Publications by authors named "Kumud Kantilal"

Background: Type 2 diabetes (T2D) and cardiovascular disease (CVD) are a global pandemic, driven by obesity, poor diet and physical inactivity. In the UK, the prevalence of T2D and CVD is higher in minority ethnic groups. Lifestyle prevention interventions can be effective but uptake amongst minority ethnic groups in the UK is low and the extent of cultural adaptations to increase engagement unknown.

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Background: Approximately half of people prescribed medications do not take them as prescribed. There is a significant unmet need regarding the barriers to medication adherence not being addressed in primary care. There is no agreement on which outcomes should be measured and reported in trials of medication adherence interventions.

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Introduction: Countries with large economies are observing a growing number of culturally and linguistically diverse (CALD) older adults, many of whom will be affected by cancer. Little is known about the experiences and factors that influence cancer treatment decision-making in this population. The purposes of this scoping review are: (1) to summarize the published literature on cancer treatment-related decision-making with this population; and (2) to identify potential differences in how cancer treatment decisions are made compared to non-CALD older adults with cancer.

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Introduction: Ageism towards older adults with cancer may impact treatment decisions, healthcare interactions, and shape health/psychosocial outcomes. The purpose of this review is twofold: (1) To synthesize the literature on ageism towards older adults with cancer in oncology and (2) To identify interventions that address ageism in the healthcare context applicable to oncology.

Materials And Methods: We conducted a scoping review following Arksey and O'Malley and Levac methods and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

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Background: Supporting cancer survivors in self-management can empower them to take an active role in managing the long-term physical and psychosocial consequences of cancer treatment. Healthcare practitioners are key to supporting patients to self-manage, however, they do not routinely engage in these discussions. This review aimed to establish what works for whom and in what circumstances in relation to facilitating healthcare practitioners to provide self-management support in people living with long-term consequences of cancer treatment.

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Article Synopsis
  • The study aimed to understand what helps doctors taper patients off opioids by looking at behavioral science and realist concepts, identifying effective mechanisms and contexts for tapering success.
  • It involved analyzing data from a 2018 systematic review and a 2019 survey, resulting in six program theories that highlight five key factors influencing prescriber behavior and patient outcomes.
  • Recommendations include improving prescriber training on tapering discussions, enhancing patient information about the process, and combining guidelines with local opioid crisis data for better support and awareness.
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  • The study analyzes trends in cancer incidence for lung, colorectal, prostate, and breast cancers, as well as all cancers combined (excluding non-melanoma skin cancer), among adults aged 50 and older from 1998 to 2012 across 113 global cancer registries.
  • It identifies significant increases in cancer rates, particularly in older age groups, with notable findings such as a 3% yearly increase in Ecuador for those aged 75+, and varying trends in prostate and breast cancer incidences based on age and sex.
  • The research emphasizes the need for cancer care systems to adapt to the specific needs of the aging population as cancer rates rise, highlighting the urgency for international health responses.
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Introduction: Self-management support can enable and empower people living with and beyond cancer to take an active role in managing long-term consequences of cancer treatment. Healthcare professionals are key to promoting patients to self-manage, however, they do not routinely engage in these discussions. This review aims to understand what works for whom and in what circumstances in relation to practitioners engaging with supporting people living with and beyond cancer to self-manage long-term consequences of systemic anticancer treatment.

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The COVID-19 pandemic poses a barrier to equal and evidence-based management of cancer in older adults. The International Society of Geriatric Oncology (SIOG) formed a panel of experts to develop consensus recommendations on the implications of the pandemic on several aspects of cancer care in this age group including geriatric assessment (GA), surgery, radiotherapy, systemic treatment, palliative care and research. Age and cancer diagnosis are significant predictors of adverse outcomes of the COVID-19 infection.

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