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dc.contributor.authorvan der Kruk, Shannen R
dc.contributor.authorButow, Phyllis
dc.contributor.authorMesters, Ilse
dc.contributor.authorBoyle, Terry
dc.contributor.authorOlver, Ian
dc.contributor.authorWhite, Kate
dc.contributor.authorSabesan, Sabe
dc.contributor.authorZielinski, Rob
dc.contributor.authorChan, Bryan A
dc.contributor.authorSpronk, Kristiaan
dc.contributor.authorGrimison, Peter
dc.contributor.authorUnderhill, Craig
dc.contributor.authorKirsten, Laura
dc.contributor.authorGunn, Kate M
dc.description.abstractPurpose: To summarise what is currently known about the psychosocial morbidity, experiences, and needs of people with cancer and their informal caregivers, who live in rural or regional areas of developed countries. Methods: Eligible studies dating from August 2010 until May 2021 were identified through several online databases, including MEDLINE, EMBASE, PsychINFO, and RURAL (Rural and Remote Health Database). Results were reported according to the PRISMA guidelines and the protocol was registered on PROSPERO (CRD42020171764). Results: Sixty-five studies were included in this review, including 20 qualitative studies, 41 quantitative studies, and 4 mixed methods studies. Qualitative research demonstrated that many unique psychosocial needs of rural people remain unmet, particularly relating to finances, travel, and accessing care. However, most (9/19) quantitative studies that compared rural and urban groups reported no significant differences in psychosocial needs, morbidity, or quality of life (QOL). Five quantitative studies reported poorer psychosocial outcomes (social and emotional functioning) in urban cancer survivors, while three highlighted poorer outcomes (physical functioning, role functioning, and self-reported mental health outcomes) in the rural group. Conclusion: Recent research shows that rural people affected by cancer have unique unmet psychosocial needs relating to rurality. However, there was little evidence that rural cancer survivors report greater unmet needs than their urban counterparts. This contrasts to the findings from a 2011 systematic review that found rural survivors consistently reported worse psychosocial outcomes. More population-based research is needed to establish whether uniquely rural unmet needs are due to general or cancer-specific factors.
dc.relation.ispartofjournalSupportive Care in Cancer
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchOncology and carcinogenesis
dc.subject.fieldofresearchHealth sciences
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsHealth Care Sciences & Services
dc.titlePsychosocial well-being and supportive care needs of cancer patients and survivors living in rural or regional areas: a systematic review from 2010 to 2021
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationvan der Kruk, SR; Butow, P; Mesters, I; Boyle, T; Olver, I; White, K; Sabesan, S; Zielinski, R; Chan, BA; Spronk, K; Grimison, P; Underhill, C; Kirsten, L; Gunn, KM, Psychosocial well-being and supportive care needs of cancer patients and survivors living in rural or regional areas: a systematic review from 2010 to 2021, Supportive Care in Cancer, 2021
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.
gro.hasfulltextNo Full Text
gro.griffith.authorChan, Bryan

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