Articles

  • Jan 14, 2025 | nature.com | Jun Mao |Karolina Bryl |Erin Gillespie |Raymond E. Baser |Katherine S. Panageas |Michael A. Postow | +1 more

    Exercise and mindfulness-based interventions have growing evidence for managing fatigue and comorbid symptoms; however, packaging them in a cohesive digital way for patients undergoing cancer treatment has not been evaluated. We conducted a randomized controlled trial to assess the impact of a 12 week digital integrative medicine program, Integrative Medicine at Home (IM@Home), versus enhanced usual care on fatigue severity (primary outcome), comorbid symptoms and acute healthcare utilization (secondary outcomes), in 200 patients with solid tumors experiencing fatigue during treatment. Fatigue severity decreased more in IM@Home than in the control (1.99 vs. 1.51 points; p = 0.04). IM@Home participants also had reduced symptom distress (p = 0.003), anxiety (p = 0.03), and depression (p = 0.02). Acute healthcare utilization was lower with IM@Home, with fewer emergency department visits (rate ratio 0.49; p = 0.04), hospitalizations (4% vs. 12.9%; p = 0.03), and shorter hospital stays (4.25 vs. 10 days; p < 0.001). These promising findings should be confirmed in phase III clinical trials. “Study registered at clinicaltrials.gov (NCT05053230) on 09-20-2021”.

  • Dec 6, 2024 | redjournal.org | Erin Gillespie

    The field of radiation oncology has achieved significant technological and scientific advancements in the 21st century. Yet uptake of new evidence-based practices has been heterogeneous, even in the presence of national and international guidelines. Addressing barriers to practice change requires a deliberate focus on developing and testing strategies tailored to improving care delivery and quality, especially for vulnerable patient populations.

  • Sep 11, 2024 | noozhawk.com | Erin Gillespie

    Mary Ann Skare entered eternal rest with our Lord on September 5, 2024, surrounded by family and friends. She was born on November 15, 1945, in Minneapolis, Minn., to Clement and Lucretia Savage. Mary was the third in the birth order and the eldest daughter of their seven children. When Mary was 5 years old, the Savage family moved to Santa Barbara where she attended San Roque Catholic Elementary School and graduated from Bishop Garcia Diego High School in 1963.

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