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    The Case of Concurrent Therapy Concerns
    Treatment side effects
    The Case of Concurrent Therapy Concerns
    December 18, 2020
    In a World Where You Can Be Anything, Be Kind
    Nurse staffing
    In a World Where You Can Be Anything, Be Kind
    December 11, 2020
    Nursing Innovation Links Rural Facilities to Resources and Experts to Provide High-Quality Care Across the Country
    Access to cancer care
    Nursing Innovation Links Rural Facilities to Resources and Experts to Provide High-Quality Care Across the Country
    December 04, 2020
    Why All Oncology Nurses Should Be Environmentalists
    Oncology nurse influence
    Why All Oncology Nurses Should Be Environmentalists
    November 27, 2020
    ELNEC Milestone Marks Transformation of EOL Care for Countless Patients With Cancer
    Oncology nurse education
    ELNEC Milestone Marks Transformation of EOL Care for Countless Patients With Cancer
    November 20, 2020
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    Survivorship

    Pancreatic Cancer Risk Factors, Diagnosis, Treatment, Side Effects, and Survivorship Considerations
    Pancreatic cancer

    Pancreatic Cancer Risk Factors, Diagnosis, Treatment, Side Effects, and Survivorship Considerations

    Pancreatic cancer is the ninth most common cancer in the United States, accounting for 3% of all cancers but causing 7% of cancer-related deaths, which equates to about 57,500 diagnoses and 47,050 deaths each year. The average person’s risk for pancreatic cancer is about 1 in 64.

    December 03, 2020
    The Case of the Chronic Cancer Condition
    Clinical practice

    The Case of the Chronic Cancer Condition

    Lisa, a 32-year-old tax accountant, completed treatment for stage III triple-negative breast cancer 18 months ago. During a follow-up appointment, Lisa reported worsening headaches and difficulty concentrating at work. A magnetic resonance imaging scan and subsequent biopsy revealed a solitary brain lesion. She completed stereotactic brain radiation two months ago.

    November 16, 2020
    Non-Small Cell Lung Cancer Prevention, Screening, Diagnosis, Treatment, Side Effects, and Survivorship
    Lung Cancer

    Non-Small Cell Lung Cancer Prevention, Screening, Diagnosis, Treatment, Side Effects, and Survivorship

    Lung cancer is the leading cause of cancer death in the United States, accounting for about one quarter of cancer deaths, and more than a quarter of million lung cancer diagnoses are projected in the United States for 2020. Lung cancer has various types, pathologies, and histologies, each with its own prognosis and treatment plan. Non-small cell lung cancer consists of about 80%–85% of lung cancer diagnoses.

    November 05, 2020
    NCI Appoints New Director for Office of Cancer Survivorship
    Survivorship

    NCI Appoints New Director for Office of Cancer Survivorship

    Until recently, past ONS President Deborah Mayer, PhD, RN, AOCN®, FAAN, served as interim director of the National Cancer Institute’s (NCI’s) Office of Cancer Survivorship, a part of the Division of Cancer Control and Population Sciences. As an oncology nurse, Mayer brought a special perspective to the office’s mission to better understand and meet the unique needs of the growing number of U.S. cancer survivors.

    October 29, 2020
    ONS Bridge

    Nurses Present Patient-Centered Research on Survivorship and Health Disparities

    Distress, uncertainty, and barriers to care are common experiences for patients with cancer and survivors. Yingzi Zhang, PhD, RN, of the School of Nursing at the University of Rochester in New York, and Jin Young Seo, PhD, WHNP-BC, RN, of Hunter College in New York, NY, reported on their research on quality of life and access to care in vulnerable patient populations.

    September 08, 2020
    Glioblastoma Diagnosis, Treatment, Side Effect Management, and Survivorship Recommendations
    Treatment side effects

    Glioblastoma Diagnosis, Treatment, Side Effect Management, and Survivorship Recommendations

    Glioblastoma or glioblastoma multiform (GBM) is a primary central nervous system tumor. Approximately 23,890 new brain tumors are diagnosed in the United States each year, with GBM accounting for 38%. GBM can present as a primary diagnosis or evolve from a lower grade brain tumor.

