Breast Cancer Survivors’ Unmet Needs After Completion of Radiation Therapy Treatment

Pembroke, Michelle; Bradley, Julie A.; Nemeth, Lynne S.

doi:10.1188/20.onf.436-445

Cited by 17 publications

(33 citation statements)

References 23 publications

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“…Furthermore, in the study conducted by So et al ( 2014), fears about cancer spreading was identi ed as the most important unmet psychological need [47]. Fear of disclosure [12,14,22,27,28,35,38,45], feelings about death and dying [7,37,46,47], and uncertainty about the future [7,37,43,47] were the next highest-ranked needs. Other psychological and emotional needs included stigma associated with cancer [4,14], frustration [30], low mood and isolated needs [30], and feelings of sadness [47].…”

Section: Evidence Of Unmet Supportive Care Needs By Domainmentioning

confidence: 99%

“…Psychological/emotional needs: 32 studies described the psychological and emotional needs of breast cancer survivors [4,7,13,14,22,23,. The most frequently reported psychological and emotional needs were depression, anxiety, and stress (N=15) [4,23,27,30,34,38,[43][44][45][46][47][49][50][51] and fears about cancer spread and recurrence (N=13) [7,23,28,34,37,39,43,44,46,47,[49][50][51]. In the study conducted by Bu et al (2022), fear of recurrence was identi ed as the most important need in breast cancer survivors; it was reported by 69% of patients [44].…”

Section: Evidence Of Unmet Supportive Care Needs By Domainmentioning

confidence: 99%

“…Health system/information needs Health system/information needs were reported by 30 studies [2, 7, 12, 13, 22, 23, 27-29, 32-37, 39-41, 43-49, 53-57]. Providing easy-to-understand and accurate information about the side effects of medication and treatment, which was very bene cial to patients, and treatment sequelae were the most common information needs reported by breast cancer survivors (N=13) [23,28,29,34,37,40,43,47,48,[54][55][56]. In a study by Pembroke et al (2020), almost half of the participants reported unmet needs associated with treatment-related side effects [28].…”

Section: Evidence Of Unmet Supportive Care Needs By Domainmentioning

confidence: 99%

“…Providing easy-to-understand and accurate information about the side effects of medication and treatment, which was very bene cial to patients, and treatment sequelae were the most common information needs reported by breast cancer survivors (N=13) [23,28,29,34,37,40,43,47,48,[54][55][56]. In a study by Pembroke et al (2020), almost half of the participants reported unmet needs associated with treatment-related side effects [28]. Eight studies also reported information needs relating to improved self-control of the situation, lifestyle advice, and self-management [7,13,23,29,31,37,47,56].…”

Section: Evidence Of Unmet Supportive Care Needs By Domainmentioning

confidence: 99%

“…Body image, femininity, altered physical appearance, and selfcon dence all affected interpersonal/intimate relationships [14, 27, 28, 30-32, 34, 41, 43-47, 50, 51, 53]. Needs relating to sexual function [28,30,32,35,37,38,46,47] and relationship with a partner [32,34,46] were also reported in a number of studies. In the study conducted by Kim et al (2020), survivors stated that self-con dence plays an essential role in adjusting to the different changes following cancer treatment.…”

Section: Evidence Of Unmet Supportive Care Needs By Domainmentioning

confidence: 99%

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Supportive Care Needs of Breast Cancer Survivors: A Systematic Review

Khajoei

ZohariAnboohi

Ilkhani

2022

Preprint

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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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Section: Evidence Of Unmet Supportive Care Needs By Domainmentioning

confidence: 99%

Section: Evidence Of Unmet Supportive Care Needs By Domainmentioning

confidence: 99%

Section: Evidence Of Unmet Supportive Care Needs By Domainmentioning

confidence: 99%

Section: Evidence Of Unmet Supportive Care Needs By Domainmentioning

confidence: 99%

Section: Evidence Of Unmet Supportive Care Needs By Domainmentioning

confidence: 99%

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Supportive Care Needs of Breast Cancer Survivors: A Systematic Review

