A systematic review of unmet needs of newly diagnosed older cancer patients undergoing active cancer treatment

Puts, Martine; Papoutsis, Andreas; Springall, Elena; Tourangeau, Ann E.

doi:10.1007/s00520-012-1450-7

Cited by 206 publications

(168 citation statements)

References 45 publications

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“…When constructing our search statement, we focussed on three key concepts (cancer, advanced disease, and needs) and drew from search statements published by Harrison et al [2] and Puts et al [14]. We adapted our search strategy for each database, according to the specific subject headings (thesauri) and limits (categories) used within each database.…”

Section: Methodsmentioning

confidence: 99%

Unmet care needs in people living with advanced cancer: a systematic review

Moghaddam

Coxon

Nabarro

et al. 2016

Support Care Cancer

144

128

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PURPOSE:\ud The support needs of cancer patients vary according to the phase of their cancer journey. Recent developments in healthcare are such that the advanced cancer phase is increasingly experienced as a chronic illness phase, with consequent changes in patient support needs. Understanding these needs, and identifying areas of unmet need, can enable us to develop services that are more adequate to the task of supporting this population.\ud METHODS:\ud We conducted a systematic search of four electronic databases to identify studies examining the unmet needs of people living with advanced cancer. Relevant data were extracted and synthesised; meta-analyses were conducted to obtain pooled estimates for prevalence of needs.\ud RESULTS:\ud We identified 23 studies (4 qualitative) for inclusion. Unmet needs were identified across a broad range of domains, with greatest prevalence in informational (30-55 %), psychological (18-42 %), physical (17-48 %), and functional (17-37 %) domains. There was considerable heterogeneity amongst studies in terms of methods of assessment, coding and reporting of needs, respondent characteristics, and appraised study quality.\ud CONCLUSIONS:\ud Heterogeneity made it difficult to compare across studies and inflated confidence intervals for pooled estimates of prevalence-we need standardised and comprehensive approaches to assessment and reporting of unmet needs to further our understanding. Nonetheless, the review identified prominent needs across a range of (interacting) experiential domains. Moreover, by focussing on unmet needs for support, we were able to extrapolate potential implications for service development

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Section: Methodsmentioning

confidence: 99%

Unmet care needs in people living with advanced cancer: a systematic review

Moghaddam

Coxon

Nabarro

et al. 2016

Support Care Cancer

144

128

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“…Puts, Papoutsis, Springall & Tourangeau [8] defines unmet needs as "needs that are not addressed and where additional support is required (p.1378)." These unmet needs could be related to cancer and its treatments.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…[8] Needs from the psychological, information, and in the physical domains were the most commonly reported unmet needs across the studies reviewed by Puts, Papoutsis, Springall & Tourangeau. [8] Specifically, during cancer treatments, psychological needs, supportive care needs and information needs have been found to be associated with lower resilience, [10] and with fear of cancer recurrence. [11] Others have identified that treatment-related symptoms (i.e., impaired body image, physical and social impairment and gastrointestinal symptoms) significantly predicted the supportive care needs of breast cancer survivors during treatments.…”

Section: Introductionmentioning

confidence: 99%

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Identification of supportive care needs in a sample of Puerto Rican cancer patients with the supportive care needs survey

Gonzalez

Tirado

Hughes

et al. 2015

JNEP

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Background: Puerto Ricans are among the largest Hispanic groups in the US. Clinicians/researchers must become skilled in assessing the prevalence of the perceived unmet needs of Puerto Rican cancer patients undergoing treatment to properly respond to their needs, and is an important part of any culturally comprehensive oncological care. Objective: To assess Puerto Rican cancer survivors reports of perceived unmet needs across 5 domains of the cancer experience: "psychological", "health system and information", "physical and daily living", "patient care and support", and "sexuality" and to examine how the perceived unmet needs and disease characteristics are inter-related. Methods: A cross-sectional survey was conducted from 103 patients (64.1% female, male 35.9%, mean age 54 years) undergoing cancer treatments. The study participants were >20 years of age with breast (28%), gynecologic (21%), prostate (17%) and gastrointestinal (14%) cancer, mostly on chemotherapy. Overall internal consistency of the Supportive Care Needs Survey was 0.882. Results: Patients perceived needs were highest in the domains of sexuality (67%), physical and daily living (55.3%), and psychological (38.8%). Breast cancer was significantly related to reporting unmet needs in the domains of health services/information (p = .018) and sexuality (p = .009). Prostate cancer showed a significant relationship with unmet needs in the domains of psychological (p = .050) and, the physical/daily living (p < .001). Receiving chemotherapy was related with unmet needs in the domains of sexuality (p = .02), and the physical/daily living (p = .047); and, receiving combination of radiation and hormonal therapy was related to unmet needs in the physical/daily living needs domain (p = .024). Conclusions: The accurate assessment of supportive care needs is important in the management of cancer patients. The unmet supportive care needs of our sample of Puerto Rican cancer patients seem to be affected by cancer site and treatment modality.

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“…It was found and is plausible that the prevalence of unmet needs is highly variable at all time-points of the cancer illness [20]. Unmet needs appear to be highest during the treatment, particularly after diagnosis, and post-treatment phase, and decline over time [21]. The most frequently reported needs were those in the activities of daily living and in psychological, information, psychosocial and physical domains, followed by needs within the spiritual domain, communication and sexuality.…”

Section: Goals To Achievementioning

confidence: 99%

The lung cancer patient, the pneumologist and palliative care: a developing alliance

Blum

Schönfeld

2014

Eur Respir J

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Considerable evidence is now available on the value of palliative care for lung cancer patients in all stages and at all times during the course of the disease. However, pneumologists and their institutions seem to be widely in arrears with the implementation of palliative care concepts and the development of integrated structures.This review focuses on the available evidence and experience of various frequently unmet needs of lung cancer patients, especially psychological, social, spiritual and cultural ones. A PubMed search for evidence on these aspects of palliative care as well as on barriers to the implementation, on outcome parameters and effectiveness, and on structure and process quality was performed with a special focus on lung cancer patients.As a consequence, this review particularly draws pneumologists' attention to improving their skills in communication with the patients, their relatives and among themselves, and to establish team structures with more far-reaching competences and continuity than existing multilateral cooperations and conferences can provide. Ideally, any process of structural and procedural improvement should be accompanied by scientific evaluation and measures for quality optimisation. @ERSpublications Pneumologists should get more widely involved in palliative care for lung cancer patients

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A systematic review of unmet needs of newly diagnosed older cancer patients undergoing active cancer treatment

Cited by 206 publications

References 45 publications

Unmet care needs in people living with advanced cancer: a systematic review

Unmet care needs in people living with advanced cancer: a systematic review

Identification of supportive care needs in a sample of Puerto Rican cancer patients with the supportive care needs survey

The lung cancer patient, the pneumologist and palliative care: a developing alliance

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