An evaluation of lifestyle changes in Turkish cancer patients after diagnosis.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e20503-e20503
Author(s):  
Perran Fulden Yumuk ◽  
Benan Kahraman ◽  
Merve Yilmaz ◽  
Melike Koyyeri ◽  
Merve Binici ◽  
...  

e20503 Background: To determine lifestyle changes in cancer patients after the diagnosis of malignancy. Methods: Between March 16th and September 30th, 2011, a questionnaire consisting of 20 questions was administered via a face-to-face interview to 150 patients at the Marmara University Hospital Oncology Unit. Each patient was queried during the administration of their chemotherapy. Six of the questions were independent choices, and 14 were dependent (multiple choice). A local ethical committee approval is obtained. Results: Of the 150 patients, 70 (46%) were male and 80 were female, and their median age was 55 (range 22-82) years old. An unusually large percentage (28%) of the patients reported that they did not know their diagnosis, and in another question 25% reported that they did not want to talk about their illness. Following their diagnosis, 71% of males and 50% of females reported that they were complying with guidelines for a healthy lifestyle, and 19% of the patients said that they were eating healthier food. At the time they filled out the questionnaire, 61% said that they were hopeful; however, close to 10% said that they felt hopeless. Approximately 53% of the participants said that following their diagnosis, they had a more sympathetic view of the underserved and underprivileged. Conclusions: It was surprising that an unexpectedly high percentage of the respondents reported that they did not make any changes in their lifestyles after their diagnosis of cancer, including eating healthier food. It appears Turkish cancer patients are coping with cancer in different means and ways than we expected of them.

Author(s):  
Amaju Ikomi ◽  
Shaheen Mannan

Basildon and Thurrock University Hospital witnessed rapidly increasing numbers of pregnant women with diabetes, causing overburdened specialist clinics, poorer patient experience and worsening clinical outcomes. This prompted the multidisciplinary team’s remodelling of care pathways, launching the General ownership of Diabetes (GooD) Pregnancy Network in 2014. Contrary to conventional limitation of care to specialist diabetes antenatal clinics, this novel initiative highlights contemporary necessity to equip and empower all maternity stakeholders to deliver basic care of gestational diabetes (GDM). It strategically connects a Midwife Tele-Clinic “hub” to Educating Gestational diabetics Group Sessions (EGGS) and standard antenatal clinics. Patients were key partners, regularly participating in feedback surveys and promoting public awareness by co-producing local newspaper articles that served up their stories as case studies. Furthermore, the EGGS “faculty” includes a former GDM patient whose video testimony has inspired almost 2000 patients and their families; aiming to foster long term healthy lifestyle changes. Final summative evaluation in November 2019 showed the new culture of wider consciousness has shortened ‘diagnosis to first consultation’ intervals, eliminated overbooked specialist clinics (none since January 2016), substantially improved clinical outcomes, boosted research recruitment and avoided additional running costs to the tune of £66,384 a year.


2020 ◽  
Author(s):  
William J Mullally ◽  
John Greene ◽  
Emmet Jordan ◽  
Anne Horgan ◽  
Paula Calvert ◽  
...  

Abstract Background The COVID-19 pandemic has led to an unprecedented lockdown of Ireland and significant healthcare challenges including outpatient department clinics. As a result, these cancer clinics were conducted virtually by telephone. The aim of this study is to measure cancer patients’ satisfaction with telephone consultations.Methods Cancer patients on active treatment or surveillance in an Irish university hospital were invited to complete a questionnaire issued via “Survey Monkey”. It comprised ten questions and assessed whether patients concerns were adequately addressed and preference to continue with virtual consultations. Patients recorded what was absent from the current environment when compared with previous clinics.Results This survey was issued to 180 cancer patients including 65 (36%) men and 115 females (64%) with a median age of 65 (range 20 – 92) years. Fifty-four patients (30%) completed this anonymised questionnaire. Over 96% (n=52) of cancer patients agreed/strongly agreed their concerns were addressed satisfactorily and similarly 93% (n=50) felt reassured after this consultation. One-third of patients (n=18) would prefer for all out-patient consultations to revert to those in the pre COVID-19 era and 11% agreed all future consultations should continue virtually. The remaining, 30 patients (56%) agreed with the later though only in certain circumstances. Twenty-eight patients missed (56%) missed the face-to-face interaction and reassurance provided by a physical examination. Conclusion This is the first Irish oncology study which examined cancer patients perspective of Health Service Executive directed virtual outpatient clinics. Face-to-face consultations are crucial for optimal cancer patient care and cannot be eliminated completely.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e18069-e18069
Author(s):  
Yoshitaka Onishi ◽  
Takashi Miyakawa ◽  
Mari Minematsu ◽  
Shimpei Natsuaki ◽  
Masari Ogawa ◽  
...  

