Publications by authors named "Penny Stanton"

The aim of this study was to investigate from the perspective of palliative care (PC) patients with cancer, the frequency of sexual dysfunction (SD) and their views regarding the communication with their physicians. Adult PC patients with cancer seen at a Supportive Care Clinic in the United States were invited to participate in a survey about SD. A total of 100 patients completed the survey.

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Purpose: The aim of this study was to determine the frequency and factors associated with severity of cancer related fatigue (CRF) as assessed by Functional Assessment of Cancer Illness Therapy-Fatigue (FACIT-F), prior to, and during 12 weeks of immune-checkpoint inhibitors (ICIs). We also explored the effects of ICIs on fatigue dimensions and interference with daily activities (Multidimensional Functional Symptom Inventory, MFSI-SF, Patient-Related Outcome Symptom Measurement Information System Short form Fatigue 7a, PROMIS F-SF), QOL (Functional Assessment of Cancer Therapy-General, FACT-G), and cancer symptoms (Edmonton Symptom Assessment Scale, ESAS).

Methods: In this prospective, longitudinal observational study, patients with a diagnosis of advanced cancer receiving ICIs were evaluated.

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Background: Few studies have examined patient preferences for telehealth in palliative care after the availability of COVID-19 vaccines. We examined patient preferences for video versus in-person visits and factors contributing to preferences in the postvaccine era.

Methods: This is a cross-sectional survey of patients who were seen at our palliative care clinic between April 2021 and March 2022.

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Objective: Cancer cachexia (CC) is a frequent and debilitating syndrome in patients with cancer. It has serious implications for patients, extending beyond physical problems into psychological, and social domains. The objective of our study was to qualitatively understand the experiences related to CC in patients with advanced lung cancer.

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Context: The COVID-19 pandemic represents a source of distress in patients with advanced cancer; however, few studies have examined the extent of pandemic-related distress in the postvaccine era.

Objectives: We conducted a cross-sectional survey to examine pandemic-related distress among patients seen by palliative care after vaccine availability.

Methods: Patients at our palliative care clinic were surveyed from April 2021 to March 2022 regarding 1) pandemic-related distress level, 2) potential contributors to pandemic-related distress, 3) coping strategies, 4) demographic factors and symptom burden.

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Article Synopsis
  • A study was conducted to evaluate a structured social work approach to help cancer patients select and prepare a medical decision-maker (MDM) as part of advance care planning.
  • Out of 360 patient/caregiver pairs, only 32% had completed their Medical Power of Attorney documents at the start, and only 8% completed them by the end of the three-month follow-up.
  • Despite low engagement in selecting MDMs, many patients experienced changes in their care preferences during the study, and the understanding between patients and their caregivers improved over time, although overall correlation remained weak.
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Context: The COVID-19 pandemic placed the issue of resource utilization front and center. Our comprehensive cancer center developed a Goals of Care Rapid Response Team (GOC RRT) to optimize resource utilization balanced with goal-concordant patient care.

Objectives: Primary study objective was to evaluate feasibility of the GOC RRT by describing the frequency of consultations that occurred from those requested.

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Background: Despite cancer related fatigue (CRF) being the most common, and debilitating symptom in patients with recently diagnosed acute hematological malignancies (HM), there are limited effective treatments for CRF in HM. The aim of this study was to determine the feasibility of cognitive behavioral therapy (CBT) for CRF in HM.

Methods: In this preliminary longitudinal prospective study, HM patients diagnosed a median of one month previously with moderate to severe fatigue were enrolled.

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Palliative, Rehabilitation, and Integrative Medicine (PRIM) department members anonymously reported a positive experience with work from home (WFH) two months after its rapid pandemic transition in March 2020. Data are limited on the stability of such preferences and experiences over time. The objectives of this study were to survey the attitudes and beliefs of PRIM employees toward remote work 16 months after the start of the coronavirus disease 2019 (COVID-19) pandemic since vaccines and to determine changes in perceptions of WFH.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of open-labeled placebo (OLP) in reducing cancer-related fatigue (CRF) compared to a waitlist control (WL) in advanced cancer patients.
  • Results showed that patients receiving OLP experienced a significant improvement in fatigue levels after one week, with substantial effects observed in metrics like the FACIT-F and Edmonton Symptom Assessment Scale.
  • Improvements in fatigue persisted even after all patients received the OLP, indicating that while the OLP was effective initially, further research is necessary to confirm long-term benefits and explore additional outcomes.
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The coronavirus disease 2019 (COVID-19) pandemic compelled rapid transition to work from home for the University of Texas MD Anderson Cancer Center Palliative, Rehabilitation, and Integrative Medicine (PRIM) department to ensure social distancing and prevention of transmission. To survey the attitudes and beliefs of personnel toward remote work during the COVID-19 pandemic. One hundred forty-eight clinical, research, and administrative PRIM department employees were invited to participate in an anonymous voluntary survey in May 2020, two months after the beginning of the COVID-19 pandemic and transition to work from home in the geographic location of Houston, Texas.

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