Unmet supportive care needs of breast cancer survivors: a systematic scoping review

BMC Cancer, Год журнала: 2023, Номер 23(1)

Опубликована: Июнь 26, 2023

Abstract Background Breast cancer is the most common type of in women worldwide. Though improved treatments and prolonged overall survival, breast survivors (BCSs) persistently suffer from various unmet supportive care needs (USCNs) throughout disease. This scoping review aims to synthesize current literature regarding USCNs among BCSs. Methods study followed a framework. Articles were retrieved Cochrane Library, PubMed, Embase, Web Science, Medline inception through June 2023, as well reference lists relevant literature. Peer-reviewed journal articles included if BCSs reported. Inclusion/exclusion criteria adopted screen articles’ titles abstracts entirely assess any potentially pertinent records by two independent researchers. Methodological quality was independently appraised following Joanna Briggs Institute (JBI) critical appraisal tools. Content analytic approach meta-analysis performed for qualitative quantitative studies respectively. Results reported according PRISMA extension reviews. A total 10,574 77 finally. The risk bias low moderate. self-made questionnaire used instrument, Short-form Supportive Care Needs Survey (SCNS-SF34). 16 domains finally identified. Social support (74%), daily activity (54%), sexual/intimacy (52%), fear recurrence/ spreading (50%), information (45%) top needs. Information psychological/emotional appeared frequently. found be significantly associated with demographic factors, disease psychological factors. Conclusion are experiencing large number fearing recurrence, activity, sexual/intimacy, psychology information, proportions ranging 45% 74%. Substantial heterogeneity populations assessment tools observed. There need further research identify standard evaluation tool targeted on Effective interventions based guidelines should formulated conducted decrease future.

Язык: Английский

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Survivorship outcomes in patients treated with immune checkpoint inhibitors: a scoping review

Journal of Cancer Survivorship, Год журнала: 2024, Номер unknown

Опубликована: Янв. 4, 2024

Abstract Background Immune checkpoint inhibitors (ICIs) have become a central part of cancer care. However, the survivorship outcomes in patients treated with ICIs are understudied. Therefore, we conducted scoping review to evaluate current status field and establish research gaps regarding real-life cohorts. Methods We used Web Science, PubMed, Embase databases systematically filter published studies cohorts from January 1, 2010, until October 19, 2022. Studies evaluating at least one outcome ICI-treated were included. Results A total 39 papers Quality life (QoL) ( n = 23), toxicity burden 16), psychosocial issues 9) most frequently evaluated outcomes. Anti-PD-1/PD-L1 monotherapy response treatment associated better QoL. In addition, grade 3 or higher immune-related adverse events (irAEs) 10–15% late/long-term irAEs 20–30% survivors. Regarding problems, over 30% survivors showed evidence anxiety depression, 30–40% reported neurocognitive impairments. Conclusion The impairments domains. Further is needed gather data on understudied like late long-term effects, fertility, financial toxicity, return work ICIs. Implications for Cancer Survivors Available demonstrates that significant portion burden, lower QoL than general population, high rate problems.

Язык: Английский

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Social risk factors screening preferences among breast and prostate cancer survivors: A qualitative study

Journal of Psychosocial Oncology, Год журнала: 2025, Номер unknown, С. 1 - 19

Опубликована: Фев. 13, 2025

This project aimed to understand the experiences and preferences for social risk factor screening among racially, ethnically, linguistically diverse cancer survivors in Washington, DC, region. Semi-structured interviews were conducted with English, Spanish, Amharic-speaking breast prostate survivors. Data inductively coded identify themes, differences by race preferred language evaluated. Twenty-two English (n = 14), Spanish 7), Amharic 1) participants who identified as Black 8), White 5), Asian 1), Other 6), multiracial 2) completed. Participants reported unresolved needs during treatment including transportation, healthful food, mental health care, financial help, employment assistance. COVID-19 exacerbated many needs. Most did not recall discussing oncology teams, but all open having these conversations. research reveals that might benefit from culturally appropriate strategies address

Язык: Английский

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Connected health in cancer survivorship: Evaluating the usability and utility of the cancer thriving and surviving programme in Ireland

Irish Journal of Medical Science (1971 -), Год журнала: 2025, Номер unknown

Опубликована: Март 21, 2025

Abstract Background Cancer survivorship care has become increasingly complex, with a growing population of people living and beyond the disease requiring holistic support follow-up. Connected health (CH) offer promising solution to enhance delivery. Aim This study evaluated usability effectiveness CH, motivations participants in Thriving Surviving (CTS) programme Ireland. Methods A cross-sectional survey persons cancer (PLWBC) who completed CH-delivered CTS was conducted between December 2022 April 2023. Closed open-ended questions captured experiences motivations. Telehealth Usability Questionnaire (TUQ) assessed CH usability. Qualitative content analysis examined recurring themes participant responses. Results Forty-four engaged survey. Participants were predominantly female (88%), diagnosed breast (76%), had third-level education or higher (86%). Slightly over one third (36%) full time employment. Motivations for engaging included seeking peer support, psychosocial assistance, practical self-management tools. Most respondents agreed that improved their psychological wellbeing (90%), quality life (76%) helped them take more control (83%). TUQ scores indicated high systems. Conclusion Findings suggest effectively benefits PLWBC, improving well-being life. The system positive user highlight its potential complement in-person care, supporting continued development evaluation systems survivorship, particularly within Irish digital initiatives.

