser homem. Considerações finais: são divergentes as repercussões provocadas pelas neoplasias do sistema reprodutor em homens e mulheres, o que provoca estratégias diferentes de enfrentamento e compreensão da doença (AU)


Objetivo: analizar la comprensión y las estrategias de afrontamiento adoptadas por los hombres y las mujeres contra la enfermedad de los tumores del sistema reproductivo. Metodología: estudio descriptivo de enfoque cualitativo con la participación de 20 personas hospitalizadas por la quimioterapia. La información se recogió a través de entrevistas semi-estructuradas, organizadas y analizadas por la técnica de análisis de discurso del sujeto colectivo. Les siguieron las recomendaciones éticas por parte de la opinión 179/08. Resultados: de los discursos de los deponentes surgieron tres discursos sintéticos, anclados en las siguientes ideas básicas: la masculinidad y el cáncer; la feminidad y el cáncer; y la adaptación y la superación. Tomar nota de que las mujeres demostraron una mayor capacidad de adaptarse y superar cuando el diagnóstico que los hombres perciben la condición como la pérdida de la virilidad y la esencia de ser hombre. Consideraciones finales: son divergentes repercusiones causadas por cánceres del sistema reproductivo en los hombres y mujeres, lo que provoca diferentes estrategias de afrontamiento y comprensión de la enfermedad (AU)


Objective: To analyze the understanding and coping strategies adopted by men and women against the disease of the reproductive system neoplasms. Methodology: A descriptive qualitative study involving 20 subjects hospitalized for chemotherapy. Information was collected through semi-structured interviews, which were organized and analyzed by the collective subject discourse analysis technique. Were followed by the ethics opinion 179/08. Results: by the speeches of the interviewees revealed three synthetic discourses, anchored on the following core ideas: masculinity and cancer; femininity and cancer; and adapt and overcome. To note that women demonstrated greater ability to adapt and overcome facing the diagnosis, while men perceive the disease as loss of virility and the essence of the man. Final thoughts: are divergent repercussions caused by cancers of the reproductive system in men and women, which causes different coping strategies and understanding of the disease (AU)


Assuntos
Humanos , Neoplasias Urogenitais/psicologia , Adaptação Psicológica , 25783 , Distribuição por Sexo , Fatores Culturais , Masculinidade , Feminilidade
6.
Curr Opin Pediatr ; 28(4): 421-7, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27138999

RESUMO

PURPOSE OF REVIEW: Heavy menstrual bleeding is common among adolescent and young adult women, and can affect health-related quality of life. The cause of heavy menstrual bleeding is not uncommonly because of an underlying hematologic or oncologic disease process, which substantially influences the way patients are counseled and treated. RECENT FINDINGS: Options for menstrual management are more numerous today than ever before and range from minimizing monthly blood loss to suppressing the cycle altogether. However, an underlying bleeding disorder or malignancy can introduce many nuances and limits in individual patient care, which this review highlights. Additionally, because survival rates for adolescent and young adult cancers are improving, more of these patients are planning for lives after their disease, which may include starting or adding to a family. Options for fertility preservation during cancer therapy regimens are solidifying and both primary practitioners and subspecialists should be aware of the possibilities. SUMMARY: Patients with underlying hematologic or oncologic disease require management of menstrual bleeding, but also deserve a comprehensive evaluation and counseling regarding their individualized contraceptive needs and fertility preservation options during their reproductive years. This review employs the latest evidence from current literature to help guide clinicians caring for this unique demographic.


Assuntos
Transtornos da Coagulação Sanguínea/complicações , Anticoncepção/métodos , Infertilidade Feminina/prevenção & controle , Menorragia/terapia , Serviços de Saúde Reprodutiva , Neoplasias Urogenitais/complicações , Saúde da Mulher , Adolescente , Transtornos da Coagulação Sanguínea/psicologia , Aconselhamento Diretivo , Feminino , Preservação da Fertilidade , Humanos , Menorragia/etiologia , Menorragia/psicologia , Qualidade de Vida , Encaminhamento e Consulta , Neoplasias Urogenitais/psicologia , Adulto Jovem
7.
BMJ Open ; 6(3): e010128, 2016 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-27016243

