Reducing the impact of distance on hematopoietic cell therapy patients.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 74-74
Author(s):  
Diane Burns ◽  
Vicky Simanovski ◽  
Victoria Karuna Hagens ◽  
Garth Matheson

74 Background: Hematopoietic Cell Therapy (HCT) patients experience unique travel challenges and high out-of-pocket costs due to the highly specialized care required. We conducted a mixed methods study to understand current patient support programs in Ontario and other jurisdictions and a cost analysis to inform the development of recommendations to reduce the impact of remoteness on HCT patients and caregivers. Methods: Qualitative information on patient transportation and accommodation supports was gathered through informal and structured input from fourteen Ontario Regional Cancer Program Directors, Hematologists, Patient and Family Advisory Council and Aboriginal Navigators. An environmental scan of medical travel assistance programs within Ontario and in other jurisdictions was performed. A scoping literature review was conducted of published studies focused on inequities in receipt of cancer care in countries with Universal Health care. HCT patient travel patterns to each of the transplant facilities in Ontario were obtained from analysis of Cancer Care Ontario data holdings. Results: We concluded that travel assistance for cancer patients in Ontario varies considerably across the province, and that Ontario lags behind other jurisdictions in Canada and internationally. The scoping literature review revealed that patients who live far from specialist centres, for some diseases, have later stage at diagnosis, less timely access to specialist care, poorer outcomes, lower patient experience scores, and make treatment decisions based on distance. From the analysis of travel patterns for HCT patients, provincially 4 – 79% of patients travel for HCT based on their location (see table below). Conclusions: This study highlights the need to better support HCT patients in Ontario. As a result, a proposal to support accommodations for HCT patients was developed and approved by the Ontario government for implementation in 2018/19.[Table: see text]

PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0209659 ◽  
Author(s):  
Dawid Gondek ◽  
Ke Ning ◽  
George B. Ploubidis ◽  
Bilal Nasim ◽  
Alissa Goodman

2021 ◽  
Vol 93 (1) ◽  
pp. 1-8
Author(s):  
Sabrina Trigo ◽  
Kaitlin Gonzalez ◽  
Livio Di Matteo ◽  
Asmaa Ismail ◽  
Hazem Elmansy ◽  
...  

Background: The Bacillus Calmette-Guerin (BCG) vaccine has long been used for the prevention of tuberculosis (TB) around the world. BCG is also used as an immunotherapy agent for the treatment of non-muscle invasive urinary bladder cancer. This scoping literature review and preliminary data analysis aims to summarize the literature correlating infantile BCG vaccination with the incidence of future bladder cancer. Methods: Studies were identified by a formal literature search of MEDLINE and Cochrane Central Registrar of Controlled Trials following PRISMA guidelines. Preliminary data analysis was conducted on publicly accessible data summarizing the impact of gender, BCG vaccination, and socio-economic effects on crude and age-standardized rates of bladder cancer. Results: As part of our analysis, preliminary regression models demonstrated BCG vaccination status, gender, and socio-economic status to have statistically significant effects on crude and age-standardized rates of bladder cancer incidence. BCG vaccination was associated with a 35-37% lower age-standardized rate of bladder cancer incidence. Conclusions: There is very little literature examining the relationship between prior BCG vaccination and rates of bladder cancer incidence. Our limited data analysis indicates that a relationship does exist between infantile BCG vaccination and later bladder cancer development, although extensive future investigation is needed in this area.


PLoS ONE ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. e0214382 ◽  
Author(s):  
Mina Nejati ◽  
Moaven Razavi ◽  
Iraj Harirchi ◽  
Kazem Zendehdel ◽  
Parisa Nejati

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S231-S232
Author(s):  
Stephanie Adeyemi

AimsThis literature review aims to assess existing scientific literature on the psychological impact of Acne Vulgaris on adolescents and adults and the role that Psychiatrists can play in supporting these patients. The hypothesis of this literature review is that all patients with Acne Vulgaris should have their quality of life assessed in order to identify those who require additional support.BackgroundThe link between Psychiatry and Dermatology is becoming increasingly recognised. Resources on the British Association of Dermatologists’ website are often distributed to patients by Dermatologists in order to assess the impact that a skin condition has had on a patient's life. Acne Vulgaris is a psychophysiological skin condition that impacts up to 95% of people to some extent from the ages of 11 to 30 years old. Due to its prevalence it is essential that the psychological burden of Acne Vulgaris on patients is understood.MethodLiterature written since 2011 was searched identified from: PsychINFO, MEDLINE, EMBASE, CINAHL and PUBMED. The search strategy key words were: acne vulgaris, mental health, psychiatry, anxiety and depression. Arksey and O'Malley's framework was utilised to conduct a scoping literature review. Data were collated and summarized thematically.ResultA total of 72 studies were included representing over 14,000 adults and adolescents with Acne Vulgaris from the following countries: Egypt, Nigeria, Turkey, India, Lithuania, UK, USA, Iran, Pakistan and Spain.Screening tools such as the Global Acne Grading System (GAGS), The Acne Quality of Life Scale (AQLS), the Cardiff Acne Disability Index (CADI), and the State Trait Anxiety Index STAI (Y-1) form were utilised in order to identify the impact of Acne Vulgaris on patients’ quality of life and mental health. The data clearly showed the significant psychological burden that patients with Acne Vulgaris can experience. There was a clear trend of low self-esteem, lack of self-confidence, social withdrawal, depression (ranging from 23.1% to 62% of study participants), anxiety (ranging from 38.4% to 51%) and even suicidal ideation (ranging from 12.9% to 20.1%). Literature also suggested a higher prevalence of Body Dysmorphic Disorder in patients with Acne Vulgaris which should be considered and screened for.ConclusionThis scoping literature review has highlighted the significant psychological burdensome acne patients can experience. Given the prevalence of the condition Psychiatrists do have a role in working with Dermatologists to ensure appropriate screening tools are utilised and patients are able to access appropriate support.


