nach oben

Erschienen in:

06.10.2018 | Review Article

Peer support opportunities across the cancer care continuum: a systematic scoping review of recent peer-reviewed literature

verfasst von: Sarah D. Kowitt, Katrina R. Ellis, Veronica Carlisle, Nivedita L. Bhushan, Kristin Z. Black, Kaitlyn Brodar, Nicole M. Cranley, Kia L. Davis, Eugenia Eng, Michelle Y. Martin, Jared McGuirt, Rebeccah L. Sokol, Patrick Y. Tang, Anissa I. Vines, Jennifer S. Walker, Edwin B. Fisher

Erschienen in: Supportive Care in Cancer | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Objective

Evidence suggests peer support (PS) is as an effective strategy for enhancing prevention and control of chronic and infectious diseases, including cancer. This systematic scoping review examines the range and variety of interventions on the use of PS across the cancer care continuum.

Method

We used a broad definition of PS to capture a wide-range of interventions and characterize the current status of the field. Literature searches were conducted using PubMed, SCOPUS, and CINAHL to identify relevant articles published from January 2011 to June 2016. We screened the title and abstracts of 2087 articles, followed by full-text screening of 420 articles, resulting in a final sample of 242 articles of which the most recent 100 articles were reviewed (published June 2014 to May 2016).

Results

A number of the recent intervention studies focused on breast cancer (32%, breast cancer only) or multiple cancer sites (23%). Although the interventions spanned all phases of the cancer care continuum, only 2% targeted end-of-life care. Seventy-six percent focused on clinical outcomes (e.g., screening, treatment adherence) and 72% on reducing health disparities. Interventions were primarily phone-based (44%) or delivered in a clinic setting (44%). Only a few studies (22%) described the impact of providing PS on peer supporters.

Conclusion

PS appears to be a widely used approach to address needs across the cancer care continuum, with many opportunities to expand its reach.

Nur mit Berechtigung zugänglich

Fitzmaurice C, Allen C, Barber RM, Barregard L, Bhutta ZA, Brenner H, Dicker DJ, Chimed-Orchir O, Dandona R, Dandona L, Fleming T, Forouzanfar MH, Hancock J, Hay RJ, Hunter-Merrill R, Huynh C, Hosgood HD, Johnson CO, Jonas JB, Khubchandani J, Kumar GA, Kutz M, Lan Q, Larson HJ, Liang X, Lim SS, Lopez AD, MacIntyre MF, Marczak L, Marquez N, Mokdad AH, Pinho C, Pourmalek F, Salomon JA, Sanabria JR, Sandar L, Sartorius B, Schwartz SM, Shackelford KA, Shibuya K, Stanaway J, Steiner C, Sun J, Takahashi K, Vollset SE, Vos T, Wagner JA, Wang H, Westerman R, Zeeb H, Zoeckler L, Abd-Allah F, Ahmed MB, Alabed S, Alam NK, Aldhahri SF, Alem G, Alemayohu MA, Ali R, Al-Raddadi R, Amare A, Amoako Y, Artaman A, Asayesh H, Atnafu N, Awasthi A, Saleem HB, Barac A, Bedi N, Bensenor I, Berhane A, Bernabe E, Betsu B, Binagwaho A, Boneya D, Campos-Nonato I, Castaneda-Orjuela C, Catala-Lopez F, Chiang P, Chibueze C, Chitheer A, Choi JY, Cowie B, Damtew S, das Neves J, Dey S, Dharmaratne S, Dhillon P, Ding E, Driscoll T, Ekwueme D, Endries AY, Farvid M, Farzadfar F, Fernandes J, Fischer F, TT GH, Gebru A, Gopalani S, Hailu A, Horino M, Horita N, Husseini A, Huybrechts I, Inoue M, Islami F, Jakovljevic M, James S, Javanbakht M, Jee SH, Kasaeian A, Kedir MS, Khader YS, Khang YH, Kim D, Leigh J, Linn S, Lunevicius R, El Razek HMA, Malekzadeh R, Malta DC, Marcenes W, Markos D, Melaku YA, Meles KG, Mendoza W, Mengiste DT, Meretoja TJ, Miller TR, Mohammad KA, Mohammadi A, Mohammed S, Moradi-Lakeh M, Nagel G, Nand D, Le Nguyen Q, Nolte S, Ogbo FA, Oladimeji KE, Oren E, Pa M, Park EK, Pereira DM, Plass D, Qorbani M, Radfar A, Rafay A, Rahman M, Rana SM, Soreide K, Satpathy M, Sawhney M, Sepanlou SG, Shaikh MA, She J, Shiue I, Shore HR, Shrime MG, So S, Soneji S, Stathopoulou V, Stroumpoulis K, Sufiyan MB, Sykes BL, Tabares-Seisdedos R, Tadese F, Tedla BA, Tessema GA, Thakur JS, Tran BX, Ukwaja KN, Uzochukwu BSC, Vlassov VV, Weiderpass E, Wubshet Terefe M, Yebyo HG, Yimam HH, Yonemoto N, Younis MZ, Yu C, Zaidi Z, Zaki MES, Zenebe ZM, Murray CJL, Naghavi M (2017) Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the Global Burden of Disease study. JAMA oncology 3(4):524–548. https://doi.org/10.1001/jamaoncol.2016.5688 CrossRefPubMed

