Our approach provides high level evidence on system delay because randomised trials in this context are not appropriate or feasible. Self-management interventions that have shown promise include education, monitoring, teaching and counselling to help patients manage the short- and long-term physical and psychosocial effects of cancer [48]. Wang SM, Chang JC, Weng SC, Yeh MK, Lee CS. CAS Critical revision of the manuscript for important intellectual content: TPH, WDK, ST, MJ, GAP, EHJ, DEO, CMB, RS, AA. For example, our results suggest a 4% increased risk of death for a two week delay for breast cancer surgery (1.082weeks/4weeks; appendix 2). Studies were limited to English language publications, from 2000 to present, and those reporting specifically on treatment delay and survival for the seven cancers being analysed. De Sousa A, Sonavane S, Mehta J. Journal Rankings on Oncology - Scimago Journal & Country Rank Research into the mental health and wellbeing of people living with and beyond cancer is likely to only be a small part of this. METHODS: A review of a prospectively maintained registry of PSM patients undergoing Cytoreductive Surgery and Hyperthermic Intra-peritoneal . Mitchell AJ, Ferguson DW, Gill J, Paul J, Symonds P. Depression and anxiety in long-term cancer survivors compared with spouses and healthy controls: a systematic review and meta-analysis. About this journal Read our author guidelines Journal profile The European Journal of Cancer Care aims to encourage comprehensive, multiprofessional cancer care across Europe and internationally. Cancer Innovation - Wiley Online Library Supportive Care in Cancer Latest Journal's Impact IF 2022-2023 J Affect Disord. 2018;361:k1415. All authors critically revised the manuscript, read and approved the final version. Numerous individual, psychological, social and contextual factors potentially contribute to the development of depression and anxiety among people with cancer, as well as characteristics related to the cancer and treatment received. BMJ Open. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. The existing evidence for treating anxiety and depression among patients with cancer is limited and of varying quality [38]. Surgery findings were consistent, with a mortality risk for each four week delay of 1.06-1.08 (eg, colectomy 1.06, 95% confidence interval 1.01 to 1.12; breast surgery 1.08, 1.03 to 1.13). We searched three key electronic databases: Medline, PsycINFO and CINAHL (Cumulative Index to Nursing and Allied Health Literature) for relevant reviews (favouring those using systematic methods) using the following search terms: (neoplasm OR carcinoma OR tumo*r OR cancer) AND (depression OR anxiety) AND review. Google Scholar. The primary analysis only included high validity studies controlling for major prognostic factors. PubMed Central International Journal of Cancer Research and Treatment. Because of the generally indolent nature of prostate cancer (particularly for low and intermediate risk disease) compared with other cancers, and a preliminary review of the delay literature, this cancer was excluded because delays of the magnitude considered in our analysis were probably not associated with increased mortality. The use of steroids in cancer treatment can induce depression [17], and androgen deprivation therapy in the treatment of prostate cancer is also associated with increased risk [18]. Oncol Lett. 2014;1(5):3201. NSCLC=non-small cell lung cancer, Forest plot and pooled hazard ratios for association of each four week delay in adjuvant and neoadjuvant systemic treatment and overall survival by cancer site. The references of highly relevant articles were scrutinised for additional papers and a Google search for important grey literature was also conducted. (PDF) Cancer Diagnosis, Treatment and Therapy - ResearchGate At diagnosis, the psychological health of patients should be considered alongside their physical health and sources of support offered. Symptoms & Causes of Erectile Dysfunction - NIDDK Psycho-Oncology. PubMed NHS England. A qualitative study of cancer inpatients communication needs. 2019;69(3):23447. For example, limited evidence suggests that the impact of delay can vary according to stage, often with consistently greater mortality impact with earlier stage disease.1617182555 Additionally, our results can only be applied to the range of delay considered in the studies we evaluated. Thus, a dynamic and continuous process of self-regulation is established. [47]. Article Lancet Public Health. Impact Factor: 1.795 5-Year Impact Factor: 2.489. Article Maass SW, Roorda C, Berendsen AJ, Verhaak PF, de Bock GH. Patients may not disclose psychiatric symptoms because of the stigma surrounding mental health conditions [37]. Gilligan AM, Alberts DS, Roe DJ, Skrepnek GH. Accessed 27 June 2019. 2014;4(3):e003901. Recently, selective cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors changed the therapeutic . We also considered rectal and colon cancer separately given that radiotherapy is an integral part of treatment for rectal cancer but not colon cancer. PubMedGoogle Scholar. J Cancer Surviv. Research is urgently needed into the possible impacts of long-term and late effects of cancer treatment on mental health and how these may be prevented, as increasing numbers of people live with and beyond cancer. 2012;15(2):1207. Publication bias was not tested given the small number of studies identified for each indication. The main View full aims & scope Clinical guide for the management of essential cancer surgery for adults during the coronavirus pandemic. Eligibility: (a) diagnosis and treatment HNC; (b) aged 18 to 70 years; (c) . Cancer Innovation provides timely updates on advances and unmet needs, bringing innovative oncology solutions to life. We do not capture any email address. 