Quality of Life and Impact of Cancer: Differences in Rural and Nonrural Non‐Hodgkin's Lymphoma Survivors

Noonan, Devon; LeBlanc, Matthew Roger; Conley, Cherie; Benecha, Habtamu; Leak-Bryant, Ashley; Peter, Kellen; Zimmerman, Sheryl; Mayer, Deborah K.; Smith, Sophia K.

doi:10.1111/jrh.12420

Cited by 13 publications

(9 citation statements)

References 30 publications

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“…Some survivors had physical complaints which impacted their daily lives; others felt an indescribable change in how they physically felt 63 . Survivors with active disease, long‐term disease, comorbidities, of older age or rural residence were associated with worse physical functioning 56,68,69,71 …”

Section: Resultsmentioning

confidence: 99%

“…63 Survivors with active disease, long-term disease, comorbidities, of older age or rural residence were associated with worse physical functioning. 56,68,69,71 Cancer-related fatigue persistently affects individuals with lymphoma and impacts quality of life. 39,55,72 General practitioner visits were higher (almost double) for participants experiencing severe cancer-related fatigue than those without severe fatigue.…”

Section: Impactful and Debilitating Concernsmentioning

confidence: 99%

See 1 more Smart Citation

Living with or beyond lymphoma: A rapid review of the unmet needs of lymphoma survivors

Boland¹,

Drury²,

Sheaf

et al. 2022

Psycho-Oncology

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Objective: To establish an understanding of the unmet needs of people living with or beyond a lymphoma diagnosis. Survivors of lymphoma are at increased risk of unmet needs due to cancer, treatment-related toxicities and extended survivorship.Despite the rapidly growing numbers of lymphoma survivors, their needs and research priorities are underserved and undervalued, therefore left largely unaddressed.Methods: A rapid review method and reflexive thematic analysis approach assimilated current knowledge. Eligibility criteria included quantitative, qualitative, or mixed approaches employing cross-sectional, longitudinal, cohort or review designs focused on the needs of adult lymphoma survivors (any subtype or stage of disease).Five databases: CINAHL, EMBASE, Medline, PsycInfo and Scopus, were systematically searched.Results: Forty-seven studies met the inclusion criteria via a stringent screening process facilitated by NVivo. Almost 60 per cent of articles were published within the last five years and investigated a homogenous lymphoma sample. Most studies employed quantitative approaches (77%) and cross-sectional designs (67%). Studies were of high methodological quality. Five major themes were identified: disparity in health service delivery, the psychological impact of cancer, impactful and debilitating concerns, the monetary cost of survival and insufficient provision of survivorship information. A meta-analytical approach was not feasible due to the breadth of methodologies of included studies. Conclusions:This review shows that lymphoma survivors experience a myriad of unmet needs across multiple domains, reinforcing the need for lymphoma-specific research. However, more research is needed to advance and achieve informed decision-making relating to survivorship care, placing due attention to the needs and research priorities of lymphoma survivors.

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Section: Resultsmentioning

confidence: 99%

Section: Impactful and Debilitating Concernsmentioning

confidence: 99%

Living with or beyond lymphoma: A rapid review of the unmet needs of lymphoma survivors

Boland¹,

Drury²,

Sheaf

et al. 2022

Psycho-Oncology

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“…Regarding lymphoma care, numerous studies have reported the influence of social inequalities, particularly on mortality and morbidity [8,9]. Although studies on the relationship between SES and HRQoL among lymphoma survivors have slowly increased in recent years [10][11][12], most investigations on this relationship were collected solely through patients' self-reported data. In clinical practice, when cancer patients are in poor physical or mental health and are unable to respond, proxies are asked to report on the patient's behalf [13]; however, the impact of proxy reports on HRQoL in surveys has rarely been assessed.…”

Section: Introductionmentioning

confidence: 99%

Patient–Proxy Agreement Regarding Health-Related Quality of Life in Survivors with Lymphoma: A Propensity-Score Matching Analysis

