Tumori Journal Abstract Book - October 2020 - 193

T - Miscellanea	
investigate the psychological and social impact of chemotherapy-induced alopecia by using the Italian
Chemotherapy-induced Alopecia Distress Scale (I-CADS),
a questionnaire consisted in 16 item and 3 dimensions:
self-perception, emotional work and social engagement.
Moreover demographical, clinical data and strategies used
to face this problem were collected. The secondary aim
was to detect any correlations between I-CADS responses
and other variables.
Material and methods: A descriptive observational study
was conducted at the Day Hospital of Oncology in Udine,
between January and February 2020. Using a consecutive
sampling method, patients over the age of 18, affected by
chemotherapy-induced alopecia, without cognitive problems, able to speech and understand Italian and giving
informed consent, were included.
Results: The study sample consisted of 228 patients, predominantly female (78.5%). The results of the study showed
that alopecia causes higher distress in "self-perception"
dimension than in "emotional work" or "social engagement"
dimensions. Moreover, the analysis showed: higher levels
of chemotherapy-induced alopecia distress in female
(p<0.001); significant negative correlation between age and
"self-perception" and "social engagement" dimensions of
I-CADS (respectively: r -0,227, p=0.001; r -0,197, p=0.003);
higher levels of distress in workers, specifically regarding
the "self-perception" dimension of the I-CADS (p=0.012).
The majority of the sample likes to use wigs or other headgears to hide their bald scalps.
Conclusions: Chemotherapy-induced alopecia causes
considerable distress in "self-perception" (body image),
while it seems to have a lower impact on social relationships. Being a woman, young and a worker are factors that
could increase this discomfort. This problem is not sufficiently considered by clinicians, but it is important to be
aware of this in order to provide adequate information,
support and care.

193
oncologist world. How do they take the final decision in
patients died within 30 days after last chemotherapy?
Medical records about 47 patients died within 30 days
from chemotherapy, were analyzed by the same oncologists through a questionary, made by a psychologist, with
13 questions about 3 topic areas:
** Individual or group decision
** Relationship with patient and family
** Result of this decision
Results: Decision of going on with therapy, was individual
for 33 out of 47 patients (70%) and from an equipe decision
for 14 out of 47 (30%). The reasons to go on, were: patient
therapeutic expectation, increase number of treatment
options available, the small possibility of benefit, emotional
difficulty to say stop . For oncologists chemo stop, would
have meant less survival possibility, personal discomfort,
patient abandonment . With chemo the quality of life was
unchanged in 64%, got worse in 32%, improved in 4%.
Conclusions: Individual decision-making can to ease the
construction of relationship with patient and communication of therapeutic stop; however it makes oncologists less
critical and increases the difficulty of stopping earlier.
Group discussion decreases the loneliness of oncologist
and assesses the patient's real needs and makes best quality of residual life possible.

T34
PSYCHOLOGICAL APPROACH IN
SUPPORTIVE CARE CONTEXT: LILT
PROJECT "NEW LIFE"
Farina P.F.1, D'Addario D.2, Franchella C.3, D'Aulerio M.3, Spina C.3,
Iorio E.3, Scipioni M.3, Antonecchia P.3, Bellomo M.3, Carfagno G.3,
Fabrizio G.3, Trivisonne R.4, Sbrolla B.4, Giorgi F.5, Cicconi A.6, Di
Battista S.6, Carrozza F.1
1

T33
THE COMPLEXITY OF CHEMO DECISIONS
AT THE END OF LIFE. WHAT DOES
ONCOLOGIST CHOOSE?
Iridile C.1, Liguigli W.1, Catania G.1, Rimanti A.1, Faglioni L.1, Rabbi
C.1, Barbieri R.1, Cantore M.1, Morselli P.1
1

ASST Mantova, Mantova

Background: A balance between residual Quality of Life
and chemotoxicity is not easy, especially in the end of life.
The decisional pathway depends not only on clinical characteristics and biology of cancer and its treatment but also
on oncologist own human and medical experience.
Materials: In the time before immune therapy, at Oncology
Unit of ASST Mantova, we evaluated, the "grey zone" of

D.H. Oncology S. Timoteo Hospital - ASReM, Termoli; 2D.H. Oncology
S. Timoteo Hospital - ASReM, Termoli (CB); 3LILT Campobasso Provincial
Association, Termoli (CB); 4LILT Ascoli Piceno Provincial Association, Ascoli
Piceno (AP); 5D.H. Oncology "Madonna del Soccorso" Civil Hospital ASUR
Marche - S.Benedetto del Tronto (AP), S. Benedetto del Tronto (AP); 6LILT
Ascoli Piceno Provincial Association, Ascoli Piceno

Background: Numerous cancer and treatment-related factors can contribute to increase the patient's distress, raising
the complexity of treatment management and influencing
the patients' quality of life. The goal of this study was to
understand patients' perceptions and needs in integrated
care in cancer.
Material and Methods: Provided data of the LILT project
in collaboration with oncologists of Termoli and San
Benedetto Hospitals were analyzed. Psychological assistance was offered to the involved patients. A self-administered questionnaire was dispensed to pts undergoing cancer



Tumori Journal Abstract Book - October 2020

Table of Contents for the Digital Edition of Tumori Journal Abstract Book - October 2020

Contents
Tumori Journal Abstract Book - October 2020 - Cover1
Tumori Journal Abstract Book - October 2020 - Cover2
Tumori Journal Abstract Book - October 2020 - I
Tumori Journal Abstract Book - October 2020 - II
Tumori Journal Abstract Book - October 2020 - Contents
Tumori Journal Abstract Book - October 2020 - IV
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