White coat effect in breast cancer patients undergoing chemotherapy

Costa, Luciano J.; Varella, P.C.S.; Giglio, Auro del

doi:10.1046/j.1365-2354.2003.00416.x

Cited by 15 publications

(7 citation statements)

References 3 publications

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“…Qigong involves specific breathing techniques combined with a mindful focus and specific movement techniques to manipulate the body’s qi (energy) to improve physical and spiritual well-being. This re-connection with the body and spirit is important for general well-being and QOL [ 40 , 41 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…Evidence suggests that physiological stress is improved with techniques of meditation, Qigong, and tai chi. In a study conducted by Lee et al (2006), 35 women with breast cancer and undergoing chemotherapy experienced improved QOL, less fatigue, and improvement in mood and psychological distress after attending Qigong training during their chemotherapy treatments [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

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Current Usage of Traditional Chinese Medicine for Breast Cancer—A Narrative Approach to the Experiences of Women with Breast Cancer in Australia—A Pilot Study

2017

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Background: The use of Traditional Chinese Medicine (TCM) by breast cancer patients is growing. Few studies have examined the complexity of breast cancer survivors’ attitudes, lived experiences, barriers, and perceptions in using TCM as part of their treatment journey. This article examines breast cancer survivors’ experiences, perceptions of, and benefits (or not) in using TCM. Methods: Qualitative research, using semi-structured interviews, was the chosen methodology. Results: Participants used TCM as a form of self-help and as a complement, not an alternative, to standard care. Overall, 100% of the participants used acupuncture, 62% used Chinese herbal medicine, 23% used Qigong, and 23% used Chinese dietary therapy. Participants reported perceived outcomes and health benefits from TCM usage ranging from increased coping mechanisms, relieving stress and side-effects of standard treatment, the desire to be pro-active in the treatment journey, and to have a locus of control. Some cited the need to have “time-out” and the therapeutic relationship with the practitioner as being important. Conclusion: There is a clear need to understand breast cancer survivors’ needs for physical and psychological support as they aim to regain control over their life through their experience of illness. More studies are needed to measure and evaluate these outcomes and to help identify breast cancer survivors’ healthcare seeking behaviours, during and after the acute treatment stage that addresses their physical, emotional, and spiritual needs. These results aim to inform future research design and evaluate and develop support services that are patient-centred and focus on whole health outcomes, shared decision-making, and quality of life.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Current Usage of Traditional Chinese Medicine for Breast Cancer—A Narrative Approach to the Experiences of Women with Breast Cancer in Australia—A Pilot Study

2017

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“…Closely monitoring BP at home is especially important. Evidence suggests that white coat hypertension and masked hypertension may be more common in individuals receiving cancer treatment compared with general population [ 48 , 49 ]. In addition, home BP is a better predictor than office BP readings.…”

Section: Methodsmentioning

confidence: 99%

Risks and management of hypertension in cancer patients undergoing targeted therapy: a review

Zhu

2022

Clin Hypertens

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Background Rapid progress over the last decade has added numerous agents targeting specific cellular signaling pathways to the treatment armamentarium for advanced cancer. However, many of these agents can cause hypertension resulting in major adverse cardiovascular event. Methods and results A systematic literature search was performed on the databases PubMed and Google Scholar for papers published in English until December 2020. This review summarizes the risk, mechanism, diagnosis, and management of hypertension in cancer patients undergoing targeted therapy. The risk and pathogenesis of hypertension vary widely with different classes of targeted agents. Currently there is a paucity of data investigating optimal management of hypertension with targeted therapy. A practical approach is discussed with a focus on the goal of blood pressure control as well as drug selection based on the mechanism of hypertension in the context of advanced cancer, treatment toxicity, comorbidity, and drug-drug interactions. This review also discusses many studies that have explored hypertension as a biomarker for cancer treatment efficacy and as a pharmacodynamic biomarker to titrate drug dose. Conclusions The diversity of targeted agents has provided important insights into the pathogenesis of hypertension in cancer patients. The underlying mechanism may provide a guidance to the management of hypertension. Further studies are needed to investigate optimal treatment and hypertension as a biomarker for cancer treatment.

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“…We were fascinated to read the study of white coat effect on the prognosis of women with breast cancer (Costa et al 2003). However there are several unanswered questions:…”

Section: To the Editormentioning

confidence: 99%