FRIDAY, April 4 (HealthDay News) -- Although most cancer
survivors polled in a recent survey said they had been fearful of
undergoing chemotherapy, most also said the treatments were much
less trying than they had expected.
In fact, 94 percent said they would advise others to undergo
chemotherapy if their doctor recommended it.
"Like most people, I was filled with fears about chemotherapy,
particularly about the possible side effects," said award-winning
broadcast journalist and author Linda Ellerbee, 63, who underwent a
double mastectomy and chemotherapy after being diagnosed with
breast cancer 16 years ago.
Ellerbee spoke at a recent news briefing in New York City,
convened to announce the results of the survey.
"It wasn't fun -- no one will tell you that chemotherapy is fun.
But it wasn't as bad as I expected, either," Ellerbee said. "The
reality is that I believe that I am here today, partly because that
treatment worked."
Ellerbee, for decades a renowned journalist at CBS, NBC and then
PBS, is also the author of a number of books for both children and
adults. The mother of two, she now writes and hosts
Nick News for Nickelodeon.
The survey -- which polled 326 U.S. adults who had undergone
cancer chemotherapy within the past five years -- was sponsored by
the nonprofit National Coalition for Cancer Survivorship (NCCS) and
drug maker Sanofi-Aventis, who together have created the
Surviving With Confidence campaign to help patients gain a
better understanding of cancer care.
Some of the survey's findings:
- Around eight out of 10 cancer survivors said they had been
fearful prior to starting chemotherapy, with most (76 percent)
worried primarily about side effects such as hair loss, nausea and
fatigue.
- Looking back, almost two-thirds (62 percent) said those fears
were unjustified. Just 14 percent described their side effects as
"very difficult," and about a third (32 percent) had a "somewhat
easy" or "very easy" experience with treatment.
- Almost all (87 percent) of survivors said that new supportive
care products made the side effects that they did experience much
more manageable than they had expected.
- Eighty-seven percent of survivors who had experienced side
effects said that chemotherapy was worth going through, and 90
percent said the treatments had given them real hope for
survival.
Anne Willis, 25, is NCCS' director of survivorship programs and
a 10-year survivor of Ewing's sarcoma, a rare malignancy that
attacks the bone or soft tissue. She told conference attendees that
when she first knew she would be undergoing chemotherapy, she "was
too scared to ask the nurses what to expect. I never had any
conversations with anybody, so I was absolutely terrified."
But, like many of those polled in the survey, Willis said she
soon realized that her fears of chemotherapy were exaggerated. Her
attitudes toward her health-care team changed, too. "I became much
more of an active participant in my care," Willis said. "I never
hesitated if I had a problem. One time I had a full-body rash that
did not make me very popular, and I immediately told my doctor
about it. We treated it and took care of the problem."
Too often, patients remain mum about their fears and the side
effects that they do experience. Ellerbee said she was lucky,
because her training as a journalist had taught her to ask
questions.
"If you are living with cancer, talk to your doctors and other
health professionals about these issues," she advised. "If you've
got fears, tell them. If you have questions, ask them. Side effects
-- tell them. Ask what they can do to help you."
The NCCS strongly advises that patients also get written
"Treatment Plans" from their health-care team
before they begin chemotherapy -- a document that outlines
the interventions they will receive; potential side effects; and
ways to manage those side effects.
"I know personally that having that piece of paper would have
encouraged me to open up that dialogue with my health-care team,"
Willis said.
Everyone agreed that, if anything, cancer care has gotten both
easier and more effective in the decade or more since Willis and
Ellerbee received their care.
"Things are dramatically different now in the 10 or 12 years
since [Willis'] treatment, in terms of what we can do for patients
to improve their care," said oncologist Dr. Howard Burris, who is
chief medical officer and director of drug development at the Sarah
Cannon Research Institute in Nashville, Tenn. "It's really made
cancer care an outpatient business."
Ellerbee agreed. "Since my diagnosis, there have been many
advances in cancer care, and more people survive every year because
of new treatment options," she said. "In other words, it is more
possible today to live life as you know it -- and to have that life
as you know it go on -- while you are undergoing therapies that can
potentially extend your life or save your life."
"It has been 16 years since I was diagnosed with cancer,"
Ellerbee added, "and every morning that I wake up on the right side
of the grass, I am a grateful woman, because I did not let my fears
keep me from getting the treatment that I needed."
More information
For more on living with and beyond cancer, visit the
National
Coalition for Cancer Survivorship.