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What are the unmet supportive care needs of people affected by cancer: an umbrella systematic review.

Paterson, Catherine; Toohey, Kellie; Bacon, Rachel; Kavanagh, Phillip S.; Roberts, Cara

Authors

Catherine Paterson

Kellie Toohey

Rachel Bacon

Phillip S. Kavanagh

Cara Roberts



Abstract

The aim of this umbrella systematic review was to critically synthesize unmet supportive care needs of people affected by cancer. The Joanna Briggs Institute (JBI) umbrella review method provided an overall examination of the body of evidence that was available in relation to the unmet supportive care needs among people living with cancer. All qualitative, quantitative, and mixed methods reviews were included irrespective of review design. Electronic databases were searched using a wide range of search terms. All records were managed using the software package Endnote X21 and uploaded to Covidence systematic review software. Duplication of records were removed. A preselection eligibility criterion was applied to all records. Data extraction and methodological quality assessment was conducted independently by two reviewers, and a meta-level narrative synthesis conducted. A total 30 systematic reviews were included representing a total of 666 publications globally. Irrespective of the type of cancer there were many commonalities in relation to the reported experiences of unmet supportive care needs, which therefore enables the development of targeted future clinical trials, clinical guidelines, and policy contribution. In descending order of frequency, the highest unmet supportive care needs were related to psychological/emotional (30 out of 30), health system/information (29 out of 30), interpersonal/intimacy (21 out of 30), social (20 out of 30), physical (19 out of 30), family (18 out of 30), practical (16 out of 30), daily living (10 out of 30), spiritual needs (8 out of 30), patient-clinician communication (8 out of 30), and cognitive needs (5 out of 30). This umbrella review has underscored fundamental shortcomings in care delivery irrespective of the patient population and the type of cancer. People with cancer are continually reporting that their needs are not being met across many supportive care domains. It is time for change within the health care system and to full leverage multidisciplinary person-centered models of care to optimize recovery and survivorship experiences. In the meantime, policy makers and cancer care clinicians are encouraged to reflect on these findings to address individualized care needs.

Citation

PATERSON, C., TOOHEY, K., BACON, R., KAVANAGH, P.S. and ROBERTS, C. 2023. What are the unmet supportive care needs of people affected by cancer: an umbrella systematic review. Seminars in oncology nursing [online], 39(3), article 151353. Available from: https://doi.org/10.1016/j.soncn.2022.151353

Journal Article Type Article
Acceptance Date Nov 23, 2022
Online Publication Date Nov 23, 2022
Publication Date Jun 30, 2023
Deposit Date Dec 12, 2022
Publicly Available Date Mar 29, 2024
Journal Seminars in oncology nursing
Print ISSN 0749-2081
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 39
Issue 3
Article Number 151353
DOI https://doi.org/10.1016/j.soncn.2022.151353
Keywords Cancer care; Unmet supportive care needs; Umbrella review; Needs; Oncology nursing
Public URL https://rgu-repository.worktribe.com/output/1822687
Additional Information This article has been published with separate supporting information. This supporting information has been incorporated into a single file on this repository and can be found at the end of the file associated with this output.

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