scholarly journals Chronic Pain Has a Negative Impact on Sexuality in Testis Cancer Survivors

2011 ◽  
Vol 33 (5) ◽  
pp. 886-893 ◽  
Author(s):  
G. Puhse ◽  
J. U. Wachsmuth ◽  
S. Kemper ◽  
I. W. Husstedt ◽  
S. Evers ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Cancer Survivors ◽  
Negative Impact ◽  
Testis Cancer

957 CHRONIC PAIN AND OTHER SEQUELAE IN BREAST CANCER SURVIVORS: A NATIONWIDE STUDY IN DENMARK

2006 ◽  
Vol 10 (S1) ◽  
pp. S248-S248
Author(s):  
V. Peuckmann ◽  
O. Ekholm ◽  
N.K. Rasmussen ◽  
S. Moller ◽  
P. Christiansen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Chronic Pain ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Nationwide Study

Clinical Relevance of Conditional Survival of Cancer Patients in Europe: Age-Specific Analyses of 13 Cancers

2010 ◽  
Vol 28 (15) ◽  
pp. 2520-2528 ◽  
Author(s):  
Maryska L.G. Janssen-Heijnen ◽  
Adam Gondos ◽  
Freddie Bray ◽  
Timo Hakulinen ◽  
David H. Brewster ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Excess Mortality ◽  
Age Groups ◽  
Relative Survival ◽  
Cancer Registries ◽  
Initial Diagnosis ◽  
Accurate Information ◽  
Testis Cancer ◽  
Corpus Uteri

Purpose When cancer survivors wish to receive accurate information on their current prognosis during follow-up, conditional 5-year relative survival may be most suitable. We have estimated conditional 5-year relative survival for 13 cancers using a large European database—European Network for Indicators on Cancer (EUNICE)—of 10 dedicated long-standing cancer registries across Europe. Patients and Methods Patients age 15 years and older diagnosed between 1985 and 2004 were included. Conditional 5-year relative survival for each age group was computed for every additional year survived up to 10 years. Period analysis with follow-up period 2000 to 2004 was used. Results All patients with cutaneous melanoma or colorectal, endometrial, or testis cancer and younger patients with stomach, glottis, cervix, ovary, or thyroid cancer or non-Hodgkin's lymphoma exhibited hardly any excess mortality (conditional 5-year relative survival > 95%) given that they were alive at a defined time point within 10 years of initial diagnosis. However, patients with supraglottis, lung, breast, and kidney cancer, as well as older patients with most cancers exhibited substantial excess mortality (conditional 5-year relative survival < 90%). Initial differences in relative survival at diagnosis between age groups largely disappeared with time since initial diagnosis for melanoma, or stomach, colorectal, corpus uteri, or testicular cancer but persisted for patients diagnosed with other tumors. Differences between stage groups became smaller over time or disappeared. Conclusion Conditional relative survival shows clinically relevant variations according to time since diagnosis, type of cancer, and age, and can help serve as a guide for cancer survivors in planning for their future and for doctors in planning schedules for surveillance.

scholarly journals Managing Chronic Pain in Cancer Survivors Prescribed Long-Term Opioid Therapy: A National Survey of Ambulatory Palliative Care Providers

2019 ◽  
Vol 57 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Jessica S. Merlin ◽  
Kanan Patel ◽  
Nicole Thompson ◽  
Jennifer Kapo ◽  
Frank Keefe ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Palliative Care ◽  
Cancer Survivors ◽  
National Survey ◽  
Opioid Therapy ◽  
Care Providers

I see you’re in pain – The effects of partner validation on emotions in people with chronic pain

2015 ◽  
Vol 6 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Sara M. Edlund ◽  
Maria L. Carlsson ◽  
Steven J. Linton ◽  
Alan E. Fruzzetti ◽  
Maria Tillfors
Keyword(s):  
Chronic Pain ◽  
Negative Affect ◽  
Negative Impact ◽  
Positive Impact ◽  
Training Session ◽  
The Other ◽  
Pain Level ◽  
Interpersonal Interactions ◽  
Post Intervention ◽  
Promising Tool

