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1.
Breast Cancer Res Treat ; 179(2): 415-424, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31650346

RESUMO

PURPOSE: Survivorship care plans (SCPs) provide key information about cancer treatment history and follow-up recommendations. We describe the completeness of breast cancer SCPs and evaluate guideline concordance of follow-up recommendations. METHODS: We analyzed 149 breast cancer SCPs from two sites, abstracting demographics, cancer/treatment details, surveillance plans, and health promotion advice. SCP recommendations and provided information were compared to American Cancer Society/American Society of Clinical Oncology and National Comprehensive Cancer Network guidelines. RESULTS: SCP information provided in > 90% of the plans included patient age; relevant providers; cancer stage; treatment details; and physical exam, mammogram, and health promotion recommendations. SCP components completed less frequently included post-treatment symptoms/side effects (67%). All SCPs at the community site were uniform but had the potential for oversurveillance if visits occurred every 3 months in years 1-2 or every 6 months in years 3-5 with multiple cancer providers. The academic site recommended three predominant patterns of follow-up: (1) primary care provider every 6-12 months; (2) cancer team every 3-6 months (year 1), every 6-12 months (years 4-5); and (3) alternating oncology providers every 3-6 months (years 1-2) then every 6 months. Compared to guidelines, these patterns recommend under- and oversurveillance at various times. Mammography recommendations showed guideline concordance (annual) for 84%, oversurveillance for 10%, and were incomplete for 6%. SCPs of only 12/79 (15%) women on aromatase inhibitors recommended guideline-concordant bone density testing. CONCLUSIONS: SCP content is more complete for demographic and treatment summary information but has follow-up recommendation gaps. Efforts to improve follow-up recommendations are needed.


Assuntos
Neoplasias da Mama/epidemiologia , Sobreviventes de Câncer , Atenção à Saúde , Sobrevivência , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/terapia , Atenção à Saúde/métodos , Atenção à Saúde/normas , Feminino , Promoção da Saúde , Humanos , Estadiamento de Neoplasias , Guias de Prática Clínica como Assunto
2.
Clin Case Rep ; 9(12): e05184, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34917381

RESUMO

Secondary immune-related hemophagocytic lymphohistiocytosis is a rare but life-threatening complication of immune checkpoint inhibitors. HLH-2004 and HLH-1994 guidelines originally developed for primary HLH are the only available guidelines. It has proven to have a good prognosis if diagnosed promptly with discontinuation of immunotherapy and treated with corticosteroid monotherapy.

3.
Cancer Biol Ther ; 10(1): 11-2, 2010 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-20574153

RESUMO

The use of 5-alpha-reductase inhibitors has been studied not only in benign prostatic hyperplasia, but as a chemopreventive strategy in prostate cancer. Both finasteride and dutasteride, 5 alpha-reductase inhibitors (5ARI), have been shown to decrease the risk of prostate cancer. The results of the REDUCE trial using the dual alpha-reductase isoenzyme inhibitor dutasteride, has recently been published by Andriole et al. in the New England Journal of Medicine. Certain considerations regarding its use and applicability to men with high risk of developing prostate cancer are herein discussed.


Assuntos
Inibidores de 5-alfa Redutase/uso terapêutico , Colestenona 5 alfa-Redutase/antagonistas & inibidores , Neoplasias da Próstata/prevenção & controle , Humanos , Masculino
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