Medscape InDiscussion: Cancer Survivorship

Drs Kathryn J. Ruddy and Shanda H. Blackmon discuss the importance of support groups and other ways to support cancer survivors to enhance symptom management and connectedness.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/1002451. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

The Support Group: Connection, Hope and Healing for Patients and Providers https://mcpress.mayoclinic.org/product/the-support-group/

Psychological Distress After Esophageal Cancer Surgery and the Predictive Effect of Dispositional Optimism: A Nationwide Population-Based Longitudinal Study https://pmc.ncbi.nlm.nih.gov/articles/PMC8727404/

Narrative Review of Anxiety and Depression in Patients With Esophageal Cancer: Underappreciated and Undertreated https://pubmed.ncbi.nlm.nih.gov/34164206/

Psychological Support of Esophageal Cancer Patient? https://pmc.ncbi.nlm.nih.gov/articles/PMC6503274/

Loneliness Among Cancer Caregivers: A Narrative Review https://pubmed.ncbi.nlm.nih.gov/31581964/

CaringBridge https://www.caringbridge.org/

CanCare https://www.cancare.org/

Upper Digestive Disease App for Electronic Patient-Reported Outcomes: A Mixed Methods Pilot Study https://pubmed.ncbi.nlm.nih.gov/35304110/

Suicide Rates Among Patients With Cancers of the Digestive System https://pubmed.ncbi.nlm.nih.gov/29956393/

Drs Kathryn J. Ruddy and Andrea L. Cheville discuss pain management and the role of physical medicine and rehab in addressing the root causes of pain during and after cancer treatment.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/1002450. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Integrative Medicine for Pain Management in Oncology: Society for Integrative Oncology-ASCO Guideline https://pubmed.ncbi.nlm.nih.gov/36122322/

Primary Outcomes of the Enhanced, EHR-Facilitated Cancer Symptom Control (E2C2) Cluster-Randomized, Stepped Wedge, Pragmatic Trial https://ascopubs.org/doi/10.1200/JCO.2024.42.17_suppl.LBA12006

The Role of Community Health Workers in a Collaborative Care Management Intervention for Cancer Pain Management: A Feasibility Study for a Randomized Controlled Trial https://pubmed.ncbi.nlm.nih.gov/39963755/

A Collaborative Intervention for Improving Cancer Pain Management in Rural and Hispanic Cancer Survivors (ASCENT) https://prevention.cancer.gov/clinical-trials/clinical-trials-search/nct06198010

Current Diagnostic and Quantitative Techniques in the Field of Lymphedema Management: A Critical Review https://pubmed.ncbi.nlm.nih.gov/39235664/

Lymphedema Signs, Symptoms, and Diagnosis in Women Who Are in Minority and Low-Income Groups and Have Survived Breast Cancer https://pubmed.ncbi.nlm.nih.gov/32031628/

Bioimpedance Spectroscopy for Breast Cancer-Related Lymphedema Assessment: Clinical Practice Guidelines https://pubmed.ncbi.nlm.nih.gov/36566297/

The Lymphatic System: International Society for Lymphology https://pubmed.ncbi.nlm.nih.gov/4049104/

The Effect of Exercise on Reducing Lymphedema Severity in Breast Cancer Survivors https://pubmed.ncbi.nlm.nih.gov/38611045/

Prospective Multicentre Observational Study of Lymphedema Therapy: POLIT Study https://pubmed.ncbi.nlm.nih.gov/24931830/

Drs Kathryn J. Ruddy and Stacy D. D'Andre discuss when cannabis, medicinal mushrooms, and psychedelic mushrooms may be useful for treating specific symptoms in patients with cancer.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/1002449. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Mushroom-Derived Bioactive Compounds Pharmacological Properties and Cancer Targeting: A Holistic Assessment https://pubmed.ncbi.nlm.nih.gov/40314874/

Phase 1 Clinical Trial of Trametes versicolor in Women With Breast Cancer https://pubmed.ncbi.nlm.nih.gov/22701186/

Reishi Mushroom for Fatigue and/or Arthralgias for Patients With Breast Cancer on Aromatase Inhibitors https://www.mayo.edu/research/clinical-trials/cls-20555252

Review of Psilocybin Use for Depression Among Cancer Patients After Approval in Oregon https://pubmed.ncbi.nlm.nih.gov/38730654/

