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Evaluation of the transition phase to exclusive palliative care in patients with breast and gynecological advanced cancers

Grant number: 12/03793-9
Support Opportunities:Scholarships in Brazil - Master
Effective date (Start): June 01, 2012
Effective date (End): December 31, 2013
Field of knowledge:Health Sciences - Medicine - Medical Clinics
Principal Investigator:Carlos Eduardo Paiva
Grantee:Fernanda Capella Rugno
Host Institution: Hospital do Câncer de Barretos. Fundação Pio XII (FP). Barretos , SP, Brazil


With the progression of cancer, the focus of treatment changes from curative to palliative; in cases of gynecologic tumors or advanced breast cancer (TGBA), the active anticancer treatment is palliative. The transition between the end of anticancer treatment (active phase of treatment) to an essentially palliative care (palliative care [CP] exclusive) must ensure the quality of life (QOL). Understanding the coping strategies of these patients throughout the course of the disease allows a closer relationship with health professionals, supporting its role in the development of more positive coping strategies and efficient. Thus, this study aims to assess the coping strategies used by patients with TGBA during the transition in the model of treatment. Women diagnosed with TGBA will be followed prospectively, with two assessments of the indices of anxiety, depression, QOL and coping strategies. The instruments will be used are EMEP, HADS, EORT-QLQ-C30, a data collection protocol, the clinical performance scale (KPS)and four open-ended questions addressing the patient's perceptions about communicating the end of the antineoplastic treatment performed by medical oncologist. The data collected will be analyzed qualitatively and quantitatively. (AU)

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
RUGNO, FERNANDA CAPELLA; RIBEIRO PAIVA, BIANCA SAKAMOTO; NUNES, JOAO SOARES; PAIVA, CARLOS EDUARDO. ``There won't' be anything else ... it's over{''}: Perceptions of women referred to palliative care only. European Journal of Oncology Nursing, v. 18, n. 3, p. 261-266, . (12/03793-9)
RUGNO, FERNANDA CAPELLA; RIBEIRO PAIVA, BIANCA SAKAMOTO; PAIVA, CARLOS EDUARDO. Early integration of palliative care facilitates the discontinuation of anticancer treatment in women with advanced breast or gynecologic cancers. GYNECOLOGIC ONCOLOGY, v. 135, n. 2, p. 249-254, . (12/03793-9)

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