Tumori Journal Abstract Book - October 2020 - 195

T - Miscellanea

195

(BMI), phase angle (PA) and bioelectrical impedance analysis (BIA) was recorded at the first evaluation and after 1,
3 and 6 months.
Results: Eighty-three patients pts (37 males, 46 females)
from the 120 pts recruited, satisfied the requirements for
comparisons and their data were analyzed. In detail: colon
(19 pts), breast (18 pts), gastric (13 pts), lung (6 pts), pancreas (3 pts), hematological (3 pts) and head and neck (1
pts ), other cancer (20 pts). A personalized nutritional program was required for 61 pts (74,4%). Besides, 42 pts
(54%) had a mts disease, malnutrition was reported in 29
of them and sarcopenia in 13 of them. In our sample, 44 pts
(53,7%) were overweigh or obeses, and 5 of them had sarcopenia. A very low BMI (<21) was reported in pts with
gastric, œsophageal, pancreas, head and neck cancer at
first evaluation. A low PA (age and sex adjusted) was
reported in 25 pts with mts and 10 pts with n-mts. Of 25 pts
with mts and low PA, 12 pts passed away. At first evaluation, from the 29 pts with mts that were at risk of malnutrition or malnourished, 11 pts completed the nutritional
assessment at 6 months. Of these 11 patients, 6 pts were
not malnourished or at risk of malnutrition after 6 months.
Conclusions: The nutritional assessment seems to be
required in cancer pts and it should be performed early for
pts with gastric, œsophage, head and neck cancer for the
high risk of malnutrition as reported in the literature. Our
data confirm an improvement of the nutritional status,
after a personalized nutritional program in patients that
were at risk of malnutrition. PA can be considered a noninvasive indicator of the severity of disease.

Material (Patients) and Methods: From 2017 to 2019, we
organized five groups of patients, 11 participants each, for a
total of 56 patients. The median age was 55 years, 32%
women and 68% men. During the laboratory, we proposed
various types of exercises to help patients express their
thoughts and emotions and to share them within the group.
We wanted to publish a collection of their works so we asked
each component of the group to send us one of their works.
Half of the participants (28 subjects) answered our request.
Results: The name we gave to the collection was
"Discovered Emotions" and the essays were grouped into
six paragraph: "emotions-feels" (which group fear, hope,
anxiety, anger), "if I were" (if I were a food or a game),
"autobiography" (introspective texts), "the circle with the
dot in the middle" (they had to describe what they sensed
by a visual stimulus as a circle with a dot in the middle),
"letters" (addressed to a celebrity or to someone they care
of), "writing" (patient testimonies of the exercise of writing and its significance). Patient texts were integrated with
graphic illustrations made by a visual designer who projected and composed the perfect layout for the book, creating original drawings in order to improve the visual end
the emotional impact of the work.
Conclusions: Writing has cognitive, emotional and elaborative functions for oncology patients. It is an activity proposed during a particular period of people's lives, a period
of illness, during which one can become more susceptible
to personal changes but also more creative, more predisposed to new insights. "Discovered Emotions" is a collection of elaboration we want to use to help the process of
adaptation of oncologic patients who can identify themselves in the tales and draw inspiration from these.

T37
DISCOVERED EMOTIONS: A COLLECTION
OF AUTOBIOGRAPHICAL TEXTS BY
ONCOLOGIC PATIENTS
1

T38
1

Bellè M. , Pinzi L. , Felicetti C. , Prior M. , Marcon S. , Burelli M. ,
Favaretto A.4
1
Ulss 2 Marca Trevigiana Servizio di Psicologia Ospedaliera, Treviso; 2Ulss 2
Marca Trevigiana Ufficio Stampa, Treviso; 3Ulss 2 Marca Trevigiana Ufficio
Relazioni con il Pubblico, Treviso; 4Ulss 2 Marca Trevigiana U.O.C. Oncologia,
Treviso

Background: The Hospital Psychology Service with
Medical Oncology Unit promote a program for autobiographical writing to oncologic patients. We think the act of
writing offers opportunities for patients to organize and
process their thoughts and emotions, finding a new equilibrium as a result of personal growth. Writing is a psychosocial intervention with the aim of reducing psychological
distress and a way of processing the experience of an illness in cognitive and emotional terms. The act of writing
forces patients to recognize their thoughts and emotions
and to express them.

Evaluation of the economic
impact of body weight (BW)-based
dose (3mg/kg) versus flat dose
of nivolumab: a single center
experience
Caglio A.1, Gamba T.1, Tagini V.2, Bellero M.2, Lacidogna G.3, Vignani
F.3, Sacchi F.3, Gasco A.L.2, Di Maio M.4, Fazzina G.2
1
Dipartimento di Oncologia, Università degli Studi di Torino / AO Ordine
Mauriziano, Torino; 2SC Farmacia Ospedaliera, AO Ordine Mauriziano,
Torino; 3SCDU Oncologia Medica, AO Ordine Mauriziano, Torino;
4
Dipartimento di Oncologia, Università degli Studi di Torino, AO Ordine
Mauriziano, Torino

Background: Nivolumab (N) is approved and reimbursed
by Italian Drug Agency (AIFA) in several tumors, including non-small cell lung cancer (NSCLC), head & neck
cancer (HNSCC) and renal cell cancer (RCC). Since May
2018, the original schedule (3mg/kg every 2 weeks) - corresponding to the schedule used in pivotal clinical trials

Tumori Journal Abstract Book - October 2020

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