Adverse Events in Studies of Classic Psychedelics: A Systematic Review and Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/39230883/

Symptom Improvements and Adverse Effects With Reishi Mushroom Use: A Cross-Sectional Survey of Cancer Patients https://pubmed.ncbi.nlm.nih.gov/39635077/

Cannabis Use Among Recently Treated Cancer Patients: Perceptions and Experiences https://pubmed.ncbi.nlm.nih.gov/37650961/

Understanding Feeling "High" and Its Role in Medical Cannabis Patient Outcomes https://pubmed.ncbi.nlm.nih.gov/37292156/

Metabolism and Liver Toxicity of Cannabidiol https://pubmed.ncbi.nlm.nih.gov/38904421/

Interaction Between Warfarin and Cannabis https://pubmed.ncbi.nlm.nih.gov/30326170/

Society of Cannabis Clinicians https://www.cannabisclinicians.org/

Drs Kathryn J. Ruddy and Narjust Florez discuss fertility, pregnancy, sexual health, delays in diagnosis, and the financial burden of young-onset cancer survivorship.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/1002448. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Cultural Competency and Cancer Survivorship: Humility, Lifelong Learning, and Effectively Communicating With Patients https://www.medscape.com/viewarticle/985098/

Trends in Cancer Incidence and Mortality Rates in Early-Onset and Older-Onset Age Groups in the United States, 2010-2019 https://pubmed.ncbi.nlm.nih.gov/40338148/

US Preventive Services Task Force Recommendations for Colorectal Cancer Screening: Forty-Five Is the New Fifty https://pubmed.ncbi.nlm.nih.gov/34003238/

Lung Cancer in Women: The Past, Present, and Future https://pubmed.ncbi.nlm.nih.gov/37940410/

Cancer Statistics, 2025 https://pubmed.ncbi.nlm.nih.gov/39817679/

"Too Young to Have This Kind of Diagnosis": A Qualitative Exploration of Younger Adults' Experiences of Colorectal Cancer Diagnosis https://pubmed.ncbi.nlm.nih.gov/38697784/

Dana Farber Young Adult Program (YAP) https://www.dana-farber.org/patient-family/support-services/young-adult-program

From Approximation to Precision: Fertility and Pregnancy Questions in Young Patients With Lung Cancer https://pubmed.ncbi.nlm.nih.gov/38849163/

Oncofertility in Children and Adolescents https://pubmed.ncbi.nlm.nih.gov/39510740/

When the Unimaginable Happens: Lung Cancer Diagnosis During Pregnancy https://pubmed.ncbi.nlm.nih.gov/38285618/

Sexual Health Assessment in Women With Lung Cancer Study: Sexual Health Assessment in Women With Lung Cancer https://pubmed.ncbi.nlm.nih.gov/37843054/

Sexual Health and Rehabilitation Online (SHAREonline) https://clinicaltrials.gov/study/NCT06458049

Drs Kathryn J. Ruddy and Elizabeth J. Cathcart-Rake discuss approaches to reduce the toxicities of systemic cancer therapy and improve patient communication and the survivorship experience.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/1002447. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Patient-Reported Discontinuation of Endocrine Therapy and Related Adverse Effects Among Women With Early-Stage Breast Cancer https://pubmed.ncbi.nlm.nih.gov/23598850/

Scalp Hypothermia to Reduce Chemotherapy-Induced Alopecia: A Systematic Review and Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/38936283/

HairToStay https://hairtostay.org/

The Rapunzel Project https://www.rapunzelproject.org/

Scalp Cooling for Hair Preservation and Associated Characteristics in 1411 Chemotherapy Patients — Results of the Dutch Scalp Cooling Registry http://pubmed.ncbi.nlm.nih.gov/22304489/

Advances in the Management of Menopausal Symptoms, Fertility Preservation, and Bone Health for Women With Breast Cancer on Endocrine Therapy https://pubmed.ncbi.nlm.nih.gov/37229618/

Venlafaxine Withdrawal Syndrome https://pubmed.ncbi.nlm.nih.gov/21448114/

Oxybutynin vs Placebo for Hot Flashes in Women With or Without Breast Cancer: A Randomized, Double-Blind Clinical Trial (ACCRU SC-1603) https://pubmed.ncbi.nlm.nih.gov/32337497/

