Penn researchers find emotional well-being has no influence on cancer survivalOctober 22, 2007Researchers at the University of Pennsylvania School of Medicine have found that emotional well-being is not an independent factor affecting the prognosis of patients with head and neck cancers. This study appears in the December 1st issue of CANCER. "The belief that a patient's psychological state can impact the course and outcome of their cancer is one that has been prominent among patients and medical professionals, alike," says James C. Coyne, PhD, Co-Leader, Cancer Control and Outcomes Program, Abramson Cancer Center; Professor of Psychology in Psychiatry at Penn; and lead author of the study. "This belief leads people to seek psychotherapy in the hopes of promoting survival. While there can be lots of emotional and social benefits of psychotherapy, patients should not seek such experiences solely on the expectation that they are extending their lives." Study participants were enrolled in two Radiation Oncology Group clinical trials and completed a baseline measure of quality of life questionnaire which included an Emotional Well-Being subscale. The outcome measure was overall survival. The study sample included 1,093 patients, and of this group, 646 died during the length of the study. With the coupling of this large sample and the uniformity of treatment and quality of care that is required in a clinical trial, this is one of the methodologically strongest studies in this area to-date.
The researchers found that emotional status was not a predictor of survival among this population. Additionally, no effects were observed when the researchers examined interactions between emotional well-being and study protocol, gender, primary cancer site, or stage of cancer. Therefore, the study reports that "this psychologic variable neither affected progression or death directly, nor functioned as a lurking variable." "While this study may not end the debate, it does provide the strongest evidence to-date that psychological factors are not independently prognostic in cancer management," says Dr. Coyne. University of Pennsylvania School of Medicine | |||||||||||||||||||||
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Related Cancer Survival Current Events and Cancer Survival News Articles Minimizing obesity's impact on ovarian cancer survival Obesity affects health in several ways, but new research shows obesity can have minimal impact on ovarian cancer survival. A study by researchers at the University of Alabama at Birmingham (UAB) Comprehensive Cancer Center found ovarian cancer survival rates are the same for obese and non-obese women if their chemotherapy doses are closely matched to individual weight. Men with wives, significant others more likely to be screened for prostate cancer Although the link between early screening and prostate cancer survival is well established, men are less likely to go for early screening unless they have a wife or significant other living with them. Survival of head and neck cancer patients is greatly affected by coexisting ailments Current estimates for head and neck cancer survival are largely inaccurate because they widely disregard many of the most common diseases such patients have in addition to their primary cancer, says Jay Piccirillo, M.D., a head and neck specialist at Washington University School of Medicine in St. Louis, the Siteman Cancer Center and Barnes-Jewish Hospital. Cancer survival rates impact type of Web communities used by patients Online support communities for high survival rate cancers contain a greater amount of emotional support content than online support communities for cancers with low survival rates, according to a new study from the University of Michigan Health System and the VA Ann Arbor Healthcare System. News from Cancer: Disparities in head and neck cancer patients A new analysis finds considerable disparities in survival related to race and socio-economic status among patients with head and neck cancer. Low vitamin D levels associated with increased risk of death Individuals with low levels of vitamin D appear to have a higher risk of death from all causes, according to a report in the August 11/25 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. First worldwide analysis of cancer survival finds wide variation between countries Cancer survival varies widely between countries according to a worldwide study published online today in Lancet Oncology.* More than 100 investigators contributed to the study. Risk of death after cancer diagnosis; shift in stage of breast cancer diagnosis Cancer patients with low socioeconomic status (SES) have more advanced cancers at diagnosis, receive less aggressive treatment, and have a higher risk of dying in the five years following cancer diagnosis, according to a new study. Breast cancers behave differently before and after the age of 70 Researchers in Belgium have discovered that increasing age affects the way breast cancer behaves. As women approach the age of 70, they become less likely to be diagnosed with aggressive tumours that have spread to the lymph nodes. But after 70, the cancer is increasingly likely to spread, particularly if the tumours are small. Health Insurance Co-Payments Deter Mammography Use When faced with even a modest health insurance co-payment for a mammogram, significantly fewer women receive these potentially life-saving breast cancer screenings, according to a new study by Brown University and Harvard Medical School researchers. More Cancer Survival Current Events and Cancer Survival News Articles |
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