Most Read Articles
Dr. Joseph Delano Fule Robles, 06 May 2019

Gilteritinib, a novel inhibitor of the tyrosine kinase FLT3, improves survival outcomes among patients with relapsed or refractory acute myeloid leukaemia (AML) with FLT3 mutations vs standard chemotherapy, according to results of the phase III ADMIRAL trial reported at the American Association for Cancer Research (AACR) Annual Meeting 2019 held in Atlanta, Georgia, US.

Roshini Claire Anthony, 30 Apr 2019

Patients with advanced small cell lung cancer (SCLC) who experience disease progression despite two or more lines of therapy could benefit from pembrolizumab in the third-line setting, according to results from the phase 1b KEYNOTE-028 and phase II KEYNOTE-158* studies presented at AACR 2019.

Cognitive behavioural strategies yield modest reductions in symptoms in advanced cancer

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Cognitive behavioural strategies (CBS) may provide only small therapeutic relief for advanced cancer patients receiving treatment and experiencing co-occurring pain, sleep disturbance and fatigue, a recent study has found.

Researchers enrolled 164 advanced cancer patients who were undergoing chemotherapy. Participants randomly received a CBS intervention (n=85; mean age 58.44±9.89 years; 72 percent female), involving nature imagery and relaxation exercises, or cancer education (n=79; mean age 58.61±9.03 years; 75 percent female), which included recordings of educational materials.

Groups demonstrated statistically comparable symptom cluster severity scores at follow-up weeks 3, 6 and 9. The same was true for symptom cluster scores for interference with daily life. In terms of symptom cluster distress, the CBS group showed significantly lower mean scores at week 6 (1.82 vs 2.15; p=0.04), but scores were similar at weeks 3 and 9.

In comparison, user perception was better for the CBS intervention, which more participants enjoyed than the cancer education control (67 percent vs 36 percent). Similarly, more participants in the CBS group reported perceived improvement in symptoms (65 percent vs 18 percent) and felt greater control over their symptoms (46 percent vs 24 percent).

“The CBS intervention may provide some small therapeutic benefit for patients experiencing co-occurring pain, fatigue and sleep disturbance. Clinicians can encourage self-management of this symptom cluster by identifying strategies that reduce stress, enhance positive expectations and foster perceptions of personal control over symptoms,” said researchers.

Future studies should focus on the development of effective interventions and strategies that may help relieve the burden of co-occurring symptoms, they added.

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Most Read Articles
Dr. Joseph Delano Fule Robles, 06 May 2019

Gilteritinib, a novel inhibitor of the tyrosine kinase FLT3, improves survival outcomes among patients with relapsed or refractory acute myeloid leukaemia (AML) with FLT3 mutations vs standard chemotherapy, according to results of the phase III ADMIRAL trial reported at the American Association for Cancer Research (AACR) Annual Meeting 2019 held in Atlanta, Georgia, US.

Roshini Claire Anthony, 30 Apr 2019

Patients with advanced small cell lung cancer (SCLC) who experience disease progression despite two or more lines of therapy could benefit from pembrolizumab in the third-line setting, according to results from the phase 1b KEYNOTE-028 and phase II KEYNOTE-158* studies presented at AACR 2019.