European Journal of Cancer Care

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ISSN / EISSN : 0961-5423 / 1365-2354
Published by: Wiley-Blackwell (10.1111)
Total articles ≅ 3,115
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, Glenn Robert, Anne Marie Rafferty, Rona Moss‐Morris, Jo Armes
Published: 12 October 2021
European Journal of Cancer Care; https://doi.org/10.1111/ecc.13517

Abstract:
Objective To improve patient experience of chemotherapy-induced peripheral neuropathy (CIPN), it is crucial to identify how patients develop their understanding and perception of CIPN. A wider understanding of the experiences of clinicians who provide CIPN information and support is also needed. This study explored clinician and patient experience of the provision of care, information and support for CIPN. Methods Data were collected between July and November 2019 using multiple qualitative methods. Non-participant observations were undertaken in colorectal and breast cancer clinics and at clinician stations, including the observation of chemotherapy consultations between patients and clinicians. Semi-structured interviews with people with cancer and clinicians were also conducted. Data were analysed using inductive reflexive thematic analysis. Results Three major themes emerged: (1) CIPN is a hidden chemotherapy side effect, (2) assessment and management of CIPN is disconnected and (3) patients and clinicians expect openness in CIPN symptom reporting, information provision and management. Conclusion Findings show the need to address the lack of patients' overall familiarity with CIPN. Echoing earlier studies, our findings suggest that knowledge and understanding about CIPN among clinicians are limited or lacking. These insights from patient and clinicians' CIPN experiences can inform future interventions that may address the genuine needs of patients and enhance CIPN support.
Phillip Maiwald, , Ulrich Kurlemann, Carolin Dresch, Anna Lena Rademaker, Jan Valentini, Stefanie Joos, Vitali Heidt, Hans Helge Bartsch
Published: 12 October 2021
European Journal of Cancer Care; https://doi.org/10.1111/ecc.13522

Abstract:
Objective The goal of this study was to investigate barriers to utilisation of cancer rehabilitation by querying a large sample of various professionals in health care with a comprehensive set of barriers. Methods We developed a questionnaire comprising 55 barriers to utilisation of cancer rehabilitation and administered it to four different types of medical, care and social work experts involved in the referral to cancer rehabilitation. An exploratory factor analysis was conducted and the extracted factors were ranked by mean values. Additionally, ANOVAs were calculated to test for group differences. Results Our sample (N = 606) consisted of 249 physicians, 194 social workers, 105 nurses and 55 psychologists in Germany. We identified seven barrier-dimensions: low appreciation of rehabilitation by professionals, insufficient coordination, insufficient application procedure, rehabilitation requirements not met, patients' unfulfilled demands, patients' social responsibilities and patients' coping style, with the latter being rated as the most obstructive thereof. Furthermore, we found statistically significant group differences for six of these factors with small- to medium-sized effects. Conclusion Our results support previous publications implicating the patients' coping style as a barrier. We furthermore found evidence for barriers relating to processes and organisational issues, thereby expanding on the scope of patient-oriented publications. Suggestions for improving patients' health services accessibility are made.
Annemieke Kok, Carlijn van der Lugt, Marja J. Leermakers‐Vermeer, , ,
Published: 12 October 2021
European Journal of Cancer Care; https://doi.org/10.1111/ecc.13518

Abstract:
Objective To assess variations in nutritional interventions during chemoradiotherapy (CRT) among the Dutch Head and Neck Oncology centres (HNOCs). Methods An online questionnaire about nutritional interventions and dietetic practices was sent to 14 oncology dietitians of the HNOCs. Results The response rate was 93%. The number of scheduled dietetic consultations varied from two to seven during CRT. Most centres (77%) reported using a gastrostomy for tube feeding in the majority of patients. Gastrostomies were placed prophylactically upon indication (39%) or in all patients (15%), reactive (15%), or both (31%). For calculating energy requirements, 54% of the dietitians used the Food and Agriculture Organization/World Health Organization and United Nations University (FAO/WHO/UNU) formula and 77% uses 1.2–1.5 g/kg body weight for calculating protein requirements. Almost half of the centres (46%) reported to remove the gastrostomy between 8 and 12 weeks after CR. Most centres (92%) reported to end dietary treatment within 6 months after CRT. Conclusion This study shows substantial variation in dietetic practice, especially in the use of a gastrostomy for tube feeding, between the HNOCs. There is a need for concise dietetic guidelines.
, Guogen Shan, Katayoon Ghodsi, Karen Callahan, Ji W. Yoo, Jennifer Vanderlaan, Jerry Reeves,
Published: 10 October 2021
European Journal of Cancer Care; https://doi.org/10.1111/ecc.13520

The publisher has not yet granted permission to display this abstract.
Alex Chan, , , Shahla Meedya, Heidi Green, Zhoumei Yan, Ritin Fernandez
Published: 10 October 2021
European Journal of Cancer Care; https://doi.org/10.1111/ecc.13519

The publisher has not yet granted permission to display this abstract.
, , , Grace Chun Yan Lui, Laveeza Butt, Kam Ming Chan, Chiu Yin Kwok, Alexander Yuk Lun Lau
Published: 7 October 2021
European Journal of Cancer Care; https://doi.org/10.1111/ecc.13511

The publisher has not yet granted permission to display this abstract.
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