Unmet supportive care needs of people with advanced cancer and their caregivers: A systematic scoping review
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Crawford-Williams, Fiona
Crichton, Megan
Yee, Jasmine
Smith, Thomas J
Koczwara, Bogda
Fitch, Margaret I
Crawford, Gregory B
Mukhopadhyay, Sandip
Mahony, Jane
Cheah, Chan
Townsend, James
Cook, Olivia
Agar, Meera R
Chan, Raymond J
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Abstract
Examining and addressing unmet care needs is integral to improving the provision and quality of cancer services. This review explored the prevalence of unmet supportive care needs, and factors associated with unmet need, in adults with advanced cancers (solid and hematological malignancies) and their caregivers. Electronic databases (PubMed, CINAHL, EMBASE) were searched, producing 85 papers representing 81 included studies. People with advanced cancer reported the highest unmet needs in financial, health system and information, psychological, and physical and daily living domains, whereas caregivers reported the highest unmet needs in psychological, and patient care and support domains. Distress, depression, and anxiety were associated with higher unmet needs across all unmet need domains for people with advanced cancer and their caregivers. Substantial heterogeneity in study populations and methods was observed. Findings from this review can inform targeted strategies and interventions to address these unmet needs in people with advanced cancer.
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Critical Reviews in Oncology/Hematology
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176
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Oncology and carcinogenesis
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Life Sciences & Biomedicine
Oncology
Hematology
Metastatic cancer
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Hart, NH; Crawford-Williams, F; Crichton, M; Yee, J; Smith, TJ; Koczwara, B; Fitch, MI; Crawford, GB; Mukhopadhyay, S; Mahony, J; Cheah, C; Townsend, J; Cook, O; Agar, MR; Chan, RJ, Unmet supportive care needs of people with advanced cancer and their caregivers: A systematic scoping review, Critical Reviews in Oncology/Hematology, 2022, 176, pp. 103728