Finding an Effective Dose of GM1 to Reduce or Prevent Neuropathy (Numbness or Weakness) Due to Treatment With Paclitaxel (Phase II) https://clinicaltrials.gov/study/NCT05751668

The Effects of Ganglioside-Monosialic Acid in Taxane-Induced Peripheral Neurotoxicity in Patients With Breast Cancer: A Randomized Trial https://pubmed.ncbi.nlm.nih.gov/31093677/

Nasal Vestibulitis: An Under-Recognized and Under-Treated Side Effect of Cancer Treatment? https://pubmed.ncbi.nlm.nih.gov/29797079/

Multidisciplinary Clinical Guidance on Trastuzumab Deruxtecan (T-DXd)-Related Interstitial Lung Disease/Pneumonitis — Focus on Proactive Monitoring, Diagnosis, and Management https://pubmed.ncbi.nlm.nih.gov/35430509/

Retrospective Cohort Study of CDK4/6-Inhibitor-Induced Alopecia in Breast Cancer Patients https://pubmed.ncbi.nlm.nih.gov/37991653/

Drs Kathryn J. Ruddy and Jacob J. Strand discuss timing of palliative care referrals, which supportive interventions are most helpful, and how to engage caregivers.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/1002446. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Cancer Survivorship — A Framework for Quality Cancer Care https://pubmed.ncbi.nlm.nih.gov/38113418/

Bridging the Gap: Palliative Care Integration Into Survivorship Care https://pubmed.ncbi.nlm.nih.gov/37866988/

NCCN Guidelines — Palliative Care https://www.nccn.org/guidelines/guidelines-detail?category=3&id=1454

Survivorship Care for People Affected by Advanced or Metastatic Cancer: Building on the Recent Multinational Association of Supportive Care in Cancer-ASCO Standards and Practice Recommendations https://pubmed.ncbi.nlm.nih.gov/40228174/

Buprenorphine Use for Analgesia in Palliative Care https://pubmed.ncbi.nlm.nih.gov/38804470/

Olanzapine in Oncology Palliative Care https://pubmed.ncbi.nlm.nih.gov/35989084/

The Feasibility and Acceptability of a Chaplain-Led Intervention for Caregivers of Seriously Ill Patients: A Caregiver Outlook Pilot Study https://pubmed.ncbi.nlm.nih.gov/26513022/

Legacy in End-of-Life Care: A Concept Analysis https://pubmed.ncbi.nlm.nih.gov/39311185/

The Feasibility and Educational Value of Hear My Voice, A Chaplain-Led Spiritual Life Review Process for Patients With Brain Cancers and Progressive Neurologic Conditions https://pubmed.ncbi.nlm.nih.gov/24952300/

ASH President Applauds Introduction of Legislation for Palliative Blood Transfusions https://www.hematology.org/newsroom/press-releases/2021/ash-president-applauds-introduction-of-legislation-for-palliative-blood-transfusions

Drs Ann H. Partridge and Jeffrey Peppercorn discuss the growing burden of financial toxicity on cancer survivors.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/999934. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Cancer Survivorship Guidelines https://emedicine.medscape.com/article/2500027-overview

Financial Toxicity and Cancer Treatment (PDQ®)–Health Professional Version https://www.cancer.gov/about-cancer/managing-care/track-care-costs/financial-toxicity-hp-pdq

HealthWell Foundation https://www.healthwellfoundation.org/

Financial Toxicity, Part I: A New Name for a Growing Problem https://pubmed.ncbi.nlm.nih.gov/23530397/

Financial Toxicity in Cancer Care: Implications for Clinical Care and Potential Practice Solutions https://pubmed.ncbi.nlm.nih.gov/37071839/

ESMO Expert Consensus Statements on the Screening and Management of Financial Toxicity in Patients With Cancer https://pubmed.ncbi.nlm.nih.gov/38626634/

Measuring Financial Toxicity as a Clinically Relevant Patient-Reported Outcome: The Validation of the COmprehensive Score for financial Toxicity (COST) https://pubmed.ncbi.nlm.nih.gov/27716900/

Quality of Life of Cancer Patients https://qol.eortc.org/questionnaire/eortc-qlq-c30/

National Survey of Patient Perspectives on Cost Discussions Among Recipients of Copay Assistance https://pubmed.ncbi.nlm.nih.gov/38864681/

Inflation Reduction Act of 2022 https://www.hhs.gov/inflation-reduction-act/index.html

