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ObjectivesTo achieve optimal survival care outcomes, all healthcare services must be tailored to patients’ specific needs, preferences and concerns throughout the survival period. This study aimed to identify supportive care needs from the point of view of breast cancer survivors.MethodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for reporting systematic reviews, a comprehensive search of PubMed, Web of Science and Scopus was performed. The inclusion criteria were studies published from inception to the end of January 2022, covering all stages of breast cancer. The exclusion criteria were mixed-type studies relating to cancer, such as case reports, commentaries, editorials and systematic reviews, as well as studies that assessed patients’ needs during cancer treatment. Two quality assessment tools were used for the qualitative and quantitative studies.ResultsOf the 13 095 records retrieved, 40 studies, including 20 qualitative and 20 quantitative studies, were retained for this review. Survivors’ supportive care needs were classified into 10 dimensions and 40 subdimensions. The most frequently mentioned supportive care needs of survivors were psychological/emotional needs (N=32), health system/informational needs (N=30), physical and daily activities (N=19), and interpersonal/intimacy needs (N=19).ConclusionsThis systematic review highlights several essential needs for breast cancer survivors. Supportive programmes should be designed in order to take into consideration all aspects of these needs, particularly psychological, emotional and informational needs.

Purpose: In order to achieve optimal survival care outcomes, all health care services must be tailored to the patient's specific needs, preferences, and concerns through the survival period. This study aimed to identify supportive care needs from the point of view of breast cancer survivors. Methods: Following PRISMA guidelines for reporting systematic reviews, a comprehensive search of PubMed, Web of Science, and Scopus was performed. The inclusion criteria were all studies published from inception until the end of January 2022, covering all stages of breast cancer. The exclusion criteria were mixed type studies relating to cancer such as case reports, commentaries, editorials, and systematic review studies, as well as studies that assessed patients' needs during cancer treatment. Two quality assessment tools were used for the qualitative and quantitative studies under examination. Results: Of the 13,095 records retrieved, 40 studies, including 20 qualitative studies and 20 quantitative studies, were retained for this review. Survivors’ supportive care needs were classified into 11 domains. The most frequently mentioned supportive care needs of survivors were psychological/emotional needs (N=32), Health system/informational needs (N=30) physical and daily activities (N=19), and interpersonal/intimacy needs (N=19).Conclusions: This systematic review highlights a number of essential needs for breast cancer survivors. Supportive programs should be designed that consider all aspects of these needs, in particular the psychological/emotional and informational needs.

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Background: The news of several people being affected by unusual pneumonia at the beginning of the year 2020 in China led to the introduction of a new type of coronavirus as the cause of a new respiratory disease. With the rapid spread of the disease in China and then to other parts of the world, the new coronavirus became scientifically known as severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) and the resulting disease as coronavirus disease 2019 (COVID-19). This disease has a variety of symptoms and can cause SARS. Objectives: This study aimed to investigate the chronic diseases affecting the mortality rate of this disease. Methods: This retrospective cohort study was performed on 7222 eligible patients admitted to hospitals in Sirjan, Iran, from March 2020 to June 2021 with a positive polymerase chain reaction for COVID-19. The researcher extracted information from the patients' files using the questionnaire of demographic characteristics, clinical signs and symptoms, and the history of underlying diseases. The data were analyzed by the SPSS software using descriptive and analytical statistical tests, namely chi-squared, independent samples t-test, and univariate and multivariate logistic regression tests. Results: Out of 7,222 patients with COVID-19, 294 died, of whom 152 were male and 142 were female (OR = 1.23, CI: 0.97 - 1.55). Moreover, 220 people out of 294 dead cases were over 60 years old (OR = 8.92, CI: 6.82 - 11.67). The most common diseases were hypertension (OR = 3.63, CI: 2.81 - 4.69) and diabetes (OR = 3.16, CI: 2.38 - 4.20). The most common symptoms among those who died were respiratory distress (51.4%) and cough (34.7%). Conclusions: The mortality rate is directly related to the underlying diseases in COVID-19, and the most common underlying disease in the statistical population of this study was hypertension. In addition, respiratory distress is a common symptom in dead patients, which can be used as a predictor of death.