nach oben

Erschienen in:

29.03.2017

Patterns of unmet needs in adolescent and young adult (AYA) cancer survivors: in their own words

verfasst von: Alex W. K. Wong, Ting-ting Chang, Katrina Christopher, Stephen C. L. Lau, Lynda K. Beaupin, Brad Love, Kim L. Lipsey, Michael Feuerstein

Erschienen in: Journal of Cancer Survivorship | Ausgabe 6/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Categorization of the needs of AYA cancer survivors is primarily based on quantitative analyses of epidemiological and observational research. The present study classified the phenomenological experiences of AYA survivors based on their own language.

Methods

A systematic approach for selecting qualitative studies of unmet needs in AYA cancer survivors was used. Following selection based on quality, survivor statements were entered verbatim and thematic analysis was conducted using NVivo qualitative research software.

Results

A total of 1993 AYA cancer survivors (post-treatment) were included in 58 studies (78% individual interviews). Mean age was 27.6 with an average of 8.6 years post-primary treatment. The organizational framework reported in this study was based on a heterogeneous group of cancer types. Thirteen themes including symptoms, function, reproductive health, emotional well-being, health management, health care system, social interaction, romantic relationships, cancer disclosure, normalcy, career development and employment, and school and fiscal concerns were identified. Forty-eight subthemes were also identified covering such areas as fertility, integrative health services, advice for cancer disclosure, family interaction, and insurance challenges.

Conclusion

Direct analysis of text identified many common unmet needs similarly reported in the quantitative literature. The phenomenological data also provided a breakdown of unmet needs into subthemes or elements of unmet needs.

Implications for Cancer Survivors

This information can help form the basis for a personalized, valid, and reliable evaluation tool of the range of unmet needs in AYA survivors.

Barr RD, Ferrari A, Ries L, Whelan J, Bleyer WA. Cancer in adolescents and young adults: a narrative review of the current status and a view of the future. JAMA Pediatr. 2016;170(5):495–501.CrossRefPubMed

Qu N, Zhang L, Lu ZW, Ji QH, Yang SW, Wei WJ, et al. Predictive factors for recurrence of differentiated thyroid cancer in patients under 21 years of age and a meta-analysis of the current literature. Tumor Biol. 2016;37(6):7797–808.CrossRef

Desandes E. Survival from adolescent cancer. Cancer Treat Rev. 2007;33(7):609–15.CrossRefPubMed

Raghav K, Mhadgut H, McQuade JL, Lei X, Ross A, Matamoros A, et al. Cancer of unknown primary in adolescents and young adults: Clinicopathological features, prognostic factors and survival outcomes. PLoS One. 2016;11(5):e0154985.CrossRefPubMedPubMedCentral

Rey-Casserly C, Meadows ME. Developmental perspectives on optimizing educational and vocational outcomes in child and adult survivors of cancer. Developmental Disabilities Research Reviews. 2008;14(3):243–50.CrossRefPubMed

Dieluweit U, Debatin KM, Grabow D, Kaatsch P, Peter R, Seitz D, et al. Social outcomes of long-term survivors of adolescent cancer. Psycho-Oncology. 2010;19(12):1277–84.CrossRefPubMed

Lara J, Brunson A, Keegan TH, Malogolowkin M, Pan CX, Yap S, et al. Determinants of survival in adolescents and young adults with urothelial bladder cancer: results from the California cancer registry. J Urol. 2016;196(5):1378–82.CrossRefPubMedPubMedCentral

Abrahão R, Keogh RH, Lichtensztajn DY, Marcos-Gragera R, Medeiros BC, Coleman MP, et al. Predictors of early death and survival among children, adolescents and young adults with acute myeloid leukemia in California, 1988-2011: a population-based study. Blood. 2015;126(23):1323.

Adolescent & Young Adult Oncology Progress Review Group. Closing the gap: research and care imperatives for adolescents and young adults with cancer (NIH publication no. 06–6067). Bethesda: Department of Health and Human Services, National Institutes of Health, National Cancer Institute, and the LIVESTRONG Young Adult Alliance; 2006.

10.

Keegan TH, Ries LA, Barr RD, Geiger AM, Dahlke DV, Pollock BH, et al. Comparison of cancer survival trends in the United States of adolescents and young adults with those in children and older adults. Cancer. 2016;122(7):1009–16.CrossRefPubMed

11.