Dong

2022

Cancers

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Objective: To assess the difference between lymphoma survivors’ self- and proxy-reported health-related quality of life (HRQoL) and its association with socioeconomic and health statuses. Methods: The data used in this study were obtained from a nationwide cross-sectional online survey in 2019. Information about participants’ demographics, health status and HRQoL were collected. The propensity-score matching (PSM) method was used to control the effect of potential confounders on selection bias. A chi-squared test, one-way analysis of variance, and multiple linear regression models were used to assess the relationship between HRQoL and response type adjusted to respondents’ background characteristics. Results: Out of the total 4400 participants, data of 2350 ones were elicited for analysis after PSM process. Patients’ self-reported outcomes indicated a slightly better physical, role and emotional functioning than proxy-reported outcomes. Regression analysis showed that patients, who were older, unemployed, and who received surgery, were more likely to report a lower HRQoL. Further analysis demonstrated that proxy-reported patients who had completed treatment were more likely to report a higher HRQoL than those who were being treated. Conclusions: Our study demonstrates that the agreement between self- and proxy-reported HRQoL is low in patients with lymphoma and the heterogeneities of HRQoL among patients with different types of aggressive NHL (Non-Hodgkin’s lymphoma) is large. Differences in self- and proxy-reported HRQoL should be considered by oncologists when selecting and deciding the optimal care plan for lymphoma survivors.

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“…This may be further exacerbated by additional challenges including greater travel distance to receive treatment, limited access to health and care facilities and to bespoke or individually tailored support [ 22 ]. Research also suggests that people with cancer from rural communities may be at risk of experiencing a reduction in quality of life following the completion of treatment [ 23 ], reflecting the need to provide tailored supportive care to improve their quality of life [ 24 ]. A recent systematic review concluded that rural survivors should be seen as having unique psychosocial needs when compared to urban survivors but not necessarily greater levels of need [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

A Rapid Systematic Review on the Experiences of Cancer Survivors Residing in Rural Areas during the COVID-19 Pandemic

Nelson

Cooke

McLeod

et al. 2022

IJERPH

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The COVID-19 pandemic has caused considerable disruption to cancer care and may have exacerbated existing challenges already faced by cancer survivors from rural areas. This has created a need for a rapid evidence synthesis to inform the development of tailored interventions that address the specific needs of rural cancer survivors who continue to be affected by the pandemic. The review was conducted following guidance from the Cochrane Rapid Review Methods Group. Database searches were performed via the EBSCOHost interface (includes MEDLINE, CINAHL, PsycINFO) on 25 May 2022 and supplemented with searches on Google Scholar. Peer-reviewed articles published after March 2020 that reported primary data on the experiences of cancer survivors residing in rural and remote settings during the pandemic were included. Findings were tabulated and written up narratively. Fourteen studies were included. The COVID-19 pandemic had a mostly detrimental impact on the experiences of rural cancer survivors. People’s individual coping mechanisms were challenging for a range of reasons. Specifically, the pandemic impacted on their ability to access testing, treatment, check-ups and supportive care, their ability to maintain and access social support with close friends and family, as well as negative consequences to their finances and emotional wellbeing with some reporting feelings of psychological distress including depression and anxiety. This review provides important insight into the experiences of rural cancer survivors that may help inform tailored support in line with the needs and challenges faced because of the pandemic.

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Quality of Life and Impact of Cancer: Differences in Rural and Nonrural Non‐Hodgkin's Lymphoma Survivors

Cited by 13 publications

References 30 publications

Living with or beyond lymphoma: A rapid review of the unmet needs of lymphoma survivors

Living with or beyond lymphoma: A rapid review of the unmet needs of lymphoma survivors

Patient–Proxy Agreement Regarding Health-Related Quality of Life in Survivors with Lymphoma: A Propensity-Score Matching Analysis

A Rapid Systematic Review on the Experiences of Cancer Survivors Residing in Rural Areas during the COVID-19 Pandemic

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