Objective: The objective of this study was to assess how often-medical oncology professionals encounter difficult consultations and if they desire support in the form of training.
Methods: In February 2022, a survey on difficult medical encounters in oncology, training and demographics was set up. The survey was sent to 390 medical oncology professionals part of the OncoZON network of the Southeast region of the Netherlands.
Results: Medical oncology professionals perceive a medical encounter as difficult when there is a dominant family member ( = 27), insufficient time ( = 24), or no agreement between medical professional and patient ( = 22). Patients involved in these encounters are most often characterized with low health literacy ( = 12) or aggressive behavior ( = 10). The inability to comprehend difficult medical information or perceived difficult behavior complicates encounters. Of the medical oncology professionals, 27-44% preferred a training as a physical group meeting (24%) or an individual virtual meeting (19%).
Conclusion: Medical oncology professionals consider dominant or aggressive behavior and the inability to comprehend medical information by patients during consultations as difficult encounters for which they would appreciate support.
Innovation: Our results highlight concrete medical encounters in need of specific education programs within daily oncology practice.
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http://dx.doi.org/10.1016/j.pecinn.2023.100202 | DOI Listing |
BMC Oral Health
January 2025
Department of Operative Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Background: This in vitro study evaluated the efficacy of professional and home-use fluoride regimens for protecting irradiated enamel, undergoing pH cycling resembling xerostomia.
Methods: Sixty human premolar teeth were irradiated with a total dose of 70 Gy and subsequently sectioned into 3 × 3 cm enamel slabs. These slabs were randomly distributed into five groups (n = 12 per group): professional-use groups received fluoride varnish either weekly (FV1) or biweekly (FV2); home-use groups applied 5000 ppm (FT5) or 1450 ppm (FT) fluoride toothpaste; and a control group (control) received no treatment.
Cancer Lett
January 2025
Peggy and Charles Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA; Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. Electronic address:
Anorexia is a major cause of cancer cachexia and is induced by growth differentiation factor-15 (GDF15), which activates the rearranged during transfection (RET) protein tyrosine kinase in the hindbrain through GDF family receptor α-like (GFRAL), raising the possibility of targeting RET for cancer cachexia treatment. RET-altered cancer patients treated with RET-selective kinase inhibitors gain weight, however, it is unclear whether this results from tumor regression that improves the overall health of patients. Thus, the potential of using a RET inhibitor to address cancer cachexia remains unknown.
View Article and Find Full Text PDFAm J Public Health
February 2025
Yu-Lyu Yeh is with the Department of Healthcare Administration, Asia University, Taichung, Taiwan. Zihan Zhang, Denise Martinez, and Lei-Shih Chen are with the Department of Health Behavior, Texas A&M University, College Station, TX.
To address leading health organizations' calls for public health professionals to adopt family health history (FHH) into their practice, we developed the first community health worker Texas state-certification program focusing on FHH-based cancer prevention for Chinese Americans, for whom cancer is the leading cause of death. The 160-hour program trained 46 Chinese American CHWs to provide FHH-based cancer prevention services for 1129 Chinese Americans. Our program contributes to the establishment of a public health workforce with FHH-based competence and reduces cancer disparities.
View Article and Find Full Text PDFCancer Nurs
January 2025
Author Affiliations: School of Nursing, Queen's University, Kingston, Ontario (Drs Galica and Alsius and Ms Walker); Kingston Health Sciences Centre, Kingston General Hospital Site and the Cancer Centre of Southeastern Ontario (Ms Stark and Dr Booth); College of Vocational Rehabilitation Professionals (Mr Noor); Providence Care Hospital (Dr Kain); and Department of Oncology, Queen's University (Dr Booth), Kingston, Ontario, Canada; Patient Partner (Ms Wickenden), Kingston, Ontario, Canada.
Background: Although many individuals return to work after cancer treatment, supports to facilitate this transition are ineffective or lacking. Transitions Theory can be useful to conceptually explain the transition back to work after cancer; however, no known studies have used Transitions Theory to empirically examine this transition.
Objective: To explore how and why Transition Theory concepts can be used to understand individuals' transition back to work after cancer treatment.
BJU Int
January 2025
Department of Urology, Royal Marsden Hospital, London, UK.
Objective: To explore patients' experience of decision making regarding treatment of localised kidney cancer.
Methods: A total of 21 patients with localised kidney cancer, across three countries, participated in either four focus groups or seven semi-structured interviews that lasted on average 2 h. Focus groups and interviews were all conducted in the participants' native language, recorded, transcribed and (if applicable) translated into English.
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