Publications by authors named "Marta Mikkelsen"

Background: Exercise is recommended during anti-cancer treatments. However, there is lack of knowledge about existing barriers to participation in exercise-based trials, especially among understudied groups such as older patients and those with advanced cancer.

Objective: To explore reasons for refusal of participation in an exercise-based study among older patients with advanced cancer and identify factors associated with higher likelihood of declining.

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Introduction: Older adults are at risk of adverse effects during chemotherapy including nausea and fatigue, but many also suffer from dizziness and peripheral neuropathy. This may lead to balance and walking impairments and increased risk of falls and affect health-related quality of life. Moreover, these symptoms are often underreported with inadequate awareness among health professionals leading to deficient focus on the need for targeted assessment and rehabilitation.

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Introduction: Older patients with cancer range from fit to frail with various comorbidities and resilience to chemotherapy. Besides nausea and fatigue, a significant number of patients experience dizziness and impaired walking balance after chemotherapy, which can have great impact on their functional ability and health related quality of life. Symptoms are easily overlooked and therefore often underreported and managed, which is why symptoms could end up as long-lasting side effects.

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Purpose: To investigate satisfaction with and perceived benefits of a model of needs-assessment related to rehabilitation (NARR) in women with early breast cancer after (neo)adjuvant chemotherapy.

Materials And Methods: Mixed methods were applied using survey ( = 200) along with interviews ( = 20). The survey included measurement of distress and self-assessed need of and satisfaction with the NARR.

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Background: Breast cancer is the most frequently diagnosed cancer in the world. Exercise is widely recommended for patients with breast cancer during and after treatment. However, there is a lack of studies investigating barriers related to participation in real-world exercise-based trials for older patients with breast cancer.

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Introduction: The incidence of colorectal cancer (CRC) increases with age. In combination with an ageing population, the number of older patients undergoing surgical treatment for CRC is therefore expected to increase. Sarcopenia and cachexia are potentially modifiable risk factors of a negative surgical outcome.

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Inflammation is an enabling characteristic of the hallmarks of cancer. There has therefore been increasing interest in the clinical value of circulating inflammatory biomarkers in cancer. In this review, we summarize results on C-reactive protein (CRP), alone or as part of the Glasgow Prognostic Score (GPS, composed of CRP and serum albumin), as a biomarker of prognosis or prediction and monitoring of therapeutic response in patients with breast cancer.

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Article Synopsis
  • Exercise training plays a crucial role in cancer care by reducing treatment side effects and enhancing quality of life, supported by evidence showing its impact on immune responses in mouse models.
  • A clinical trial called HI AIM is being conducted with 70 patients that investigates the effects of supervised high-intensity exercise on immune cell infiltration in lung cancer patients undergoing standard treatments like checkpoint inhibitors.
  • The trial will measure various outcomes, including levels of circulating immune cells, physical fitness, and quality of life, by taking blood samples and biopsies at multiple stages during a six-week exercise program.
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Background: Older patients with cancer are at risk of physical decline and impaired quality of life during oncological treatment. Exercise training has the potential to reduce these challenges. The study aim was to investigate the feasibility and effect of a multimodal exercise intervention in older patients with advanced cancer (stages III/IV).

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Background: Sparse evidence exists regarding the feasibility and patients' experiences of exercise programs among older cancer populations.

Objective: The aim of this study was to explore the experiences of older patients with advanced cancer who participated in a 12-week supervised and multimodal exercise program in a hospital setting.

Methods: Individual interviews were conducted with 18 participants (≥65 years) with advanced cancer who completed the intervention program regardless of compliance rate.

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: Several immune checkpoint inhibitors (CPIs) are under clinical development in hepatocellular carcinoma (HCC) and the field is advancing rapidly. In this comprehensive review, we discuss published results and report on ongoing clinical trials. : A literature search was carried out using PubMed and EMBASE; data reported at international meetings and clinicaltrials.

