Declan Walsh
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View article: DISP-02. Financial toxicity: frequency, impact, and unmet needs in primary brain malignancy
DISP-02. Financial toxicity: frequency, impact, and unmet needs in primary brain malignancy Open
Financial toxicity, representing the burden and distress of healthcare costs to patients and families, is high within medical oncology. Oncology nurse navigation (ONN) plays an important role in guiding cancer patients toward resources to …
View article: Proton pump inhibitors and all-cause mortality in colorectal cancer
Proton pump inhibitors and all-cause mortality in colorectal cancer Open
View article: Explainable AI Systems Must Be Contestable: Here's How to Make It Happen
Explainable AI Systems Must Be Contestable: Here's How to Make It Happen Open
As AI regulations around the world intensify their focus on system safety, contestability has become a mandatory, yet ill-defined, safeguard. In XAI, "contestability" remains an empty promise: no formal definition exists, no algorithm guar…
View article: Nutritional Interventions in Advanced Cancer: Scoping Review
Nutritional Interventions in Advanced Cancer: Scoping Review Open
Background: It is unclear what evidence supports nutritional advice received by those with advanced cancer. In advanced cancer, the benefits of nutritional interventions are less clear, with no consensus about effectiveness. This uncertain…
View article: Weight Loss in Cancer and the 2017 Common Terminology Criteria for Adverse Events—Dangerous and Misleading
Weight Loss in Cancer and the 2017 Common Terminology Criteria for Adverse Events—Dangerous and Misleading Open
Accurate toxicity reporting in cancer clinical trials is necessary to promote regulatory decision making. Up to 85% of those with some cancers (e.g., oesophagus, head and neck, and pancreas) experience significant progressive weight loss (…
View article: Improving predictive accuracy of early recurrence in pancreatic ductal adenocarcinoma: Role of postoperative serum tumor markers
Improving predictive accuracy of early recurrence in pancreatic ductal adenocarcinoma: Role of postoperative serum tumor markers Open
In a recent study by He et al , the nomogram integrates postoperative serum tumor markers such as carbohydrate antigen 19-9 and carcinoembryonic antigen, thereby improving the accuracy of identifying high-risk patients compared to relying …
View article: Sputum culture contamination and associated characteristics in a diagnostic clinical trial, Papua New Guinea
Sputum culture contamination and associated characteristics in a diagnostic clinical trial, Papua New Guinea Open
SETTINGPapua New Guinea is a high-burden multidrug-resistant TB (MDR/RR-TB) country that reports low rates of bacteriological confirmation. Sputum drug susceptibility testing for second-line drugs is important. Access to culture is limited…
View article: Proton pump inhibitors and all-cause mortality risk among cancer patients
Proton pump inhibitors and all-cause mortality risk among cancer patients Open
BACKGROUND Proton pump inhibitors (PPIs) are widely used, including among cancer patients, to manage gastroesophageal reflux and other gastric acid-related disorders. Recent evidence suggests associations between long-term PPI use and high…
View article: Association between incretin-based drugs and risk of cholangiocarcinoma among patients with type 2 diabetes: A large population-based matched cohort study
Association between incretin-based drugs and risk of cholangiocarcinoma among patients with type 2 diabetes: A large population-based matched cohort study Open
GLP-1RAs and DPP-4Is were not associated with a significantly increased risk of CCA. GLP-1RAs even showed a reduced risk of CCA development. They can be considered as safe and effective treatment options for patients with T2DM at risk of C…
View article: Correction to: Opioid analgesic dose and route conversion ratio studies: a scoping review to inform an eDelphi guideline
Correction to: Opioid analgesic dose and route conversion ratio studies: a scoping review to inform an eDelphi guideline Open
View article: Interlaboratory Comparison of SpermX™ and Conventional Differential Extractions Indicated High Male DNA Recovery by the SpermX Method
Interlaboratory Comparison of SpermX™ and Conventional Differential Extractions Indicated High Male DNA Recovery by the SpermX Method Open
The National Institute of Justice reported that current methods for processing sexual assault samples have a high failure rate, with 60 to 80 percent of tested kits unable to produce usable DNA profiles. Even when samples test positive for…
View article: Interlaboratory Comparison of SpermX™ and Conventional Differential Extractions Indicated High Male DNA Recovery by the SpermX Method
Interlaboratory Comparison of SpermX™ and Conventional Differential Extractions Indicated High Male DNA Recovery by the SpermX Method Open
The National Institute of Justice reported that current methods for processing sexual assault samples have a high failure rate, with 60 to 80 percent of tested kits unable to produce usable DNA profiles. Even when samples test positive for…
View article: PO-3 Cancer inpatient malnutrition risk, documentation, and underdiagnosis in an academic medical center
PO-3 Cancer inpatient malnutrition risk, documentation, and underdiagnosis in an academic medical center Open
We evaluated prevalence of MN risk, dietitian documented MN (DDMN), physician coded malnutrition (PCMN) in consecutive inpatients with solid tumors. EMR reviewed for admissions (2016–2019). High MN risk (≥2 on Malnutrition Screening Tool;…