e18069 Background: The need for supportive and palliative care services for cancer patients is well established. Our hospital is acute general hospital with 602 beds, 20 ICU beds, radiation unit, chemotherapy unit and with emergency department(ED) 24hours and 365 days open, locates close to one of the national cancer center. In this situation, we have many acutely unwell patients with newly diagnosed cancer in emergency department(emergency oncology). Methods: We reviewed the records of the patients with newly diagnosis of cancer and treated by surgery, radiation and or chemotherapy and of the patients transfered by ambulance at ED in 2017, 2018 and 2019, retrospectively and consecutively. Results: In this three years, we have 1626 patients with first diagnosis of cancer, 268 patients visited after clinic-hour and 130 patients needed ambulance with critical symptoms. Of those, 145 had gastro-intestinal, 34 hepato-billiary, 25 urological, 24 lung, 16 gynecology, 9 breast and 23 other cancer. During this period, total 30027 patients were transported by ambulance to our ED. Conclusions: Although there are many cancer centers in Japan, there are only one unit in Japan.(National Cancer Center Hospital(Tokyo) )that provide urgent care to cancer patients. In this situation, acute hospitals have to have a role for emergency oncology. We need varying models of emergency and acute care development (e.g., acute cancer net-work system, regionalization, education for the physicians and patients, organize the emergency oncology unit in acute hospital or cancer center) with cooperation of oncologist and non-oncology emergency physicians in Japan as they are trying and developing in the USA and UK.


2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Bangaly Traore ◽  
Thierno Souleymane Bah ◽  
Fode Amara Traore ◽  
Mamadou Saliou Sow ◽  
Solomana Diane ◽  
...  

Aim. To determine the prevalence of HIV infection among patients seen at the surgical oncology unit of Donka (Conakry, Guinea).Method. We conducted a retrospective and descriptive study of HIV infection in cancer patients from May 2007 to December 2012. Social characteristics (age, gender, marital status, and education) and immune status (HIV type, CD4 count) were reviewed.Results. Out of 2598 cancer patients, 54 (2.1%) tested positive for HIV. There were 11 (20.4%) defining AIDS and 43 (79.6%) nondefining AIDS cancers. The most frequent cancers were breast (14) (26.0%), non-Hodgkin lymphoma (6) (11.1%), liver (6) (11.1%), eye and annexes (6) (11.1%), and cervical cancer (5) (9.3%). These patients were female in 34 (63.0%) and had a median age of 39 years and body mass index was 20,3 Kg/m2. They were unschooled in 40 (74.1%) and married in 35 (64.8%). CD4 count showed a median of 317 cells/mL. Antiretroviral treatment was performed in 40 (74.1%).Conclusion. HIV prevalence is higher in patients in our unit of surgical oncology. Breast cancer was the most common in this association. A national survey of a large sample is needed to determine the true prevalence and impact of HIV on cancer prognosis.


2020 ◽  
pp. 112067212097603
Author(s):  
Cinzia Mazzini ◽  
Giulia Pieretti ◽  
Giulio Vicini ◽  
Cristina Nicolosi ◽  
Dario Giattini ◽  
...  

The Coronavirus disease 2019 (COVID-19) outbreak has imposed the adoption of strategies to limit the risk of contagion for cancer patients without compromising their healthcare. As well as cancers of other sites, the treatment of certain ocular and periocular malignancies is considered non-deferrable and should proceed despite the pandemic. Delays in treatment of these patients may result in negative outcomes. Herein, we provide some practical considerations deriving from our experience at the Ocular Oncology Unit of Careggi University Hospital (Florence, Italy).


Author(s):  
Amaju Ikomi ◽  
Shaheen Mannan

Basildon and Thurrock University Hospital in the East of England region of the United Kingdom (U.K), witnessed rapidly increasing numbers of pregnant women with diabetes, causing overburdened specialist clinics, poorer patient experience and worsening clinical outcomes. This prompted the multidisciplinary team’s remodelling of care pathways, launching the General ownership of Diabetes (GooD) Pregnancy Network in 2014. Contrary to conventional limitation of care to specialist diabetes antenatal clinics, this novel initiative highlights contemporary necessity to equip and empower all maternity stakeholders to deliver basic care of gestational diabetes (GDM). It strategically connects a Midwife Tele-Clinic “hub” to Educating Gestational diabetics Group Sessions (EGGS) and standard antenatal clinics. Patients were key partners, regularly participating in feedback surveys and promoting public awareness by co-producing local newspaper articles that served up their stories as case studies. Furthermore, the EGGS “faculty” includes a former GDM patient whose video testimony has inspired almost 2000 patients and their families; aiming to foster long term healthy lifestyle changes. Final summative evaluation in November 2019 showed the new culture of wider consciousness has shortened ‘diagnosis to first consultation’ intervals and eliminated overbooked specialist clinics (none since January 2016), without further worsening of clinical outcomes. It also boosted research recruitment and avoided additional running costs to the tune of £66,384 a year.


