Management of common clinical problems experienced by survivors of cancer

医学 社会心理的 生活质量(医疗保健) 重症监护医学 癌症 苦恼 骨质疏松症 介绍
作者
Jon Emery,Phyllis Butow,Julia Lai-Kwon,Larissa Nekhlyudov,Meg Rynderman,Michael Jefford
出处
期刊:The Lancet [Elsevier BV]
卷期号:399 (10334): 1537-1550
标识
DOI:10.1016/s0140-6736(22)00242-2
摘要

Summary

Improvements in early detection and treatment have led to a growing prevalence of survivors of cancer worldwide. Models of care fail to address adequately the breadth of physical, psychosocial, and supportive care needs of those who survive cancer. In this Series paper, we summarise the evidence around the management of common clinical problems experienced by survivors of adult cancers and how to cover these issues in a consultation. Reviewing the patient's history of cancer and treatments highlights potential long-term or late effects to consider, and recommended surveillance for recurrence. Physical consequences of specific treatments to identify include cardiac dysfunction, metabolic syndrome, lymphoedema, peripheral neuropathy, and osteoporosis. Immunotherapies can cause specific immune-related effects most commonly in the gastrointestinal tract, endocrine system, skin, and liver. Pain should be screened for and requires assessment of potential causes and non-pharmacological and pharmacological approaches to management. Common psychosocial issues, for which there are effective psychological therapies, include fear of recurrence, fatigue, altered sleep and cognition, and effects on sex and intimacy, finances, and employment. Review of lifestyle factors including smoking, obesity, and alcohol is necessary to reduce the risk of recurrence and second cancers. Exercise can improve quality of life and might improve cancer survival; it can also contribute to the management of fatigue, pain, metabolic syndrome, osteoporosis, and cognitive impairment. Using a supportive care screening tool, such as the Distress Thermometer, can identify specific areas of concern and help prioritise areas to cover in a consultation.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
真实的采白完成签到 ,获得积分10
2秒前
cuddly完成签到 ,获得积分10
3秒前
时舒完成签到 ,获得积分10
3秒前
maxthon完成签到,获得积分10
3秒前
美女发布了新的文献求助10
3秒前
hehe完成签到,获得积分10
4秒前
afar完成签到 ,获得积分10
5秒前
守望阳光1完成签到,获得积分10
7秒前
哇哇哇哇完成签到,获得积分10
8秒前
Elaine完成签到,获得积分10
8秒前
饱满芷卉完成签到,获得积分10
8秒前
稚祎完成签到 ,获得积分10
9秒前
9秒前
10秒前
JN完成签到,获得积分10
11秒前
温文尔雅完成签到,获得积分10
11秒前
LIUJIE完成签到,获得积分10
13秒前
LUNWENREQUEST完成签到,获得积分20
13秒前
14秒前
欢呼宛秋完成签到 ,获得积分10
16秒前
昱昱完成签到 ,获得积分10
16秒前
dong完成签到 ,获得积分10
17秒前
freeway完成签到,获得积分10
18秒前
chee完成签到,获得积分10
19秒前
19秒前
阿米尔灿完成签到,获得积分10
19秒前
沐沐完成签到 ,获得积分10
21秒前
seine完成签到 ,获得积分10
22秒前
skbkbe完成签到 ,获得积分10
23秒前
yuchangkun完成签到,获得积分10
26秒前
李成恩完成签到 ,获得积分10
26秒前
Hello应助威威采纳,获得10
26秒前
27秒前
研都不研了完成签到 ,获得积分10
27秒前
31秒前
futianyu完成签到 ,获得积分0
32秒前
量子星尘发布了新的文献求助10
35秒前
合适的寄灵完成签到 ,获得积分10
35秒前
36秒前
神秘玩家完成签到 ,获得积分10
37秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Social Research Methods (4th Edition) by Maggie Walter (2019) 2390
A new approach to the extrapolation of accelerated life test data 1000
北师大毕业论文 基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 390
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
Robot-supported joining of reinforcement textiles with one-sided sewing heads 360
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4008786
求助须知:如何正确求助?哪些是违规求助? 3548464
关于积分的说明 11298867
捐赠科研通 3283080
什么是DOI,文献DOI怎么找? 1810290
邀请新用户注册赠送积分活动 886000
科研通“疑难数据库(出版商)”最低求助积分说明 811220