Browsing by Subject "oncology"

Now showing 1 - 3 of 3
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    COVID-19 Concerns among Physicians who treat cancer survey in the United States, Cross-sectional study March/April 2020
    (2020-09-24) Vogel, Rachel I; Thomaier, Lauren; Lou, Emil; Teoh, Deanna; Jewett, Patricia; Beckwith, Heather; Parsons, Helen; Yuan, Jianling; Blaes, Anne H; Hui, Jane YC; isak0023@umn.edu; Vogel, Rachel I.
    Cross-sectional anonymous online survey among physicians treating individuals with cancer in the United States during the initial phase of the COVID-19 pandemic (March 27, 2020 – April 10, 2020). Recruitment: Snowball convenience sampling through social media (Twitter, Facebook, LinkedIn). Eligibility criteria: ≥18 years, able to read/write in English, and being a physician (MD or DO) currently residing and providing cancer treatment in the United States. Data collected and stored in REDCap.
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    Negotiating Responsibility: Ethics of Choice and Care in Postsocialist Oncology Wards in Serbia
    (2023-04) Milic Kolarevic, Milica
    This dissertation problematizes the, often taken for granted, assumptions about individual agency in the realms of the body, disease and medicine. I show that ethics of care, as framed in contemporary Serbian postsocialist context, serves as a unique example of simultaneously coexisting ideas about the assumed neoliberal agency and imagined socialist obedience as both equally necessary for navigating the complex landscape of rapidly privatizing health care in Serbia. To this end, I elaborate concrete interactions occurring in Serbian oncology clinics in order to illuminate the intersections among state and global politics; politicaland legal transformations; and the formal and informal strategies patients and doctors employ on behalf of personal and collective interests. Here, there is a commitment to a complex understanding of ethics of care as people work to navigate the transition from socialism that embodies longstanding ideas about state and citizenship, marked by tropes of, respectively, patronship and obedience to an imagined neoliberal capitalist future articulated in terms of individual responsibility and agency. Finally, I show that the storytelling practice of using nostalgia and resignation as a backdrop for describing hope and hopelessness, marks one of the fundamental tools used to embody “Serbianness” - the skill of melancholic letting go and grieving the lost, both past and future, opportunities.
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    Pharmacist-Driven Management of Chemotherapy Induced Nausea and Vomiting in Hospitalized Adult Oncology Patients. A Retrospective Comparative Study
    (University of Minnesota, College of Pharmacy, 2011) Elshaboury, Ramy; Green, Kathleen
    Chemotherapy-induced nausea and vomiting (CINV) is a major adverse event associated with cancer treatments. There are clinical practice guidelines that assist practitioners in managing CINV. Many cancer centers develop protocols for physicians and pharmacists to guide prophylaxis and breakthrough treatments of CINV based on published guidelines. The purpose of this study was to evaluate the outcome differences between pharmacist and physician -driven management of CINV in adult hospitalized cancer patients in a large academic medical center. This is a single center retrospective chart review study. The primary outcome of the study was the number of breakthrough antiemetic doses needed throughout the hospitalization. A total of 106 adult patients receiving inpatient chemotherapy were reviewed for CINV management. Fifty-five patients (52%) were managed according to the pharmacist-driven protocol, and fifty-one patients (48%) were managed by the physician. There was no difference between the two groups in the primary outcome. Patients in the pharmacist-managed group needed 6.4 breakthrough antiemetic doses; whereas, patients in the physician managed group needed 5.9 doses throughout the hospital stay (P-value = 0.7). No difference was seen when results were adjusted for length of hospitalization. There was a difference in adherence to the institution CINV guidelines favoring the pharmacist-driven approach (85% versus 33%, P < 0.0001). In conclusion, pharmacist-run protocol for CINV management was as effective as the standard of care. Protocols that are based on practice guidelines may offer the advantage of care standardization and potential cost savings.