Publications by authors named "Danielle Zweers"

Article Synopsis
  • The Utrecht Symptom Diary (USD) is a validated tool for assessing symptoms in cancer patients, incorporating 11 main symptoms and additional ones specific to those undergoing chemotherapy or targeted therapy.
  • A study conducted between 2012 and 2021 analyzed the effectiveness of these added symptoms in adult cancer patients receiving treatment, using a longitudinal cohort approach.
  • Results indicated that most added items were relevant and valid for this patient group, with all but one item (oral pain) demonstrating acceptable validity, highlighting the tool's comprehensive nature for monitoring treatment-related symptoms.
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This study aimed to explore perspectives and concerns regarding sexuality among adolescents and young adults (AYAs) possibly experiencing late effects after testicular germ cell tumor (TGCT) treatment. A qualitative study was performed in which semi-structured interviews were held with thirteen AYAs from a center of expertise for TGCT in the Netherlands. Data were analyzed using Braun and Clark's thematic analysis method.

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Article Synopsis
  • Testicular cancer survivors (TCS) who received platinum-based chemotherapy are at a higher risk for developing colorectal cancer (CRC) compared to average-risk individuals.
  • A study involving TCS from four Dutch hospitals found that 8.7% of them had advanced neoplasia, significantly higher than the 1.7% found in matched controls.
  • The results indicate that TCS have a greater prevalence of colorectal neoplasia and advanced neoplasia, suggesting that colonoscopy screenings may be beneficial for this group; further cost-effectiveness studies are needed to determine the best screening practices.
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With an increasing incidence and a high cure rate, a growing number of testicular germ cell tumor (TGCT) survivors require specialized follow-up care. However, knowledge of these patients' needs is lacking, leaving TGCT survivors with unmet care needs at risk of symptom burden when transitioning to long-term survivorship. This grounded theory study aimed to understand the perspectives of TGCT survivors' transition from follow-up care to long-term survivorship.

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Purpose: Patients with Testicular Germ Cell Tumors (TGCT) may suffer from several late effects due to their diagnosis or treatment. Follow-up care aims to identify the recurrence of cancer and support patients with TGCT in their experienced late effects. In the Netherlands, the validated Dutch version of the Edmonton Symptom Assessment System, Utrecht Symptom Diary (USD) is used to assess and monitor patient reported symptoms.

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Anxiety is a common symptom in patients with advanced cancer. Early recognition of anxiety is difficult, especially when the physical condition of patients declines and patients are not able to verbally express about their concerns. Under these circumstances, informal caregivers may be a valuable source of information.

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Background: Testicular cancer (TC) survivors have an increased risk of various second primary malignancies. A recent cohort study detected an increased risk of colorectal cancer (CRC) in TC survivors treated with platinum-based chemotherapy with a hazard ratio of 3.9.

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Background: The Utrecht Symptom Diary (USD) is a Dutch and adapted version of the Edmonton Symptom Assessment System, a patient-reported outcome measurement (PROM) tool to asses and monitor symptoms in cancer patients. This study analyses the validity and responsiveness of the USD and the cutoff points to determine the clinical significance of a symptom score.

Methods: Observational longitudinal cohort study including adult in- and outpatients treated in an academic hospital in the Netherlands who completed at least one USD as part of routine care (2012-2019).

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Article Synopsis
  • - The study highlights that anxiety is common but often overlooked in hospitalized cancer patients, with a prevalence rate of 22%, and even higher (36%) among those receiving palliative care.
  • - Factors such as female gender, younger age, depressed mood, and specific physical symptoms (like sleep problems and dyspnea) were identified as significant predictors of anxiety in these patients.
  • - The findings underscore the importance of assessing anxiety in cancer patients, particularly those showing signs of depression, and suggest using a symptom diary as a tool to improve recognition and care.
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Background: Management of symptoms is essential in reducing the symptom burden of cancer patients. The effect of symptom diaries on symptom management to date has been evaluated only in ambulatory settings.

Objective: The aims of this study were to identify the key facilitators for successful implementation of symptom diaries on oncology wards from patients' and professionals' perspectives and to evaluate implementation outcomes.

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Introduction: Anxiety is a common symptom in the palliative phase, and symptom management depends on the competencies of individual professionals. This study aims to get insight into the needs of anxious hospice patients with advanced cancer regarding support.

Method: Semi-structured interviews were performed in admitted hospice patients with cancer.

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Unlabelled: ABSTRACTObjective:Insight into symptoms as predictors for anxiety may help to foster early identification of anxiety and to ameliorate anxiety management. The aim of this study was to determine which frequently occurring symptoms are predictors for anxiety in advanced cancer patients recently admitted to a hospice.

Method: Symptom burden was measured in patients admitted to a hospice who died ≤3 month after admission using the Utrecht Symptom Diary.

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Context: Nearing death, hospice patients are increasingly unable or unwilling to self-report their symptom intensity and rely on nurses' assessments.

Objectives: We hypothesized that concordance between patients' and nurses' assessments of symptom intensity improves over time.

Method: A prospective longitudinal study was conducted from January 2012 to June 2015 using dyads of patient- and nurse-reported outcome measures, collected in daily hospice practice in the first three weeks after admission.

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Objective: To provide insight into what nurses know, do and need to provide support to anxious patients in hospice care (HC).

Methods: A mixed method study consisted of an online survey and focus groups (FGs) about what nurses know, do, and need was conducted. 336 HC nurses were invited to participate.

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Background: Hospice care (HC) aims to optimise the quality of life of patients and their families by relief and prevention of multidimensional suffering. The aim of this study is to gain insight into multidimensional care (MC) provided to hospice inpatients by a multiprofessional team (MT) and identify facilitators, to ameliorate multidimensional HC.

Methods: This exploratory mixed-method study with a sequential quantitative-qualitative design was conducted from January to December 2015.

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Background: Anxiety is a risk for reduced quality of life in advanced cancer patients. However, it is an overlooked symptom without routine use of instruments to assess anxiety.

Aim: To gain insight into the use of instruments by nurses to assess anxiety in advanced cancer patients and the rationale behind it.

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Background: A majority of patients prefer to die at home. Specialist palliative care aims to improve quality of life. Hospice assist at home is a Dutch model of general/specialised palliative care within primary care, collaboratively built by general practitioners and a hospice.

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Background: Anxiety is a common symptom in patients with advanced cancer. Although pharmacological and psychosocial interventions are recommended, it remains unclear which role nurses can play in supporting patients with anxiety.

Objective: The objective was to provide an inventory of non-pharmacological nurse-led interventions and evaluate the effectiveness in managing anxiety in advanced cancer patients.

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