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Current Opinion in Supportive and Palliative Care

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https://www.readbyqxmd.com/read/28079563/editorial-cancer-related-cognitive-impairment
#1
Elie Isenberg-Grzeda, Janet Ellis
No abstract text is available yet for this article.
January 11, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28030447/neurocognitive-impact-of-cranial-radiation-in-adults-with-cancer-an-update-of-recent-findings
#2
Kim Edelstein, Nadine M Richard, Lori J Bernstein
PURPOSE OF REVIEW: Radiation to the brain is associated with adverse effects on cognition in cancer patients. Advances in technology have improved treatment efficacy, while new or adjuvant approaches continue to be developed. The long-term impact of both established and newer treatments on cognition is an active area of research. RECENT FINDINGS: The article reviews the 15 studies published between January 2015 and October 2016 that include data on neurocognitive functions following radiation to the brain in adults with brain metastases, primary brain tumors, or other cancers...
December 26, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28030446/cancer-related-cognitive-impairment-in-older-adults
#3
Andrew Edelstein, Denise Pergolizzi, Yesne Alici
PURPOSE OF REVIEW: Cancer, aging, and cognition form a complicated interface that can challenge patients, caretakers, and healthcare professionals. Although the typical aging process allows for compensatory mechanisms to help maintain daily functioning, cancer and cancer treatments can remove the fail-safes and exacerbate cognitive decline. As a result, older cancer patients can experience increased morbidity and mortality. The goal of this article is to provide additional assessment strategies, diagnostic considerations, and treatment options for providers taking care of this growing population...
December 26, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28009651/a-review-of-cognitive-screening-tools-in-cancer
#4
Elie Isenberg-Grzeda, Helen Huband, Henry Lam
PURPOSE OF REVIEW: Cancer-related cognitive impairment (CRCI) is highly prevalent, and assessment of cognition is crucial in providing optimal cancer care. Neuropsychological assessment (NPA) can be lengthy and expensive. Cognitive screening tools are plenty but validity has not been thoroughly studied for use in cancer patients. RECENT FINDINGS: Our search of the recent literature revealed that the Montreal Cognitive Assessment, Mini-Mental State Examination, and Clock Draw Test were the most frequently studied objective screening tools...
December 21, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28009650/cancer-related-cognitive-impairment-in-children
#5
Amanda D Hutchinson, Susan M Pfeiffer, Carlene Wilson
PURPOSE OF REVIEW: To review recent research on cancer-related cognitive impairment (CRCI) in children, including correlational studies and interventions in which outcomes have included cognitive test performance, neuroimaging or academic performance. RECENT FINDINGS: Impairments in processing speed, working memory, executive function and attention continue to be demonstrated in survivors of childhood cancers. Children receiving radiation treatment for their cancer demonstrate greater impairment than those who undergo surgery and/or chemotherapy without radiation...
December 21, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28009649/improving-the-support-of-the-suddenly-bereaved
#6
Dorothy Dale M Mayer
PURPOSE OF REVIEW: It is recognized that death is inevitable but rarely are we prepared for the death of significant persons in our lives. Sudden death is by its nature unexpected and thus shocking for family members and friends of the decedent. Sudden deaths have customarily been divided into four categories based on the cause of death, including natural, accidental, suicidal, or homicidal (NASH) deaths. Supporting the suddenly bereaved can be stressful, for both novice and experienced professionals; this review provides information important to healthcare professionals (HCP) who are often in a position to support family members after a sudden death...
December 21, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27984330/palliative-care-in-pulmonary-arterial-hypertension
#7
Wendy Gin-Sing
PURPOSE OF REVIEW: Developments in the management of pulmonary arterial hypertension have significantly improved prognosis changing this from an acute to a chronic disease. Despite optimal treatment many patients still have a high-symptom burden both because of the disease and the side-effects of therapy, consequently there is an increasing need for a palliative care approach to improve the quality of life for this patient group. This review article will outline the need for palliative care support for patients with pulmonary arterial hypertension, discuss the barriers that currently exist and suggest how this may be improved...