RESUMO

OBJECTIVES: Studies comprising Danish Seventh-day Adventists (SDAs) and Danish Baptists found that members have a lower risk of chronic diseases including cancer. Explanations have pointed to differences in lifestyle, but detailed aetiology has only been sparsely examined. Our objective was to investigate the incidence of sexually transmitted diseases (STDs) among Danish SDAs and Baptists as a proxy for cancers related to sexual behaviour. METHODS: We followed the Danish Cohort of Religious Societies from 1977 to 2009, and linked it with national registers of all inpatient and outpatient care contacts using the National Patient Register. We compared the incidence of syphilis, gonorrhoea and chlamydia among members of the cohort with the general population. RESULTS: The cohort comprised 3119 SDA females, 1856 SDA males, 2056 Baptist females and 1467 Baptist males. For the entire cohort, we expected a total of 32.4 events of STD, and observed only 9. Female SDAs and Baptists aged 20-39 years had significant lower incidence of chlamydia (both p<0.001). Male SDAs and Baptists aged 20-39 years also had significant lower incidence of chlamydia (p<0.01 and p<0.05, respectively). No SDA members were diagnosed with gonorrhoea, when 3.4 events were expected, which, according to Hanley's 'rule of three', is a significant difference. No SDA or Baptist was diagnosed with syphilis. CONCLUSIONS: The cohort shows significant lower incidence of STD, most likely including human papillomavirus, which may partly explain the lower incidence of cancers of the cervix, rectum, anus, head and neck.


Assuntos
Protestantismo/psicologia , Comportamento Sexual/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/epidemiologia , Neoplasias Urogenitais/epidemiologia , Adulto , Dinamarca/epidemiologia , Feminino , Seguimentos , Humanos , Incidência , Estilo de Vida , Masculino , Estudos Retrospectivos , Fatores de Risco , Fatores Sexuais , Comportamento Sexual/psicologia , Doenças Sexualmente Transmissíveis/psicologia , Meio Social , Neoplasias Urogenitais/psicologia
9.
Cancer ; 121(11): 1864-72, 2015 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-25690909

RESUMO

BACKGROUND: Approximately 70% of all suicides in patients aged >60 years are attributed to physical illness, with higher rates noted in patients with cancer. The purpose of the current study was to characterize suicide rates among patients with genitourinary cancers and identify factors associated with suicide in this specific cohort. METHODS: Patients with prostate, bladder, kidney, testis, and penile cancer were identified in the Surveillance, Epidemiology, and End Results database (1988-2010). Standardized mortality ratios (SMRs) and 95% confidence intervals (95% CIs) were calculated for each anatomic site. Multivariable logistic regression models generated odds ratios (ORs) for the identification of factors associated with suicide for each malignancy. RESULTS: There were 2268 suicides identified among 1,239,522 individuals with genitourinary malignancies observed for 7,307,377 person-years. The SMRs for patients with cancer were 1.37 for prostate cancer (95% CI, 0.99-1.86), 2.71 for bladder cancer (95% CI, 2.02-3.62), 1.86 for kidney cancer (95% CI, 1.32-2.62), 1.23 for testis cancer (95% CI, 0.88-1.73), and 0.95 for penile cancer (95% CI, 0.65-1.35). On multivariable analysis, male sex was found to be associated with odds of suicide among patients with bladder cancer (OR, 6.63) and kidney cancer (OR, 4.98). Increasing age was associated with suicide for patients with prostate, bladder, and testis cancer (OR range, 1.03-1.06). Distant disease was associated with suicide in patients with prostate, bladder, and kidney cancer (OR range, 2.82-5.43). Among patients with prostate, bladder, and kidney cancer, African American patients were less likely to commit suicide compared with white individuals (OR range, 0.26-0.46). CONCLUSIONS: Suicide in patients with genitourinary malignancies poses a public health dilemma, especially among men, the elderly, and those with aggressive disease. Clinicians should be aware of risk factors for suicide in these patients.


Assuntos
Suicídio/estatística & dados numéricos , Neoplasias Urogenitais/epidemiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Programa de SEER , Suicídio/psicologia , Estados Unidos/epidemiologia , Neoplasias Urogenitais/psicologia
10.
Klin Khir ; (11): 60-4, 2015 Nov.
Artigo em Ucraniano | MEDLINE | ID: mdl-26939432

RESUMO

Clinical analysis was conducted in 74 oncological patients, in whom 103 iatrogenic injuries of ureter (IIU) were revealed and for which they were treated in Scientific-nvestigative Department of Plastic and Reconstructive Oncourology. Restoration of renal and ureteric function were noted in terms up to 6 mo, in these terms were revealed all complications, caused by recurrence of obstruction. Late follow-up results of III were positive in 95.2% patients, unsatisfactory result was revealed in 3 (4.8%) patients, what have demanded conduction of surgical secondary correction of urodynamics. Quality of life after restoration operative treatment have improved in 31.70%patients in comparison of such before the operation.


