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Advanced Cancer:
Managing Symptoms & Quality of Life (Health and
Human Development) |
PRODUCT
DETAILS: Author: Nemica
Thavarajah, Natalie Pulenzas, Breanne Lechner, Edward
Chow, Joav Merrick Language: English Publisher: Nova Science Publishers
Inc Publication Date: 13
Nov 2013 Dimensions: 25.8
x 18.2 x 2.8 cm Format: Hardcover Pages: 384 Condition: NEW Product_ID: 16BDADB399
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Bone metastases are a common event for cancer
patients. We have developed an innovative and unique
clinical research program dedicated to palliative
radiation oncology at the Odette Cancer Centre,
Sunnybrook Health Sciences Centre and specifically a
multidisciplinary clinic for bone metastases. The
development of this program introduces an effective
strategy to conduct research in palliative radiation
oncology. Symptom control is very important for the
quality of life for bone and brain metastases patients.
This is an evolving active field of research as greater
emphasis is being placed into understanding the goals of
improving not only a patients survival, but the ability
for therapies to improve the quality of a patient's
life. In this book we present the EORTC QLQ-C30
questionnaire, which was used in a multi-center study
with patients recruited from Edmonton, Alberta, Canada;
Kaohsiung, Taiwan; Kerala, India; Nicosia, Cyprus; Sao
Paulo, Brazil; Taipei, Taiwan; Tanta, Egypt; and
Toronto, Ontario, Canada, with brain and bone
metastases. It was found that the difficulties bone and
brain metastases patients experience are different in
several ways. Patients with bone metastases have more
pain and reduced physical functioning. However, patients
with brain metastases have more severe role functioning
deficits. With use of the QLQ-C30, it was also found
that there is ambiguity regarding the root of patient
issues. Future studies that require more comprehensive
disease-specific findings should include
disease-specific assessment modules such as the QLQ-BM22
and QLQ-BN20. Important domains such as the minimal
clinically important difference should also be
established in individual subgroups of patients to
assist in clinical trial design.
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