    August 06, 2020
    Antihistamines May Improve Survival From Malignant Melanoma
    Melanoma

    Antihistamines May Improve Survival From Malignant Melanoma

    Users of two common antihistamines—desloratadine and loratadine—have lower mortality rates from cutaneous malignant melanoma than patients who use other antihistamines, researchers reported in Allergy.

    July 29, 2020
    Opioid-Related Death Rates Are Increasing, But Less So in Cancer Survivors
    Survivorship

    Opioid-Related Death Rates Are Increasing, But Less So in Cancer Survivors

    Although opioid-related deaths are increasing in the general U.S. population, leading to the U.S. Department of Health and Human Services declaring it a public health emergency, new research shows that the increase is much smaller among patients with cancer, even though opioids are used as an option for cancer-related pain. The findings were published in JAMA Oncology.

    July 16, 2020
    Pediatric Cancer Survivors Require Additional Care and Monitoring
    Survivorship

    Pediatric Cancer Survivors Require Additional Care and Monitoring

    Most cancer diagnoses in the United States occur later in life, in patients older than 60 years, although most of the common pediatric diagnoses occur in those younger than 10 years. Pediatric and adult patients receive similar cancer therapies. The goal is to kill rapidly dividing cancer cells. Unfortunately, most of a child’s cells also undergo rapid division, and treatment can damage healthy tissue. Therefore, treatment that cures pediatric cancer can also cause long-term survivorship issues.

    July 14, 2020
    Myeloproliferative Neoplasm Symptoms, Diagnosis, Treatment, and Survivorship Recommendations
    Survivorship

    Myeloproliferative Neoplasm Symptoms, Diagnosis, Treatment, and Survivorship Recommendations

    Myeloproliferative neoplasms are a group of blood cancers that start with a small mutation in the stem cells of the bone marrow. Although MPNs are quite rare, essential thrombocythemia, polycythemia vera, and myelofibrosis are the most common types. Each represents a mutation of a different source of stem cell.

    July 09, 2020
    Secondary Cancers in Pediatric Survivors
    Survivorship

    Secondary Cancers in Pediatric Survivors

    A child’s cancer diagnosis can tear apart a family’s sense of security. After successfully navigating the cancer experience and all that comes with it, no one wants to face that again, and patients and families may fear an increased risk for secondary cancers. Oncology nurses can support pediatric cancer survivors and their families with resources for monitoring and reassurance about the possibility of facing secondary cancer.

    July 07, 2020
    Mental Well-Being Is a Focus of Primary Care Throughout Survivorship
    Survivorship

    Mental Well-Being Is a Focus of Primary Care Throughout Survivorship

    Primary care for patients who are cancer survivors is multifaceted. Although my goal as a primary care physician (PCP) remains the same as with all my patients—to continue helping them lead long, healthy lives—care for this population requires some additional steps. 

    July 02, 2020
    Colorectal Cancer Prevention, Screening, Treatment, and Survivorship Recommendations
    Cancer screening

    Colorectal Cancer Prevention, Screening, Treatment, and Survivorship Recommendations

    Colorectal cancer (CRC) is the third most common cancer affecting men and women in the United States. When CRC is found at an early stage before it has spread, the five-year relative survival rate is about 90%, yet it remains a leading cause of cancer-related death among both genders. 

    March 17, 2020
    Cardio-Oncology Program Monitors Heart Toxicities Throughout Survivorship
    Symptom management

    Cardio-Oncology Program Monitors Heart Toxicities Throughout Survivorship

    Cancer is second only to heart disease as the leading cause of death in the United States. But heart conditions overlap with cancer in more ways than mortality. Chemotherapy, immunotherapy, radiation, and the myriad medication combinations used in cancer can lead to various complications, including cardiotoxic side effects. Because of the prevalence of heart disease, many patients with cancer also present with pre-existing cardiac comorbidities.

    February 11, 2020
    Commission on Cancer Revises Its Standards. Here Are the Takeaways for Oncology Nurses.
    Standards

    Commission on Cancer Revises Its Standards. Here Are the Takeaways for Oncology Nurses.

    Oncology nurses are critical to meeting three components of the newly revised Commission on Cancer (CoC) standards released in fall 2019: certification, survivorship, and barriers to care.