Assuntos
Neoplasias Abdominais/psicologia , Rim/cirurgia , Qualidade de Vida/psicologia , Ureter/cirurgia , Neoplasias Urogenitais/psicologia , Neoplasias Abdominais/patologia , Neoplasias Abdominais/cirurgia , Adulto , Idoso , Análise Fatorial , Feminino , Humanos , Doença Iatrogênica , Rim/lesões , Masculino , Pessoa de Meia-Idade , Ureter/lesões , Urodinâmica , Neoplasias Urogenitais/patologia , Neoplasias Urogenitais/cirurgia
11.
Clin Dermatol ; 31(4): 362-373, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23806153

RESUMO

Anogenital malignancies and premalignancies are an important personal/public health problem due to their effects on individuals' physical, mental, and sexual health. Also, due to their etiological association with human papillomavirus (HPV) infection, anogenital malignancies and premalignancies constitute an immense public health burden. In addition to HPV infection, immunosuppression, HIV infection, chronic dermatoses, such as lichen sclerosis, previous radiotherapy and chemotherapy treatments, and smoking, are the other important etiopathologic factors in the development of anogenital malignancies and premalignancies. The incidence of anal squamous cell carcinoma (SCC) has increased considerably in the past decade, mainly due to the growing number of cases in high-risk groups, such as men who have sex with men, immunosuppressed individuals, and patients with HIV infection. Also, an increase in vulvar intraepithelial neoplasia (VIN) and VIN-related invasive vulvar cancer has been noted in women younger than age 50 years due to its association with HPV infections over the past decade. SCC of the scrotum seems to be the first cancer linked to occupational exposure. Bowen's disease, Bowenoid papulosis, and erythroplasia of Queyrat are the most widely seen premalignancies of anogenital region and are all forms of squamous intraepithelial neoplasia. Histopathologically, these conditions share identical histologic features of SCC in situ, but their clinical features differ. Early diagnosis is vital to improve prognosis, especially in anogenital malignancies. Also, if a delay occurs in diagnosis, treatment options used will be associated with significant negative effects on the patient's psychological well-being and quality of life; hence, management of anogenital malignancies and premalignancies should be organized in a multidisciplinary fashion.


Assuntos
Neoplasias do Ânus/patologia , Carcinoma/patologia , Infecções por HIV/complicações , Líquen Escleroso e Atrófico/complicações , Infecções por Papillomavirus/complicações , Neoplasias Urogenitais/patologia , Neoplasias do Ânus/etiologia , Neoplasias do Ânus/psicologia , Carcinoma/etiologia , Carcinoma/psicologia , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Infecções por HIV/psicologia , Humanos , Líquen Escleroso e Atrófico/psicologia , Infecções por Papillomavirus/psicologia , Lesões Pré-Cancerosas/patologia , Lesões Pré-Cancerosas/psicologia , Radioterapia/efeitos adversos , Neoplasias Urogenitais/etiologia , Neoplasias Urogenitais/psicologia
12.
Eur J Cancer Care (Engl) ; 21(6): 776-81, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22672332

RESUMO

Stoma education has been traditionally given in a one-to-one setting. Since 2007, daily group education programmes were organised for stoma patients and their relatives by our stoma therapy unit. The programmes included lectures on stoma and stoma care, and social activities in which patients shared their experiences with each other. Patients were also encouraged to expand interaction with each other and organise future social events. A total of 72 patients [44 (61.1%) male with a mean (± SD) age of 56.8 ± 13.6 years] with an ileostomy (n= 51, 70.8%), a colostomy (n= 18, 25.0%) or a urostomy (n= 3, 4.2%) were included in the study. Patients were asked to answer a survey (SF-36) face-to-face before the initiation of the programme, which was repeated 3 months later via telephone call. The comparison of pre-education and post-education SF-36 scores revealed a statistically significant improvement in all 8-scale profiles, but not in vitality scale, and both psychometrically-based and mental health summary measures. Analyses disclosed that married patients and those who were living at rural districts seem to have the most improvement in life quality particularly in bodily pain, general health and role-emotional scales and mental health summary measure. In our opinion, group educations may be beneficial for stoma patients, and stoma therapy units may consider organising similar activities.


