Prevalence and factors associated with unmet needs in post‐treatment cancer survivors: A systematic review

Cancer survivors may experience unmet needs beyond the end of their treatment. This paper aimed to explore the prevalence and most frequently found unmet needs and to identify factors associated with higher levels of total unmet needs and with each domain separately. Five databases were searched usi...

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Veröffentlicht in:European journal of cancer care Jg. 28; H. 3; S. e13060 - n/a
Hauptverfasser: Miroševič, Špela, Prins, Judith B., Selič, Polona, Zaletel Kragelj, Liljana, Klemenc Ketiš, Zalika
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England John Wiley & Sons, Inc 01.05.2019
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ISSN:0961-5423, 1365-2354, 1365-2354
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Abstract Cancer survivors may experience unmet needs beyond the end of their treatment. This paper aimed to explore the prevalence and most frequently found unmet needs and to identify factors associated with higher levels of total unmet needs and with each domain separately. Five databases were searched using the keywords neoplasms, survivors, needs assessment, health services’ needs and demands. The results were presented based on the strength of the evidence (strong, moderate and weak association) and the categorisation of the pooled prevalence of at least one unmet need (high, moderate, low). Twenty‐six studies were included in the review. A higher prevalence of at least one reported unmet need was observed in survivors with less time since treatment and in women with breast cancer. The most frequently reported unmet needs were fear of cancer recurrence and requesting up to date information. Strong evidence was found for an association between a higher number of unmet needs and younger age, higher anxiety and poorer quality of life. Future studies on unmet needs should report how unmet needs are associated with each domain separately. This might solve the inconclusive evidence found for the stage of the disease at diagnosis and depression.
AbstractList Cancer survivors may experience unmet needs beyond the end of their treatment. This paper aimed to explore the prevalence and most frequently found unmet needs and to identify factors associated with higher levels of total unmet needs and with each domain separately. Five databases were searched using the keywords neoplasms, survivors, needs assessment, health services’ needs and demands. The results were presented based on the strength of the evidence (strong, moderate and weak association) and the categorisation of the pooled prevalence of at least one unmet need (high, moderate, low). Twenty‐six studies were included in the review. A higher prevalence of at least one reported unmet need was observed in survivors with less time since treatment and in women with breast cancer. The most frequently reported unmet needs were fear of cancer recurrence and requesting up to date information. Strong evidence was found for an association between a higher number of unmet needs and younger age, higher anxiety and poorer quality of life. Future studies on unmet needs should report how unmet needs are associated with each domain separately. This might solve the inconclusive evidence found for the stage of the disease at diagnosis and depression.
Cancer survivors may experience unmet needs beyond the end of their treatment. This paper aimed to explore the prevalence and most frequently found unmet needs and to identify factors associated with higher levels of total unmet needs and with each domain separately. Five databases were searched using the keywords neoplasms, survivors, needs assessment, health services' needs and demands. The results were presented based on the strength of the evidence (strong, moderate and weak association) and the categorisation of the pooled prevalence of at least one unmet need (high, moderate, low). Twenty-six studies were included in the review. A higher prevalence of at least one reported unmet need was observed in survivors with less time since treatment and in women with breast cancer. The most frequently reported unmet needs were fear of cancer recurrence and requesting up to date information. Strong evidence was found for an association between a higher number of unmet needs and younger age, higher anxiety and poorer quality of life. Future studies on unmet needs should report how unmet needs are associated with each domain separately. This might solve the inconclusive evidence found for the stage of the disease at diagnosis and depression.Cancer survivors may experience unmet needs beyond the end of their treatment. This paper aimed to explore the prevalence and most frequently found unmet needs and to identify factors associated with higher levels of total unmet needs and with each domain separately. Five databases were searched using the keywords neoplasms, survivors, needs assessment, health services' needs and demands. The results were presented based on the strength of the evidence (strong, moderate and weak association) and the categorisation of the pooled prevalence of at least one unmet need (high, moderate, low). Twenty-six studies were included in the review. A higher prevalence of at least one reported unmet need was observed in survivors with less time since treatment and in women with breast cancer. The most frequently reported unmet needs were fear of cancer recurrence and requesting up to date information. Strong evidence was found for an association between a higher number of unmet needs and younger age, higher anxiety and poorer quality of life. Future studies on unmet needs should report how unmet needs are associated with each domain separately. This might solve the inconclusive evidence found for the stage of the disease at diagnosis and depression.
Author Prins, Judith B.
Klemenc Ketiš, Zalika
Miroševič, Špela
Zaletel Kragelj, Liljana
Selič, Polona
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  givenname: Špela
  orcidid: 0000-0001-5004-0607
  surname: Miroševič
  fullname: Miroševič, Špela
  email: spela.mirosevic@mf.uni-lj.si
  organization: University of Ljubljana
– sequence: 2
  givenname: Judith B.
  surname: Prins
  fullname: Prins, Judith B.
  organization: Radboud University Medical Centre
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  givenname: Polona
  surname: Selič
  fullname: Selič, Polona
  organization: University of Ljubljana
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  givenname: Liljana
  surname: Zaletel Kragelj
  fullname: Zaletel Kragelj, Liljana
  organization: University of Ljubljana
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  givenname: Zalika
  surname: Klemenc Ketiš
  fullname: Klemenc Ketiš, Zalika
  organization: Community Health Centre Ljubljana
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31008544$$D View this record in MEDLINE/PubMed
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Keywords anxiety
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Snippet Cancer survivors may experience unmet needs beyond the end of their treatment. This paper aimed to explore the prevalence and most frequently found unmet needs...
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StartPage e13060
SubjectTerms age
Age Factors
Anxiety
Anxiety - epidemiology
Anxiety - psychology
Breast cancer
Cancer
Cancer Survivors - psychology
Cancer Survivors - statistics & numerical data
Evidence-based medicine
Health Services Needs and Demand - statistics & numerical data
Humans
Mental depression
Needs Assessment
Neoplasms
Quality of Life
Survival
survivors
Systematic review
Title Prevalence and factors associated with unmet needs in post‐treatment cancer survivors: A systematic review
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fecc.13060
https://www.ncbi.nlm.nih.gov/pubmed/31008544
https://www.proquest.com/docview/2227627924
https://www.proquest.com/docview/2212718630
Volume 28
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