Fear of Cancer Progression: Findings From Case Studies and a Nurse-Led Intervention.

Only two patients were described, so the report cannot show how often the intervention helps or whether the nurse-led programme caused the changes. The patients were selected by convenience from one outpatient medical oncology clinic, so they may not represent other patients with advanced gynecologic cancer. The Day-by-Day programme included several components at once, so it is not possible to tell which component was responsible for the patients' reports. The intervention was delivered by two advanced practice nurses who received specific training and team supervision, so it is unclear whether nurses without that training would achieve the same reports.

Do not conclude that the nurse-led Day-by-Day programme reduces fear of progression in advanced gynecologic cancer. The report describes only two patients using a case study approach, so their score changes cannot be attributed to the intervention alone.