An Integrated Care Approach to Improve Well-Being in Breast Cancer Patients.

Andrea Botticelli, Vittoria Barberi, Cristina Cenci, Ludovica Cardinali, Silvia Migliaccio, Elisabetta Ferretti, Giovanni Scambia, Ida Paris, Giovanni Iolascon, Valerio Bonavolontà, Alessandro Rossi, Zein Mersini Besharat, Stefano Magno, Antimo Moretti, Carlo Baldari, Alessandra Fabi, Edoardo Mocini

Journal: Current oncology reports 2024;26(4):346-358

PMID: 38400984

Free Full Text on PubMed Central View on PubMed

Abstract

BACKGROUND

Breast cancer (BC) treatment has recently been revolutionized by the introduction of newer targeted agents, that helped tailoring therapies around the single patient. Along with increased survival rates, a careful evaluation of diet, lifestyle habits, physical activity, emotional and psychological experiences linked to the treatment journey, is now mandatory. However, a true proposal for an omnicomprehensive and "integrative" approach is still lacking in literature.

METHODS

A scientific board of internationally recognized specialists throughout different disciplines designed a shared proposal of holistic approach for BC patients.

RESULTS

A narrative review, containing information on BC treatment, endocrinological and diet aspects, physical activity, rehabilitation, integrative medicine, and digital narrative medicine, was developed.

CONCLUSIONS

In the context of a patient-centered care, BC treatment cannot be separated from a patient's long-term follow-up and care, and an organized interdisciplinary collaboration is the future in this disease's cure, to make sure that our patients will live longer and better.

TRIAL REGISTRATION

NCT05893368: New Model for Integrating Person-based Care (PbC) in the Treatment of Advanced HER2-negative Breast Cancer (PERGIQUAL). Registration date: 29th May 2023.

Address: Precision Medicine Unit in Senology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Agostino Gemelli 8, 00168, Rome, Italy. [email protected].; Precision Medicine Unit in Senology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Agostino Gemelli 8, 00168, Rome, Italy.; Department of Movement, Human and Health Sciences, University Foro Italico of Rome, Rome, Italy.; Department of Experimental Medicine, University Sapienza of Rome, Rome, Italy.; Department of Experimental Medicine, University Sapienza of Rome, Rome, Italy.; Bone Metabolic Diseases Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.; Department of Biotechnological and Applied Clinical Science, University of L'Aquila, L'Aquila, Italy.; DNM-Digital Narrative Medicine, Rome, Italy.; Center for Integrative Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.; Medical Oncology 1, Regina Elena National Cancer Institute IRCCS, Rome, Italy.; Multidisciplinary Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Caserta, Italy.; Department of Theoretical and Applied Sciences, eCampus University, Rome, Italy.; Department of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.; Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.; Department of Movement, Human and Health Sciences, University Foro Italico of Rome, Rome, Italy.; Department of Experimental Medicine, University Sapienza of Rome, Rome, Italy.

DOI: 10.1007/s11912-024-01500-1