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Background: The incidence of colorectal cancer (CRC) increases with age. Older patients are a heterogeneous group ranging from fit to frail with various comorbidities. Frail older patients with CRC are at increased risk of negative outcomes and functional decline after cancer surgery compared to younger and fit older patients.

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Older patients with cancer are underrepresented in trials investigating the effect of exercise therapy. The aim of this systematic review was to investigate the effect of exercise therapy during medical antineoplastic treatment in older patients (≥ 65 years) with cancer. A systematic review following the Cochrane guidelines was performed.

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Article Synopsis
  • - This study aims to explore the effects of a 12-week exercise program on older women (≥65 years) with breast cancer during their medical treatment, as there is limited research in this area.
  • - It is a randomized controlled trial involving 100 participants, who will either engage in a structured exercise program alongside their treatment or continue with standard treatment alone.
  • - The main focus is to assess improvements in physical function using various tests, while also evaluating overall quality of life, treatment feasibility, and other health metrics over 24 weeks.
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The incidence of colorectal cancer (CRC) increases with older age. Cancer and treatment-related side effects often lead to physical decline, poor treatment adherence, and a lower quality of life. The aim of the present systematic review and meta-analysis was to evaluate the effects of exercise reported by randomized controlled trials (RCTs) on physical function, physical fitness (ie, aerobic capacity, muscle strength) physical activity, and psychological well-being in older patients with CRC undergoing chemotherapy.

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Purpose: Older patients with cancer are underrepresented in exercise-based trials. To engage older patients in physical activity (PA), it is necessary to consider age-related decline in health, comorbidities and practicalities. The study aim was to explore attitudes towards PA and exercise among older patients with cancer to inform future exercise-based interventions.

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Background: Several intervention studies have demonstrated that exercise training has beneficial effects among cancer patients. However, older cancer patients are underrepresented in clinical trials, and only few exercise-based studies have focused specifically on older patients with cancer. In particular, research investigating the effects of exercise training among older patients with advanced cancer is lacking.

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Introduction: In several observational studies, statin use has been associated with reduced risk of progression and mortality in men with prostate cancer (PCa). The study aim was to investigate the association between statin use at time of PCa diagnosis and time to PCa progression in men with advanced or metastatic PCa receiving androgen deprivation therapy (ADT) as primary treatment.

Patients And Methods: The study population consisted of all men receiving ADT as primary therapy at two Danish Urological Departments in 2007-2013.

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Article Synopsis
  • - The study assessed survival changes in men with metastatic prostate cancer (mPCa) by comparing those diagnosed in 1997 with those diagnosed between 2007 and 2013, focusing on the impact of new treatments on survival rates.
  • - Results showed that men diagnosed from 2007-2013 had better health profiles, lower prostate-specific antigen levels, and were more likely to receive second-line therapies compared to those diagnosed in 1997.
  • - Men diagnosed more recently experienced significantly longer overall survival (39.4 months vs. 24.2 months) and lower rates of PCa-specific death, indicating that advancements in treatment have positively influenced outcomes.
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Background: The Danish Cancer Registry holds information on all prostate cancers (PCa) cases, including diagnostic TNM. However, stratification according to contemporary risk classification is not possible because histopathological grading and prostate-specific antigen (PSA) level are not registered. The objective of the study was to report clinical characteristics and primary management of men diagnosed with PCa from a primary referral center in Denmark.

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Aims: The aims of the present study were to investigate referral patterns and the diagnosis of prostate cancer (PCa) before and after the Movember campaign was initiated in Denmark.

Methods: All men (n=2817) referred to the Department of Urology at Frederiksberg Hospital with suspicion of having PCa in the period 1 January 2007-31 January 2014 were identified. Based on the referral date, patients were categorised as pre-Movember (1 January 2007-31 January 2011) and Movember (1 February 2011-31 January 2014), respectively.

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