Assuntos
Neoplasias Colorretais/cirurgia , Educação de Pacientes como Assunto/métodos , Qualidade de Vida , Estomas Cirúrgicos , Neoplasias Urogenitais/cirurgia , Neoplasias Colorretais/psicologia , Feminino , Processos Grupais , Nível de Saúde , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Cuidados Pós-Operatórios/métodos , Cuidados Pré-Operatórios/métodos , Fatores Socioeconômicos , Neoplasias Urogenitais/psicologia
13.
J Cancer Surviv ; 6(3): 296-304, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22528034

RESUMO

PURPOSE: New models of survivorship care are required to address the needs of genitourinary (GU) cancer survivors. Current approaches do not effectively engage cancer survivors or advocacy groups. A group of clinicians in collaboration with the Canadian Urologic Association held a forum for GU cancer survivors, advocacy groups, and health professionals to explore ways to collaboratively enhance survivorship care. METHODS: Participants attended a 2-day conference that included presentations, breakout groups, and a postconference survey. Discussions by breakout groups were recorded and analyzed alongside open-ended survey responses for common themes. Basic statistics were calculated. RESULTS: Conference participants (n = 42) included 18 cancer survivors/caregivers, 21 health professionals, and 3 researchers representing bladder, kidney, prostate, and testis cancer groups. Breakout group discussions and responses to the postconference survey (83.3 % response rate) showed strong support for greater collaboration among all parties. Strategies to facilitate collaboration reflected a need to: (1) raise awareness of the shared and unique needs of GU cancer survivors and the expertise of cancer advocacy groups, (2) facilitate communication and collaborative opportunities among clinicians/researchers and cancer survivors/advocacy groups, (3) facilitate collaborative programming and fund-raising among GU advocacy groups, and (4) synthesize and facilitate access to GU cancer survivorship resources and services. CONCLUSIONS: There is strong support for formal collaboration to enhance survivorship care among a critical mass of GU cancer survivors, advocacy groups, clinicians, and researchers. Responsibility for collaboration lies with all stakeholder groups. Strategies to foster such partnerships should employ integrated knowledge translation approaches that actively engage all parties throughout the entire research to practice process. IMPLICATIONS FOR CANCER SURVIVORS: Successful partnerships between cancer survivors, advocacy groups, clinicians, and researchers require familiarity with each other's expertise, along with sufficient resources and organizational structures. GU survivorship advocacy groups need to work more closely together to ensure a strong, unified voice when interacting with clinicians and researchers.


Assuntos
Comportamento Cooperativo , Pessoal de Saúde , Defesa do Paciente , Educação de Pacientes como Assunto , Taxa de Sobrevida/tendências , Sobreviventes/psicologia , Neoplasias Urogenitais/prevenção & controle , Congressos como Assunto , Feminino , Humanos , Masculino , Relações Médico-Paciente , Neoplasias Urogenitais/psicologia
14.
Psychooncology ; 19(8): 879-86, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19862795

RESUMO

OBJECTIVE: The purpose of the present study was to examine the relationship between optimism and anxiety, depression and health-related quality of life (HRQOL). A further aim was to investigate the predictive value of optimism for anxiety, depression and HRQOL, quantified with and without controlling the corresponding base level. METHODS: A total of 427 urogenital cancer patients were asked to complete the Life Orientation Test (LOT), the Hospital Anxiety and Depression Scale (HADS) and the health survey SF-8 during their stay in the hospital (T1), two weeks later (T2) and three months later. RESULTS: Finally, 275 patients (64.4%) completed all questionnaires. Optimism at T1 was significantly associated with anxiety (r=-0.35), depression (r=-0.41) and HRQOL (physical: r=0.29; mental: r=0.27) and can predict outcome variables three months later. After controlling for the base levels of anxiety, depression and HRQOL, the predictive value of optimism remained significant but small. The incrementally variance explained by the LOT varied between 2.1% in anxiety and 8.2% in physical HRQOL. CONCLUSION: Especially patients with a low level of optimism and a high level of pessimism are at risk for higher levels of anxiety and depression in addition to lowered HRQOL.


