Obesity and lifestyle advice in colorectal cancer survivors – how well are clinicians prepared?

Anderson, Annie S.; Caswell, Stephen; Wells, Mary; Steele, Robert

doi:10.1111/codi.12203

Cited by 43 publications

(48 citation statements)

References 30 publications

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“…It is generally believed that 'right to know should obey right to exist', namely considering the survival pressure of patients, we should hide the actual situation of patients to reduce the psychological burden and to protect them to keep a happy life (Chao et al, 2004;Mai et al, 2007). But now, we found that cancer patients' survival right and informed right are unified inseparable as a whole, no matter from the analysis of single factor or multiple factors, the survival not only in all-cause but also in cancer-specific of tumor patients informed groups are far superior to those without informed, Which suggests that cancer patients maybe positive to change their lifestyle and fight against cancer after knowledge of suffering from cancer, and thus to get a longer life expectancy (Meyerhardt et al, 2006a;Campbell et al, 2010;Anderson et al, 2013).…”

Section: Discussionmentioning

confidence: 86%

Colorectal Cancer Concealment Predicts a Poor Survival: A Retrospective Study

Li¹,

Xie²,

Fu³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Section: Discussionmentioning

confidence: 86%

Colorectal Cancer Concealment Predicts a Poor Survival: A Retrospective Study

Li¹,

Xie²,

Fu³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…Further complicating this matter is a lack of clarity among health professionals regarding whose role it is to provide alcohol advice. These issues have been found to apply more broadly with respect to other aspects of lifestyle modification, as well as among other cancer survivor populations, which were not explored in this study (Anderson, Caswell, Wells, & Steele, 2013). …”

Section: Discussionmentioning

confidence: 99%

Exploring the provision of alcohol advice by clinicians to breast cancer patients

2017

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Funding informationThis research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.Interactions between clinicians and patients along the cancer trajectory provide an opportunity to deliver key messages regarding drinking behaviours and long-term health.This study aimed to explore the extent and nature of clinician-patient discussions regarding alcohol intake and cancer outcomes in the clinical breast cancer setting, using a qualitative research design involving semi-structured interviews. Purposive sampling was used to recruit 27 breast cancer clinicians (eight dietitians, nine breast care nurses, 10 oncologists) across Victoria, Australia. Interview data were analysed using descriptive statistics and a content analysis approach. Clinicians' knowledge of national alcohol recommendations was found to be inconsistent. Clinicians reported a lack of patient awareness of the link between alcohol and breast cancer. Current frameworks for assessing and advising on patient alcohol intake were felt to be impractical. The extent and nature of advice provided about alcohol was influenced by several patient and clinician factors. The provision of alcohol advice in the clinical breast cancer setting is not practiced systematically by any professional group. New approaches are needed to support patient education about alcohol intake and survivorship in the clinical oncology setting. K E Y W O R D Salcohol, breast cancer, health professionals, lifestyle advice, survivorship

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“…Indeed, recent studies indicate that provision of lifestyle advice from cancer care clinicians is low. 151,[180][181][182] Yet clinicians are likely to play an important role in developing motivation because they can inform people with CRC about the associations between physical activity and health (see Chapter 1 for evidence about the benefits of physical activity for people with CRC). Developing this type of motivation may not prove to be too difficult because our qualitative study suggests that many participants with CRC were already aware of the benefits of adopting a healthy lifestyle.…”

Section: Feasibility and Acceptability Of Cardiac Rehabilitation For mentioning

confidence: 99%

The use of cardiac rehabilitation services to aid the recovery of patients with bowel cancer: a pilot randomised controlled trial with embedded feasibility study

Hubbard

Munro

O’Carroll

et al. 2016

Health Serv Deliv Res

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Background: Colorectal cancer (CRC) survivors are not meeting the recommended physical activity levels associated with improving their chances of survival and quality of life. Rehabilitation could address this problem. Objectives: The aims of the Cardiac Rehabilitation In Bowel cancer study were to assess whether or not cardiac rehabilitation is a feasible and acceptable model to aid the recovery of people with CRC and to test the feasibility and acceptability of the protocol design. Design: Intervention testing and feasibility work (phase 1) and a pilot randomised controlled trial with embedded qualitative study (phase 2), supplemented with an economic evaluation. Randomisation was to cardiac rehabilitation or usual care. Outcomes were differences in objective measures of physical activity and sedentary behaviour, self-reported measures of quality of life, anxiety, depression and fatigue. Qualitative work involved patients and clinicians from both cancer and cardiac specialties. Setting: Three colorectal cancer wards and three cardiac rehabilitation facilities. Participants: Inclusion criteria were those who were aged > 18 years, had primary CRC and were post surgery. Results: Phase 1 (single site) – of 34 patient admissions, 24 (70%) were eligible and 4 (17%) participated in cardiac rehabilitation. Sixteen clinicians participated in an interview/focus group. Modifications to trial procedures were made for further testing in phase 2. Additionally, 20 clinicians in all three sites were trained in cancer and exercise, rating it as excellent. Phase 2 (three sites) – screening, eligibility, consent and retention rates were 156 (79%), 133 (67%), 41 (31%) and 38 (93%), respectively. Questionnaire completion rates were 40 (97.5%), 31 (75%) and 25 (61%) at baseline, follow-up 1 and follow-up 2, respectively. Forty (69%) accelerometer data sets were analysed; 20 (31%) were removed owing to invalid data. Qualitative study: CRC and cardiac patients and clinicians were interviewed. Key themes were benefits and barriers for people with CRC attending cardiac rehabilitation; generic versus disease-specific rehabilitation; key concerns of the intervention; and barriers to participation (CRC participants only). Economic evaluation: The average out-of-pocket expenses of attending cardiac rehabilitation were £50. The costs of cardiac rehabilitation for people with cancer are highly dependent on whether it involves accommodating additional patients in an already existing service or setting up a completely new service. Limitations and conclusions: The main limitation is that this is a small feasibility and pilot study. The main novel finding is that cardiac rehabilitation for cancer and cardiac patients together is feasible and acceptable, thereby challenging disease-specific rehabilitation models. Future work: This study highlighted important challenges to doing a full-scale trial of cardiac rehabilitation but does not, we believe, provide sufficient evidence to reject the possibility of such a future trial. We reco...

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Obesity and lifestyle advice in colorectal cancer survivors – how well are clinicians prepared?

Abstract: There is an awareness of the importance of weight management amongst colorectal cancer clinicians and some indication of advice being provided. However, current perceptions, knowledge and skills suggest scope for further training.

Cited by 43 publications

References 30 publications

Colorectal Cancer Concealment Predicts a Poor Survival: A Retrospective Study

Colorectal Cancer Concealment Predicts a Poor Survival: A Retrospective Study

Exploring the provision of alcohol advice by clinicians to breast cancer patients

The use of cardiac rehabilitation services to aid the recovery of patients with bowel cancer: a pilot randomised controlled trial with embedded feasibility study

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