Systematic ReviewResearchPatient Education

eHealth support may reduce depression in parents of children with cancer

Asia-Pacific journal of oncology nursing (PubMed)Aug 11, 2026

AI-summarized from the linked source. Educational brief, not medical advice.

Brief summary

A meta-analysis of randomized trials found moderate-certainty evidence that eHealth interventions may reduce depression among parents of children with cancer, while evidence for anxiety, quality of life, and post-traumatic stress symptoms remained very uncertain.

What NurseJet pulled from the source

Thirteen randomized trials involving 1,022 parents were included. The pooled depression effect favored eHealth support (SMD -0.56; 95% CI -0.76 to -0.36), but certainty for the other outcomes was very low.

Why this matters for nurses

Parents navigating childhood cancer may need ongoing psychosocial support outside clinical visits. Digital options may extend access, but the evidence is most credible for depressive symptoms and should not be generalized to every outcome.

Bedside takeaway

Digital caregiver support may help depressive symptoms, but broader psychosocial benefits remain uncertain.

Key takeaways

The pooled anxiety estimate favored eHealth interventions, but heterogeneity was high and certainty was very low.
Quality of life did not improve significantly in the pooled analysis.
The post-traumatic stress estimate was not stable in sensitivity analysis.

Practice implications

Screen caregiver distress within the established oncology pathway, explain available digital support without presenting it as a replacement for clinical care, and escalate urgent mental-health concerns through local protocols.

Limitations & cautions

Abstract-only summary. Evidence certainty was moderate only for depression and very low for anxiety, quality of life, and post-traumatic stress symptoms; intervention reporting and follow-up also varied.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations

Exact source links

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Asia-Pacific journal of oncology nursing (PubMed)

Asia-Pacific journal of oncology nursing (PubMed). Effects of eHealth interventions on depression, anxiety, quality of life, and post-traumatic stress symptoms among parents of children with cancer: A meta-analysis of randomized controlled trials.

Open original source

https://pubmed.ncbi.nlm.nih.gov/42730132/

Professional education only

This summary does not replace clinical judgment, facility policy, provider orders, or official guidelines. Verify practice changes against the original source and local protocol.

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Breast Cancer Research and Treatment (PubMed)Sep 22, 2026Systematic Review

A systematic review and meta-analysis found that ovarian function recovery after chemotherapy was limited among premenopausal women with breast cancer and increased over time, with older age and longer chemotherapy associated with lower recovery odds.

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Across 34 studies including 10,216 women, pooled recovery probabilities were 30.4% at 12 months, 38.5% at 24 months, and 43.4% at 60 months. The pooled mean time to recovery was 12.3 months, and the wide confidence intervals show substantial uncertainty around longer-term estimates.

Key takeaways

Older age was associated with lower odds of ovarian function recovery, with a pooled odds ratio of 0.25.
Longer chemotherapy duration was also associated with lower recovery odds, with a pooled odds ratio of 0.68.
Pretreatment anti-Müllerian hormone appeared favorable in individual studies, but the pooled association was not statistically significant.

Why this matters on shift

Oncology nurses often identify fertility concerns, prepare patients for treatment effects, and coordinate referrals. The findings reinforce the importance of discussing reproductive risk and established fertility-preservation options before cancer-directed therapy begins.

Bedside takeaway

Surface reproductive goals before chemotherapy and help complete timely fertility-preservation referrals through the approved oncology pathway.

Nursing implications

Ask about reproductive goals before treatment when appropriate, document concerns, and route timely referrals through the oncology team's fertility-preservation pathway. Present recovery estimates as pooled probabilities rather than predictions for an individual patient.

Limitations & cautions

The studies varied in populations, treatments, and definitions of ovarian recovery. Confidence intervals were wide, especially at 60 months, and the abstract does not establish which fertility-preservation strategy is best for an individual patient.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Breast Cancer Research and Treatment (PubMed). Recovery of ovarian function after chemotherapy in premenopausal women with breast cancer: a systematic review and meta-analysis.

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

Pediatrics (PubMed)Sep 21, 2026Research Article

A large health-system implementation study found that hybrid congenital CMV screening was feasible and increased case detection, while follow-up audiology access remained a major gap.

Peds L&D / OBAI summaryReview source

Research ArticleResearchQuality ImprovementPatient EducationAI summary · original source linked below

Among 50,438 births from 2022 through 2025, 7,491 infants were screened using universal NICU screening plus targeted newborn-nursery screening. Thirty-four infants had confirmed congenital CMV, and case detection increased about 2.5-fold after implementation.

Key takeaways

Annual screening increased from about 150 infants to more than 2,000 after the multidisciplinary program was introduced.
Confirmed congenital CMV was detected in 0.45% of screened infants, with higher detection in the targeted group than the universal NICU group.
Logistical, socioeconomic, and educational barriers limited audiology follow-up despite successful integration of screening workflows.

Why this matters on shift

Newborn and pediatric nurses support specimen collection, parent education, result communication, and follow-up coordination. The study shows that screening implementation can improve detection, but the clinical benefit depends on families reaching audiology and other indicated follow-up services.

Bedside takeaway

Screening only helps when results and audiology follow-up are reliably carried through after discharge.

Nursing implications

Follow the facility's newborn CMV screening criteria and specimen workflow, document completion and results, explain the planned next steps in plain language, and help close audiology and pediatric follow-up loops before and after discharge.

Limitations & cautions

This was a retrospective implementation study in one Ohio health system rather than a randomized comparison. The screening approach combined universal NICU and targeted nursery testing, and the abstract does not establish a nationally preferred protocol or long-term outcome benefit.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Pediatrics (PubMed). Implementing Congenital CMV Screening in a Large Hospital System.

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

Journal of Neurology (PubMed)Sep 20, 2026Systematic Review

A systematic review characterized cancer-associated coagulopathy stroke as an underrecognized ischemic stroke mechanism linked to advanced cancer, early recurrence, and poor outcomes.

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The qualitative review included 82 studies. Cancer-associated coagulopathy stroke occurred predominantly within six months of cancer diagnosis, most often with advanced or metastatic adenocarcinoma; D-dimer was the biomarker most consistently associated with recurrence and mortality, and reported 30-day mortality ranged from 25% to 50%.

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Lung and pancreatic adenocarcinomas were the histologic subtypes most frequently associated with cancer-related coagulopathy stroke.
Multiple infarcts across more than two vascular territories were a characteristic imaging pattern described in the review.
Low-molecular-weight heparin and direct oral anticoagulants were commonly used for secondary prevention, but the review did not establish one optimal antithrombotic strategy.

Why this matters on shift

Neuro and oncology nurses may be first to recognize a new focal deficit or recurrent neurologic change in a patient with active cancer. The review highlights a high-risk stroke mechanism that requires rapid assessment while leaving treatment selection to individualized multidisciplinary evaluation.

Bedside takeaway

Escalate new neurologic deficits immediately and communicate the patient's cancer and antithrombotic context to the stroke team.

Nursing implications

Treat any new focal neurologic deficit as an emergency, document onset and progression precisely, and promptly communicate active or metastatic cancer, recent cancer diagnosis, coagulation results, and current antithrombotic therapy to the stroke team. Follow facility stroke and anticoagulation protocols and provider orders.

Limitations & cautions

The review synthesized heterogeneous studies qualitatively and did not report a pooled treatment comparison. Biomarkers other than D-dimer had limited specificity, and the abstract does not support choosing one anticoagulant or screening strategy.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Journal of Neurology (PubMed). Stroke secondary to cancer-associated coagulopathy: a systematic review.

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

Key takeaways

Practice implications

Limitations & cautions

Exact source links

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