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New Research Demonstrates Advances in Optimizing Treatments and Quality of Life for People With Hard-To-Treat Forms of Blood Cancer
Date:12/5/2009

patterns of coping. Patients who have ACP use more problem-focused coping patterns (e.g., taking advice, active coping, seeking moral support or discussing feelings with others, planning, and having a positive outlook) as opposed to emotion-focused coping patterns (e.g., denial, behavioral or mental disengagement, turning to religion, self-blame, and substance abuse). Problem-focused coping is defined as problem solving by doing something to alter the source of stress and predominates when a person feels that something constructive can be done to affect the outcome of events. In addition, patients with ACP were more likely to be older (56 years versus 52 years), have higher income, have leukemia or myelodysplastic syndrome, and have received prior cancer treatment. The majority of patients with ACP discussed wishes for the use of life support with family (62 percent), while only 30 percent had discussed their wishes with a physician with or without family, and just 8 percent of patients had not discussed their wishes at all.

"While advance care planning may be more relevant for someone who has a life-threatening disease, it really is important to all individuals, and we hope that more people engage in this important process," said lead author Fausto R. Loberiza Jr., M.D., Associate Professor at the University of Nebraska Medical Center. "In order to increase engagement in ACP, it is important to focus on the practical importance of ACP regardless of prognosis and de-emphasize the emotional aspects of ACP. This approach may be more appealing to our patients regardless of coping style."

Dr. Loberiza will present this study in an oral presentation on Sunday, December 6, at 5:45 p.m. in Room 393-396.

Bendamustine Plus Rituximab is Superior in Respect of Progression-Free Survival and Complete Remission Rate When Compared to CHOP Plus Rituximab as First-Line Treatment of Patients With Advanced Follicular, Indolent, and Man
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SOURCE American Society of Hematology
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