Hudson MM, Mertens AC, Yasui Y, Hobbie W, Chen H, Gurney JG, et al. Health status of adult long-term survivors of childhood cancer: a report from the childhood cancer survivor study. JAMA. 2003;290(12):1583–92.CrossRefPubMed

12.

Albritton K, Bleyer W. The management of cancer in the older adolescent. Eur J Cancer. 2003;39(18):2584.CrossRefPubMed

13.

Arnett JJ. Emerging adulthood: a theory of development from the late teens through the twenties. Am Psychol. 2000;55(5):469.CrossRefPubMed

14.

Dyson GJ, Thompson K, Palmer S, Thomas DM, Schofield P. The relationship between unmet needs and distress amongst young people with cancer. Support Care Cancer. 2012;20(1):75–85.CrossRefPubMed

15.

Zebrack B, Hamilton R, Smith AW. Psychosocial outcomes and service use among young adults with cancer. Semin Oncol. 2009;36(5):468–77.CrossRefPubMed

16.

Hudson MM. A model for care across the cancer continuum. Cancer. 2005;104(S11):2638–42.CrossRefPubMed

17.

Thompson K, Palmer S, Dyson G. Adolescents & young adults: issues in transition from active therapy into follow-up care. Eur J Oncol Nurs. 2009;13(3):207–12.CrossRefPubMed

18.

Keegan TH, Lichtensztajn DY, Kato I, Kent EE, Wu XC, West MM, et al. Unmet adolescent and young adult cancer survivors information and service needs: a population-based cancer registry study. J Cancer Surviv. 2012;6(3):239–50.CrossRefPubMedPubMedCentral

19.

Miedema B, Easley J, Robinson L. Do current cancer follow-up care practices meet the needs of young adult cancer survivors in Canada? A qualitative inquiry. Curr Oncol. 2013;20(1):14.CrossRefPubMedPubMedCentral

20.

Kim B, White K, Patterson P. Understanding the experiences of adolescents and young adults with cancer: a meta-synthesis. Eur J Oncol Nurs. 2016;24:39–53.CrossRefPubMed

21.

Palmer S, Mitchell A, Thompson K, Sexton M. Unmet needs among adolescent cancer patients: a pilot study. Palliative & supportive care. 2007;5(02):127–34.CrossRef

22.

Rabin C, Simpson N, Morrow K, Pinto B. Behavioral and psychosocial program needs of young adult cancer survivors. Qual Health Res. 2011;21(6):796–806.CrossRefPubMed

23.

Palmer S, Patterson P, Thompson K. A national approach to improving adolescent and young adult (AYA) oncology psychosocial care: the development of AYA-specific psychosocial assessment and care tools. Palliative & supportive care. 2014;12(3):183–8. doi:10.1017/s1478951512001083.CrossRef

24.

Clinton-McHarg T, Carey M, Sanson-Fisher R, Shakeshaft A, Rainbird K. Measuring the psychosocial health of adolescent and young adult (AYA) cancer survivors: a critical review. Health Qual Life Outcomes. 2010;8(1):25.CrossRefPubMedPubMedCentral

25.

Starks H, Trinidad SB. Choose your method: a comparison of phenomenology, discourse analysis, and grounded theory. Qual Health Res. 2007;17(10):1372–80.CrossRefPubMed

26.

Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS med.

27.

Mays N, Pope C. Assessing quality in qualitative research. BMJ. 2000;320:50–2.

28.

Dixon-Woods M, Sutton A, Shaw R, Miller T, Smith J, Young B, et al. Appraising qualitative research for inclusion in systematic reviews: a quantitative and qualitative comparison of three methods. Journal of Health Services Research & Policy. 2007;12(1):42–7.

29.

Singh J. Critical appraisal skills programme. J Pharmacol Pharmacother. 2013;4(1):76.

30.

Mackinnon A. A spreadsheet for the calculation of comprehensive statistics for the assessment of diagnostic tests and inter-rater agreement. Comput Biol Med. 2000;30(3):127–34.

31.

Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8:45.

32.

QSR International. NVivo 11 Plus for Windows. 2016. http://www.qsrinternational.com/nvivoproduct/nvivo11-for-windows/plus. Accessed December 15 2016.

33.

Barnett ME, Shuk EM, Conway FP, Ford JS. Cancer-related disclosure among adolescent and young adult cancer survivors: A qualitative study. J Adolesc Young Adult Oncol. 2014;3(3):123–9.

34.