Allemani C, Weir HK, Carreira H, Harewood R, Spika D, Wang XS, Bannon F, Ahn JV, Johnson CJ, Bonaventure A, Marcos-Gragera R, Stiller C, Azevedo e Silva G, Chen WQ, Ogunbiyi OJ, Rachet B, Soeberg MJ, You H, Matsuda T, Bielska-Lasota M, Storm H, Tucker TC, Coleman MP (2015) Global surveillance of cancer survival 1995-2009: analysis of individual data for 25,676,887 patients from 279 population-based registries in 67 countries (CONCORD-2). Lancet 385(9972):977–1010. https://doi.org/10.1016/s0140-6736(14)62038-9 CrossRefPubMed

Edwards BK, Noone AM, Mariotto AB, Simard EP, Boscoe FP, Henley SJ, Jemal A, Cho H, Anderson RN, Kohler BA, Eheman CR, Ward EM (2014) Annual Report to the Nation on the status of cancer, 1975-2010, featuring prevalence of comorbidity and impact on survival among persons with lung, colorectal, breast, or prostate cancer. Cancer 120(9):1290–1314. https://doi.org/10.1002/cncr.28509 CrossRefPubMed

Vineis P, Wild CP (2014) Global cancer patterns: causes and prevention. Lancet 383(9916):549–557. https://doi.org/10.1016/s0140-6736(13)62224-2 CrossRefPubMed

Sabatino SA, White MC, Thompson TD, Klabunde CN (2015) Cancer screening test use-United States, 2013. MMWR Morb Mortal Wkly Rep 64(17):464–468PubMedPubMedCentral

Freeman HP, Chu KC (2005) Determinants of cancer disparities: barriers to cancer screening, diagnosis, and treatment. Surg Oncol Clin 14(4):655–669CrossRef

Butow PN, Phillips F, Schweder J, White K, Underhill C, Goldstein D (2012) Psychosocial well-being and supportive care needs of cancer patients living in urban and rural/regional areas: a systematic review. Support Care Cancer 20(1):1–22CrossRefPubMed

Coups EJ, Ostroff JS (2005) A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med 40(6):702–711CrossRefPubMed

Ligibel J (2012) Lifestyle factors in cancer survivorship. J Clin Oncol 30(30):3697–3704CrossRefPubMed

10.

Pinto BM, Trunzo JJ (2005) Health behaviors during and after a cancer diagnosis. Cancer 104(S11):2614–2623CrossRefPubMed

11.

Palmer NRA, Weaver KE, Hauser SP, Lawrence JA, Talton J, Case LD, Geiger AM (2015) Disparities in barriers to follow-up care between African American and White breast cancer survivors. Support Care Cancer 23(11):3201–3209. https://doi.org/10.1007/s00520-015-2706-9 CrossRefPubMedPubMedCentral

12.