AbstractBackground and aimsChronic pain not only affects the person in pain, but can also have a negative impact on relationships with loved ones. Research shows that chronic pain is associated with difficulties in marital relationships, which in turn is related to a variety of negative outcomes such as psychological distress and conflict within the family. This suggests that couples where chronic physical pain is present also struggle with emotional pain and relationship problems, and thus targeting relationship skills and interpersonal functioning might be helpful for these couples. Although studies in this area are promising, their numbers are few. In the present study, validation as a way of communicating is suggested for handling emotional expression in interpersonal interactions. Validation communicates understanding and acceptance of the other person’s experience, and it has been shown to have a down-regulating effect on negative emotions. It has previously been demonstrated to be important for these couples. However, the feasibility and effects of increasing partner validation in these couples are unknown. Therefore, the aim of the present study was to investigate if a brief training session in validation for spouses would result in more validating and fewer invalidating responses towards their partners with pain, and to investigate if changes in these behavioural responses were associated with changes in emotion and pain level in the partner with pain.MethodsParticipants were 20 couples where at least one partner reported chronic pain. The study employed a within-groups design in which spouses of people with pain received validation training (without their partner’s knowledge), and their validating and invalidating responses were rated pre- and post-intervention using a reliable observational scale. Also, positive and negative affect and subjective pain level in the persons with pain were rated pre- and post-intervention.ResultsResults showed that the validation training was associated with increased validating and decreased invalidating responses in the partners. Their spouses with chronic pain reported a decrease in negative affect from pre- to post-training.ConclusionsOur results indicate that the partner or closest family member, after brief validation training, increased validating responses and decreased invalidating responses towards the person with pain, which had an immediate positive impact on emotions in the other person.ImplicationsThis study suggests that using validation in interpersonal interactions is a promising tool for couples where chronic pain is present.

Oncology Acupuncture for Chronic Pain in Cancer Survivors

2018 ◽  
Vol 32 (3) ◽  
pp. 519-533 ◽  
Author(s):  
Weidong Lu ◽  
David S. Rosenthal
Keyword(s):  
Chronic Pain ◽  
Cancer Survivors

A Web-and-Mobile-Based Intervention for Women Treated for Breast Cancer to Manage Chronic Pain and Symptoms Related to Lymphedema: Results of a Randomized Clinical Trial (Preprint)

2021 ◽  
Author(s):  
Mei Rosemary Fu ◽  
Deborah Axelrod ◽  
Amber A Guth ◽  
Joan Scagliola ◽  
Kavita Rampertaap ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Chronic Pain ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Flow System ◽  
Bodily Pain ◽  
Intervention Group ◽  
Lymph Flow ◽  
Limb Volume ◽  
The Web

BACKGROUND The-Optimal-Lymph-Flow is a patient-centered, web-and-mobile-based mHealth system that delivers safe, easy and feasible digital therapy of lymphatic exercises and limb mobility exercises. The purpose of this randomized clinical trial (RCT) was to evaluate the effectiveness of the web-and-mobile-based The-Optimal-Lymph-Flow system for managing chronic pain and symptoms related to lymphedema. OBJECTIVE The primary objective of this study was to determine the effectiveness of the web-and-mobile-based The-Optimal-Lymph-Flow system for managing chronic pain, aching, soreness, and tenderness among breast cancer survivors and quality of life related to pain. The secondary objective was to evaluate the effectiveness of the web-and-mobile-based The-Optimal-Lymph-Flow system for managing symptoms related to lymph fluid accumulation, limb volume differences, and body mass index (BMI). METHODS A parallel randomized controlled trial (RCT) with a control-experimental, pre- and post-test, repeated-measures design. A total of 120 patients were recruited and randomized according to pain with 1:1 ratio into either Arm Precaution (AP) control focusing on limb mobility and protection or The-Optimal-Lymph flow (TOLF) intervention focusing promoting lymph flow and limb mobility. Trial outcomes were evaluated at baseline and week 12 post intervention. Descriptive statistics, Fisher’s Exact tests, Wilcoxon rank-sum tests, t-test, and generalized linear mixed-effects models were performed for data analysis. RESULTS At the study endpoint of week 12 post intervention, significantly fewer patients in the TOLF intervention group compared to AP control group reported chronic pain (49% vs. 71%; OR=0.39, CI=[0.17, 0.90], p=0.021). Patients in TOLF intervention group were significantly more likely to experience a complete reduction in chronic pain (50% vs 22%; OR=3.56, CI = [1.39, 9.76], p=0.005), and soreness (43% vs 22%; OR=2.60, CI = [1.03, 6.81], p=0.034). Significantly lower median severity scores were found in TOLF group for chronic pain (〖Med〗_LE=0, IQR=0-1 vs 〖Med〗_AP=1, IQR=0-2; p=0.024) and general bodily pain (〖Med〗_LE=1, IQR=0-1.5 vs 〖Med〗_AP=1, IQR=1-3; p=0.040). Compared to AP control, significantly fewer patients in TOLF group reported arm/hand swelling (p=0.038); heaviness (p=0.027), redness (p=0.033), limited movement in shoulder (p=0.015) and arm (p=0,025). No significant differences between TOLF and AP groups were found in complete reduction of aching and tenderness, mean numbers of lymphedema symptom reported, > 5% limb volume differences, and BMI. CONCLUSIONS TOLF intervention had significant benefits for breast cancer survivors to manage chronic pain, soreness, general bodily pain, limb swelling, heaviness, and impaired limb mobility. TOLF intervention resulted in a 13% reduction in proportions of patients who took pain medications compared to AP group which had a 5% increase. A 12% reduction in proportions of patients with > 5% limb volume differences were found in the TOLF group while a 5% increase in the AP group. Taking together, TOLF intervention can be a better choice for breast cancer survivors to reduce chronic pain and limb volume. CLINICALTRIAL US Clinicaltrials.gov NCT02462226, https://clinicaltrials.gov/ct2/show/NCT02462226

scholarly journals The positive effect of workplace accommodations on employment five years after a cancer diagnosis