2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Elisabeth Farcy ◽  
Duc Tâm Bui ◽  
Denis Lebel ◽  
Jean-François Bussières

Abstract Objectives The aim of this study was to review studies describing the use and the impact of technology-assisted workflow (TAWF) systems for drug compounding in hospital pharmacy. Content This is a scoping literature review. A search was conducted on studies describing or evaluating the use of TAWF published from January 1st, 2015 to July 31st, 2021. Two databases were searched (PubMed and Embase), followed by a search on Google Scholar. Summary 218 articles were screened and 17 were identified as meeting the inclusion criteria. TAWFs all included preparation assistance software (17/17), barcode reader (17/17), photo or video taking (17/17), and some included gravimetric systems (8/17), and the use of robots (2/17). A majority of the studies included used technology for parenteral preparations (15/17, one for oral preparations only (1/17), and one used technology for both types of preparations (1/17). Most of the articles selected presented drugs prepared for adults (10/17), the others presented drugs intended for children (4/17) or for a mix of adults and children (3/17). Four parameters were evaluated: error detection rate (n=15), preparation and validation time (n=7), and costs generated or saved (n=7). Ten studies evaluated the pre-post impact of implantation of a TAWF (10/17). Outlook Given the heterogeneity of the data available, the use of TAWF was associated with an increased ability to detect preparation errors, a reduction in preparation time and costs, and increased satisfaction of pharmacy technicians and pharmacists. However, better quality studies are needed to confirm the positive impacts studied.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Nurul Huda

ABSTRACTDuring this Coronavirus disease-19 (Covid -19) Pandemic, the challenges for appropriate and safe delivery nursing care is becoming main concerns since cancer patients are at high risk to be infected. Oncology nurse must reassure that the patients still get the optimal treatment while in other part they have to keep their patients safe. However, the change of provision of care in order to protect cancer patients must pay more attention. The aim of this paper was to review the literature on both the impact of Covid 19 to the provision of cancer care and nursing workforce. The implications of these findings for cancer patients will also be discussed. The electronic Science direct, Googlescholar and Pubmed databases were used to identify relevant articles. A combination of keywords: cancer, care, Corona virus 19, Covid-19 and Pandemic were used to identify relevant articles. Ten articles were included in the review. The broad issues were the impact of Covid 19 on nursing delivery care and the impact to the workforce. In terms of cancer care delivery, the Oncology teams are adopting new ways to minimise the risk of Covid 19 to the patients and their staff while at the similar times they have to reassure that the patients get the optimum care. Triage patients, adjusting treatment and limitation of visitor’s access to the patients is kind of changes that could do. A serious shortage and the availability of personal protective equipment are the major concern in nursing workforce changes during this pandemic. Planning or resuming cancer treatment and screening to mitigate the risk is the most important way to get the best outcomes. Hence, nurse has been pushed to adapt quickly and give their optimum nursing care to  patients as well as protect themselves from cross infectionABSTRAKSelama masa pandemi Coronavirus 19, tantangan terhadap pemberian asuhan keperawatan pada pasien kanker menjadi perhatian utama. Hal ini dikarenakan, pasien kanker adalah pasien dengan resiko tinggi tertular infeksi. Perawat oncology harus memastikan bahwa pasien yang mereka rawat tetap mendapatkan perawatan yang optimal walaupun disisi  lain mereka harus menjaga keamanan pasien. Oleh karena itu perubahan cara layanan dalam rangka melindungi pasien harus menjadi fokus tersendiri. Tujuan dari artikel ini adalah melakukan literature review tentang impact Covid 19 terhadap layanan pasien kanker dan lingkungan kerja di unit kerja keperawatan. Aplikasi dari temuan juga didiskusikan di artikel ini. Electronic data base seperti Science Direct, Googlescholar dan Pubmed digunakan untuk mencari artikel yang berhubungan. Kombinasi dari kata kuci : cancer, care, Corona virus 19, Covid-19 and Pandemic digunakan untuk telusur artikel. 10 artikel terseleksi. Isu utama yang didapatkan adalah efek dari Covid 19 terhadap cara pemberian asuhan keperawatan dan perubahan yang terjadi dalam lingkungan tenaga kerja. Dalam hal pemberian asuhan keperawatan diketahui bahwa team oncology mengadopsi cara baru untuk mencegah penyebaran Covid-19 kepada pasien dan staff dengan melakukan triage, menunda atau menyesuaikan treatment dan membatasi akses pengunjung ke pasien. Kekurangan tenaga kerja dan ketersediaan alat pelindung diri menjadi issue utama dalam ketenagakerjaan di area keperawatan selama masa pandemi. Merencanakan atau meresume kembali asuhan yang diberikan dan melakukan screening untuk mitigasi resiko infeksi merupakan salah satu cara yang paling naik untuk pelayanan yang terbaik. Oleh karena itu perawat harus bisa beradatasi secara cepat terhadap perubahan dan memberikan pelayanan keperawatan yang optimum dengan tidak melupakan perlindungan diri terhadap diri mereka sendiri dari infeksi silang.


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