View article: L3 Supportive oncology: a novel department in a major US cancer institute
L3 Supportive oncology: a novel department in a major US cancer institute Open
The first palliative medicine program in the US was established in 1987 at the Cleveland Clinic. A broader concept of Supportive Oncology based on the Cleveland experience is in development at the Levine Cancer Institute in Charlotte, Nor…
View article: Taste and smell abnormalities in advanced cancer: Negative impact on subjective food intake
Taste and smell abnormalities in advanced cancer: Negative impact on subjective food intake Open
Background Taste and smell abnormalities (TSAs) are present in all cancer stages and may contribute to malnutrition. Despite this, they are rarely screened for. This study examined the prevalence and characteristics of TSAs and their influ…
View article: Myocardial strain: a clinical review
Myocardial strain: a clinical review Open
View article: Cardiovascular Vital Signs at Solid Tumor Diagnosis: Hypotension and Tachycardia Predict Shorter Overall Survival
Cardiovascular Vital Signs at Solid Tumor Diagnosis: Hypotension and Tachycardia Predict Shorter Overall Survival Open
Objective: We examined whether cardiovascular vital signs (VS) were prognostic for overall survival (OS) in newly diagnosed adult cancer outpatients. Methods: Electronic medical records data for patients with a solid tumor diagnosis and ≥2…
View article: Dysphagia in Solid Tumors Outside the Head, Neck or Upper GI Tract: Clinical Characteristics
Dysphagia in Solid Tumors Outside the Head, Neck or Upper GI Tract: Clinical Characteristics Open
Dysphagia management in those with cancer requires robust assessment to uncover clinically important needs like food texture modification and safe swallowing advice. Better assessment tools should be developed for this purpose. Oral health…
View article: Platform Incorporating Patient Navigation, Preparative Guidelines, and Hospital at Home May Improve COVID-19 Outcomes for Patients with Myeloid Malignancies
Platform Incorporating Patient Navigation, Preparative Guidelines, and Hospital at Home May Improve COVID-19 Outcomes for Patients with Myeloid Malignancies Open
Background: Patients (pts) with malignancies are at increased risk of morbidity and mortality from COVID-19. Among these pts, some of the higher case fatality ratios (CFR) reported are among pts with myeloid malignancies, ranging from 37 t…
View article: Malnutrition risk at solid tumor diagnosis: the malnutrition screening tool in a large US cancer institute
Malnutrition risk at solid tumor diagnosis: the malnutrition screening tool in a large US cancer institute Open
View article: Malnutrition Risk at Solid Tumor Diagnosis: the Malnutrition Screening Tool in a Large US Cancer Institute
Malnutrition Risk at Solid Tumor Diagnosis: the Malnutrition Screening Tool in a Large US Cancer Institute Open
BackgroundIn cancer, malnutrition (MN) is common and negatively impacts tolerance and outcomes of anti-tumor therapies. The aim of this study was to evaluate the prevalence of MN risk and compare the clinicodemographic features between tho…
View article: Management of Dyspnea in Advanced Cancer: ASCO Guideline
Management of Dyspnea in Advanced Cancer: ASCO Guideline Open
PURPOSE To provide guidance on the clinical management of dyspnea in adult patients with advanced cancer. METHODS ASCO convened an Expert Panel to review the evidence and formulate recommendations. An Agency for Healthcare Research and Qua…
View article: EEG Correlates of Central Origin of Cancer-Related Fatigue
EEG Correlates of Central Origin of Cancer-Related Fatigue Open
The neurophysiological mechanism of cancer-related fatigue (CRF) remains poorly understood. EEG was examined during a sustained submaximal contraction (SC) task to further understand our prior research findings of greater central contribut…
View article: Levine Cancer Institute Approach to Pandemic Care of Patients With Cancer
Levine Cancer Institute Approach to Pandemic Care of Patients With Cancer Open
View article: Patient sources of diet and nutrition information after a cancer diagnosis
Patient sources of diet and nutrition information after a cancer diagnosis Open
Cancer patients experience many diet and nutrition-related problems, which are often under-recognised and under-treated. Research suggests few healthcare professionals discuss dietary information with cancer patients. Consequently, patient…
View article: Correction to: Enteral and parenteral nutrition in cancer patients, a comparison of complication rates: an updated systematic review and (cumulative) meta-analysis
Correction to: Enteral and parenteral nutrition in cancer patients, a comparison of complication rates: an updated systematic review and (cumulative) meta-analysis Open
View article: Dysphagia Prevalence and Predictors in Cancers Outside the Head, Neck, and Upper Gastrointestinal Tract
Dysphagia Prevalence and Predictors in Cancers Outside the Head, Neck, and Upper Gastrointestinal Tract Open
View article: Malnutrition in Cancer Care: Time to Address the Elephant in the Room
Malnutrition in Cancer Care: Time to Address the Elephant in the Room Open
View article: Complex Terrain: Megacities and the Changing Character of Urban Operations
Complex Terrain: Megacities and the Changing Character of Urban Operations Open
This edited volume, composed by military professionals in the Gray Scholars Program at Marine Corps University, describes the changing character of urban operations. The pattern of human settlement and interaction is changing and the futur…