Blank T, Graves K, Sepucha K, Llewellyn-Thomas H (2006) Understanding treatment decision making: contexts, commonalities, complexities, and challenges. Ann Behav Med 32(3):211–217CrossRefPubMed

13.

Gonzalez-Saenz de Tejada M, Bilbao A, Bare M, Briones E, Sarasqueta C, Quintana J, Escobar A (2016) Association of social support, functional status, and psychological variables with changes in health-related quality of life outcomes in patients with colorectal cancer. Psycho-Oncology 25(8):891–897CrossRefPubMed

14.

Applebaum AJ, Stein EM, Lord-Bessen J, Pessin H, Rosenfeld B, Breitbart W (2014) Optimism, social support, and mental health outcomes in patients with advanced cancer. Psycho-Oncology 23(3):299–306CrossRefPubMed

15.

Brunault P, Champagne AL, Huguet G, Suzanne I, Senon JL, Body G, Rusch E, Magnin G, Voyer M, Réveillère C (2016) Major depressive disorder, personality disorders, and coping strategies are independent risk factors for lower quality of life in non-metastatic breast cancer patients. Psycho-Oncology 25(5):513–520CrossRefPubMed

16.

Swider SM (2002) Outcome effectiveness of community health workers: an integrative literature review. Public Health Nurs 19(1):11–20CrossRefPubMed

17.

Andrews JO, Felton G, Wewers ME, Heath J (2004) Use of community health workers in research with ethnic minority women. J Nurs Scholarsh 36(4):358–365CrossRefPubMed

18.

Brownstein JN, Chowdhury FM, Norris SL, Horsley T, Jack L Jr, Zhang X, Satterfield D (2007) Effectiveness of community health workers in the care of people with hypertension. Am J Prev Med 32(5):435–447. https://doi.org/10.1016/j.amepre.2007.01.011 CrossRefPubMed

19.

Norris SL, Chowdhury FM, Van Le K, Horsley T, Brownstein JN, Zhang X, Jack L Jr, Satterfield DW (2006) Effectiveness of community health workers in the care of persons with diabetes. Diabet Med 23(5):544–556. https://doi.org/10.1111/j.1464-5491.2006.01845.x CrossRefPubMed

20.

Colella TJ, King KM (2004) Peer support. An under-recognized resource in cardiac recovery. Eur J Cardiovasc Nurs 3(3):211–217. https://doi.org/10.1016/j.ejcnurse.2004.04.001 CrossRefPubMed

21.

Haines A, Sanders D, Lehmann U, Rowe AK, Lawn JE, Jan S, Walker DG, Bhutta Z (2007) Achieving child survival goals: potential contribution of community health workers. Lancet 369(9579):2121–2131CrossRefPubMed

22.

Hoey LM, Ieropoli SC, White VM, Jefford M (2008) Systematic review of peer-support programs for people with cancer. Patient Educ Couns 70(3):315–337. https://doi.org/10.1016/j.pec.2007.11.016 CrossRefPubMed

23.

Postma J, Karr C, Kieckhefer G (2009) Community health workers and environmental interventions for children with asthma: a systematic review. J Asthma 46(6):564–576. https://doi.org/10.1080/02770900902912638 CrossRefPubMed

24.

Fisher EB, Ballesteros J, Bhushan N, Coufal MM, Kowitt SD, McDnough M, Parada H, Robinette J, Tang P, Urlaub D, Sokol R (2015) Key features of peer support in chronic disease prevention and management. Health Aff (Millwood) 34(9):1523–1530. https://doi.org/10.1377/hlthaff.2015.0365 CrossRef

25.

Fisher EB, Ayala GX, Ibarra L, Cherrington A, Elder JP, Tang TS, Heisler M, Safford M, Simmons D (2015) Contributions of peer support to health, health care, and prevention: papers from Peers for Progress. Ann Fam Med 13(1):S2–S8CrossRefPubMedPubMedCentral

26.

Fisher EB, Boothroyd RI, Elstad EA, Hays L, Henes A, Maslow GR, Velicer C (2017) Peer support of complex health behaviors in prevention and disease management with special reference to diabetes: systematic reviews. Clinical Diabetes and Endocrinology 3:4. https://doi.org/10.1186/s40842-017-0042-3 CrossRefPubMedPubMedCentral

27.

