A concept analysis of remission within the domain of cancer survivorship

Vena, Joseph A; Copel, Linda Carman

doi:10.1111/nuf.12558

Cited by 2 publications

(5 citation statements)

References 43 publications

(103 reference statements)

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“…Improvements to participants' mental health took longer than improvements to their physical health. The persistence of anxiety despite the elimination of asthma symptoms is understandable and has also been observed in patients following cancer remission [22]. This finding, as well as the finding that there is great variability in the time it took to respond to a biologic, have implications for patient education before commencing a biologic.…”

Section: Discussionmentioning

confidence: 83%

“Life-changing”: the experience of super-responders to biologics in severe asthma

et al. 2022

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Background There is limited information on the patient’s perspective of how biologic treatments impact their lives. We conducted a qualitative study to explore the patient’s experience of being considered a super-responder from a quality of life perspective. Methods Patients with severe asthma identified as super-responders were invited to semi-structured interviews conducted online. Participants could bring a family member/friend to the interview. The interviews explored experiences of biologic treatment, were transcribed and underwent thematic analysis. Results Twenty-five participants took part in this study. Themes emerged on the impact of biologic treatment for participants and for their friends/family: (i) Words used to describe their often life-changing experiences and (ii) the positive changes noted. Biologic treatment stopped the disruption of family life and social life caused by exacerbations. Improvements in mental health were also noted. Marked individual variations in the way it affected their lives were noted. Most participants noticed improvements 2–3 months after starting their biologic, but some noticed improvement within a few days and others after 6 months. Conclusions Super-responders reported profound but heterogeneous improvements following biologic treatment beyond asthma symptoms and exacerbations including important benefits to social and family life. Improvements may be underestimated as social and family benefits are not reliably measured in current studies with implications for health economic evaluations. Not all patients are super-responders, and excellent responses may be lost in group mean data in trials. Individual time course and response patterns need further elucidation to identify who will respond best to biologics.

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Section: Discussionmentioning

confidence: 83%

“Life-changing”: the experience of super-responders to biologics in severe asthma

et al. 2022

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“…While many women take hormonal treatments for years beyond the conclusion of surgery, chemotherapy or radiation, I am choosing not to class hormonal treatment as active treatment in this thesis, as hormonal treatments can be taken at home and does not require constant and consistent visits to a hospital (Tong et al, 2018). Other research identifies survivorship as beginning once a woman is labelled "cancer-free" or in remission (Vena & Copel, 2021). The term 'remission' is used by medical professionals to describe individuals who have received a cancer diagnosis and progressed through treatment to be free of identifiable or measurable cancer (Vena & Copel, 2021).…”

Section: What Is Breast Cancer Survivorship?mentioning

confidence: 99%

“…Other research identifies survivorship as beginning once a woman is labelled "cancer-free" or in remission (Vena & Copel, 2021). The term 'remission' is used by medical professionals to describe individuals who have received a cancer diagnosis and progressed through treatment to be free of identifiable or measurable cancer (Vena & Copel, 2021). Whereas other studies have suggested survivorship might begin once a woman is diagnosed with breast cancer or when she begins to identify body changes that might signify cancer (e.g.…”

Section: What Is Breast Cancer Survivorship?mentioning

confidence: 99%

“…For individuals in cancer remission, the fear of recurrence in the form of metastasised cancer can be daunting (Willis et al, 2015). Although the term 'remission' may provide a sense of security after completing active treatment for cancer, there is always opportunity for cancer recurrence (Vena & Copel, 2021). It is because of this ongoing uncertainty that fear of recurrence is highlighted as a dominant psychosocial impact of cancer (Vena & Copel, 2021;Vrinten et al, 2017).…”

Section: Psychosocial Impacts Of Breast Cancermentioning

confidence: 99%

“…Although the term 'remission' may provide a sense of security after completing active treatment for cancer, there is always opportunity for cancer recurrence (Vena & Copel, 2021). It is because of this ongoing uncertainty that fear of recurrence is highlighted as a dominant psychosocial impact of cancer (Vena & Copel, 2021;Vrinten et al, 2017). The prolonged and delayed impacts of cancer in combination with the ongoing risk of recurrence are important reasons why cancer is often classed as a chronic illness (Stein et al, 2008).…”

Section: Psychosocial Impacts Of Breast Cancermentioning

confidence: 99%

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Life Beyond A Breast Cancer Diagnosis: Women's Constructions of Breast Cancer in Online Media

Welsby¹

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<p>Breast cancer is the most common form of cancer for women in Aotearoa New Zealand and eighty-five percent of women who are diagnosed with breast cancer in Aotearoa will live longer than 10 years after diagnosis. After a breast cancer diagnosis, women must negotiate their new lives and identities as ‘cancer survivors’, or someone who has had cancer, drawing on forms of support and information to make meaning of their experiences. Previous research has identified that online media spaces are used by women with a breast cancer diagnosis for information, support, validation and reassurance. Although, there is minimal research investigating how women construct and negotiate life with a breast cancer diagnosis online. The main objective of this research was to explore how women make meaning of life with a breast cancer diagnosis within online breast cancer media texts. Existing online breast cancer narratives were collected from two community organisation websites and reflexive thematic analysis was used to identify higher order themes. This research adopted a social constructionist epistemology and took up a neoliberal and postfeminist theoretical lens to inform theme identification. The findings demonstrated that women drew on neoliberal and postfeminist discourses of individual responsibility, control, exemplified empowerment, idealised femininity and ‘good cancer survivor’ discourse to make meaning of their life after a breast cancer diagnosis. Women constructed their selves and other women as individually responsible for engaging in self- surveillance and staying in control of their cancer, positioning control as desirable as suggested through ‘good cancer survivor’ discourse. Women also drew on postfeminist ideals of hetero femininity and constructed breast cancer as disruptive to their ability to take up culturally desirable and idealised feminine identities. However, women contradicted this by positioning themselves as individually responsible for being “unable” mothers. Most women tended to put in work to achieve an idealised physical feminine appearance, whereas some took up alternative discourses of femininity to make sense of their appearance in the context of cancer. The implications of this research suggest that while online media spaces may be used as a source of information and support by women with a breast cancer diagnosis, they also sustain dominant breast cancer survivorship discourses which tend to dismiss the often difficult realities of living with a breast cancer diagnosis. This may have negative consequences for women’s psychosocial wellbeing, as they are constantly presented with idealised forms of cancer survivorship. Overall, there is a need to develop alternative discourses of breast cancer survivorship which are in alignment with the realities of women with a breast cancer diagnosis. A shift in dominant discourses of breast cancer survivorship should have a positive impact for women with a breast cancer diagnosis by legitimising their experiences.</p>

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A concept analysis of remission within the domain of cancer survivorship

Cited by 2 publications

References 43 publications

“Life-changing”: the experience of super-responders to biologics in severe asthma

“Life-changing”: the experience of super-responders to biologics in severe asthma

Life Beyond A Breast Cancer Diagnosis: Women's Constructions of Breast Cancer in Online Media

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