    December 30, 2019
    The Case Supporting the Seasons of Survivorship
    Survivorship

    The Case Supporting the Seasons of Survivorship

    Jamie is completing her last cycle of carboplatin and paclitaxel for stage I ovarian cancer. The oncology infusion nurse notices that Jamie appears withdrawn and nervous, so he takes time to ask her how she is feeling about completing treatment. Jamie responds, “I feel as frightened about finishing treatment as I did when I was diagnosed with cancer.” She also shares that she doesn’t want to ring the cancer center’s bell to ceremoniously signify the end of her treatment because she doesn’t want to “jinx it.”

    December 17, 2019
    Nurses Need Resources, Data to Support Patients Transitioning to Survivorship
    Oncology nurse researcher

    Nurses Need Resources, Data to Support Patients Transitioning to Survivorship

    Since the National Academies of Medicine (formerly the Institute of Medicine) issued Cancer Patient to Cancer Survivor: Lost in Transition in 2005, the oncology field has made small strides to implement successful survivorship resources to support patients after their treatment. Because of the vast differences in patient populations, disease types, study locations, and institutional resources, best practices to support patients transitioning from treatment to survivorship care are often unclear. This poses an issue for providers, and patients hear mixed messaging or little information for follow-up care. With many patients receiving treatment in outpatient settings, ambulatory oncology nurses must understand how to provide support for patients during their transition.

    November 11, 2019
    Pediatric Cancer Survivors Have Higher Mortality After Adult Breast Cancer Diagnosis
    Survivorship

    Pediatric Cancer Survivors Have Higher Mortality After Adult Breast Cancer Diagnosis

    Women who survived pediatric cancer but developed breast cancer as an adult are more than twice as likely to die prematurely, mostly from comorbid conditions, according to results of a study published in the Journal of Clinical Oncology.

    October 02, 2019
    Hematologic Cancers Have Higher Long-Term Risk of Clots and Bleeding
    Research

    Hematologic Cancers Have Higher Long-Term Risk of Clots and Bleeding

    Patients with hematologic cancers have a 19% increased risk for blood clots or bleeding events even 10 years after diagnosis, according to the results of a study published in the Journal of Thrombosis and Haemostasis.

    September 11, 2019
    Healthcare Price Transparency; Cancer Survivor Caucus; Insurers Sue for ACA Backpay
    Health Policy

    Healthcare Price Transparency; Cancer Survivor Caucus; Insurers Sue for ACA Backpay

    Since 2016, then-candidate Trump promised he was going to bring healthcare costs under control. In a White House announcement on June 24, 2019, the president took steps to add transparency to the process by requiring insurance companies, hospitals, and physicians to identify fees and costs in public and simple ways for patients to see in advance and to understand.

    July 01, 2019
    Survivorship Considerations After CAR T-Cell Therapy
    Immunotherapy

    Survivorship Considerations After CAR T-Cell Therapy

    As more patients receive treatment with chimeric antigen receptor (CAR) T-cell therapy, oncology nurses will need to be aware of the long-term effects of treatment that may persist into survivorship. However, because the treatment is so new, studies measuring those patient-reported concerns are still forthcoming. The majority of today’s recommendations for survivorship management are based on experts’ clinical experience.

    June 11, 2019
    ONS Congress

    Nurses Can Address the Challenges of Survivorship Care

    Early diagnosis and advancements in cancer treatment have markedly improved five-year cancer survival rates. By 2026, an anticipated 20.3 million cancer survivors will be living in the United States. On Saturday April 13, 2019, Kathleen Wiley, RN, MSN, AOCNS®, discussed survivorship care and the challenges that nurses are perfectly positioned to address during a clinical chat at the ONS 44th Annual Congress in Anaheim, CA.

    April 13, 2019
    Drug Pricing Talks; Clinical Trial Barriers; Survivorship Challenges
    Prescription medication

    Drug Pricing Talks; Clinical Trial Barriers; Survivorship Challenges

    Rising prescription medication costs has been a major focus area for both the Trump administration and the 116th Congress. In January 2019, both the House and Senate committees of jurisdiction held public hearings on soaring drug costs. Despite constant media attention and mounting pressure from government officials, no pharmaceutical company executives chose to testify. Congress threatened to subpoena the industry if it happened again.

