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Session 5.4 Moody
1. The Integrative Medicine and Palliative Care Team Karen Moody MD, MS Children’s Hospital at Montefiore Albert Einstein Cancer Center Retreat May 5, 2010
9. Demographic characteristics 3% Multi-racial 28% African American 16% White 2% Native American 4% Asian or Pac Islander 43% Hispanic Race n = 102 Category Variable
10. Clinical characteristics 42% Leukemia Cancer Diagnosis 6% Other 14% NHL or HD 8% Neuroblastoma 15% Sarcoma 16% Brain Tumor n = 102 Category Variable
11. Top 10 parents’ needs ( n = 91 ) 81 Hotlines I can call for information 82 Tests used to find cancer 82 Immediate side effects of treatment 84 Genes and cancer 86 Relaxation and stress management strategies 87 Alternative & natural treatments for my child’s type of cancer 88 Healthier ways to eat 91 Long-term side effects of treatment 91 What my child can eat to help with treatment side effects 94 Things I can do to reduce my child’s chance of getting another cancer I would like to learn more about: % Endorsed Item
12. Top 10 children’s needs ( n = 49 ) 61 What I can do about pain 65 Genes and cancer 65 Alternative & natural treatments for my child’s type of cancer 67 Relaxation/stress management 67 Tests for different types of cancer 67 My type of cancer 76 Healthier ways to eat 81 Long-term side effects of treatment 84 Things I can do to reduce my chance of getting another cancer 84 What I can eat to help with treatment side effects I would like to learn more about: % Endorsed Item
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30. These data indicate there was an average increase in pain scores for 2 patients (case 11 and 14). It should be noted that the patients both received intra-muscular medication administration during the yoga session. Where there is no bar, it indicates that that patients had 0/10 pain pre and post yoga
31. Anxiety Graph 2. Patient Mean Baseline and Follow-Up Anxiety T-scores
32. Table 2. Summary of Collected Data A paired, two-tailed t-test comparing pre- and post- yoga pain scores when we censored the two cases where patients received shots changes the score, which becomes statistically significant: p-value = 0.005 -9.62 -0.57 Average Change in Score <0.0001 0.079 P-Value 44.7 54.3 Anxiety T-Score 2.73 3.30 Pain Score Average Post-Yoga Score Average Pre-Yoga Score
Can add pictures here to illustrate the variety of impact’s activities
Average within patient baseline and follow-up anxiety T-scores are displayed in Graph 2. One patient (case #1) had an increased anxiety score after a yoga intervention.
The average within patient pain score before yoga was 3.30, and after yoga was 2.73 with a mean reduction in pain score of 0.57. A paired, two-tailed t-test comparing pre- and post- yoga pain scores resulted in a p-value of 0.079. The average within patient state anxiety T-score before yoga was 54.3, and after yoga was 44.7, with a mean reduction in anxiety T-score of 9.62. A paired, two-tailed t-test comparing pre- and post- yoga anxiety T-scores resulted in a p-value of 0.000004.
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