Assuntos
Transtornos de Ansiedade/psicologia , Atitude Frente a Saúde , Transtorno Depressivo/psicologia , Motivação , Qualidade de Vida/psicologia , Neoplasias Urogenitais/psicologia , Adaptação Psicológica , Idoso , Transtornos de Ansiedade/diagnóstico , Terapia Combinada/psicologia , Transtorno Depressivo/diagnóstico , Feminino , Seguimentos , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Inventário de Personalidade/estatística & dados numéricos , Prognóstico , Psicometria , Neoplasias Urogenitais/patologia , Neoplasias Urogenitais/terapia
15.
Urologe A ; 48(11): 1273-4, 1276-8, 1280-2, 2009 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-19820911

RESUMO

Within the framework of systemic therapy with cytostatic agents and advanced stages of tumor diseases, therapy-induced and disease-related complications can severely impair the quality of life. This article gives a brief synopsis of the current literature on the diagnosis and therapy concerning anemia thrombotic events and tumor-related hypercalcemia as well as recommendations on treating therapy-associated neutropenia.


Assuntos
Cuidados Paliativos/métodos , Neoplasias Urogenitais/terapia , Anemia/psicologia , Anemia/terapia , Humanos , Hipercalcemia/psicologia , Hipercalcemia/terapia , Estadiamento de Neoplasias , Neutropenia/psicologia , Neutropenia/terapia , Qualidade de Vida/psicologia , Neoplasias Urogenitais/complicações , Neoplasias Urogenitais/patologia , Neoplasias Urogenitais/psicologia
16.
Urol Oncol ; 27(4): 367-72, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-18440838

RESUMO

OBJECTIVE: The aim of this study was to assess the degree and the course of psychological distress (anxiety and depression) in cancer patients and to detect sociodemographic determinants of the scores. METHODS AND MATERIALS: Patients with prostate cancer (n = 287) and other urogenital cancer (n = 126) were tested with the Hospital Anxiety and Depression Scale (HADS) at the following time points: at the beginning (T1) and the end (T2) of the treatment in the hospital, 6 months later (T3), and 1 year later (T4). RESULTS: Anxiety mean scores were highest at the start of the stay in the hospital. About 36% of the patients were at least doubtful cases at T1. However, the anxiety mean scores from T2 to T4 were similar to those of the general population and lower than those of cardiac patients. Depression mean scores were even lower than those of the general population. Young age and receiving radio- and/or chemotherapy were predictive of higher psychological distress. CONCLUSIONS: The low mean scores of anxiety and depression from T2 to T4 indicate that most of the prostate cancer patients do not need help from mental health professionals. Nevertheless, some patients may profit from mental health support, especially at the beginning of the stay in the hospital.


Assuntos
Ansiedade/complicações , Ansiedade/diagnóstico , Depressão/complicações , Depressão/diagnóstico , Neoplasias da Próstata/complicações , Neoplasias da Próstata/diagnóstico , Neoplasias Urogenitais/complicações , Neoplasias Urogenitais/diagnóstico , Adulto , Idoso , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Neoplasias da Próstata/psicologia , Fatores de Tempo , Resultado do Tratamento , Neoplasias Urogenitais/psicologia
17.
Radiat Med ; 26(7): 396-401, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18769996

RESUMO

PURPOSE: The importance of the quality of life (QOL) and mental condition of patients being treated for cancer is now recognized. In this study, we evaluated QOL and mental condition in patients with cancer before and after radiotherapy. MATERIALS AND METHODS: The subjects were 170 patients who had undergone radiotherapy. The examination of QOL was performed using the quality of life questionnaire for cancer patients treated with anticancer drugs (QOL-ACD), and mental condition (anxiety and depression) was examined using the hospital anxiety and depression scale (HADS). These examinations were performed at the start of radiotherapy and immediately after radiotherapy. RESULTS: The QOL score was slightly higher in all patients after the completion of radiotherapy than before the start of radiotherapy. In the palliative radiotherapy group, QOL score was significantly improved by treatment. Anxiety and depression were improved after radiotherapy. There was a correlation between the degrees of improvement of the HADS and QOL score. CONCLUSION: We could treat cancer patients by radiotherapy without reducing their QOL, and improvement in QOL was significant in the palliative radiotherapy group. Mental condition was also improved after radiotherapy.