Язык: Английский

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Factors associated with unmet supportive care needs among adult cancer survivors in South Korea: a cross-sectional survey

Journal of Cancer Survivorship, Год журнала: 2025, Номер unknown

Опубликована: Апрель 5, 2025

Язык: Английский

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Mapping the supportive care needs and quality of life of adult survivors of childhood cancer at a comprehensive cancer center in the Middle East

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Май 29, 2024

Abstract Assessing unmet needs is crucial to achieving quality care and patient satisfaction. Between September December 2021, we assessed supportive in a consecutive sample of adult survivors childhood cancer at KHCC (King Hussien Cancer Center). Two hundred ninety-seven completed the study questionnaire. The average score across all domains was 24.80 (SD = 19.65), with financial domain scoring highest 30.39 31.95) sexuality lowest 7.67 19.67). Using multivariate linear regression model, female gender independently associated significantly high scores need (p < 0.001), except for sexuality. Monthly income, comorbidities, socioeconomic challenges, time since diagnosis, age diagnosis have emerged as predictors many domains. Mean life (QoL) inversely mean multiple domains: psychological 0.038), overall 0.004). Following content analysis qualitative data, educational difficulties, work-related challenges were identified other needs. experiences during influence adulthood. There more tailored studies assessing different populations avoiding one-size-fits-all survivorship care.

Язык: Английский

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Current status of and future perspectives on care for cancer survivors in China

Global Health & Medicine, Год журнала: 2023, Номер 5(4), С. 208 - 215

Опубликована: Май 11, 2023

Cancer is currently a major public health issue faced by countries around the world. With progress of medical science and technology, survival rate cancer patients has increased significantly time been effectively prolonged. How to provide quality efficient care for increasingly large group survivors with limited resources will be key concern in field global future. Compared developed countries, China's theoretical research practical experience are relatively cannot meet multi-faceted diverse needs patients. Based on existing models worldwide, current work reviews China, it proposes considerations suggestions creation Chinese characteristics terms optimizing top-level system design, enhancing institutional mechanisms, accelerating human resource development, self-management social support

Язык: Английский

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The unmet needs of patients in the early rehabilitation stage after lung cancer surgery: a qualitative study based on Maslow’s hierarchy of needs theory

Supportive Care in Cancer, Год журнала: 2023, Номер 31(12)

Опубликована: Ноя. 7, 2023

Язык: Английский

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Measuring the continuing care needs of inpatients in rural China

BMC Health Services Research, Год журнала: 2024, Номер 24(1)

Опубликована: Март 7, 2024

Abstract Background International experience shows that the suitability of a high-performance healthcare system for its given purposes is reflected in ability to provide continuum services match changing health status population. Although many low- and middle-income countries have sought bring movement away from hospital-centered towards patient-centered healthcare, such efforts often had poor results, one major reasons this inability accurately identify which inpatients need continuing care what kind needed. Objectives To measure assess needs discharged patients influencing factors rural China. Methods Data were obtained hospital database Medical Center M County Z May July 2022. county 1 million people central The includes basic patient information, disease-related information on readiness discharge. Factors related included analysis. Readiness Hospital Discharge Scale was used care. statistical data are expressed terms both frequency composition ratio. Finally, linear regression analyze Results analysis total 3,791 patients, 123 whom (3.25%) nursing needs. patients’ age group, mode admission, occupation diagnostic categories ( P < 0.05). Conclusions Developing an important initiative bridging fragmentation services, appropriate supply care, interconnected with inpatient should be established areas China as soon possible. And more need.

Язык: Английский

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Supportive Care Needs and Quality of Life among Cancer Patients in China: A Cross-sectional Study

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Май 13, 2024

Background This study aimed to examine the factors associated with unmet supportive care needs (SCNs) and determine correlation between SCNs quality of life (QoL) among cancer patients. Methods cross-sectional included 137 patients who were recruited via convenience sampling from an oncology department at a tertiary hospital in China. Three assessment instruments employed herein: general information questionnaire, Chinese version Supportive Care Needs Survey short form (SCNS-SF34-C), functional subscale European Organization for Research Treatment Cancer Quality Life Questionnaire-Core 30 (EORTC QLQ-C30). Results Among five domains SCNS-SF34-C, health system domain had highest mean score (M = 2.74; SD 0.75), followed by psychological 2.36; 0.85). Five found be patients: gender, educational background, disease awareness, smoking status, drinking habits (all p < 0.05). Moreover, participants psychological, physical daily living showed significantly lower QoL all symptom Conclusions have notable needs. Future studies should design individualized interventions improve enhance their QoL.

Язык: Английский

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