    February 25, 2019
    Study Finds Three Priority Steps to Improve Cancer Survivorship
    Survivorship

    Study Finds Three Priority Steps to Improve Cancer Survivorship

    Healthcare providers need to address three priority areas to improve outcomes for cancer survivors and support caregivers for patients with cancer, according to findings from an evidence review published in CA: A Cancer Journal for Clinicians.

    January 23, 2019
    San Antonio Breast Cancer Symposium

    Study Identifies Factors Associated With Long-Term Survival in Metastatic Breast Cancer

    Few women with metastatic breast cancer live five years or longer, and predictors of long-term survival are not well understood. Researchers from the University of Pittsburgh Medical Center (UPMC) in Pennsylvania identified demographic- and disease-specific factors related to survival and presented their findings at the San Antonio Breast Cancer Symposium on December 6, 2018.

    December 06, 2018
    American Society of Hematology Annual Meeting

    Long-Term Lymphoma Survivors Describe Unmet Needs in Cancer Care

    Although patients with Hodgkin lymphoma can experience long-term survival, they may face difficulty in coping with treatment-related adverse outcomes. Researchers assessed the needs of lymphoma survivors and their caregivers and identified unmet patient-oriented research needs: quality of life after treatment, messaging and communication between the scientific community and patients, and emotional well-being. Jackelyn B. Payne, MPH, BS, BA, of Stony Brook University in New York, discussed the findings at the ASH Annual Meeting on December 2, 2018.

    December 02, 2018
    Comprehensive
    Survivorship

    APRN-Led Clinics Enable Comprehensive Survivorship Care

    A survivorship clinic allows APRNs to practice autonomously and highlights their strengths and skills, including assessing long-term toxicities, providing expert symptom management, coordinating with other disciplines, and making referrals as appropriate. Long-term toxicities from cancer treatment are disease- and treatment-specific and will be unique to each patient.

    November 27, 2018
    CDC Offers Insights and Resources for Cancer Survivorship
    Survivorship

    CDC Offers Insights and Resources for Cancer Survivorship

    Cancer prevention is a full-time job, and the Centers for Disease Control and Prevention (CDC) works around the clock to raise awareness and promote necessary early detection and screening methods. Cancer survivors are a unique subset of patients and require information that’s been individualized to the survivorship experience.

    September 11, 2018
    What the Research Says About Supporting Cancer Survivors in Non-Oncology Settings
    Oncology nurse researcher

    What the Research Says About Supporting Cancer Survivors in Non-Oncology Settings

    In 2016, the American Cancer Society (ACS) reported that the number of currently living cancer survivors is estimated at 15.5 million Americans. For 2018, ACS is projecting another 1.7 million new cases of cancer diagnoses. On one hand, the growing number of survivors indicates that early diagnosis, new technologies, targeted interventions, treatment options, and access to care are making a huge difference for patients. 

    September 06, 2018
    How Are You Supporting Survivors Through EMR-Integrated Survivorship Care Plans?
    Survivorship care plans

    How Are You Supporting Survivors Through EMR-Integrated Survivorship Care Plans?

    Incorporating survivorship care plans into a hospital’s electronic medical records (EMRs) can be a tremendous aid for oncology nurses supporting their patients entering survivorship. Using the National Comprehensive Cancer Network treatment guidelines as a template for care, the oncology team can prepare a patient’s medical record with the necessary individualized information. 

    September 04, 2018
    Caring for Patients Through All Levels of Survivorship
    Survivorship

    Caring for Patients Through All Levels of Survivorship

    The medical terms for living with and beyond a cancer diagnosis identify patients as entering the survivorship phase of their cancer journey. However, as science continues to develop new treatments responsible for extending patients’ lives, new levels of survivorship are being determined.

    September 04, 2018
    How Oncology Nurses Can Support Childhood Cancer Survivors
    Survivorship

    How Oncology Nurses Can Support Childhood Cancer Survivors

    More than 13,000 children are diagnosed with cancer every year in the United States. Because treatment options continue to improve, more than 80% of those children will survive at least five years after their diagnosis.

