Unmet needs in breast cancer survivors are common, and multidisciplinary care is underutilised: the Survivorship Needs Assessment Project

Vuksanovic, Dean; Sanmugarajah, Jasotha; Lunn, Dominic; Sawhney, Raja; Eu, Kelly; Liang, Rhea

doi:10.1007/s12282-020-01156-2

Cited by 34 publications

(31 citation statements)

References 24 publications

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Section: Discussionmentioning

confidence: 99%

“…With more than 300 reviews on survivorship interventions, there is no shortage of high-level evidence to improve outcomes for survivors of breast cancer but the continuing unmet needs of breast cancer survivors suggest a translation gap between published evidence and clinical practice. 5 , 29 Our research provides several insights into potential contributors to the evidence-implementation gap, including (1) lack of evidence for some domains, and (2) lack of focus on outcomes critical to implementation (ie, health care utilization and costs). Future research on interventions for breast cancer survivors should aim to fill identified gaps, 30 be informed by survivor needs/priorities, 16 and integrate implementation science methodology into the research design.…”

Section: Discussionmentioning

confidence: 99%

“…26 However, evidence increasingly demonstrates that cancer survivors frequently experience multiple concerns spanning various dimensions of health that need addressing. 5 Patients with cancer report to experience an average of 11 concurrent symptoms, 27 leading to growing interest in the symptom complexes or clusters. 28 With more than 300 reviews on survivorship interventions, there is no shortage of high-level evidence to improve outcomes for survivors of breast cancer but the continuing unmet needs of breast cancer survivors suggest a translation gap between published evidence and clinical practice.…”

Section: Discussionmentioning

confidence: 99%

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Mapping Systematic Reviews of Breast Cancer Survivorship Interventions: A Network Analysis

Kemp

Geerse²,

Knowles

et al. 2022

JCO

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PURPOSE Despite a large volume of research, breast cancer survivors continue to experience high levels of unmet need. To better understand the breadth of evidence, we mapped systematic review-level evidence across cancer survivorship domains and outcomes and conducted network analyses of breast cancer survivorship care interventions. METHODS Umbrella review methodology was used to identify published systematic reviews reporting on survivorship care interventions for breast cancer survivors. Included reviews were mapped against domains and health care outcomes as specified by the Cancer Survivorship Quality Framework, and network analyses were conducted to determine the extent of clustering of reviews, and connectivity across domains and outcomes. RESULTS Of 323 included reviews, most focused on management of physical (71.5%) or psychologic (65.3%) effects, health-related quality of life (55.1%), and physical activity (45.2%). Few focused on financial/employment effects, chronic conditions, health care delivery domains, or health service use or cost outcomes. Network analysis indicated 38.6% of reviews were connected to a single domain, 35.0% to two domains, and 16.5% to three domains, indicating a relatively siloed nature of research, with greater community clustering between health care delivery domains but limited connection between these and the other domains. Reviews published between 2011 and 2021 were more likely to examine financial toxicity and chronic conditions, but these domains remained under-represented compared with physical and psychologic effects. CONCLUSION Despite vast volume of breast cancer survivorship intervention research, systematic review-level research is unevenly distributed, siloed, and with significant gaps in key domains and outcomes. Assessment of evidence gaps in primary research and strategic planning of future research, in consultation with survivors, is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Mapping Systematic Reviews of Breast Cancer Survivorship Interventions: A Network Analysis

Kemp

Geerse²,

Knowles

et al. 2022

JCO

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“… 10 , 11 Studies have shown that the majority of patients with cancer have unmet needs in physical, psychological, and informational dimensions. 12 , 13 Medium to high-level unmet supportive care needs have been identified in Iranian cancer survivors. In general, the majority of the unmet supportive care needs have been demonstrated in the health and information as well as psychological and social support domains.…”

Section: Introductionmentioning

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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“…For this reason, the development of multidisciplinary evidence-based care during the post-treatment phase is a key area of cancer research. Over the last few years, the psychosocial and cultural origin of chronic stress has been investigated as risk factor for BC development and recurrence, as well as the unmet needs of BC survivors [ 37 , 41 , 46 , 47 ] leading to development of novel therapeutic approaches, based on integration of medical and psychological needs [ 37 , 48 ].…”

Section: Introductionmentioning

confidence: 99%

A Psychosocial Genomics Pilot Study in Oncology for Verifying Clinical, Inflammatory and Psychological Effects of Mind-Body Transformations-Therapy (MBT-T) in Breast Cancer Patients: Preliminary Results

Cozzolino

Cocco

Piezzo

et al. 2021

JCM

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Several studies have highlighted the key role of chronic inflammation in breast cancer development, progression, metastasis, and therapeutic outcome. These processes are mediated through a variety of cytokines and hormones that exert their biological actions either locally or distantly via systemic circulation. Recent findings suggest that positive psychosocial experiences, including psychotherapeutic interventions and therapeutic mind-body protocols, can modulate the inflammatory response by reducing the expression of genes/proteins associated with inflammation and stress-related pathways. Our preliminary results indicate that a specific mind-body therapy (MBT-T) could induce a significant reduction of the release of different cytokines and chemokines, such as SCGFβ, SDF-1α, MCP3, GROα, LIF, and IL-18, in the sera of breast cancer patients compared to a control group, suggesting that MBT-T could represent a promising approach to improve the wellness and outcome of breast cancer patients.

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Unmet needs in breast cancer survivors are common, and multidisciplinary care is underutilised: the Survivorship Needs Assessment Project

Cited by 34 publications

References 24 publications

Mapping Systematic Reviews of Breast Cancer Survivorship Interventions: A Network Analysis

Mapping Systematic Reviews of Breast Cancer Survivorship Interventions: A Network Analysis

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

A Psychosocial Genomics Pilot Study in Oncology for Verifying Clinical, Inflammatory and Psychological Effects of Mind-Body Transformations-Therapy (MBT-T) in Breast Cancer Patients: Preliminary Results

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