Fwd: Disparities in Urban and Rural Mastectomy Populations : The Effects of Patient- and County-Level Factors on Likelihood of Receipt of Mastectomy.

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From: HubMed - breast cancer <rssfwd@rssfwd.com>
Date: Wed, Jul 30, 2008 at 9:30 PM
Subject: Disparities in Urban and Rural Mastectomy Populations : The Effects of Patient- and County-Level Factors on Likelihood of Receipt of Mastectomy.
To: mesothelioma77@gmail.com


[1]Ann Surg Oncol. 2008 Jul 29;
Jacobs LK, Kelley KA, Rosson GD, Detrani ME, Chang DC

BACKGROUND: Using the 2006 Surveillance, Epidemiology, and End Results (SEER) database and the 2004 Area Resource File (ARF), the likelihood of mastectomy for stages I-III breast cancer patients in urban versus rural populations are examined. County and patient level data are evaluated for impact on receipt of mastectomy. Patient variables included age, stage, race, and marital status, and community variables are income, employment, and radiation facility staff density. The likelihood of mastectomy in urban and rural patients, and the impact of the different variables on that procedure, is reported. METHODS: This retrospective analysis of a combined dataset from the 2006 SEER database and the 2004 ARF linked using the federal information processing standard (FIPS) state county variable evaluates patient and county variables with multivariate regression. RESULTS: From 1992 to 2003, 137,303 patients were identified in the SEER database. The rural population (county population of

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Source: http://www.hubmed.org/display.cgi?uids=18663535
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Fwd: A randomized study assessing the efficacy of communication skill training on patients' psychologic distress and coping: nurses' communication with patients just after being diagnosed with cancer.

---------- Forwarded message ----------
From: HubMed - breast cancer <rssfwd@rssfwd.com>
Date: Wed, Jul 30, 2008 at 9:30 PM
Subject: A randomized study assessing the efficacy of communication skill training on patients' psychologic distress and coping: nurses' communication with patients just after being diagnosed with cancer.
To: mesothelioma77@gmail.com


[1]Cancer. 2008 Jul 25;
Fukui S, Ogawa K, Ohtsuka M, Fukui N

BACKGROUND.: Although studies have shown the usefulness of improving health professionals' communication skills by training, to the authors' knowledge none have demonstrated the efficacy of communication skill training (CST) for health professionals in terms of improving patient outcomes. This study aimed to assess the efficacy of CST for nurses in improving psychologic distress and coping among patients after being informed of a cancer diagnosis. METHODS.: Nurses who mainly provide patients with psychologic and informational support after being informed of their cancer diagnosis by physicians at a cancer screening center were randomly assigned to either an experimental or a control group; patients were supported by either group of nurses. Patient selection criteria were: age >18 years with gastric, colorectal, or breast cancer that was not in advanced stage. Intervention consisted of 3 1-on-1 nurses' interviews (on the day of, 1 week after, and 1 month after diagnosis). Efficacy was assessed through patients' psychologic distress and coping by administering the Hospital Anxiety and Depression Scale (HADS) and Mental Adjustment to Cancer scale (MAC), at 3 time points (1 week, 1 month, and 3 months after diagnosis). RESULTS.: Eighty-nine patients participated. Repeated measures analysis of variance demonstrated a significant group-by-time decrease in patients' psychologic distress on HADS (P = .03), and significant group-by-time increase in fighting spirit and decrease of fatalism (P = .01 and P = .04, respectively), in addition to significant between-group difference of anxious preoccupation on the MAC (P = .003). CONCLUSIONS.: Support by nurses who completed the CST program was found to reduce psychologic distress and improved coping long term among patients informed of their cancer diagnosis. Cancer 2008. (c) 2008 American Cancer Society.



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Source: http://www.hubmed.org/display.cgi?uids=18661509
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