Psychische Belastung von Brustkrebspatientinnen: Screening und psychoonkologischer Unterstützungswunsch als Indikatoren der Lebensqualität

Wiegard, Karin; Albert, Ute‐Susann; Zemlin, Cosima; Lubbe, Dirk; Kleiber, Christina; Kolb-Niemann, Beate; Schade‐Brittinger, Carmen; Wagner, Uwe; Herrmann‐Lingen, Christoph

doi:10.1055/s-0032-1325319

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Manche Forscher hingegen zweifeln an einem bedeutsamen Zusammenhang zwischen der Qualität der Bewältigung (Coping), psychologischer Situation, Lebensqualität, speziell in Verbindung mit Überlebenszeit [22][23][24][25][26][27], da die Mehrzahl der Studien keine Zusammenhänge ergab. Basierend auf einer Metaanalyse von 26 Studien kamen Petticrew et al zu der Schlussfolgerung, dass die Copingqualität bei Krebspatienten nicht konsistent mit dem Gesamtüberleben korrelierte, ungeachtet der Tatsache, dass in die Metaanalyse auch komplexe Studien eingeschlossen wurden, die Interviews anstelle von Fragebögen für die Erfassung von tat-currence or of developing another type of malignancy during the follow-up period.…”

Section: ▪ Frühzeitige Responsebeurteilung Der Chemotherapie üBer Dieunclassified

Psychological Stress and Coping Resources during Primary Systemic Therapy for Breast Cancer. Results of a Prospective Study

Tschuschke

Karadaglis²,

Schweinitz

et al. 2017

Geburtshilfe Frauenheilkd

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ABSTR ACTIntroduction This prospective study reports on the impact of psychological factors on women with primary breast cancer undergoing neoadjuvant chemotherapy. These women are in a special situation, where they not only have to deal with the shock of the cancer diagnosis but also with the fact that the malignant tumor will not be removed immediately but only after completing chemotherapy. A situation like this is stressful and requires a personal strength which not every woman may have.Methods In a prospective study 53 patients were assessed using various psychological and psycho-oncological questionnaires which aimed to evaluate their psychological stress and their coping resources. The women were evaluated before starting systemic treatment (t-1) and again immediately after completing chemotherapy but prior to surgery (t-2). The patients were also asked about their coping strategies at t-1 and t-2. Using the Ulm Coping Manual (UCM) the interviews were rated by independent assessors blinded to the respective patientʼs medical data. Patients were followed up for 3.7-5.5 years after completing chemotherapy.

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Section: ▪ Frühzeitige Responsebeurteilung Der Chemotherapie üBer Dieunclassified

Psychological Stress and Coping Resources during Primary Systemic Therapy for Breast Cancer. Results of a Prospective Study

Tschuschke

Karadaglis²,

Schweinitz

et al. 2017

Geburtshilfe Frauenheilkd

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“…The need for psycho-oncological support for patients is also supported by the work of Goldmann-Posch et al [21]. Wiegard et al [22] underline that health-related quality of live in relation to breast cancer treatment is determined essentially by a patient's psychological state. Not implemented in the previous definition of DRG-based reimbursement per case, an increasing amount of non-DRG-relevant costs arise for instance from ambulatory care, research and teaching, psychological, psychiatric and psycho-oncological care, as well as amortizations [23].…”

Section: Business Competition - the Driving Force For Improvement? Inmentioning

confidence: 99%

Economic Constraints - the Growing Challenge for Western Breast Cancer Centers

et al. 2013

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Breast cancer care in Western countries has reached a considerable level of quality and standardization, which has contributed to the decline in breast cancer mortality. Certified Breast Cancer Centers (BCC) represent an important element of this development. Related to changes in reimbursement and growing costs, BCC face economic constraints which ultimately could endanger the achievements of the past. Thus, BCC have to optimize their care strategies from an economic perspective, particularly by increasing efficiency but also by adapting their service portfolio. This could result in competitive advantages and additional revenue by increasing case numbers and extra charges to patients. Furthermore, an intensification of collaboration with the outpatient sector resulting in an integrated and managed ‘trans-sectoral' care approach which could allow to shift unprofitable procedures to the outpatient sector - in the sense of a win-win situation for both sectors and without loss of care quality - seems reasonable. Structured and specialized consulting approaches can further be a lever to fulfill economic requirements in order to avoid cuts in medical care quality for the sake of a balanced budget. In this review, economic constraints of BCC with a focus on the German healthcare system and potential approaches to ameliorate these financial burdens are being discussed.

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Autonomic Function Assessed by Heart Rate Variability Is Normal in Alzheimer’s Disease and Vascular Dementia

Allan

Kerr

Ballard

et al. 2005

Dement Geriatr Cogn Disord

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Heart rate variability (HRV) is a sensitive method for the assessment of autonomic function and requires little cooperation from the subject, making it suitable for use in dementia. Preliminary studies have suggested that HRV may be impaired in Alzheimer’s disease (AD). HRV has not been studied in vascular dementia (VAD). We investigate autonomic function in AD and VAD, using power spectral analysis of HRV. One hundred and fourteen participants were evaluated (14 AD, 20 VAD and 80 controls). The resting ECG was recorded for 5 min with participants in the supine position. Power spectral analysis used to obtain spectral bands in the very-low-frequency (<0.04 Hz), low-frequency (0.04–0.15 Hz) and high-frequency (0.15–0.40 Hz) bands and total spectral power (<0.40 Hz) according to international HRV guidelines. There were no differences in HRV in patients with AD or VAD when compared with controls.

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Psychische Belastung von Brustkrebspatientinnen: Screening und psychoonkologischer Unterstützungswunsch als Indikatoren der Lebensqualität

Cited by 3 publications

References 8 publications

Psychological Stress and Coping Resources during Primary Systemic Therapy for Breast Cancer. Results of a Prospective Study

Psychological Stress and Coping Resources during Primary Systemic Therapy for Breast Cancer. Results of a Prospective Study

Economic Constraints - the Growing Challenge for Western Breast Cancer Centers

Autonomic Function Assessed by Heart Rate Variability Is Normal in Alzheimer’s Disease and Vascular Dementia

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