TY - JOUR
T1 - Unmet supportive care needs of people with advanced cancer and their caregivers
T2 - A systematic scoping review
AU - Hart, Nicolas H.
AU - Crawford-Williams, Fiona
AU - Crichton, Megan
AU - Yee, Jasmine
AU - Smith, Thomas J.
AU - Koczwara, Bogda
AU - Fitch, Margaret I.
AU - Crawford, Gregory B.
AU - Mukhopadhyay, Sandip
AU - Mahony, Jane
AU - Cheah, Chan
AU - Townsend, James
AU - Cook, Olivia
AU - Agar, Meera R.
AU - Chan, Raymond J.
PY - 2022/8
Y1 - 2022/8
N2 - 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.
AB - 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.
KW - Hematology
KW - Metastatic cancer
KW - Needs assessment
KW - Oncology
KW - Survivorship care
UR - http://www.scopus.com/inward/record.url?scp=85131528413&partnerID=8YFLogxK
UR - http://purl.org/au-research/grants/NHMRC/1194051
U2 - 10.1016/j.critrevonc.2022.103728
DO - 10.1016/j.critrevonc.2022.103728
M3 - Review article
C2 - 35662585
AN - SCOPUS:85131528413
SN - 1040-8428
VL - 176
JO - Critical Reviews in Oncology/Hematology
JF - Critical Reviews in Oncology/Hematology
M1 - 103728
ER -
