Colorectal cancer survivorship: A systematic review and thematic synthesis of qualitative research

Introduction With rapid changes in treatments for colorectal cancer (CRC), qualitative research into CRC survivorship requires greater synthesis. This paper aims to fill this gap through a systematic review (PROSPERO CRD42019131576) and thematic synthesis of the qualitative literature on survivorshi...

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Veröffentlicht in:European journal of cancer care Jg. 30; H. 4; S. e13421 - n/a
Hauptverfasser: Lim, Chloe Yi Shing, Laidsaar‐Powell, Rebekah Clare, Young, Jane M., Kao, Steven Chuan‐Hao, Zhang, Yuehan, Butow, Phyllis
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England John Wiley & Sons, Inc 01.07.2021
Schlagworte:
Body image
Cancer
Cancer Survivors
colorectal
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - therapy
Humans
qualitative
Qualitative analysis
Qualitative Research
Quality of Life
Sexuality
Subpopulations
Survival
Survivor
Survivorship
Synthesis
Systematic review
thematic synthesis
survivorship
cancer
thematic synthesis
systematic review
colorectal
qualitative
ISSN:0961-5423, 1365-2354, 1365-2354
Online-Zugang:Volltext
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Zusammenfassung:Introduction With rapid changes in treatments for colorectal cancer (CRC), qualitative research into CRC survivorship requires greater synthesis. This paper aims to fill this gap through a systematic review (PROSPERO CRD42019131576) and thematic synthesis of the qualitative literature on survivorship experiences across early‐stage and advanced CRC survivors. Methods CINAHL, Embase, MEDLINE, PsycINFO and PubMed were searched for qualitative CRC survivorship papers. Titles, s and full texts were screened. Included articles (n = 81) underwent data extraction, CASP qualitative bias ratings and thematic synthesis. Results Bowel dysfunction caused functional limitations and negative quality of life (QoL), while stomas posed threats to body image and confidence. Physical symptoms hindered return to work, increasing financial burdens. Survivors’ unmet needs included information regarding symptom expectations and management, and ongoing support throughout recovery. Advanced and early‐stage survivors shared similar experiences. Advanced survivors struggled with fear of cancer recurrence/progression and feelings of powerlessness. Functional limitations, financial impacts and sexuality in advanced survivors were underexplored areas. Conclusion CRC and its treatments impact survivors’ QoL in all areas. A coordinated supportive care response is required to address survivors’ unmet needs. Future qualitative studies should explore advanced CRC subpopulations, treatment‐specific impacts on QoL and long‐term (>5 years) impacts on CRC survivors.
Bibliographie:ObjectType-Article-1
ObjectType-Evidence Based Healthcare-3
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
ObjectType-Review-3
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ObjectType-Undefined-4
ISSN:0961-5423
1365-2354
1365-2354
DOI:10.1111/ecc.13421