December 15, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27926544/cognitive-impairment-following-hormone-therapy-current-opinion-of-research-in-breast-and-prostate-cancer-patients
#8
Lisa M Wu, Ali Amidi
PURPOSE OF REVIEW: Hormone therapy is a common cancer treatment that may be associated with numerous side and late effects, and in recent years, has been linked to changes in cognition. Here, we present the most important recent findings from empirical studies and reviews that have focused on the effects of hormone therapy on cognitive functioning in breast and prostate cancer populations, underline some general shortcomings, and propose directions for future research. RECENT FINDINGS: Recent research indicates that cognitive impairment may occur in breast and prostate cancer patients following onset of hormone therapy...
December 6, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27926543/effects-of-exercise-interventions-and-physical-activity-behavior-on-cancer-related-cognitive-impairments-an-update
#9
Nils Schaffrath, Max Oberste, Philipp Zimmer
PURPOSE OF REVIEW: The purpose of this review is to give an update on studies investigating the influence of physical activity behavior and exercise interventions on cancer-related cognitive impairments. RECENT FINDINGS: Cross-sectional and observational studies underline previous findings, revealing an association of cancer patients' fitness and their cognitive functions. Results from interventional studies are sparse. Only one study investigated self-perceived cognitive function in breast cancer patients as a secondary outcome, indicating no effects...
December 6, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27926542/measuring-quality-of-life-in-advanced-heart-failure
#10
Jane MacIver, Kirsten Wentlandt, Heather J Ross
PURPOSE OF REVIEW: Patients with Stage D heart failure can benefit from palliative care consultation to help them manage unpleasant symptoms and improve quality of life. Although guidelines describe how to manage symptoms, very little direction is provided on how to evaluate the effectiveness of those interventions. RECENT FINDINGS: Numerous studies have used the measurement of symptoms, emotional distress, functional capacity and quality of life to evaluate the effectiveness of interventions in heart failure...
December 6, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27898512/cancer-related-cognitive-impairment-and-patients-ability-to-work-a-current-perspective
#11
Saskia F A Duijts, Allard J van der Beek, Ingrid G Boelhouwer, Sanne B Schagen
PURPOSE OF REVIEW: About half of all cancer survivors are 65 years of age or younger and potentially part of the labor force. Increasing numbers of these survivors are able to return to work (RTW) or even continue working during treatment. Many factors are known to inhibit occupational reintegration of cancer survivors, and further affect job performance after RTW. However, the impact of cancer-related cognitive impairment on work-related outcomes in cancer survivors is not well understood...
November 24, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27898511/cognitive-behavioral-therapy-for-cancer-related-cognitive-dysfunction
#12
Shelly Kucherer, Robert J Ferguson
PURPOSE OF REVIEW: To provide the reader with an overview of the cognitive-behavioral conceptualization of cancer-related cognitive dysfunction (CRCD) and how cognitive behavioral therapy (CBT) can play an important role in treatment. RECENT FINDINGS: Recent findings show that Memory and Attention Adaptation Training (MAAT), a CBT developed to help cancer survivors develop adaptive skills to improve daily cognitive performance and emotional coping, may be an efficacious treatment of CRCD and can be delivered through videoconference technology to improve survivor access to care...
November 24, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27782974/editorial-introductions
#13
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27750261/does-nutrition-support-have-a-role-in-managing-cancer-cachexia
#14
Alessandro Laviano, Gianluca Di Lazzaro Giraldi, Angela Koverech
PURPOSE OF REVIEW: Cachexia is a negative prognostic factor in cancer patients. The pathogenesis is related to a variable combination of reduced food intake and metabolic changes. However, whether nutritional support may contribute to effectively prevent and treat cachexia remains a debated issue. RECENT FINDINGS: Consistent evidence demonstrates that anabolic windows of opportunity occur during the clinical trajectory of cancer patients. Also, the use of specific nutrients, namely omega-3 fatty acids, may enhance the efficacy of nutritional support when tumor-driven inflammatory response is high...