2018;68(6):394424. Iatrogenic distress is also commonly reported amongst patients, which could increase the risk of experiencing later problems with depression and anxiety, including post-traumatic stress disorder [20]. Institute of Health & Wellbeing, University of Glasgow, Glasgow, Scotland, UK, Claire L. Niedzwiedz,Kathryn A. Robb&Daniel J. Smith, University of Strathclyde, Centre for Health Policy, Glasgow, Scotland, UK, Mental Health Foundation, Glasgow, Scotland, UK, MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, Scotland, UK, You can also search for this author in 2012;26(2):16277. 31, 2023 PDF (1229KB) Cancer Biology & Medicine is a peer-reviewed open-access journal of Chinese Anti-cancer Association (CACA), which is the leading professional society of oncology in China. Treatment delays could be due to patient factors (eg, need for cardiac workup, postoperative wound infection), disease factors (eg, need for additional imaging investigations), or system factors (eg, waiting for an operating room date, a central line insertion, or a specialist consultation). However, doctor-patient communication . A minority of significant research articles known to the authors were also consulted. For example, at the beginning of the pandemic the UK NHS59 created a short term surgical prioritisation algorithm. https://doi.org/10.1186/s12885-019-6181-4, DOI: https://doi.org/10.1186/s12885-019-6181-4. However, the mental health needs of people with cancer, with or without a prior psychiatric history, are often given little attention during and after cancer treatment, which is primarily focused on monitoring physical health symptoms and side effects. PubMed 2018;27(4):112937. JOURNAL HOMEPAGE. The journal is devoted to articles on detection, diagnosis, prevention, and treatment of cancer and provides a global forum for the nurturing and development of future generations of oncology scientists. Few studies have focused specifically on younger cancer survivors and more research is needed in this area. This is likely due to several factors, including lack of awareness and identification of psychiatric symptoms, an absence of support available or offered, lack of evidence around effective treatments, stigma, and patient preference. Journal of Skin Cancer | Hindawi Most patients are diagnosed at advanced stages due to the subtle symptoms of earlier disease and the low rate of regular screening. Psycho-Oncol. Impact of CDK4/6 Inhibitors on Aromatase Inhibitor-Associated - Hindawi Heterogeneity between studies was evaluated using the I2 test. For example, automated treatment contouring and planning is increasingly standardised and reduces the radiotherapy preparation time to hours rather than days.61 Satellite centres might improve capacity for treating patients, as can reconfiguration of existing infrastructure to high volume super specialised services, or single entry models and team based care.62 Innovations in surgical technique could also minimise morbidity and reduce time to adjuvant therapy.6364. 2017. The mean prevalence of depression using diagnostic interviews is around 13% and using all assessment methods it varies from approximately 4 to 49% [2, 21]. Ostuzzi G, Matcham F, Dauchy S, Barbui C, Hotopf M. Antidepressants for the treatment of depression in people with cancer. The funders had no role in the study design; collection, analysis and interpretation of data; the writing of the article; and in the decision to submit it for publication. 2017;28(8):19649. The mental health of people living with and beyond cancer in its various types and stages is an important and growing research and clinical priority. Steroid-induced mental disorders in cancer patients: a systematic review. Br J Cancer. Studies with small sample sizes are common; this mitigates against the detection of meaningful changes in patient outcomes and these studies often suffer from a high rate of attrition, which likely reflects the high symptom burden and reduced survival in this patient population [39]. Just over 40% of the young people who took part did not access support for their mental health needs. National Cancer Research Institute. Cancer Treatment Reviews | Journal | ScienceDirect.com by Elsevier Several psychological factors are also important. We considered a two tailed P value less than 0.05 to be statistically significant. Risk of suicide within 1 year of cancer diagnosis. 5 (3):401-402, Jul-Sep 2022. A representative study of young adult cancer survivors aged 15 to 39years in the United States demonstrated that moderate (23% vs 17%) and severe (8% vs 3%) mental distress were significantly higher in those living with cancer for at least 5 years after diagnosis, compared to controls [31]. Crossing the quality chasm: a new health system for the 21st century. Personality factors, such as neuroticism, and existing coping skills may also contribute [11]. Google Scholar. Several indications were considered safe to be delayed by 10-12 weeks with no predicted impact on outcome, including all colorectal surgery. Pooled effects were estimated using DerSimonian and Laird random effect models. 