    June 18, 2018
    capitol roundup
    Survivorship

    Childhood Cancer Act Signed Into Law; Study Finds That Many Patients With Breast Cancer Can Skip Chemo; Plan to Lower Drug Prices Could Increase Costs for Some Patients

    It’s been a long time coming, but the Childhood Cancer Survivorship, Treatment, Access and Research (STAR) Act was finally signed into law on June 6 by President Trump. The act focuses on advancing pediatric cancer research and treatments along with improving screening programs and supporting patients into survivorship. As with many issues in the U.S. capital, the issue had two sides: many healthcare professionals see it as a win to support childhood cancer survivors, but it raised concerns for others about potential coverage issues.

    June 11, 2018
    cancer survivor
    Survivorship

    By 2026, How Big Is the U.S. Cancer Survivor Population Estimated To Be?

    By 2026, How Big Is the U.S. Cancer Survivor Population Estimated To Be?

    A. 18.1 million 

    B. 20.3 million 

    C. 33.6 million 

    D. 50.8 million 

    June 08, 2018
    ASCO Annual Meeting

    Nurses Should Focus on Goal Setting and Shared Decision Making in Cancer Aftercare Conversations

    Goal setting and shared decision making are important components of aftercare for cancer survivors. In the results of a study published in conjunction with the 2018 American Society of Clinical Oncology Annual Meeting, researchers shared their experience developing and pretesting a systematic conversation approach for nurses to tailor the aftercare needs and goals of cancer survivors.

    May 29, 2018
    House and Senate Pass the Childhood Cancer STAR Act
    Health Policy

    House and Senate Pass the Childhood Cancer STAR Act

    On May 22, the U.S. House of Representatives passed S.B. 292, the Childhood Cancer Survivorship, Treatment, Access, and Research (STAR) Act. The legislation will improve efforts to identify and track childhood cancer incidence, improve quality of life for childhood cancer survivors, ensure pediatric expertise at the National Institutes of Health by requiring the National Cancer Advisory Board to have at least one pediatric oncology expert on its board, and identify opportunities to increase childhood cancer research to better treat the 10,270 children diagnosed with cancer in the United States every year.   

    May 23, 2018
    APRNs Bridge the Gap in Survivorship Care
    Advanced practice nursing (APN)

    APRNs Bridge the Gap in Survivorship Care

    As improved screening, diagnosis, and treatments lead to cancer’s classification as a chronic disease, people with cancer are surviving longer than ever before. However, with lengthened survival comes long-term physical and emotional symptoms and other sequelae that require ongoing surveillance and management. Advanced practice registered nurses (APRNs) are essential to delivering quality survivorship care.

    April 05, 2018
    Overview of Radiation Therapy for Cancer
    Radiation therapy

    Get an Overview of Radiation Therapy for Cancer

    Radiation therapy is a precise cancer treatment that targets tumor cells specifically and spares healthy surrounding tissues. Contrary to pharmacologic treatment methodologies, side effects are predominantly site-specific.

    February 27, 2018
    heart failure in women with breast cancer
    Breast cancer

    Heart Failure Affects Long-Term Survival Among Older Women With Breast Cancer

    Research has shown that women aged 65 and older who have breast cancer experience higher rates of heart failure compared to their age-matched counterparts, ranging from 29% of women with breast cancer who received no chemotherapy to 38% of women who received treatment with anthracyclines. However, little is known about the association between heart failure and long-term survival in older women with breast cancer, and it is unclear how the relative contribution of heart failure to mortality risk varies by breast cancer stage.

    December 11, 2017
    cancer survivors have higher rate of opioid prescription use
    Research

    Cancer Survivors Have a Higher Rate of Opioid Prescription Use

    Even 10 years after diagnosis and without recurrence, cancer survivors have a higher opioid prescription rate than healthy controls, according to the results of a study published in Cancer.

