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PubMed Publications| Keyword search (4,164 papers available) |  |
"Spunt SL" Authored Publications:
| Title | Authors | PubMed ID | |
|---|---|---|---|
| 1 | International Survey of Pediatric Oncologists' Beliefs and Communication Practices Regarding Symptom Self-Monitoring by Childhood Cancer Survivors | Webster SN; Spunt SL; Cunningham SJ; Wakefield CE; Smith SM; Alberts NM; Palesh O; Simons LE; Heathcote LC; | 36800566 PSYCHOLOGY |
| Title: | International Survey of Pediatric Oncologists' Beliefs and Communication Practices Regarding Symptom Self-Monitoring by Childhood Cancer Survivors | ||||
| Authors: | Webster SN, Spunt SL, Cunningham SJ, Wakefield CE, Smith SM, Alberts NM, Palesh O, Simons LE, Heathcote LC | ||||
| Link: | https://pubmed.ncbi.nlm.nih.gov/36800566/ | ||||
| DOI: | 10.1200/OP.22.00630 | ||||
| Publication: | JCO oncology practice | ||||
| Keywords: | |||||
| PMID: | 36800566 | Category: | Date Added: | 2023-02-17 | |
| Dept Affiliation: |
PSYCHOLOGY
1 Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA. 2 Stanford Cancer Institute and Lucile Packard Children's Hospital, Stanford University School of Medicine, Stanford, CA. 3 Department of Pediatrics, Stanford University School of Medicine, Stanford, CA. 4 Behavioural Sciences Unit, School of Women's and Children's Health, University of New South Wales Medicine, Sydney, Australia. 5 Department of Psychology, Concordia University, Montreal, Canada. 6 Massey Cancer Center, Medical College of Virginia, Richmond, VA. 7 Health Psychology Section, Department of Psychology, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom. |
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Description: |
Purpose: Childhood cancer survivors report self-monitoring for and worrying about symptoms of disease recurrence and secondary cancers, although symptom-related worry is associated with poorer health-related quality of life. This survey captured pediatric oncologists' beliefs and communication practices regarding symptom self-monitoring for childhood cancer survivors. Methods: Using a closed-loop snowball sampling technique, pediatric oncologists completed an online survey regarding the importance of symptom self-monitoring for off-therapy patients, the degree to which symptom self-monitoring was perceived to cause stress and worry, and communication practices. Results: 196 pediatric oncologists (White [78%]; female [64%]; Mage = 47 years) from every continent except Antarctica participated. Oncologists believed it is important for off-therapy patients to self-monitor for symptoms of cancer recurrence (90%) and treatment late effects (94%), although some noted that recurrence (30%) and late effects (55%) are typically detected by routine surveillance before symptoms appear. Oncologists varied in their beliefs that off-therapy patients do (31%) or do not (31%) worry unnecessarily about symptoms of recurrence. Two thirds (62%) of oncologists reported often/always discussing with off-therapy patients which symptoms could indicate cancer recurrence, whereas fewer than half (43%) often/always discussed which symptoms were unlikely to indicate recurrence. Oncologists identified a need for education regarding how to communicate around symptom self-monitoring and the potential utility of a screening tool to identify those who worry excessively. Conclusion: Despite nearly universal belief that their off-therapy patients should self-monitor for symptoms of disease recurrence and late effects, a substantial proportion of pediatric oncologists do not counsel patients on symptom self-monitoring. Since nearly one-third believe that off-therapy patients worry unnecessarily about symptoms of recurrence, improving patient education regarding which symptoms are and are not medically concerning could decrease stress and improve health-related quality of life for pediatric cancer survivors. |
