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Triggers of uncertainty about recurrence and long-term treatment side effects in older African American and Caucasian breast cancer survivors.

Identifieur interne : 003F99 ( PubMed/Curation ); précédent : 003F98; suivant : 004000

Triggers of uncertainty about recurrence and long-term treatment side effects in older African American and Caucasian breast cancer survivors.

Auteurs : Karen M. Gill [États-Unis] ; Merle Mishel ; Michael Belyea ; Barbara Germino ; Laura S. Germino ; Laura Porter ; Iris Carlton Laney ; Janet Stewart

Source :

RBID : pubmed:15146229

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English descriptors

Abstract

To examine the sources of uncertainty in older African American and Caucasian long-term breast cancer survivors by focusing on frequency of triggers of uncertainty about cancer recurrence and physical symptoms linked to long-term treatment side effects.

DOI: 10.1188/04.ONF. 633-639
PubMed: 15146229

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pubmed:15146229

Le document en format XML

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<term>Breast Neoplasms (nursing)</term>
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<term>European Continental Ancestry Group (statistics & numerical data)</term>
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<term>Female</term>
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<term>Humains</term>
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<front>
<div type="abstract" xml:lang="en">To examine the sources of uncertainty in older African American and Caucasian long-term breast cancer survivors by focusing on frequency of triggers of uncertainty about cancer recurrence and physical symptoms linked to long-term treatment side effects.</div>
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<Day>17</Day>
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<Month>08</Month>
<Day>24</Day>
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<Title>Oncology nursing forum</Title>
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<AbstractText Label="PURPOSE/OBJECTIVES" NlmCategory="OBJECTIVE">To examine the sources of uncertainty in older African American and Caucasian long-term breast cancer survivors by focusing on frequency of triggers of uncertainty about cancer recurrence and physical symptoms linked to long-term treatment side effects.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">In the context of a larger randomized, controlled treatment-outcome study, data were gathered from 10 monthly follow-up telephone calls by nurses.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Rural and urban regions of North Carolina.</AbstractText>
<AbstractText Label="SAMPLE" NlmCategory="METHODS">244 older women (mean age = 64 years); 73 African American women and 171 Caucasian women who were five to nine years after breast cancer diagnosis.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">The most frequent triggers were hearing about someone else's cancer and new aches and pains. The most frequent symptoms were fatigue, joint stiffness, and pain. Although no ethnic differences occurred in the experience of symptoms, Caucasian women were more likely than African American women to report that their fears of recurrence were triggered by hearing about someone else's cancer, environmental triggers, and information or controversy about breast cancer discussed in the media.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Illness uncertainty persisted long after cancer diagnosis and treatment, with most women experiencing multiple triggers of uncertainty about recurrence and a range of symptoms and treatment side effects.</AbstractText>
<AbstractText Label="IMPLICATIONS FOR NURSING" NlmCategory="CONCLUSIONS">Nurses can help cancer survivors to identify, monitor, and manage illness uncertainty and emotional distress.</AbstractText>
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<Grant>
<GrantID>1R01 CA78955</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
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