Article/Paper

Access to innovative blood cancer treatment: Is it fast enough and equitable for all Canadians?

New cancer drugs are very expensive. Most Canadians could never afford them without public coverage, even if they sold their homes and borrowed money from everyone they knew. Canada does not provide universal pharmacare (drug coverage). Provincial coverage decisions are complex – affected by political interests, changes in government, advocacy efforts, population size, and regional […]

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The Perceived Impact of COVID-19 on the Mental Health Status of Adolescent and Young Adult Survivors of Childhood Cancer and the Development of a Knowledge Translation Tool to Support Their Information Needs

Background: Adolescent and young adult (AYA; 13 to 39 years) survivors of childhood cancer may be especially vulnerable to physical health and mental health concerns during the pandemic. We investigated the impact of COVID-19 on the mental health status of AYA survivors (Aim 1) and shared tailored, evidence-based health-related information on COVID-19 (Aim 2). Methods:

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Optimizing Online Support Groups: A Realist Review of What Works, For Whom and in What Circumstances for Patients with Cancer

Background: Online support groups (OSGs) are often a convenient way for many patients with cancer and cancer survivors to obtain information and support. However, not all OSGs are helpful, and in some cases, they may increase distress. Overall, there is a lack of clear evidence on the effects of OSGs, along with how and why

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Patients included at CAPO/IPOS World Congress of Psycho-Oncology 2019. Reflections from the invited advocates

In September 2019, the International Psycho-oncology Society (IPOS) annual conference was held in Banff, Alberta with 4 days of talks, workshops, and presentations attracting >600 attendees from 50 different countries. This was the 21st annual conference, but for the first time the conference was officially patients included: “committed to incorporating the experience of patients and

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Family reflections: psychosocial care in childhood cancer survivorship from a long-term survivor and parent

As every cancer survivor and caregiver knows, the end of treatment does not mark the end of the need for support from the care team. We believe that it would benefit every individual affected by cancer if some, or all treatment providers communicated an awareness that survivorship is a continuation of the cancer journey, one

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Establishing best practices in cancer online support groups: protocol for a realist review

Introduction: Considerable observational evidence suggests that cancer online support groups reduce feelings of isolation, depression and anxiety, enhance coping and self-management, and lead to better informed patients. Other studies indicate that cancer online support groups can increase distress. Yet no studies theorise the complex, context-dependent mechanisms by which cancer online support groups generate their—sometimes contrasting—outcomes. Methods

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Patient-Centered Research Through Artificial Intelligence to Identify Priorities in Cancer Care

Importance:  Patient-centered research is essential for bridging the gap between research and patient care, yet patient perspectives are often inadequately represented in health research. Objective:  To leverage artificial intelligence (AI) and natural language processing (NLP) to analyze a large dataset of patient messages, defining patient concerns and generating relevant research topics, and to quantify the quality of

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Development of a core outcome set for adolescents and young adults with cancer

Adolescents and young adults aged 15–39 years diagnosed with cancer are faced with unique challenges, which affect key developmental milestones and can create complex care needs. The aim of this study was to reach international consensus on the minimum set of outcomes to measure through the development of a core outcome set (COS). The COS

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Patient Voices Leading Change: A Call to Action for Careful, Kind, and Connected Patient-Partnered Research in PCORnet®

As the 8 patient partners serving on the PCORnet® Steering Committee, we stand at the forefront of a transformative movement in clinical research. PCORnet® Network Partners have been pioneers in integrating patient voices into every aspect of the research process, and we applaud the progress in operationalizing the Patient-Centered Outcomes Research Institute’s (PCORI) Framework for Patient Engagement

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Canadian Framework for the Care and Support of Adolescents and Young Adults With Cancer

The Canadian Framework for the Care and Support of Adolescents and Young Adults with Cancer (the Framework) describes a national vision for the care and support of AYAs with this distressing disease. It was created to ensure AYAs experience meaningful participation, and achieve the best outcomes, throughout care and survivorship, as well as compassionate end-of

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Cancer in Canada: Nearly all Canadians support federal government increasing access to clinical trials

New data from the non-profit Angus Reid Institute in partnership with the Canadian Cancer Society finds nine-in-ten Canadians support increasing access to clinical trials for cancer patients. This comes as most believe these sorts of experimental treatments offer new medicine otherwise unavailable to most cancer patients (80% agree).

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Hereditary cancer, high cholesterol risk for 100,000 Canadians to be checked in genetic screening project

Over the next five years, up to 100,000 people in Ontario will be screened for genetic conditions that increase their risk of hereditary cancers and a condition tied to high cholesterol and heart disease, says Princess Margaret Cancer Centre. In what the hospital calls one of the largest population genomics studies in Canada, the project

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Developing and Testing Electronic Versions of the Advance QoL Tools for Collecting Self-Reports of Quality of Life in Children and Adolescents With Advanced Cancer

Introduction: To provide appropriate interventions for young people with advanced cancer, self-reported questionnaires assessing quality of life (QoL) are crucial. This study aims to develop and test electronic versions of two short self-reported questionnaires (for children aged 8–12 and adolescents aged 13–18). Methods: We adapted the paper-and-pencil versions of Advance QoL into electronic versions using the REDCap

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Multi-methods development and validation of a tool for use in measuring serious illness communication competence: Assessment of clinical encounters – Communication tool (ACE-CT)

Objectives: The assessment of serious illness communication (SIC) competence has, to date, primarily utilized tools that are profession-specific and not explicitly designed using competency-based or person-centered frameworks. To address these gaps, we developed and validated a new tool, the Assessment of Clinical Encounters – Communication Tool (ACE-CT). Methods: We convened a national panel of interprofessional SIC

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Management of Cancer During Pregnancy: ASCO Guideline

Purpose: To provide guidance on the recommended management of cancer in pregnant patients. Methods: A multidisciplinary Expert Panel convened and conducted a systematic review of the literature. Results: The systematic review identified 450 eligible studies. Much of the evidence consisted of observational data, case series, and case reports. Recommendations: Management of cancer during pregnancy should be

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