Beckwitt AE. Childhood Cancer Camps: Their Role in Adults Surviving Childhood Cancers Lives. J Pediatr Oncol Nurs. 2014;31(1):34–40.

35.

Bober SL, Park ER, Schmookler T, Medeiros Nancarrow C, Diller L. Perceptions of breast cancer risk and cancer screening: a qualitative study of young, female Hodgkin's disease survivors. J Cancer Educ. 2007;22(1):42–6.

36.

Boydell KM, Stasiulis E, Greenberg M, Greenberg C, Spiegler B. I'll show them: the social construction of (in)competence in survivors of childhood brain tumors. J Pediatr Oncol Nurs. 2008;25(3):164–74.

37.

Braun M, Hasson-Ohayon I, Perry S, Kaufman B, Uziely B. Motivation for giving birth after breast cancer. Psychooncology. 2005;14(4):282–96.

38.

Brown C, Pikler VI, Lavish LA, Keune KM, Hutto CJ. Surviving childhood leukemia: career, family, and future expectations. Qual Health Res. 2008;18(1):19–30.

39.

Cantrell MA, Conte TM. Between being cured and being healed: the paradox of childhood cancer survivorship. Qual Health Res. 2009;19(3):312–22.

40.

Carpentier MY, Fortenberry JD, Ott MA, Brames MJ, Einhorn LH. Perceptions of masculinity and selfimage in adolescent and young adult testicular cancer survivors: implications for romantic and sexual relationships. Psychooncology. 2011;20(7):738–45.

41.

Casillas J, Kahn KL, Doose M, Landier W, Bhatia S, Hernandez J, et al. Transitioning childhood cancer survivors to adult-centered healthcare: insights from parents, adolescent, and young adult survivors. Psychooncology. 2010;19(9):982–90.

42.

Casillas JN, Zebrack BJ, Zeltzer LK. Health-related quality of life for Latino survivors of childhood cancer. J Psychosoc Oncol. 2006;24(3):125–45.

43.

Chaiyaratana C, Patoomwan A, Chintanadilok N, Knafl K. Adolescent Cancer Survivors' and their Mothers' Perceptions of Vulnerabilities, Health Status, Treatment Effects, and Roles and Health-related Behaviors. Pac Rim Int J Nurs Res Thail. 2012;16(4):257–76.

44.

Chen C, Chen Y, Haase JE. Games of lives in surviving childhood brain tumors. West J Nurs Res. 2008;30(4):435–57.

45.

Connell S, Patterson C, Newman B. A qualitative analysis of reproductive issues raised by young Australian women with breast cancer. Health Care Women Int. 2006;27(1):94–110.

46.

Corney R, Puthussery S, Swinglehurst J. The stressors and vulnerabilities of young single childless women with breast cancer: a qualitative study. Eur J Oncol Nurs. 2014;18(1):17–22.

47.

Crom DB, Hinds PS, Gattuso JS, Tyc V, Hudson MM. Creating the basis for a breast health program for female survivors of Hodgkin disease using a participatory research approach. Oncol Nurs Forum. 2005;32(6):1131–41.

48.

D'Agostino NM, Edelstein K. Psychosocial challenges and resource needs of young adult cancer survivors: implications for program development. J Psychosoc Oncol. 2013;31(6):585–600.

49.

Dryden A, Ussher JM, Perz J. Young women's construction of their post-cancer fertility. Psychol Health. 2014;29(11):1341–60.

50.

Duffey-Lind EC, O’Holleran E, Healey M, Vettese M, Diller L, Park ER. Transitioning to survivorship: a pilot study. J Pediatr Oncol Nurs. 2006;23(6):335–43.

51.

Dumas A, Cailbault I, Perrey C, Oberlin O, De Vathaire F, Amiel P. Educational trajectories after childhood cancer: When illness experience matters. Soc Sci Med. 2015;135:67–74.

52.

Earle EA, Davies H, Greenfield D, Ross R, Eiser C. Follow-up care for childhood cancer survivors: a focus group analysis. Eur J Cancer. 2005;41(18):2882–6.

53.

Easley J, Miedema B, Robinson L. It's the "good" cancer, so who cares? Perceived lack of support among young thyroid cancer survivors. Oncol Nurs Forum. 2013;40(6):596–600.

54.

Enskar K, Bertero C. Young adult survivors of childhood cancer; experiences affecting self-image, relationships, and present life. Cancer Nurs. 2010;33(1):E18–24.

55.