2017;123(5):86978. An important aspect that needs to be considered is the timing of increased psychiatric risk. Patient-centered communication (PCC) is the gold standard for providing quality cancer care, as it improves patient satisfaction, treatment adherence, clinical outcomes, and overall quality of life. J Cancer Policy. However, a recent systematic review examining the impact of self-management interventions on outcomes including quality of life, self-efficacy and symptom management (such as psychological distress) amongst cancer survivors demonstrated a lack of evidence to support any specific intervention and found that the six included interventions lacked sustainability, bringing into question their long-term effectiveness and value for money [49]. Ethical approval: No ethical approval was required as this was a systematic review and meta-analysis of previously conducted studies. There was heterogeneous reporting of results, with time intervals reported as dichotomous, ordinal categories or as continuous variables. Depression and anxiety may hinder cancer treatment and recovery, as well as quality of life and survival. Cancer Control: Sage Journals Efficacious self-management encompasses the ability to monitor ones condition and to affect the cognitive, behavioural and emotional responses necessary to maintain a satisfactory quality of life. Achieving world-class cancer outcomes: a strategy for England 2015-2020. Womens, childrens & adolescents health. Sung H, Siegel RL, Rosenberg PS, Jemal A. Psychiatric disorders among people with cancer in low- and lower-middle-income countries: study protocol for a systematic review and meta-analysis. PRISMA (preferred reporting items for systematic reviews and meta-analyses) 2009 flow diagram for systematic review of treatment delay and survival for curative surgery, systemic treatment, and radiotherapy for bladder, breast, colon, rectum, lung, cervix, and head and neck cancer. Oncology | Karger Publishers 2018;142(10):198693. Eligibility criteria for selecting studies Curative, neoadjuvant, and adjuvant indications for surgery, systemic treatment, or radiotherapy for cancers of the bladder, breast, colon, rectum, lung, cervix, and head and neck were included. Patient Educ Couns. There is evidence to suggest that self-management of psychological distress in cancer can help to empower patients and families to care for themselves in a way which is preferable for them. Our analysis builds on the foundations of Mackillop and colleagues, who investigated the mortality impact per one month delay for radiotherapy indications (eg, head and neck, breast) and similarly for systemic treatment (adjuvant colon, breast).12347 Our study provides a strong empirical basis for estimating the mortality impact of system level delays for different treatment modalities and cancers. A Prospective Pilot Study from Diagnosis to First . Article Psycho-Oncol. The experience of being diagnosed, particularly if the diagnosis has been delayed, can be a significant source of distress and can impact on illness acceptance [14]. Anxiety around a cancer diagnosis can also lead to sleep disturbance, which may increase the risk of depression [15]. Niedzwiedz, C.L., Knifton, L., Robb, K.A. technical support for your product directly (links go to external sites): Thank you for your interest in spreading the word about The BMJ. Cancer. Methods Participants identified through the tumor registries at the Abramson Cancer Center (ACC), University of Pennsylvania and affiliated sites. being able to get an erection sometimes, but not every time you want to have sex. PubMed Please note: your email address is provided to the journal, which may use this information for marketing purposes. Support Care Cancer. Review of optimal radiotherapy utilisation rates. Oncology and Cancer Therapeutics Journals - OMICS ONLINE We acknowledge that treatment delays are multifactorial in cause and that patients should not start treatment before they are medically fit to do so, and have had completed all appropriate evaluations, however these data strongly support efforts to minimise system level delays. There is a paucity of literature quantifying the frequency and extent of therapeutic delays in PSM and its impact on oncological outcomes. We searched several electronic databases for relevant reviews on cancer, depression and anxiety from 2012 to 2019. Eur J Oncol Nurs. Our findings could therefore underestimate the impact of delay on mortality. 2018;26(5):158595. 2014;1(5):34350. Of the 238 cohorts included, around 30% included only breast cancer patients and there is a need for research including rarer types of cancer. In addition, those who accessed services mentioned that there is a lack of suitable long-term emotional support. In Scotland, the prevalence of depression was found to be highest in patients with lung cancer (13%), followed by gynaecological cancer (11%), breast cancer (9%), colorectal cancer (7%), and genitourinary cancer (6%) [28]. Systemic therapies for GC, including chemotherapy, targeted therapy and immunotherapy, have evolved significantly in the past few years. Treatment delay was defined as time from diagnosis to treatment for the first treatment (definitive surgery or radiation), and from time of surgery to treatment for adjuvant indications (chemotherapy or radiation after surgery). This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Cochrane Database Syst Rev. Cancer is a disease that spans the breadth of human experience. We included studies if they specifically reported on the impact of delay for a well defined cancer indication. