Unmet informational and supportive care needs of patients with muscle invasive bladder cancer: A systematic review of the evidence

Paterson, Catherine; Jensen, Bente Thoft; Jensen, Jørgen Bjerggaard; Nabi, Ghulam

doi:10.1016/j.ejon.2018.05.006

Cited by 51 publications

(39 citation statements)

References 42 publications

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“…Supportive care has been defined as a person-centred approach to the provision of the necessary services for those living with or affected by cancer to meet their informational, spiritual, emotional, social, or physical needs during diagnosis, treatment, or follow-up phases, including issues of health promotion and prevention, survivorship, palliation, and bereavement [2]. A series of recent systematic reviews have identified a range of unmet supportive care needs in 21st century healthcare for people affected by prostate [2], bowel [3], gynaecological [4], bladder [5], lung [6], thyroid [7] and breast cancer [8], including mixed older cancer populations [9]. Generally, important areas for quality care include supported self-management, timely and informative information, continuity of care, good communication, and a therapeutic relationship with healthcare professionals.…”

Section: Introductionmentioning

confidence: 99%

Identifying the supportive care needs of men and women affected by chemotherapy-induced alopecia? A systematic review

et al. 2020

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To systematically evaluate evidence regarding the unmet supportive care needs of men and women affected by chemotherapy induced alopecia (CIA) to inform clinical practice guidelines. Methods:We performed a review of CINAHL, MEDLINE, PsychINFO, Scopus, the Cochrane Library (CCRT and CDSR) controlled trials databases and clinicaltrials.gov from January 1990 to June 2019 according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. Twenty-seven publications were selected for inclusion in this analysis.Results: Included reports used qualitative (ten) and quantitative (seventeen) studies. Across these studies men and women reported the major impact that CIA had on their psychological well-being, quality of life and body image. Hair loss had a negative impact irrespective of gender, which resulted in feelings of vulnerability and visibility of being a "cancer patient". Men and women described negative feelings, often similar, related to CIA with a range of unmet supportive care needs.Conclusions: Some patients are not well prepared for alopecia due to a lack of information and resources to reduce the psychological burden associated with CIA. Hair loss will affect each patient and their family differently, therefore intervention and support must be tailored at an individual level of need to optimise psychological and physical well-being and recovery.Implications for Cancer Survivors: People affected by CIA may experience a range of unmet supportive care needs and oncology doctors and nurses are urged to use these findings in their everyday consultations to ensure effective, person-centred care and timely intervention to minimise the sequalae associated with CIA.

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Section: Introductionmentioning

confidence: 99%

Identifying the supportive care needs of men and women affected by chemotherapy-induced alopecia? A systematic review

et al. 2020

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“…Over the past 5 years, there have been a handful of studies that have attempted to describe or map the information and supportive care needs of those diagnosed with bladder cancer from the perspective of the individual (3)(4)(5)(6)(7)(8). There are few studies which have looked at the understanding of these needs from the other main stakeholder groups (health care professionals (e.g., urologists, oncologists, cancer nurse specialists), researchers and non-profit organizations) in the design and delivery of care.…”

Section: Introductionmentioning

confidence: 99%

How Do We Meet the Supportive Care and Information Needs of Those Living With and Beyond Bladder Cancer?

MacLennan

2020

Front. Oncol.

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This perspective paper presents the case for adopting a new approach to the design and delivery of supportive care for those with bladder cancer. It is our assertion that the design and delivery of supportive care for those diagnosed with bladder cancer needs to (1) build on existing research and available tools and (2) address current limitations due to lack of use of said tools, lack of understanding of research and needs, lack of a shared language, and method of assessment and evaluation. This, we argue, can be achieved through a network-based approach (1) focussed on the structure, process, and outcome of supportive care.

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“…Patients have a plethora of individual needs and concerns after RC, which are reported in several qualitative studies. 13,14,57,76,86,97 A better understanding of these needs and behaviors following surgery, and patients' individual experiences and attitudes towards receiving lifestyle advice, could help to identify specific gaps and inform follow-up interventions in future. SDM tools, which can support the patient and bladder team in making an informed decision on strategy for surgery and goal setting for rehabilitation, are a related area that also currently lacks evidence.…”

Section: Discussionmentioning

confidence: 99%

<p>Optimal Delivery of Follow-Up Care After Radical Cystectomy for Bladder Cancer</p>

Jensen

Lauridsen

Jensen

2020

RRU

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Purpose of Review: To identify components representing optimal delivery of follow-up care after radical cystectomy because of bladder cancer and report the current level of evidence. Methods: We conducted a systematic literature search of the following databases: Cochrane, MEDLINE, Embase, CINAHL, Web of Science, Physiotherapy Evidence Database and ClinicalTrials.gov. The search results were managed in Covidence Reference Manager and abstracts were screened by title. Articles relevant to the subject of interest were included and the results are reported narratively. Results: Several studies have evaluated the positive impact of enhanced recovery after surgery (ERAS) on length of stay, albeit not on the further impact on 90-day postoperative complication rate, functional recovery, or mortality. Minimally invasive surgery may result in a slighter shorter length of stay compared to open surgery. Physical training combined with nutritional intervention can improve functional recovery up to one year after surgery. Nutritional supplements can preserve muscle and bone mass, and potentially improve recovery. Patient education in stoma care and prevention of infection can significantly improve self-efficacy and avoid symptoms of infection postoperatively. Moreover, specific devices like applications (apps) can support these efforts. Continued smoking increases the risk of developing postoperative complications while no evidence was found on the impact of continued alcohol drinking. Currently, there is no evidence on psychological well-being, sexual health, or shared decision making interventions with an impact on rehabilitation after radical cystectomy. Conclusion: Data are scarce but indicate that peri-and postoperative multi-professional interventions can reduce prevalence of sarcopenia, and improve functional recovery, physical capacity, nutritional status, and self-efficacy in stoma care (level 1 evidence). Continued smoking increases the risk of complications, but the effects of a smoking and alcohol intervention remain unclear (level 3 evidence). The results of this review provide guidance for future directions in research and further attempts to develop and test an evidence-based program for follow-up care after radical cystectomy.

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Unmet informational and supportive care needs of patients with muscle invasive bladder cancer: A systematic review of the evidence

Cited by 51 publications

References 42 publications

Identifying the supportive care needs of men and women affected by chemotherapy-induced alopecia? A systematic review

Identifying the supportive care needs of men and women affected by chemotherapy-induced alopecia? A systematic review

How Do We Meet the Supportive Care and Information Needs of Those Living With and Beyond Bladder Cancer?

<p>Optimal Delivery of Follow-Up Care After Radical Cystectomy for Bladder Cancer</p>

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