Publications by authors named "Victoria Huynh"

Purpose: Sexual health-related side effects during breast cancer treatment are common and distressing but not always expected by patients. We created an online sexual health educational video series to increase patients' awareness of these issues. In this exploratory study, we aimed to evaluate the acceptability, appropriateness, and feasibility of the video series among newly diagnosed breast cancer patients.

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Objective: We aimed to compare oncologic outcomes between patients achieving pathologic complete response (pCR) versus residual disease (RD) after receiving neoadjuvant systemic therapy (NST) and breast-conserving surgery (BCS).

Methods: Our institutional database was used to identify patients treated with NST and BCS for cT1-3N0 invasive breast cancer. Overall survival (OS), disease-specific survival (DSS), local-regional recurrence-free survival (LRRFS), and distant recurrence-free survival (DRFS) rates were compared between patients with pCR and RD.

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Purpose: Although breast cancer negatively impacts many patients' sexual health, clinician-provided sexual health educational materials are lacking. This study describes the novel development of educational materials intended to prepare patients for the potential sexual health side effects of their treatment.

Methods: Based on focus group results, educational scripts and video segments were created to provide sexual health and general breast cancer education.

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Purpose Of Review: Breast cancer incidence, risk factors, and risk-reducing strategies are relatively well established for cisgender persons, but this information is limited in the transgender and gender-diverse (TGD) community. TGD persons have unique considerations that may affect risk, such as the need for gender-affirming hormone therapy or gender-affirming operations. This review outlines key literature informing our knowledge of breast cancer risk and summarizes screening recommendations for TGD persons.

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Background: Neuroendocrine carcinomas (NECs) of the oropharynx are rare, aggressive neoplasms. This study assessed clinicopathologic factors and treatment outcomes using data from the National Cancer Database (NCDB).

Methods: Retrospective analysis of patients with oropharyngeal NEC's was conducted using NCDB data from 2004 to 2021.

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Objective: Traditional assessment of abdominal aortic aneurysm (AAA) progression has focused primarily on maximum transverse diameter. Emerging evidence, however, suggests that the metrics of other AAA geometric characteristics may enhance predictions of aneurysm growth and rupture risk. This systematic review aims to evaluate associations between curvilinearity metrics and AAA outcomes, while examining methodological variability within the literature.

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Purpose: There is a paucity of literature on germline pathogenic variants (gPVs) in patients with invasive lobular carcinoma (ILC). This study characterizes the landscape and compares clinicopathologic variables and treatment outcomes between those with and without gPVs.

Methods: A prospectively maintained institutional database was used to identify all patients diagnosed with nonmetastatic ILC who had germline genetic testing.

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We conducted a scoping review to address the knowledge gap concerning the prevalence of food insecurity and participation in food assistance programs among Asian Americans. In 2022, we searched nine databases for peer-reviewed articles. A team of four authors screened 900 records, identifying 35 studies.

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Article Synopsis
  • The study aimed to improve counseling and outcomes for adolescents (ages 10-24) with polycystic ovary syndrome (PCOS) by reviewing randomized controlled trials on lifestyle interventions with or without medications.
  • A systematic literature search identified 13 studies involving 789 participants, all assessed for bias, but a meta-analysis was not possible due to significant differences among studies.
  • Findings suggest that lifestyle interventions, particularly those combining exercise and healthy eating, show promise in improving symptoms related to PCOS, though more research is needed for those aged 10-17.
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Background: We assessed the impact of breast cancer (BC) patients receiving their own patient-reported outcome (PRO) results on future PROs.

Methods: Newly diagnosed female BC patients completed validated measures of satisfaction with breasts (SB), and psychosocial (PsyW), physical (PhW), and sexual wellbeing (SW) longitudinally during treatment. Patients were randomized to receive their PRO scores (Intervention) or not (Control).

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Objective: To evaluate oophorectomy rates in pediatric and adolescent patients who presented to a US emergency department with adnexal torsion METHODS: This study was a retrospective, cross-sectional analysis utilizing the National Emergency Department Sample data from 2016 to 2018. It included patients younger than 20 years old and of the female sex. International Classification of Diseases Version 10 and ICD 10 Procedure Coding System codes were utilized to define patients with adnexal torsion who underwent adnexal surgery.

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Background: It is unclear how patient-reported outcomes (PROs) change longitudinally after breast cancer surgery. We sought to compare trends in PROs among patients who underwent lumpectomy versus mastectomy over the first year after surgery.

Patients And Methods: Newly diagnosed stage 0-III female patients with breast cancer who underwent lumpectomy or mastectomy at an academic breast center between June 2019 and March 2023 were invited to participate in a longitudinal PRO study.

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Introduction: As outcomes for breast cancer patients improve, addressing the side effects and distress of treatment can optimize survivorship. Although distress in breast cancer is well known in literature, there is a lack of information on how these concerns change through the phases of the cancer care continuum. Therefore, this study investigates the longitudinal trajectory of worry in patients with nonmetastatic breast cancer.