December 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27684531/does-physical-exercise-improve-quality-of-life-of-advanced-cancer-patients
#15
Alfredo Navigante, Pablo Cresta Morgado
PURPOSE OF REVIEW: We discuss the principal issues about physical activity in advanced cancer patients through the analyses of the last articles and our experience in this field. RECENT FINDINGS: The efficacy of exercise training intervention could improve quality of life (QOL), fatigue and well being in advanced cancer patients. Several published studies have included, nevertheless, patients with early stage of disease and more recently, populations of patients with local advanced tumors of the breast, rectum and lung, who are undergoing neoadjuvant therapy...
December 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27661210/neuroleptics-in-the-management-of-delirium-in-patients-with-advanced-cancer
#16
David Hui, Rony Dev, Eduardo Bruera
PURPOSE OF REVIEW: Delirium is the most common and distressing neuropsychiatric syndrome in cancer patients. Few evidence-based treatment options are available due to the paucity of high quality of studies. In this review, we shall examine the literature on the use of neuroleptics to treat delirium in patients with advanced cancer. Specifically, we will discuss the randomized controlled trials that examined neuroleptics in the front line setting, and studies that explore second-line options for patients with persistent agitation...
December 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27635765/practical-multimodal-care-for-cancer-cachexia
#17
Matthew Maddocks, Jane Hopkinson, John Conibear, Annie Reeves, Clare Shaw, Ken C H Fearon
PURPOSE OF REVIEW: Cancer cachexia is common and reduces function, treatment tolerability and quality of life. Given its multifaceted pathophysiology a multimodal approach to cachexia management is advocated for, but can be difficult to realise in practice. We use a case-based approach to highlight practical approaches to the multimodal management of cachexia for patients across the cancer trajectory. RECENT FINDINGS: Four cases with lung cancer spanning surgical resection, radical chemoradiotherapy, palliative chemotherapy and no anticancer treatment are presented...
December 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27607756/promoting-patient-centred-palliative-care-a-scoping-review-of-the-patient-dignity-question
#18
María Arantzamendi, Alazne Belar, Marina Martínez
PURPOSE OF REVIEW: In recent years, there has been a growing interest in promoting dignity in care, and specific interventions have been developed to include it at the end of life. The patient dignity question (PDQ) is a recent, novel and simple intervention that healthcare professionals can implement; however, little information is known about its impact. This scoping review aims to examine and map out the PDQ literature. RECENT FINDINGS: Studies suggest that patients, families and professionals have a positive view of the PDQ in that it helps to get to know patients and provide them with the best care possible...
December 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27755140/targeting-the-host-immune-system-pd-1-and-pd-l1-antibodies-and-breast-cancer
#19
Shaheenah Dawood, Hope S Rugo
PURPOSE OF REVIEW: This article describes the role of the PD-1 axis and reviews current data and future directions inhibiting PD-1 and PD-L1 in breast cancer. RECENT FINDINGS: Four phase I monotherapy expansion trials in patients with metastatic breast cancer have demonstrated low but durable single agent responses to PD-1 and PD-L1 inhibitors, ranging from 4.8 to 19%. Higher response rates are seen in triple negative breast cancer, compared with hormone receptor positive disease...
October 15, 2016: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/27635766/the-impact-of-early-palliative-care-on-the-quality-of-care-during-the-last-days-of-life-what-does-the-evidence-say
#20
Sofia C Zambrano, Monica C Fliedner, Steffen Eychmüller
PURPOSE OF REVIEW: The aim of this review is to critically appraise the existing evidence on 'early palliative care' (EPC), discuss its relationship with advance care planning, and to reflect on the impact of EPC on the quality of care provided during the last days of life. RECENT FINDINGS: There are indicators that EPC may help to avoid aggressive treatment, shorten hospital stay, improve overall quality of life, and to see more frequently dying and death at the preferred place of care...
September 15, 2016: Current Opinion in Supportive and Palliative Care
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