Assuntos
Neoplasias da Mama/psicologia , Neoplasias Esofágicas/psicologia , Neoplasias Pulmonares/psicologia , Transtornos Mentais/etiologia , Qualidade de Vida , Neoplasias Urogenitais/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/etiologia , Transtornos de Ansiedade/psicologia , Atitude Frente a Saúde , Neoplasias da Mama/radioterapia , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/etiologia , Transtorno Depressivo/psicologia , Neoplasias Esofágicas/complicações , Neoplasias Esofágicas/radioterapia , Feminino , Humanos , Neoplasias Pulmonares/complicações , Neoplasias Pulmonares/radioterapia , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Cuidados Paliativos/psicologia , Cuidados Paliativos/estatística & dados numéricos , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Inquéritos e Questionários , Neoplasias Urogenitais/complicações , Neoplasias Urogenitais/radioterapia , Adulto Jovem
18.
J Psychosoc Oncol ; 26(2): 87-102, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18285302

RESUMO

Male cancer patients typically access currently available psychosocial services at lower rates than do female patients. This research examined the psychosocial needs of male cancer patients and explored the types of services that may better meet their needs. Participants included 128 male patients diagnosed with 138 primary cancers ranging in age from 23 to 79 years of age. Men in this study expressed interest in attending an informational intervention and provided several topics that they would like to learn about, including nutrition, sexual functioning, stress management, and spirituality. Implications for the development of a male-specific clinical intervention are discussed.


Assuntos
Neoplasias do Sistema Nervoso Central/psicologia , Neoplasias Gastrointestinais/psicologia , Neoplasias Pulmonares/psicologia , Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos , Neoplasias Urogenitais/psicologia , Adaptação Psicológica , Adulto , Idoso , Atitude Frente a Saúde , Canadá , Neoplasias do Sistema Nervoso Central/terapia , Aconselhamento/métodos , Aconselhamento/estatística & dados numéricos , Neoplasias Gastrointestinais/terapia , Humanos , Neoplasias Pulmonares/terapia , Masculino , Serviços de Saúde Mental/estatística & dados numéricos , Pessoa de Meia-Idade , Grupos de Autoajuda/estatística & dados numéricos , Apoio Social , Estresse Psicológico/psicologia , Estresse Psicológico/terapia , Inquéritos e Questionários , Neoplasias Urogenitais/terapia
19.
Urologe A ; 46(10): 1407-11, 2007 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-17874230

RESUMO

During the course of malignancies of nearly all tumor entities the urogenital organs are frequently influenced. The resulting disorders are subsumed under the term"urogenital symptoms". Especially with the goal of improving quality of life these symptoms have to be treated with respect. In addition further therapeutic measures, e.g. the application of a palliative chemotherapy, makes an unobstructed urinary excretion necessary. This article gives an overview of the indications for treating urogenital symptoms and contrasts different therapy concepts.


Assuntos
Doenças Urogenitais Femininas/terapia , Doenças Urogenitais Masculinas/terapia , Cuidados Paliativos , Neoplasias Urogenitais/complicações , Antineoplásicos/efeitos adversos , Antineoplásicos/farmacocinética , Antineoplásicos/uso terapêutico , Diagnóstico Precoce , Feminino , Doenças Urogenitais Femininas/diagnóstico , Doenças Urogenitais Femininas/psicologia , Humanos , Hidronefrose/diagnóstico , Hidronefrose/psicologia , Hidronefrose/terapia , Masculino , Doenças Urogenitais Masculinas/diagnóstico , Doenças Urogenitais Masculinas/psicologia , Qualidade de Vida , Contenções , Obstrução Ureteral/diagnóstico , Obstrução Ureteral/psicologia , Obstrução Ureteral/terapia , Cateterismo Urinário , Transtornos Urinários/diagnóstico , Transtornos Urinários/psicologia , Transtornos Urinários/terapia , Neoplasias Urogenitais/psicologia , Neoplasias Urogenitais/terapia
20.
Contemp Nurse ; 24(1): 79-88, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17348785

RESUMO

The aim of this literature review was to analyse the approaches adopted by patients, health professionals, spouses and other care-givers towards sensitive issues related to male urogenital cancer, and to describe how these findings can be applied in health care practice. The findings revealed five identifiable domains, namely 'the barrier to talking', 'the barrier of sensitivity', 'the barrier of masculinity', 'the barrier to seeking health care' and 'the communicative barrier'. The conclusion was that the phenomenon of a barrier is strongly connected with hegemonic masculinity. The review of literature confirmed that, for many men, talking about genitally-related health problems is not easy and that health care professionals need to learn more about gender and masculinity in order to address urogenitally sensitive issues.


Assuntos
Barreiras de Comunicação , Neoplasias Urogenitais/psicologia , Disfunção Erétil/psicologia , Humanos , Masculino , Autoimagem
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