    October 11, 2017
    Nutritional and Physical Activity Guidelines
    American Cancer Society (ACS)

    Adherence to Nutritional and Physical Activity Guidelines Improves Survival in Patients With Colon Cancer

    The American Cancer Society (ACS) has guidelines on nutrition and physical activity for cancer survivors that focus on healthy body weight, physical activity, and a diet high in vegetables, fruits, and whole grains. To assess how adherence to those guidelines impacts disease-free survival (DFS), relapse-free survival (RFS), or overall survival (OS), researchers conducted a prospective study of 992 patients with stage III colon cancer who enrolled in an adjuvant chemotherapy clinical trial between 1991 and 2001. The researchers presented the study at the ASCO Annual Meeting.

    July 02, 2017
    Oncology Nurse Advisor Navigation Summit

    Healthy Lifestyle Choices for Survivors of Cancer

    The 2012 American Cancer Society (ACS) guidelines on nutrition and physical activity for cancer survivors suggest achieving and maintaining a healthy weight, engaging in regular physical exercise and following healthy dietary patterns.

    June 17, 2017
    Acupuncture in Treating Hot Flashes
    Clinical practice

    The Role of Acupuncture in Treating Hot Flashes in Breast Cancer Survivors

    Hot flashes, also known as hot flushes, are marked by periods of sudden, intense feelings of warmth that begin at the chest and radiate to the neck and face, along with flushing, sweating, and heart palpitations, lasting several seconds to minutes. Compared to healthy postmenopausal women, breast cancer patients and survivors are prone to experiencing more severe and longer-lasting hot flashes. A bothersome symptom, hot flashes can occur anytime during a 24-hour period, but those occurring at night are most troubling because they interfere with sleep. Sleep deprivation negatively impacts daytime functioning as well as pain, fatigue, depression, and anxiety levels, diminishing quality of life significantly.

    June 08, 2017
    ASCO Annual Meeting

    Patient-Reported Tool to Evaluate Distress Predicts Survival

    The Living With Cancer (LWC) patient-reported outcome (PRO) tool evaluates distress in patients with advanced cancer using a seven-item Likert survey to measure performance status, pain, burden (financial and family), and depression, with scores ranging from 0–112.

    June 03, 2017
    Annual State-of-Cancer Report
    Cancer research

    Annual State-of-Cancer Report Encouraging for Patients, Providers

    The latest edition of the Annual Report to the Nation on the Status of Cancer, 1975-2014, confirms that death rates are decreasing for 11 of the 16 most common types of cancer in men and 13 of the 18 most common types in women.

    May 18, 2017
    Melanoma Survivors
    Melanoma

    10% of Melanoma Survivors Report Intentional Tanning

    A study published in Cancer Epidemiology, Biomarkers, and Prevention looking at the ultraviolet radiation exposure and sun protection behaviors among melanoma survivors found that many survivors have room for improvement.

    May 10, 2017
    New Web Tool Seeks to Advise Cancer Survivors on Managing Health
    Survivorship

    New Web Tool Seeks to Advise Cancer Survivors on Managing Health

    In a joint venture between the National Cancer Institute (NCI) and the American Cancer Society (ACS), a new web tool aims to provide better understanding for cancer survivors’ treatment options and what happens to them when treatment is over. The initiative, Springboard Beyond Cancer, is meant to empower survivors by providing them when education and resources about living beyond their cancer diagnosis. Springboard Beyond Cancer aims to address the following survivorship issues for patients.

    March 02, 2017
    Breast cancer

    Genes Linked to Breast Cancer Survival

    Researchers have found that activity in two particular genes, F12 and STC2, can predict 10-year survival from HER2-positive breast cancer. The findings were reported in Oncotarget.
    November 01, 2016
    Comorbidities

    Aerobic and Resistance Exercise May Reduce Comorbidities in Cancer Survivors

    Although patients are living longer into survivorship, their comorbid burden is increasing. Studies have shown that survivors have increased rates of chronic disease, like type-2 diabetes and cardiovascular disease; and obesity compared to adults without cancer.
    August 09, 2016
    Clinical practice

    Genetic Testing Is Important for Survivorship

    Cancer survivorship is filled with many challenges, hopes, and expectations. June 5 marks National Survivorship Day, and survivorship is being celebrated throughout the month. Survivors are often not sure where they're going once their cancer journey commences. In my practice, I care for people with a genetic risk for cancer, and I work with survivors on a regular basis.

    June 04, 2016
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