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- W2587699915 abstract "Current treatment for glioblastoma (GBM) include tumor treating fields (TTFields) in combination with adjuvant temozolomide (TMZ). TTFields are FDA-approval for recurrent and newly diagnosed GBM. TTFields are delivered though a portable, noninvasive device (Optune®, Novocure, Inc, USA) that provides localized treatment. The Optune device captures compliance data through reports that show usage over 28 days of treatment delivered throughout the day. Single-use transducer arrays connected to an electric field generator are applied to the scalp to deliver TTFields. Patient compliance is critical to optimize the overall (OS) survival advantage demonstrated by treated patients. In EF-11, which compared TTFields and provider’s choice chemotherapy in recurrent GBM, patients who received daily treatment for >18 hours daily showed higher OS than <18 hours/daily. Cognitive and emotional functioning measured by the EORTC QLQ-C30 improved from baseline in the TTFields arm. In EF-14, comparing TTFields plus TMZ versus TMZ alone in newly-diagnosed GBM, cognitive functioning, emotional functioning, physical functioning, role functioning, and social functioning did not significantly decline with TTFields plus TMZ. It is imperative that patients and their family be educated on complying with 18 hour/daily treatment duration. Discussions on short, daily treatment breaks, daily exercise regimen if feasible, and other resources (‘loosely woven’ cranial prosthesis, wigs, sun-protecting hats) can help educate and facilitate compliance with 18 hour/daily treatment duration. The noninvasive aspect of TTFields precludes typical systemic side effects associated with chemotherapy. Adverse events associated with TTFields are mild to moderate (grade 1-2) skin irritation, which are easily managed, reversible, and didn’t result in treatment discontinuation. The correlation of patient compliance with improved survival and reduced toxicities underscores importance of providing comprehensive patient/family education on use of TTFields in GBM by the treatment team. Data analyses on patient and family education provided by an interdisciplinary treatment team is ongoing and will be presented." @default.
- W2587699915 created "2017-02-17" @default.
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- W2587699915 date "2016-11-01" @default.
- W2587699915 modified "2023-09-26" @default.
- W2587699915 title "NIMG-63. OPTIMAL PATIENT AND FAMILY EDUCATION IS KEY TO IMPROVING THE EFFICACY OF TUMOR TREATING FIELDS PLUS CHEMOTHERAPY IN TREATMENT OF GBM" @default.
- W2587699915 doi "https://doi.org/10.1093/neuonc/now212.574" @default.
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