Fisher EB, Coufal MM, Parada H, Robinette JB, Tang PY, Urlaub DM, Castillo C, Guzman-Corrales LM, Hino S, Hunter J (2014) Peer support in health care and prevention: cultural, organizational, and dissemination issues. Annu Rev Public Health 35:363–383CrossRefPubMed

28.

Ancker JS, Carpenter KM, Greene P, Hoffmann R, Kukafka R, Marlow LAV, Prigerson HG, Quillin JM (2009) Peer-to-peer communication, cancer prevention, and the internet: workgroup discussion of peer-to-peer communication about primary and secondary prevention, Society of Behavioral Medicine, San Diego, CA, March 26, 2008. J Health Commun 14(0 1):38–46. https://doi.org/10.1080/10810730902806760 CrossRefPubMedPubMedCentral

29.

Whop LJ, Valery PC, Beesley VL, Moore SP, Lokuge K, Jacka C, Garvey G (2012) Navigating the cancer journey: a review of patient navigator programs for indigenous cancer patients. Asia Pac J Clin Oncol 8(4):e89–e96CrossRefPubMed

30.

Maxwell AE, Jo AM, Crespi CM, Sudan M, Bastani R (2010) Peer navigation improves diagnostic follow-up after breast cancer screening among Korean American women: results of a randomized trial. Cancer Causes Control 21(11):1931–1940CrossRefPubMedPubMedCentral

31.

Meyer A, Coroiu A, Korner A (2015) One-to-one peer support in cancer care: a review of scholarship published between 2007 and 2014. Eur J Cancer Care 24(3):299–312CrossRef

32.

Ayala GX, Ibarra L, Cherrington AL, Parada H, Horton L, Ji M, Elder JP (2015) Puentes hacia una mejor vida (Bridges to a better life): outcome of a diabetes control peer support intervention. Ann Fam Med 13(Suppl 1):S9–S17. https://doi.org/10.1370/afm.1807

33.

Campbell HS, Phaneuf MR, Deane K (2004) Cancer peer support programs—do they work? Patient Educ Couns 55(1):3–15CrossRefPubMed

34.

Nesta Health Lab & National Voices (2015) Peer support: what is it and does it work? https://www.nationalvoices.org.uk/sites/default/files/public/publications/peer_support_-_what_is_it_and_does_it_work.pdf. Accessed Nov 20, 2017

35.

Levac D, Colquhoun H, O’Brien KK (2010) Scoping studies: advancing the methodology. Implement Sci 5:69. https://doi.org/10.1186/1748-5908-5-69 CrossRefPubMedPubMedCentral

36.

Peters MD, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB (2015) Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc 13(3):141–146. https://doi.org/10.1097/xeb.0000000000000050 CrossRefPubMed

37.

Arksey H, O'Malley L (2005) Scoping studies: towards a methodological framework. Int J Soc Res Methodol 8(1):19–32CrossRef

38.

Gorman JR, Standridge D, Lyons KS, Elliot DL, Winters-Stone K, Julian AK, Weprin J, Storksdieck M, Hayes-Lattin B (2017) Patient-centered communication between adolescent and young adult cancer survivors and their healthcare providers: identifying research gaps with a scoping review. Patient Educ Couns 101:185–194. https://doi.org/10.1016/j.pec.2017.08.020 CrossRefPubMed

39.

Tucker CA, Martin MP, Jones RB (2017) Health information needs, source preferences and engagement behaviours of women with metastatic breast cancer across the care continuum: protocol for a scoping review. BMJ Open 7(2):e013619. https://doi.org/10.1136/bmjopen-2016-013619 CrossRefPubMedPubMedCentral

40.

Covidence systematic review software [computer program] (2017). Melbourne, Australia,

41.

Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377–381. https://doi.org/10.1016/j.jbi.2008.08.010 CrossRefPubMed

42.