Fern LA, Taylor RM, Whelan J, Pearce S, Grew T, Brooman K, et al. The art of age-appropriate care: Reflecting on a conceptual model of the cancer experience for teenagers and young adults. Cancer Nurs. 2013;36(5):E27–38.

56.

Fisher C, O'Connor M. "Motherhood" in the context of living with breast cancer. Cancer Nurs. 2012;35(2):157–63.

57.

Gibson F, Aslett H, Levitt G, Richardson A. Follow up after childhood cancer: a typology of young people's health care need. Clin Eff Nurs. 2005;9(3-4):133–46.

58.

Gorman JR, Bailey S, Pierce JP, Su HI. How do you feel about fertility and parenthood? The voices of young female cancer survivors. J Cancer Surviv. 2012;6(2):200–9.

59.

Granek L, Nathan PC, Rosenberg-Yunger ZR, D'Agostino N, Amin L, Barr RD, et al. Psychological factors impacting transition from paediatric to adult care by childhood cancer survivors. J Cancer Surviv. 2012;6(3):260–9.

60.

Halliday LE, Boughton MA, Kerridge I. Mothering and Self-Othering: The Impact of Uncertain Reproductive Capability in Young Women After Hematological Malignancy. Health Care Women Int. 2014;35(3):249–65.

61.

Hauken MA, Larsen TM, Holsen I. Meeting reality: young adult cancer survivors' experiences of reentering everyday life after cancer treatment. Cancer Nurs. 2013;36(5):E17–26.

62.

Howard AF. Tan de Bibiana J, Smillie K, Goddard K, Pritchard S, Olson R et al. Trajectories of social isolation in adult survivors of childhood cancer. J Cancer Surviv. 2014;8(1):80–93.

63.

Jones BL, Volker DL, Vinajeras Y, Butros L, Fitchpatrick C, Rossetto K. The meaning of surviving cancer for Latino adolescents and emerging young adults. Cancer Nurs. 2010;33(1):74–81.

64.

Karian VE, Jankowski SM, Beal JA. Exploring the lived-experience of childhood cancer survivors. J Pediatr Oncol Nurs. 1998;15(3):153–62.

65.

Kent EE, Parry C, Montoya MJ, Sender LS, Morris RA, Anton-Culver H. "You're too young for this": adolescent and young adults' perspectives on cancer survivorship. J Psychosoc Oncol. 2012;30(2):260–79.

66.

Kirchhoff AC, Kuhlthau K, Pajolek H, Leisenring W, Armstrong GT, Robison LL, et al. Employersponsored health insurance coverage limitations: results from the Childhood Cancer Survivor Study. Support Care Cancer. 2013;21(2):377–83.

67.

Kirchhoff AC, Montenegro RE, Warner EL, Wright J, Fluchel M, Stroup AM, et al. Childhood cancer survivors' primary care and follow-up experiences. Support Care Cancer. 2014;22(6):1629–35.

68.

Langeveld N, Ubbink M, Smets E. 'I don't have any energy': the experience of fatigue in young adult survivors of childhood cancer. Eur J Oncol Nurs. 2000;4(1):20–8.

69.

Lewis PE, Sheng M, Rhodes MM, Jackson KE, Schover LR. Psychosocial Concerns of Young African American Breast Cancer Survivors. J Psychosoc Oncol. 2012;30(2):168–84.

70.

Lie HC, Loge JH, Fosså SD, Hamre HM, Hess SL, Mellblom AV, et al. Providing information about late effects after childhood cancer: Lymphoma survivors’ preferences for what, how and when. Patient Educ Couns. 2015;98(5):604–11.

71.

McLoone JK, Wakefield CE, Butow P, Fleming C, Cohn RJ. Returning to school after adolescent cancer: A qualitative examination of australian survivors' and their families' perspectives. J Adolesc Young Adult Oncol. 2011;1(2):87–94.

72.

Miedema B, Easley J, Hamilton R. Young adults' experiences with cancer: comments from patients and survivors. Can Fam Physician. 2006;52(11):1446–7.

73.

Miedema B, Easley J, Robinson LM. Do current cancer follow-up care practices meet the needs of young adult cancer survivors in Canada? A qualitative inquiry. Curr Oncol. 2013;20(1):14–22.

74.

Park ER, Kirchhoff AC, Zallen JP, Weissman JS, Pajolek H, Mertens AC, et al. Childhood Cancer Survivor Study participants' perceptions and knowledge of health insurance coverage: implications for the Affordable Care Act. J Cancer Surviv. 2012;6(3):251–9.