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Introduction: It is common for cancer patients to seek a second opinion for a variety of reasons. Understanding what drives patients to choose to receive treatment with their second opinion provider may uncover opportunities to improve the second opinion process. Therefore, we sought to identify the patient, disease, and treatment characteristics that were associated with second opinion retention rates in patients seeking a second surgical opinion for breast, colon, and pancreatic cancer.

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Article Synopsis
  • - The study investigates how delays in breast cancer diagnosis affect patients' distress levels, as high distress can lead to negative health outcomes and treatment adherence issues.
  • - Researchers evaluated newly diagnosed breast cancer patients from 2014 to 2019, finding that 11% experienced delays in diagnosis, which was categorized as taking more than 30 days from abnormal mammogram to biopsy.
  • - Results indicated that patients with timely diagnoses reported higher emotional and health-related distress, suggesting that increased distress might prompt quicker healthcare engagement, while certain patient characteristics like age and cancer stage were linked to diagnostic delays.
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Background: Appropriate information may facilitate adjustment to cancer diagnoses. Our study aims to characterize informational satisfaction in breast cancer patients and assess resources used by patients to gain information.

Methods: Newly diagnosed Stage 0-III breast cancer patients seen at an academic medical center between May and September 2020 received questionnaires assessing information satisfaction.

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Background: Patient reported outcome measures (PROMs) are important for patient-centered, value-based care; however, implementation into surgical practice remains limited. We aimed to demonstrate feasibility of measuring PROMs in an academic breast cancer clinic.

Methods: We conducted a pilot study implementing the patient-reported outcome measure BREAST-Q among patients with Stage 0-III breast cancer at a single institution from 06/2019-03/2023 using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.

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Introduction: Food insecurity is prevalent in the U.S. and is associated with deleterious health, behavioral, and social consequences.

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Background: The objective of this study was to compare postoperative complication rates and healthcare charges between patients who underwent coordinated versus staged breast surgery and bilateral salpingo-oophorectomy (BSO).

Patients And Methods: The MarketScan administrative database was used to identify adult female patients with invasive breast cancer or BRCA1/BRCA2 mutations who underwent BSO and breast surgery (lumpectomy or mastectomy with or without reconstruction) between 2010 and 2015. Patients were assigned to the coordinated group if a breast operation and BSO were performed simultaneously or assigned to the staged group if BSO was performed separately.

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Purpose: In this study, we aimed to determine the incidence of receptor conversions after neoadjuvant chemotherapy (NAC) for breast cancer and assess the rate at which receptor conversion leads to changes in adjuvant therapy regimens.

Methods: We performed a retrospective review of female breast cancer patients treated with NAC at an academic breast center between January 2017 and October 2021. Patients with residual disease on surgical pathology and complete receptor status information for both pre-NAC and post-NAC specimens were included.

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Background: Squamous cell carcinoma of the anus (SCCA) is a rare gastrointestinal cancer. Factors associated with progression of HPV infection to anal dysplasia and cancer are unclear and screening guidelines and approaches for anal dysplasia are less clear than for cervical dysplasia. One potential contributing factor is the anorectal microbiome.

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From a critical refugee studies orientation, our article redefines care within the context of myriad forms of state violence impacting Southeast Asian post-war refugee communities. Research reveals how harm is compounded at every step of Southeast Asian refugee journeys: war, forced displacement, resettlement, family separation, inherited health conditions, and generational trauma. How do we reckon with refugee trauma without conceding to it as an unchangeable fact of our lives? What knowledge might we gain by attending to the everyday work of survival in refugee communities? To answer these questions, the authors conceptualize care through (a) abolitionist organizing, (b) queer kinship and affective labor, (c) historiographic caretaking, and (d) refugee reunion.

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Introduction: In this embedded substudy of a longitudinal, randomized controlled trial, we sought to evaluate the effects of patient engagement and results feedback on longitudinal patient-reported outcome (PRO) survey completion rates.

Methods: Newly diagnosed stage 0-III breast cancer patients seen at an academic breast center between June 2019 and December 2021 were invited to participate in a longitudinal PRO study. Participants were emailed the BREAST-Q survey, a validated PRO scale, preoperatively and at regular intervals during their postoperative course.

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U.S. Vietnamese experience HPV-related cancer disparities and HPV vaccine underutilization.

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Introduction: Although the economic burden of cancer care is an emerging concern in the United States, the potential financial toxicity of breast cancer care at the patient level remains poorly understood. This study aims to characterize the scope of the contributors to financial distress on breast cancer patients and the resources utilized to address them.

Methods: Adult female patients diagnosed with invasive breast cancer or ductal carcinoma in situ between 2014 and 2019 at a single institution were retrospectively evaluated.

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