Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2025
Uncovering Structurally Differential Care: Pediatric Oncology Nurses' Perspectives Caring for African American Families.
Psychosocial intervention studies aimed at reducing stress among parents of children with cancer have historically included insufficient samples of African American parents. Pediatric oncology nurses are uniquely positioned to identify and address parent psychosocial needs. However, research exploring their perspectives to serve as psychosocial interventionists specifically for African American families of children with cancer is limited. ⋯ This sample of pediatric oncology nurses described experiences that either bolstered or obstructed their psychosocial care provision, signaling potential opportunities for nurse-targeted interventions that may reduce factors contributing to disparities in the psychosocial care for African American families of children with cancer.
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J Pain Symptom Manage · Feb 2025
Patient-rated acceptability of automatic palliative care referral: a prospective cohort study.
Timely palliative care can alleviate distress after diagnosis of an incurable cancer. However, late referrals to palliative care continue, reflecting various provider and patient barriers. ⋯ These unsolicited phone calls offering SPC consultation were highly acceptable to patients/caregivers, and most agreed to the consultation. Implementing routine calls offering SPC consultation may be a timely alternative to awaiting conventional oncologist referral.
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J Pain Symptom Manage · Feb 2025
Review Meta AnalysisNon-pharmacological therapies for depression in women with breast cancer at different treatment phases: A systematic review and network meta-analysis.
Various non-pharmacological therapies (NPTs) have been found to be helpful for depression in women with breast cancer (BC). However, the relative efficacy of different NPTs in women with BC during different treatment phases is unclear. ⋯ Our study confirmed the efficacy of several NPTs for depression in women with BC during inter-/post-treatment phases. These results should inform future clinical decisions and guidelines for depression in women with BC.
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J Pain Symptom Manage · Feb 2025
Are muscle and fat loss predictive of clinical events in pancreatic cancer? The importance of precision metrics.
Muscle and fat loss from cancer may have prognostic significance. Skeletal muscle and fat areas measured at L3 on a CT scan correlate with body muscle and fat mass. We wished to know if reduced skeletal muscle area or fat on diagnostic CT scans or changes from initial CT scans in patients with pancreatic cancer who died in 2018 and 2019 predicted mortality. ⋯ Muscle loss in men during chemotherapy of pancreatic cancer predicts mortality.