75.

Park EB, Emmons KM, Malloy NW, Seifer E. A qualitative exploration of health perceptions and behaviors among adult survivors of childhood cancers. J Cancer Educ. 2002;17(4):211–5.

76.

Parry C. Embracing uncertainty: an exploration of the experiences of childhood cancer survivors. Qual Health Res. 2003;13(2):227–46.

77.

Parry C, Chesler MA. Thematic evidence of psychosocial thriving in childhood cancer survivors. Qual Health Res. 2005;15(8):1055–73.

78.

Parsons JA, Eakin JM, Bell RS, Franche RL, Davis AM. "So, are you back to work yet?" Reconceptualizing 'work' and 'return to work' in the context of primary bone cancer. Soc Sci Med. 2008;67(11):1826-1836.

79.

Penrose R, Beatty L, Mattiske J, Koczwara B. Fertility and cancer - A qualitative study of Australian cancer survivors. Support Care Cancer. 2012;20(6):1259–65.

80.

Prouty D, Ward-Smith P, Hutto CJ. The lived experience of adult survivors of childhood cancer. J Pediatr Oncol Nurs. 2006;23(3):143–51.

81.

Quinn GP, Huang IC, Murphy D, Zidonik-Eddelton K, Krull KR. Missing content from health-related quality of life instruments: interviews with young adult survivors of childhood cancer. Qual Life Res. 2013;22(1):111–8.

82.

Robinson L, Miedema B, Easley J. Young adult cancer survivors and the challenges of intimacy. J Psychosoc Oncol. 2014;32(4):447–62.

83.

Rosenberg-Yunger ZRS, Klassen AF, Amin L, Granek L, D'Agostino NM, Boydell KM, et al. Barriers and facilitators of transition from pediatric to adult long-term follow-up care in childhood cancer survivors. J Adolesc Young Adult Oncol. 2013;2(3):104–11.

84.

Sharp LK, Carvalho P, Southward M, Schmidt ML, Jabine LN, Stolley MR, et al. Electronic personal health records for childhood cancer survivors: An exploratory study. J Adolesc Young Adult Oncol. 2014;3(3):117–22.

85.

Swenson MM, MacLeod JS, Williams SD, Miller AM, Champion VL. Quality of life after among ovarian germ cell cancer survivors: a narrative analysis. Oncol Nurs Forum. 2003;30(3):380.

86.

Thompson AL, Long KA, Marsland AL. Impact of childhood cancer on emerging adult survivors' romantic relationships: a qualitative account. J Sex Med. 2013;10(Suppl 1):65–73.

87.

Thompson K, Palmer S, Dyson G. Adolescents & young adults: issues in transition from active therapy into follow-up care. Eur J Oncol Nurs. 2009;13(3):207–12.

88.

Zebrack B, Chesler MA, Kaplan S. To foster healing among adolescents and young adults with cancer: what helps? What hurts? Support Care Cancer. 2010;18(1):131–5.

89.

Zebrack B, Kent EE, Keegan TH, Kato I, Smith AW, Group AHSC. "Cancer sucks," and other ponderings by adolescent and young adult cancer survivors. J Psychosoc Oncol. 2014;32(1):1–15.

90.

Zebrack BJ, Casillas J, Nohr L, Adams H, Zeltzer LK. Fertility issues for young adult survivors of childhood cancer. Psychooncology. 2004;13(10):689–99.

91.

Nass SJ, Beaupin LK, Demark-Wahnefried W, Fasciano K, Ganz PA, Hayes-Lattin B, et al. Identifying and addressing the needs of adolescents and young adults with cancer: summary of an Institute of Medicine workshop. Oncologist. 2015;20(2):186–95.CrossRefPubMedPubMedCentral

92.

Hall AE, Sanson-Fisher RW, Lynagh MC, Tzelepis F, D’Este C. What do haematological cancer survivors want help with? A cross-sectional investigation of unmet supportive care needs. BMC Research Notes. 2015;8(1):221.CrossRefPubMedPubMedCentral

93.

Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009;17(8):1117–28.CrossRefPubMed

94.

Cox CL, Sherrill-Mittleman DA, Riley BB, Hudson MM, Williams LJ, Leisenring WM, et al. Development of a comprehensive health-related needs assessment for adult survivors of childhood cancer. J Cancer Surviv. 2013;7(1):1–19.CrossRefPubMed

95.