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C Alleaume ◽  
A Paraponaris ◽  
M-K Bendiane ◽  
P Peretti-Watel ◽  
A-D Bouhnik
Keyword(s):  
Cancer Survivors ◽  
Cancer Diagnosis ◽  
Negative Impact ◽  
Selection Effect ◽  
Professional Life ◽  
Literature Reviews ◽  
Working Age ◽  
Position Type ◽  
Positive Effect ◽  
Vulnerable Workers

Abstract Background Each year, almost 400,000 new individuals are diagnosed with cancer in France and nearly half of them are in the working age. The disease was found to have a negative impact on professional life, especially for the most vulnerable cancer survivors. Literature reviews have pointed out the lack of studies focusing on the evaluation of interventions. In France, workstation layouts are recommended by the French law, but not mandatory to facilitate return to work. The aim of this study was to explore the effect of having a workstation layout after a cancer diagnosis on maintenance in employment five years after diagnosis. Methods We used the French VICAN survey carried out in 2015/2016 on living conditions five years after a cancer diagnosis. Using propensity score matching, we matched two subsamples (with and without workstation layout) to investigate the effect of workstation layout taking into account the characteristics associated with the access to these arrangements. Results Among the 1,514 individuals aged between 18 and 54 at diagnosis and employed in a salaried job at this time, three in five (61.2%) had a workstation layout within the five years following the diagnosis: 35.5% had a position type layout, 41.5% had a schedule layout, and 49.2% had a working time layout. Among those who had a workstation layout, 89.7% were still in employment five years after diagnosis against only 77.8% of those who did not so (p.value&lt;0,001). After matching, having a workstation layout increased maintenance in employment from 77.8% to 95.0% (Average workstation layout effect on the treated of 0.172, 95% CI = [0.114; 0.229]). Conclusions Having a workstation layout after a cancer diagnosis strongly increases maintenance in employment of five years cancer survivors. More research is needed to better understand the differences in access to these arrangements and the related selection effect. Key messages Workstation layout increases maintenance in employment of survivors five years after a cancer diagnosis. Therefore, it should be used more systematically to facilitate work with a chronic disease. Having a workstation layout may constitute a disadvantageous selection bias for more vulnerable workers. It can also lead to discrimination feelings.

Patient-reported pain and other symptoms among breast cancer survivors: prevalence and risk factors

2020 ◽  
Vol 106 (6) ◽  
pp. 480-490
Author(s):  
Michele Divella ◽  
Luigi Vetrugno ◽  
Serena Bertozzi ◽  
Luca Seriau ◽  
Carla Cedolini ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Chronic Pain ◽  
Neuropathic Pain ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Breast Tissue ◽  
Shoulder Function ◽  
Breast Cancer Surgery ◽  
Patient Reported

Objective: To investigate the prevalence and risk factors associated with chronic pain and other symptoms related to breast cancer 6 months after surgery. Methods: In an observational study of 261 female breast cancer survivors treated between January 2017 and January 2018, patients were asked about their pain symptoms using a questionnaire that utilized the Numeric Rating Score (NRS) and the Douleur Neuropathique Score (DN4) for neuropathic pain; it also addressed phantom sensations and functional disorders on the ipsilateral shoulder. A total of 218 women completed the survey. Results: A total of 105 patients (48.17%) reported chronic pain. Of these, 64% rated the pain with an NRS of 1–3 and 35% with an NRS >3. Neuropathic pain was reported in 65% of the sample, phantom sensations in 12%, disorders of shoulder function in 16%, and web syndrome in 2%. Multivariable analyses showed that chronic pain (odds ratio [OR], 2.55; 95% confidence interval [CI], 1.094–5.942; p < 0.05) and neuropathic pain (OR, 2.988; 95% CI, 1.366–6.537; p < 0.05) were positively associated with surgical adverse events; phantom sensations were statistically associated with the weight of removed breast tissue (OR, 1.003; 95% CI, 1.001–1.005; p < 0.05). Conclusions: Our study highlights the need to employ specific tools capable of detecting different kinds of chronic pain after breast cancer surgery to improve pain prevention and treatment. Surgical complications and the weight of removed breast tissue emerged as 2 of the risk factors for chronic and neuropathic pain development in breast cancer survivors.

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