Author(s):  
Raya Al Shaaibi

Background: Traveling abroad to seek an opinion about diagnosis or treatment is a common practice in medicine, especially in the field of oncology. In Oman, patients diagnosed with cancer frequently travel with their families to seek an opinion, sometimes even before consulting a medical/surgical oncologist at home. The purpose of this study was to report and study the prevalence and motives of medical tourism amongst patients diagnosed to have cancer in Oman. Methods: A cross sectional, retrospective study involving patients admitted to the medical oncology unit at the Sultan Qaboos University Hospital was conducted. Patients with a biopsy-proven cancer who were admitted to the wards and the day-care unit between October 2016 and March 2017 were invited to participate. A semi-structured interview consisting of 3 parts was used to obtain information on demographics, motives and satisfaction with travel. Results: Of the 100 patients who were invited, a total of 64 patients participated in the study and completed the questionnaire. Of these 64 subjects, 24 (38%) traveled abroad to seek a second opinion. The primary reasons for traveling abroad to seek a second opinion were as follows: poor perception about health care in Oman (31%), expectations of a better healthcare overseas (12%), dissatisfaction with the communication or explanation by the healthcare providers in Oman, or concerns about delay in treatment (24%), and societal pressures (33%). Conclusion: A significant proportion of patients traveled abroad to seek a second opinion after getting a diagnosis of cancer, main reasons being societal pressures, dissatisfaction with the communication, or concerns of delay in initiating treatment in Oman.


BioMed ◽  
2022 ◽  
Vol 2 (1) ◽  
pp. 37-49
Author(s):  
Amaju Ikomi ◽  
Shaheen Mannan

Basildon and Thurrock University Hospital in the East of England region of the United Kingdom (UK) witnessed rapidly increasing numbers of pregnant women with diabetes, causing overburdened specialist clinics, poorer patient experience and worsening clinical outcomes. This prompted the multidisciplinary team’s remodelling of care pathways, launching the General ownership of Diabetes (GooD) Pregnancy Network in 2014. Contrary to the conventional limitation of care to specialist diabetes antenatal clinics, this novel initiative highlights the contemporary necessity to equip and empower all maternity stakeholders to deliver the basic care of gestational diabetes (GDM). It strategically connects a Midwife Tele-Clinic “hub” to Educating Gestational Diabetics Group Sessions (EGGS) and standard antenatal clinics. Patients were key partners, regularly participating in feedback surveys and promoting public awareness by co-producing local newspaper articles that served up their stories as case studies. Furthermore, the EGGS “faculty” includes a former GDM patient whose video testimony has inspired almost 2000 patients and their families, aiming to foster long term healthy lifestyle changes. The final summative evaluation in November 2019 showed the new culture of wider consciousness has shortened the “diagnosis to first consultation” intervals and eliminated overbooked specialist clinics (none since January 2016), without further worsening of clinical outcomes. It also boosted research recruitment and avoided additional running costs to the tune of GBP 66,384 a year.


2021 ◽  
Author(s):  
Mehtap KAVURMACI ◽  
IDRIS YILDIZ

Abstract Purpose In clinical practice, the use of apitherapy products in the treatment of oncology patients is not very common. For this reason, it is extremely important for cancer patients to have accurate information about apitherapy and to use these products in a controlled manner. This study was conducted to determine the knowledge level of oncology patients about apitherapy, their use of apitherapy products and their opinions about these products.Methods This descriptive research was carried out between January 2019 and January 2020 at the oncology unit of a university hospital. Power analysis was used to determine the sample size of the study, and a total of 87 patients constituted the sample of the research with a confidence interval of 85%. A questionnaire consisting of questions investigating the sociodemographic characteristics of the patients and their knowledge, opinions and practices about apitherapy was used to collect the data. The data were analyzed using descriptive statistics and the SPSS 21 package program. Results The level of knowledge of the patients about apitherapy is quite low (41.4%) and they received the information they gained from their family/friends (63.9%). The rate of use of apitherapy products by patients is low (27.6%) and the most frequently used product is honey (37.4%). Patients think that more scientific evidence is needed for the use of apitherapy methods in cancer patients (83.9%).Conclusions Healthcare professionals should conduct more scientific research on the use of apitherapy products in cancer treatment and inform patients about the usage areas and risks of apitherapy.


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