Strauser D, Klosky JL, Brinkman TM, Wong AW, Chan F, Lanctot J, et al. Career readiness in adult survivors of childhood cancer: a report from the St. Jude lifetime cohort study. J Cancer Surviv. 2015;9(1):20–9.CrossRefPubMed

96.

Barnett M, McDonnell G, DeRosa A, Schuler T, Philip E, Peterson L, et al. Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): a systematic review. J Cancer Surviv. 2016;10(5):814–31.CrossRefPubMedPubMedCentral

97.

Hinds PS, Hockenberry M, Tong X, Rai SN, Gattuso JS, McCarthy K, et al. Validity and reliability of a new instrument to measure cancer-related fatigue in adolescents. J Pain Symptom Manag. 2007;34(6):607–18.CrossRef

98.

Hoyt MA, Cano SJ, Saigal CS, Stanton AL. Health-related quality of life in young men with testicular cancer: validation of the cancer assessment for young adults (CAYA). J Cancer Surviv. 2013;7(4):630–40.CrossRefPubMed

99.

Kenzik KM, Huang I, Brinkman TM, Baughman B, Ness KK, Shenkman EA, et al. The childhood cancer survivor study–neurocognitive questionnaire (CCSS-NCQ) revised: item response analysis and concurrent validity. Neuropsychology. 2015;29(1):31.CrossRefPubMed

100.

Maurice-Stam H, Broek A, Kolk AM, Vrijmoet-Wiersma JM. Meijer-van den Bergh E, van Dijk EM et al. measuring perceived benefit and disease-related burden in young cancer survivors: validation of the benefit and burden scale for children (BBSC) in the Netherlands. Support Care Cancer. 2011;19(8):1249–53.CrossRefPubMedPubMedCentral

101.

Zebrack BJ, Donohue JE, Gurney JG, Chesler MA, Bhatia S, Landier W. Psychometric evaluation of the impact of cancer (IOC-CS) scale for young adult survivors of childhood cancer. Qual Life Res. 2010;19(2):207–18.CrossRefPubMedPubMedCentral

102.

Huang I-C, Quinn GP, Wen P-S, Shenkman EA, Revicki DA, Krull K, et al. Using three legacy measures to develop a health-related quality of life tool for young adult survivors of childhood cancer. Qual Life Res. 2012;21(8):1437–50.CrossRefPubMed

Titel: Patterns of unmet needs in adolescent and young adult (AYA) cancer survivors: in their own words
verfasst von: Alex W. K. Wong
Ting-ting Chang
Katrina Christopher
Stephen C. L. Lau
Lynda K. Beaupin
Brad Love
Kim L. Lipsey
Michael Feuerstein
Publikationsdatum: 29.03.2017
Verlag: Springer US
Erschienen in: Journal of Cancer Survivorship / Ausgabe 6/2017
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI: https://doi.org/10.1007/s11764-017-0613-4

Neu im Fachgebiet Onkologie

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Patterns of unmet needs in adolescent and young adult (AYA) cancer survivors: in their own words

Abstract

Purpose

Methods

Results

Conclusion

Implications for Cancer Survivors

Neu im Fachgebiet Onkologie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Adjuvante Brustkrebstherapie: Doppelt hält besser

Manche Gestagene können das Risiko für Meningeome erhöhen

Einladung zum PSA-Screening senkt die Krebssterblichkeit

Update Onkologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Implications for Cancer Survivors

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

Weitere Artikel der Ausgabe 6/2017

Exploring the digital technology preferences of teenagers and young adults (TYA) with cancer and survivors: a cross-sectional service evaluation questionnaire

Feasibility of RetinoQuest: e-health application to facilitate and improve additional care for retinoblastoma survivors

Social media for breast cancer survivors: a literature review

Long-term effectiveness and moderators of a web-based tailored intervention for cancer survivors on social and emotional functioning, depression, and fatigue: randomized controlled trial

A user-centred approach to developing bWell, a mobile app for arm and shoulder exercises after breast cancer treatment

Ambulant monitoring and web-accessible home-based exercise program during outpatient follow-up for resected lung cancer survivors: actual use and feasibility in clinical practice

Neu im Fachgebiet Onkologie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Adjuvante Brustkrebstherapie: Doppelt hält besser

Manche Gestagene können das Risiko für Meningeome erhöhen

Einladung zum PSA-Screening senkt die Krebssterblichkeit

Update Onkologie