Hartling L, Hamm M, Milne A, Vandermeer B, Santaguida P, Ansari M, Tsertsvadze A, Hempel S, Shekelle P, Dryden D (2012) Validity and inter-rater reliability testing of quality assessment instruments. Agency for Healthcare Research and Quality (US) https://www.ncbi.nlm.nih.gov/books/NBK92293. Accessed Nov 27, 2017

43.

Sokol R, Fisher E (2016) Peer support for the hardly reached: a systematic review. Am J Public Health 106(7):1308. https://doi.org/10.2105/AJPH.2016.303180a CrossRefPubMedCentral

44.

Cook MB, McGlynn KA, Devesa SS, Freedman ND, Anderson WF (2011) Sex disparities in cancer mortality and survival. Cancer Epidemiol Biomark Prev 20(8):1629–1637. https://doi.org/10.1158/1055-9965.epi-11-0246 CrossRef

45.

Griffith DM, Gunter K, Allen JO (2011) Male gender role strain as a barrier to African American men’s physical activity. Health Educ Behav 38(5):482–491. https://doi.org/10.1177/1090198110383660 CrossRefPubMedPubMedCentral

46.

Institute of Medicine (US) Committee on Psychosocial Services to Cancer Patients/Families in a Community Setting (2008) Meeting psychosocial health needs. The psychosocial needs of cancer patients in cancer care for the whole patient. National Academies Press (US), Washington (DC)

47.

American Cancer Society (2015) Counseling services you may need. https://www.cancer.org/treatment/treatments-and-side-effects/emotional-side-effects/distress/counseling-services.html. Accessed Nov 27, 2017

48.

Embuldeniya G, Veinot P, Bell E, Bell M, Nyhof-Young J, Sale JE, Britten N (2013) The experience and impact of chronic disease peer support interventions: a qualitative synthesis. Patient Educ Couns 92(1):3–12. https://doi.org/10.1016/j.pec.2013.02.002 CrossRefPubMed

49.

Herber OR, Johnston BM (2013) The role of healthcare support workers in providing palliative and end-of-life care in the community: a systematic literature review. Health Soc Care Community 21(3):225–235CrossRefPubMed

50.

Perry E, Swartz J, Brown S, Smith D, Kelly G, Swartz R (2005) Peer mentoring: a culturally sensitive approach to end-of-life planning for long-term dialysis patients. Am J Kidney Dis 46(1):111–119CrossRefPubMed

51.

Bevans M, Sternberg EM (2012) Caregiving burden, stress, and health effects among family caregivers of adult cancer patients. JAMA 307(4):398–403. https://doi.org/10.1001/jama.2012.29 CrossRefPubMedPubMedCentral

52.

Kowitt SD, Urlaub D, Guzman-Corrales L, Mayer M, Ballesteros J, Graffy J, Simmons D, Cummings DM, Fisher EB (2015) Emotional support for diabetes management: an international cross-cultural study. Diabetes Educ 41(3):291–300. https://doi.org/10.1177/0145721715574729 CrossRefPubMed

53.

Bickell NA, Weidmann J, Fei K, Lin JJ, Leventhal H (2009) Underuse of breast cancer adjuvant treatment: patient knowledge, beliefs, and medical mistrust. J Clin Oncol 27(31):5160–5167. https://doi.org/10.1200/jco.2009.22.9773 CrossRefPubMedPubMedCentral

54.

Guadagnolo BA, Cina K, Helbig P, Molloy K, Reiner M, Cook EF, Petereit DG (2009) Medical mistrust and less satisfaction with health care among Native Americans presenting for cancer treatment. J Health Care Poor Underserved 20(1):210–226. https://doi.org/10.1353/hpu.0.0108 CrossRefPubMedPubMedCentral

55.

O'Hair D, Villagran MM, Wittenberg E, Brown K, Ferguson M, Hall HT, Doty T (2003) Cancer survivorship and agency model: implications for patient choice, decision making, and influence. Health Commun 15(2):193–202. https://doi.org/10.1207/s15327027hc1502_7 CrossRefPubMed

56.

Street R, Epstein RM (2008) Key interpersonal functions and health outcomes: lessons from theory and research on clinician-patient communication. In: Glanz K, Rimer BK, Viswanath K (eds) Health behavior and health education: theory, research, and practice. John Wiley & Sons,

57.