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 2017;26(12):200718. Clearing surgery backlog will take at least 17 months and cost millions, province says. JAMA Psychiatry. Impact Factor: 6.575 (2021); 5-Year Impact Factor: 6.886 (2021) subject Imprint Information get_app Journal Flyer Open Access ISSN: 2072-6694 Latest Articles get_app subject Open Access Article Polygenic Risk Score Predicts Modified Risk in BRCA1 Pathogenic Variant c.4035del and c.5266dup Carriers in Breast Cancer Patients by Egija Berga-vtia , Version 1, 7 April 2020. Incidence and outcomes of delayed presentation and surgery in In addition to adjustments for age, stage, and comorbidity or functional status, 91% of studies accounted for one or more socioeconomic variables in their analysis, 82% accounted for insurance status, 65% for year of treatment or year of diagnosis, and 88% for institutional or geographical factors (appendix 4). Supportive care guidelines Group of Cancer Care Ontario Program in evidence-based care: the treatment of depression in cancer patients: a systematic review. There can also be a normalisation of distress and attribution of the somatic symptoms of depression and anxiety to the cancer. 2019;120:8407. Evaluation of more recent personalised approaches to follow-up care that have been adopted in several areas including England and Northern Ireland [51] are needed to understand the role they may have in preventing longer term depression and anxiety amongst cancer survivors. Searches of reference lists and Google were also performed. We reviewed studies for evidence of control for major prognostic factors to assess risk of bias. A meta-analyses of 15 studies meeting a number of quality criteria, including the use of diagnostic interviews, found that the estimated prevalence of depression varied across treatment settings (5 to 16% in outpatients, 4 to 14% in inpatients, 4 to 11% in mixed outpatient and inpatient samples, and 7 to 49% in palliative care) [2]. 2018;131(10):118799 e1185. Lancet Psychiatry. A variety of factors related to the cancer and its treatment are likely to impact on the development of depression and anxiety, including the type of cancer, stage and prognosis. Policies focused on minimising system level delays to cancer treatment initiation could improve population level survival outcomes. 2016;25:627. The prevailing paradigm has been around access to new treatments to improve outcomes, but from a system level, gains in survival might be achieved by prioritising efforts to minimise the time from cancer diagnosis to initiation of treatment from weeks to days. Research is urgently needed in this area as more people survive cancer and for some cancers, such as multiple myeloma and colorectal cancer, risk is increasing in younger cohorts [54]. The journal creates a "market place" for breast cancer topics which cuts across all the usual . Cancer Innovation bridges the gap between biological, medical, engineering, computational and data sciences. Cancer-related lymphedema risk factors, diagnosis, treatment, and Learn more Reprints This Cancer journal offers a professional quality Reprint Service that enables users to have reprints delivered to their door at an affordable value. Journal of Cancer Treatment and Research :: Science Publishing Group Psycho-Oncology. Nead KT, Sinha S, Yang DD, Nguyen PL. A similar systematic review of depression and anxiety among patients with prostate cancer found that anxiety tended to be highest pre-treatment (27%) and lowered during treatment (15%) and post-treatment (18%) [26]. 2007;11(4):3207. Cite this article. A systematic review of the prevalence of depression and anxiety among long-term cancer survivors, including all types, found that anxiety was more prevalent among cancer survivors, compared to healthy controls [30]. Treatment should be based on patient preference and also take into account potential adverse side effects [44]. This review examines evidence for psychological factors that affect pain across the cancer continuum from diagnosis through treatment and long-term survivorship or end of life. Cook SA, Salmon P, Hayes G, Byrne A, Fisher PL. No high validity data were found for five of the radiotherapy indications or for cervical cancer surgery. Psychosocial Impact of Cancer - PubMed This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. Oncology Journals Impact Factors List; Journal Name Journal Impact Factor* Citations Report; Journal of Oncology Research and Treatment . Psychological and Behavioral Approaches to Cancer Pain Management being able to get an erection, but not having it last long enough for sex. There are also a lack of studies covering populations from low- and middle-income countries [34]. Provided by the Springer Nature SharedIt content-sharing initiative. A unit of four weeks was chosen based on the magnitude of waiting times reported in the literature. 2011;61(1):5062. Google Scholar. Of these, 241 were excluded, most commonly because they were not high validity studies (n=100), they included the wrong patient population (n=36), or the wrong study design (n=26). Needs and symptoms may also change over time. interview by trained psychiatrist or self-report instrument). There is no universal standardised tool which is recommended for depression screening in patients with cancer and the method used is likely to differ depending on the treatment setting. Metastasis of esophageal cancer mainly includes direct diffusion metastasis , hematogenous metastasis and lymphatic metastasis. This left 34 studies with unique populations for inclusion (fig 1, table 1, table 2).13141516171819202122232425262728293031323334353637383940414243444546 These studies included 1272681 patients, with a sample size ranging from 174 to 420792 (appendix 3).
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