Khajoei

ZohariAnboohi

Ilkhani

2022

Preprint

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Caregiver fear of cancer recurrence: A systematic review and meta‐analysis of quantitative studies

et al. 2023

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ObjectiveFear of cancer recurrence (FCR) is reported by both cancer survivors and caregivers however less is known about caregiver FCR. This study aimed to (a) conduct a meta‐analysis to compare survivor and caregiver FCR levels; (b) examine the relationship between caregiver FCR and depression, and anxiety; (c) evaluate psychometric properties of caregiver FCR measures.MethodsCINAHL, Embase, PsychINFO and PubMed were searched for quantitative research examining caregiver FCR. Eligibility criteria included caregivers caring for a survivor with any type of cancer, reporting on caregiver FCR and/or measurement, published in English‐language, peer‐review journals between 1997 and November 2022. The COnsensus‐based Standards for the selection of health status Measurement INstruments (COSMIN) taxonomy was used to evaluate content and psychometric properties. The review was pre‐registered (PROSPERO ID: CRD42020201906).ResultsOf 4297 records screened, 45 met criteria for inclusion. Meta‐analysis revealed that caregivers reported FCR levels as high as FCR amongst survivors, with around 48% of caregivers reporting clinically significant FCR levels. There was a strong correlation between anxiety and depression and medium correlation with survivor FCR. Twelve different instruments were used to measure caregiver FCR. Assessments using the COSMIN taxonomy revealed few instruments had undergone appropriate development and psychometric testing. Only one instrument met 50% or more of the criteria, indicating substantial development or validation components were missing in most.ConclusionsResults suggest FCR is as often a problem for caregivers as it is for survivors. As in survivors, caregiver FCR is associated with more severe depression and anxiety. Caregiver FCR measurement has predominately relied on survivor conceptualisations and unvalidated measures. More caregiver‐specific research is urgently needed.

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Psychosocial experiences of breast cancer survivors: a meta-review

Butow

Giunta

et al. 2023

J Cancer Surviv

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Purpose Advances in breast cancer care have led to a high rate of survivorship. This meta-review (systematic review of reviews) assesses and synthesises the voluminous qualitative survivorship evidence-base, providing a comprehensive overview of the main themes regarding breast cancer survivorship experiences, and areas requiring further investigation. Methods Sixteen breast cancer reviews identified by a previous mixed cancer survivorship meta-review were included, with additional reviews published between 1998 and 2020, and primary papers published after the last comprehensive systematic review between 2018 and 2020, identified via database searches (MEDLINE, Embase, CINAHL, PsycINFO). Quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Systematic Reviews and the CASP (Critical Appraisal Skills Programme Qualitative) checklist for primary studies. A meta-ethnographic approach was used to synthesise data. Results Of 1673 review titles retrieved, 9 additional reviews were eligible (25 reviews included in total). Additionally, 76 individual papers were eligible from 2273 unique papers. Reviews and studies commonly focused on specific survivorship groups (including those from ethnic minorities, younger/older, or with metastatic/advanced disease), and topics (including return to work). Eight themes emerged: (1) Ongoing impact and search for normalcy, (2) Uncertainty, (3) Identity: Loss and change, (4) Isolation and being misunderstood, (5) Posttraumatic growth, (6) Return to work, (7) Quality of care, and (8) Support needs and coping strategies. Conclusions Breast cancer survivors continue to face challenges and require interventions to address these. Implications for Cancer Survivors. Breast cancer survivors may need to prepare for ongoing psychosocial challenges in survivorship and proactively seek support to overcome these.

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Breast Cancer Survivors’ Unmet Needs After Completion of Radiation Therapy Treatment

Cited by 17 publications

References 23 publications

Supportive Care Needs of Breast Cancer Survivors: A Systematic Review

Supportive Care Needs of Breast Cancer Survivors: A Systematic Review

Caregiver fear of cancer recurrence: A systematic review and meta‐analysis of quantitative studies

Psychosocial experiences of breast cancer survivors: a meta-review

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