Huntingdon B, Schofield P, Wolfowicz Z, Bergin R, Kabel D, Edmunds J, Penberthy S, Juraskova I (2016) Toward structured peer support interventions in oncology: a qualitative insight into the experiences of gynaecological cancer survivors providing peer support. Support Care Cancer 24(2):849–856. https://doi.org/10.1007/s00520-015-2853-z CrossRefPubMed

58.

Mirrielees JA, Breckheimer KR, White TA, Denure DA, Schroeder MM, Gaines ME, Wilke LG, Tevaarwerk AJ (2015) Breast cancer survivor advocacy at a university hospital: development of a peer support program with evaluation by patients, advocates, and clinicians. J Cancer Educ 32:97–104. https://doi.org/10.1007/s13187-015-0932-y CrossRef

59.

Mollica MA, Nemeth LS, Newman SD, Mueller M, Sterba K (2014) Peer navigation in African American breast cancer survivors. Patient Relat Outcome Meas 5:131–144. https://doi.org/10.2147/prom.s69744 CrossRefPubMedPubMedCentral

60.

Rafie C, Ayers A, Cadet D, Quillin J, Hackney MH (2015) Reaching hard to reach populations with hard to communicate messages: efficacy of a breast health research champion training program. J Cancer Educ 30(3):599–606. https://doi.org/10.1007/s13187-014-0720-0 CrossRefPubMedPubMedCentral

61.

Rebeiro Gruhl KL, LaCarte S, Calixte S (2016) Authentic peer support work: challenges and opportunities for an evolving occupation. J Ment Health 25(1):78–86. https://doi.org/10.3109/09638237.2015.1057322 CrossRefPubMed

62.

Miyamoto Y, Sono T (2012) Lessons from peer support among individuals with mental health difficulties: a review of the literature. Clin Pract Epidemiol Ment Health 8:22–29. https://doi.org/10.2174/1745017901208010022 CrossRefPubMedPubMedCentral

63.

Schwartz CE, Sendor M (1999) Helping others helps oneself: response shift effects in peer support. Soc Sci Med 48(11):1563–1575CrossRefPubMed

Titel: Peer support opportunities across the cancer care continuum: a systematic scoping review of recent peer-reviewed literature
verfasst von: Sarah D. Kowitt
Katrina R. Ellis
Veronica Carlisle
Nivedita L. Bhushan
Kristin Z. Black
Kaitlyn Brodar
Nicole M. Cranley
Kia L. Davis
Eugenia Eng
Michelle Y. Martin
Jared McGuirt
Rebeccah L. Sokol
Patrick Y. Tang
Anissa I. Vines
Jennifer S. Walker
Edwin B. Fisher
Publikationsdatum: 06.10.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 1/2019
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-018-4479-4

Neu im Fachgebiet Onkologie

24.04.2024 | DGIM 2024 | Nachrichten

Springer Medizin

Peer support opportunities across the cancer care continuum: a systematic scoping review of recent peer-reviewed literature

Abstract

Objective

Method

Results

Conclusion

Neu im Fachgebiet Onkologie

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Krebspatienten impfen: Was? Wen? Und wann nicht?

Müde im Alter? Auch an die Nebenniere denken

Update Onkologie

Springer Medizin

Abstract

Objective

Method

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2019

Levels of unmet needs among adolescents and young adults (AYAs) impacted by parental cancer

Short and long-term impairments of cardiopulmonary fitness level in previous childhood cancer cases: a systematic review

Ambivalence over emotional expression and physical functioning and limitations: mediating and moderating effects of PTSD symptoms and acculturation among Chinese breast cancer survivors

Handgrip fatiguing exercise can provide objective assessment of cancer-related fatigue: a pilot study

Is the relationship between social support and depressive symptoms mediated by hope among Chinese central nervous system tumor patients?

Acupuncture for cancer-related fatigue in lung cancer patients: methodological and statistical issues

Neu im Fachgebiet Onkologie

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Krebspatienten impfen: Was? Wen? Und wann nicht?

Müde im Alter? Auch an die Nebenniere denken

Update Onkologie