Drs Ann H. Partridge and Melinda L. Irwin discuss the importance of connecting cancer survivors with diet, exercise, and lifestyle resources through an opt-out approach.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/999933. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Almost Half of Cancer Deaths Are Preventable https://pubmed.ncbi.nlm.nih.gov/36045169/

Obesity and Cancer: A Current Overview of Epidemiology, Pathogenesis, Outcomes, and Management https://pubmed.ncbi.nlm.nih.gov/36672434/

Association Between Diet Quality and Ovarian Cancer Risk and Survival https://pubmed.ncbi.nlm.nih.gov/38400738/

Post-Diagnosis Body Mass Index and Mortality Among Women Diagnosed With Endometrial Cancer: Results From the Women's Health Initiative https://pubmed.ncbi.nlm.nih.gov/28152055/

Esophageal Cancer: Overview, Risk Factors, and Reasons for the Rise https://pubmed.ncbi.nlm.nih.gov/37812328/

Lung Cancer 2020: Epidemiology, Etiology, and Prevention https://pubmed.ncbi.nlm.nih.gov/32008623/

Reduction in the Incidence of Type 2 Diabetes With Lifestyle Intervention or Metformin https://pubmed.ncbi.nlm.nih.gov/11832527/

The Breast Cancer Weight Loss Trial (Alliance A011401): A Description and Evidence for the Lifestyle Intervention https://pubmed.ncbi.nlm.nih.gov/34932888/

Comparative Risk of Obesity-Related Cancer With Glucagon-Like Protein-1 Receptor Agonists vs. Bariatric Surgery in Patients With BMI ≥ 35 https://ascopubs.org/doi/10.1200/JCO.2024.42.16_suppl.10508

Drs Ann H. Partridge and Mina S. Sedrak discuss the relationship between cancer and accelerated aging, including treatments that empower patients to lead longer, healthier lives.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/999932. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Age and Cancer Risk https://www.cancer.gov/about-cancer/causes-prevention/risk/age

The Aging-Cancer Cycle: Mechanisms and Opportunities for Intervention https://pubmed.ncbi.nlm.nih.gov/36512079/

Chronic Health Conditions in Adult Survivors of Childhood Cancer https://pubmed.ncbi.nlm.nih.gov/17035650/

Anthracycline-Induced Cardiotoxicity: Causes, Mechanisms, and Prevention https://pubmed.ncbi.nlm.nih.gov/32483740/

Clinical Frailty Scale https://pubmed.ncbi.nlm.nih.gov/32644435/

Accelerated Aging in Older Cancer Survivors https://pubmed.ncbi.nlm.nih.gov/34534355/

Characterization of Cellular Senescence in Doxorubicin-Induced Aging Mice https://pubmed.ncbi.nlm.nih.gov/35398171/

Targeting Senescence Induced by Age or Chemotherapy With a Polyphenol-Rich Natural Extract Improves Longevity and Healthspan in Mice https://pubmed.ncbi.nlm.nih.gov/38951692/

Prevention of Frailty With Fisetin and Exercise (PROFFi) in Breast Cancer Survivors (PROFFi) https://classic.clinicaltrials.gov/ct2/show/NCT06113016

Development and Validation of a Risk Tool for Predicting Severe Toxicity in Older Adults Receiving Chemotherapy for Early-Stage Breast Cancer https://pubmed.ncbi.nlm.nih.gov/33444080/

Calculator: Cancer and Aging Research Group-Breast Cancer (CARG-BC) Score for Older Adults https://www.uptodate.com/contents/calculator-cancer-and-aging-research-group-breast-cancer-carg-bc-score-for-older-adults

Cancer and Aging Research Group https://www.mycarg.org/

Drs Ann H. Partridge and Clarisa R. Gracia discuss cancer survivorship and oncofertility, including family planning options, preservation, barriers, and future developments.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/999931. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Cancer Survivorship Guidelines https://emedicine.medscape.com/article/2500027-overview

Preservation of Fertility in Cancer Patients: A Narrative Review https://pubmed.ncbi.nlm.nih.gov/38034134/

Anti-Müllerian Hormone and Ovarian Reserve: Update on Assessing Ovarian Function https://pubmed.ncbi.nlm.nih.gov/32770239/

Hereditary Cancer Syndromes: A Comprehensive Review With a Visual Tool https://pubmed.ncbi.nlm.nih.gov/37239385/