Author of

• 28971

  +

  Lunch & Poster Display session (ID 58)

  • Event: ELCC 2019
  • Type: Poster Display session
  • Track:
  • Presentations: 2
  • Moderators:
  • Coordinates: 4/11/2019, 12:30 - 13:00, Hall 1

  • 29132

    +

    201P - Psychosocial and financial impact on family of lung cancer patients: A cancer research center experience (ID 528)

    12:30 - 13:00  |  Author(s): Surendra Kumar Beniwal
    • Abstract

    Background
    

    Caregivers play a critical role and most affected peoples in the oncology setting and having an understanding of this may assist health care professionals in supporting them with these tasks, and targeting services towards those most in need. Cancer is one of the most common health conditions to receive informal caregiving, with the majority of caregivers reporting taking on this role because of family responsibility and there being little choice or no one else to provide the care.

    a9ded1e5ce5d75814730bb4caaf49419 Methods
    

    Our article aims to provide an overview of the issues faced by caregivers of 340 people diagnosed with advanced stage lung cancer, with a particular emphasis on the psychosocial and economic impact of caring.

    20c51b5f4e9aeb5334c90ff072e6f928 Results
    

    The caregiver participants ranged in age from 18 to 90 years (mean age 55 years), and most (69.11%) were women. The majority (66%) were spouses, and others were offspring (17%), siblings (7%), parents (4%), or friends (3%). The types of support included was emotional, instrumental (eg. information obtaining medical services), tangible (eg. household chores) and medical (eg. administering medication). The physical problems included were fatigue, sleep disturbances, loss of weight and appetite. Self‐reported measures of psychological morbidity (usually anxiety or depression) suggested 20 to 30% clinically significant distress. Almost 65% reported difficulty in managing social or leisure activities. Between 14% and 30% stated a need for more financial help and 54% of caregivers of working age (<65 years) had difficulties in managing their regular employment in the last months of terminal care to fulfill health costs including travel, hospital stays, drugs and supportive care. Since most of the Indian population is from a rural background, 36% patients ended up with a loss of follow-up.

    fd69c5cf902969e6fb71d043085ddee6 Conclusions
    

    Having a better understanding of the critical and broad roles that caregivers play in the oncology setting and the impact of these on their health and well-being may assist health care professionals in supporting caregivers with these tasks and targeting services and interventions toward those most in need.

    b651e8a99c4375feb982b7c2cad376e9 Legal entity responsible for the study
    

    The authors.

    213f68309caaa4ccc14d5f99789640ad Funding
    

    Has not received any funding.

    682889d0a1d3b50267a69346a750433d Disclosure
    

    All authors have declared no conflicts of interest.

    cffcb1a185b2d7d5c44e9dc785b6bb25

  • 29028

    +

    65P - Experience of prophylactic cranial irradiation in extensive stage small cell lung cancer at a regional cancer center in India (ID 536)

    12:30 - 13:00  |  Author(s): Surendra Kumar Beniwal
    • Abstract

    Background
    

    We conducted this randomized trial at our center to assess benefits of prophylactic cranial irradiation (PCI) in cases of extensive stage small cell lung cancer (eSCLC), who showed complete or partial response to 4 cycles of cisplatin and etoposide chemotherapy-based regime.

    a9ded1e5ce5d75814730bb4caaf49419 Methods
    

    For the study, 71 patients of histology proven SCLC with extensive stage (with no symptomatic and radiological brain metastasis) on clinico-radiological examination were randomized into two arms (Arm A and Arm B). Patients in Arm A were treated with PCI whilw those in Arm B were kept on observation, patient in both arms were followed for 1 year. Primary endpoint of the study was to assess the time of onset of symptomatic brain metastasis in both arms. Computer Tomography (CT scan) or Magnetic Resonance Imaging (MRI) was performed in patients who had any symptom suggestive of brain metastasis.

    20c51b5f4e9aeb5334c90ff072e6f928 Results
    

    Patients in both arms (36 in Arm A and 35 in Arm B) were comparable for baseline characteristics. Patients in Arm A had significantly low risk of symptomatic brain metastasis then Arm B (p value = <0.005). The risk of brain metastasis in Arm A was 19.4% and in Arm B it was 51.4%. Mean duration for freedom from symptomatic brain metastasis in Arm A was 8.36 months while it was 4.49 months for Arm B. Overall 1 year median survival rate in Arm A was significantly higher in Arm A then Arm B (8 months vs 4 months). Patients in Arm A had higher toxicities, but they were mostly manageable and were not associated with poor quality of life.

    fd69c5cf902969e6fb71d043085ddee6 Conclusions
    

    PCI is associated with significantly low risk of symptomatic brain metastasis and higher overall survival without affecting quality of life in eSCLC.

    b651e8a99c4375feb982b7c2cad376e9 Legal entity responsible for the study
    

    Aacharya Tulsi Regional Cancer Treatment and Research Center, Bikaner.

    213f68309caaa4ccc14d5f99789640ad Funding
    

    Has not received any funding.

    682889d0a1d3b50267a69346a750433d Disclosure
    

    All authors have declared no conflicts of interest.

    cffcb1a185b2d7d5c44e9dc785b6bb25