Unmet supportive care needs of patients with rare cancer: A systematic review

Heus, Eline de; Zwan, Jan Maarten van der; Husson, Olga; Frissen, Anne-Roos; Herpen, Carla M.L. van; Merkx, Matthias A.W.; Duijts, Saskia F. A.

doi:10.1111/ecc.13502

Cited by 23 publications

(29 citation statements)

References 102 publications

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“…reviewed 23 studies on breast cancer patients and found that the information needs and psychological needs of Asian and Western women differed significantly due to their cultural backgrounds ( 10 ). Another review suggested that patients with rare cancers have unmet needs throughout their disease trajectory, and their supportive care needs should be addressed individually, depending on the rare cancer subdomain and phase of the disease and from diagnosis onwards ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China

Chen

et al. 2022

Front. Oncol.

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BackgroundCancer survivors at different stages of life often have different needs that make it challenging for services to provide satisfactory care. Few studies have considered whether services are truly meeting the needs of cancer patients by exploring and identifying their perspectives on unmet needs.ObjectiveThe aim of this study was to identify the unmet needs of cancer survivors and to further determine the potential impact of socio-demographic factors.MethodsA cross-sectional study that included 4195 cancer patients was conducted in Shanghai, China. Using Maslow’s hierarchy of needs theory as a conceptual framework, the questionnaire included five dimensions: information, life and finances, continuing care, emotions, and self-actualization. Correlation analysis and ordered logistic regression analysis was used to explore the relationship between demographic sociological factors and unmet needs for supportive care.ResultsThe most common unmet supportive care needs include information needs (2.91 ± 1.32), self-actualization needs (2.69 ± 1.32) and continuing care needs (2.59 ± 1.30). Unmet needs for life and finances were more pronounced among cancer participants in the 45-69 age group. After adjusting for confounders, we found that each 6-month increase in the time since diagnosis was associated with a 0.8% (OR: 0.992, 95% CI: 0.985-0.998) reduction in high need for continuing care and a 0.9% (OR:0.991, 95% CI: 0.983-0.999) reduction in high need for self-actualization, respectively.ConclusionsInformation needs are the most important concern among the diverse unmet needs of cancer survivors. Time since diagnosis is associated with unmet supportive care needs of cancer survivors. The findings highlight the large gap between actual health services and patients’ unmet need for supportive care, which will provide the basis for a patient-centered supportive care system for cancer survivors.

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Section: Introductionmentioning

confidence: 99%

Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China

Chen

et al. 2022

Front. Oncol.

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“…Implementation of supportive care is overlooked in the implementation of novel cancer treatment and demands additional research [ 35 ]. Within the SUBITO study all participating patients should have a consultation with a specialized oncology nurse ( i.e.…”

Section: Discussionmentioning

confidence: 99%

High-dose chemotherapy with stem cell rescue to treat stage III homologous deficient breast cancer: factors influencing clinical implementation

et al. 2023

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Background High-dose chemotherapy with autologous stem cell rescue (HDCT) is a promising treatment for patients with stage III, HER2-negative, homologous recombination deficient (HRD) breast cancer. Clinical effectiveness and cost-effectiveness are currently under investigation in an international multicenter randomized controlled trial. To increase the chance of successful introduction of HDCT into daily clinical practice, we aimed to identify relevant factors for smooth implementation using an early comprehensive assessment framework. Methods This is a qualitative, multi-stakeholder, exploratory research using semi-structured interviews guided by the Constructive Technology Assessment model, which evaluates the quality of a novel health technology by clinical, economic, patient-related, and organizational factors. Stakeholders were recruited by purposeful stratified sampling and interviewed until sufficient content saturation was reached. Two researchers independently created themes, categories, and subcategories by following inductive coding steps, these were verified by a third researcher. Results We interviewed 28 stakeholders between June 2019 and April 2021. In total, five overarching themes and seventeen categories were identified. Important findings for optimal implementation included the structural identification and referral of all eligible patients, early integration of supportive care, multidisciplinary collaboration between- and within hospitals, (de)centralization of treatment aspects, the provision of information for patients and healthcare professionals, and compliance to new regulation for the BRCA1-like test. Conclusions In anticipation of a positive reimbursement decision, we recommend to take the highlighted implementation factors into consideration. This might expedite and guide high-quality equitable access to HDCT for patients with stage III, HER2-negative, HRD breast cancer in the Netherlands.

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“… 43 Also, very few cancer patients have mainly reported unmet needs in the post-treatment phase regarding the healthcare system and information, the psychological and the physical, and daily living domain. 44 More than 70% of young adult patients with cancer in Japan reported unmet supportive care needs. Their top unmet needs included psychological needs, physical and daily living needs, health system, information needs, and sexuality needs.…”

Section: Discussionmentioning

confidence: 99%

Psychometric properties of the persian version of the short-form survivor unmet needs survey (SF-SUNS) among patients with cancer

Tabriz

Ramezani

Manzari

et al. 2022

Asia-Pacific Journal of Oncology Nursing

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Unmet supportive care needs of patients with rare cancer: A systematic review

Cited by 23 publications

References 102 publications

Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China

Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China

High-dose chemotherapy with stem cell rescue to treat stage III homologous deficient breast cancer: factors influencing clinical implementation

Psychometric properties of the persian version of the short-form survivor unmet needs survey (SF-SUNS) among patients with cancer

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