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  1. AU="Hoffman, Kathleen D"
  2. AU="Huang, Jinghao"
  3. AU="Elagin, A" AU="Elagin, A"

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  1. Artikel ; Online: Breakthrough Symptoms Remain an Unmet Need in Symptomatic Patients With Neuroendocrine Tumors and Carcinoid Syndrome.

    Liu, Eric / Hoffman, Kathleen D / Murfin, Gary / Eccard, Hannah

    Pancreas

    2023  Band 52, Heft 1, Seite(n) e70–e74

    Abstract: Objectives: The aims of the study were to assess the effects of breakthrough carcinoid syndrome symptoms on well-being in neuroendocrine tumor (NET) patients insufficiently controlled on long-acting somatostatin analog (SSA) and to assess patient ... ...

    Abstract Objectives: The aims of the study were to assess the effects of breakthrough carcinoid syndrome symptoms on well-being in neuroendocrine tumor (NET) patients insufficiently controlled on long-acting somatostatin analog (SSA) and to assess patient experience with treatment options, physician communication, and disease information sources.
    Methods: This study surveyed US NET patients from 2 online communities, experiencing at least one symptom, by utilizing a 64-item questionnaire.
    Results: One hundred patients participated: 73% female, 75% age 56 to 75 years, and 93% White. Primary tumor distribution was as follows: gastrointestinal NET (n = 55), pancreatic NET (n = 33), lung NET (n = 11), and other NET (n = 13). All patients were actively treated with one long-acting SSA and experiencing breakthrough symptoms: diarrhea, flushing, or other (13% experienced one, 30% two, 57% greater than two). More than one third of treated patients experienced carcinoid-related symptoms daily. Sixty percent of respondents reported not having short-acting "rescue" treatment available, impacting well-being though anxiety or depression (45%), trouble exercising (65%), sleeping (57%), employment (54%), and maintaining friendships (43%).
    Conclusions: Breakthrough symptoms remain an unmet need, even in treated patients with NETs. Though still relying on physicians, NET patients are now also using the Internet. Improved awareness of optimal SSA use may improve syndrome control.
    Mesh-Begriff(e) Humans ; Female ; Middle Aged ; Aged ; Male ; Neuroendocrine Tumors/complications ; Neuroendocrine Tumors/diagnosis ; Neuroendocrine Tumors/drug therapy ; Malignant Carcinoid Syndrome/diagnosis ; Malignant Carcinoid Syndrome/drug therapy ; Carcinoid Tumor/diagnosis ; Carcinoid Tumor/therapy ; Somatostatin/therapeutic use ; Intestinal Neoplasms
    Chemische Substanzen Somatostatin (51110-01-1)
    Sprache Englisch
    Erscheinungsdatum 2023-06-28
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 632831-3
    ISSN 1536-4828 ; 0885-3177
    ISSN (online) 1536-4828
    ISSN 0885-3177
    DOI 10.1097/MPA.0000000000002228
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: Rethinking online health information: How about personalization?

    Givoly, Tal / Hoffman, Kathleen D

    World hospitals and health services : the official journal of the International Hospital Federation

    2015  Band 51, Heft 3, Seite(n) 15–18

    Abstract: Dr. Howard Koh, Former Assistant Secretary of Health and Human Services (HHS explained, "While [health literacy] may not necessarily attract headlines, it is absolutely at the core of everything we do as health care ... professionals." Yet making health ... ...

    Abstract Dr. Howard Koh, Former Assistant Secretary of Health and Human Services (HHS explained, "While [health literacy] may not necessarily attract headlines, it is absolutely at the core of everything we do as health care ... professionals." Yet making health information that is searched for on the Internet accessible means not only reducingjargon but also reducing volume. Personalization is one answer that Medivizor, a start-up featured in Forbes, has developed to answer the need. Hospitals and providers partner with Medivizor to improve the health literacy of patients, enhancing engagement and collaborative decision-making.
    Mesh-Begriff(e) Humans ; Internet ; Patient Education as Topic ; User-Computer Interface
    Sprache Englisch
    Erscheinungsdatum 2015
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1287212-x
    ISSN 1029-0540
    ISSN 1029-0540
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: COVID-19 vaccine hesitancy among individuals with cancer, autoimmune diseases, and other serious comorbid conditions

    Tsai, Richard / Hervey, John / Hoffman, Kathleen D / Wood, Jessica / Novack, John / Johnson, Jennifer / Deighton, Dana C / Loew, Brian / Goldberg, Stuart L

    medRxiv

    Abstract: Background: Individuals with comorbid conditions have been disproportionately affected by COVID-19. Since regulatory clinical trials with COVID-19 vaccines excluded those with immunocompromising conditions, few patients with cancer and autoimmune ... ...

    Abstract Background: Individuals with comorbid conditions have been disproportionately affected by COVID-19. Since regulatory clinical trials with COVID-19 vaccines excluded those with immunocompromising conditions, few patients with cancer and autoimmune diseases were enrolled. With limited vaccine safety data available, vulnerable populations may have conflicted vaccine attitudes. Objective: To assess the incidence and reasons for COVID-19 vaccine hesitancy and to assess early vaccine safety. Design: Cross-sectional online survey, fielded January 15, 2021 through February 22, 2021 Setting: International participation (74% USA) Participants: Random sample of members of Inspire, an online health community of over 2.2 million individuals with comorbid conditions. Measurements: A 55-item online survey Results: 21,943 individuals completed the survey (100% with comorbidities including 27% cancer, 23% autoimmune diseases, 38% chronic lung diseases). 10% declared they would not, 4% stated they probably would not, and 5% were not sure they would agree to vaccination (hesitancy rate 19%). Factors associated with hesitancy included younger age, female gender, black-Pacific-Island-Native American heritage, less formal education, conservative political tendencies, resistance to masks or routine influenza vaccinations, and distrust of media coverage. 5501 (25%) had received at least one COVID-19 vaccine injection, including 29% of US participants. Following the first injection, 69% self-reported local and 40% systemic reactions, which increased following the second injection to 76% and 67%, respectively, with patterns mimicking clinical trials. Limitations: Study was performed early during vaccine availability. Attitudes may change. Conclusion: Nearly one in five individuals with serious comorbid conditions harbor COVID-19 hesitancy. Early safety experiences among those who have been vaccinated should be reassuring.
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2021-04-07
    Verlag Cold Spring Harbor Laboratory Press
    Dokumenttyp Artikel ; Online
    DOI 10.1101/2021.04.06.21254014
    Datenquelle COVID19

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