Unmet supportive care needs of people with advanced cancer and their caregivers: A systematic scoping review

被引：120

作者：

Hart, Nicolas H. ^{[1
,2
,3
,4
,21
]}

Crawford-Williams, Fiona ^{[1
,3
]}

Crichton, Megan ^{[3
,5
]}

Yee, Jasmine ^{[6
]}

Smith, Thomas J. ^{[7
]}

Koczwara, Bogda ^{[8
,9
]}

Fitch, Margaret I. ^{[10
]}

Crawford, Gregory B. ^{[11
,12
]}

Mukhopadhyay, Sandip ^{[13
,14
]}

Mahony, Jane ^{[15
]}

Cheah, Chan ^{[16
,17
,18
]}

Townsend, James ^{[15
]}

Cook, Olivia ^{[15
,19
]}

Agar, Meera R. ^{[20
]}

Chan, Raymond J. ^{[1
,3
]}

机构：

[1] Flinders Univ S Australia, Caring Futures Inst, Coll Nursing & Hlth Sci, Adelaide, SA, Australia

[2] Edith Cowan Univ, Exercise Med Res Inst, Sch Med & Hlth Sci, Joondalup, WA, Australia

[3] Queensland Univ Technol, Canc & Palliat Care Outcomes Ctr, Sch Nursing, Brisbane, Qld, Australia

[4] Univ Notre Dame Australia, Inst Hlth Res, Fremantle, WA, Australia

[5] Bond Univ, Nutr & Dietet Res Grp, Gold Coast, Qld, Australia

[6] Univ Sydney, Fac Med & Hlth, Ctr Med Psychol & Evidence Based Decis Making, Sydney, NSW, Australia

[7] Johns Hopkins Med Inst, Div Gen Internal Med, Baltimore, MD USA

[8] Flinders Univ S Australia, Flinders Hlth & Med Res Inst, Coll Med & Publ Hlth, Adelaide, SA, Australia

[9] Flinders Canc & Innovat Ctr, Flinders Med Ctr, Bedford Pk, SA, Australia

[10] Univ Toronto, Fac Nursing, Sch Grad Studies, Toronto, ON, Canada

[11] Univ Adelaide, Discipline Med, Adelaide, SA, Australia

[12] Northern Adelaide Local Hlth Network, Adelaide, SA, Australia

[13] Burdwan Med Coll, Kolkata, West Bengal, India

[14] Natl Inst Cholera & Enter Dis, Indian Council Med Res, Kolkata, India

[15] McGrath Fdn, St Leonards, NSW, Australia

[16] Univ Western Australia, UWA Med Sch, Internal Med, Perth, WA, Australia

[17] Sir Charles Gairdner Hosp, Dept Haematol, Nedlands, WA, Australia

[18] Hollywood Private Hosp, Dept Haematol, Nedlands, WA, Australia

[19] Monash Univ, Sch Nursing & Midwifery, Melbourne, Vic, Australia

[20] Univ Technol Sydney, Fac Hlth, IMPACCT Ctr, Sydney, NSW, Australia

[21] Flinders Univ S Australia, Caring Futures Inst, Coll Nursing & Hlth Sci, Adelaide, SA, Australia

来源：

CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY | 2022年 / 176卷

基金：

英国医学研究理事会;

关键词：

Oncology; Hematology; Metastatic cancer; Needs assessment; Survivorship care; QUALITY-OF-LIFE; ADVANCED BREAST-CANCER; METASTATIC PROSTATE-CANCER; HIGH-GRADE GLIOMA; PALLIATIVE CARE; HEMATOLOGICAL CANCER; PSYCHOLOGICAL DISTRESS; MULTIPLE-MYELOMA; LUNG-CANCER; INFORMAL CAREGIVERS;

D O I：

10.1016/j.critrevonc.2022.103728

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Examining and addressing unmet care needs is integral to improving the provision and quality of cancer services. This review explored the prevalence of unmet supportive care needs, and factors associated with unmet need, in adults with advanced cancers (solid and hematological malignancies) and their caregivers. Electronic databases (PubMed, CINAHL, EMBASE) were searched, producing 85 papers representing 81 included studies. People with advanced cancer reported the highest unmet needs in financial, health system and information, psychological, and physical and daily living domains, whereas caregivers reported the highest unmet needs in psychological, and patient care and support domains. Distress, depression, and anxiety were associated with higher unmet needs across all unmet need domains for people with advanced cancer and their caregivers. Substantial heterogeneity in study populations and methods was observed. Findings from this review can inform targeted strategies and interventions to address these unmet needs in people with advanced cancer.

引用

页数：20

共 146 条

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