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Unmet care needs in people living with advanced cancer: a systematic review
Open accessAbstract
Purpose The support needs of cancer patients vary according to the phase of their cancer journey. Recent developments in healthcare are such that the advanced cancer phase is increasingly experienced as a chronic illness phase, with consequent changes in patient support needs. Understanding these needs, and identifying areas of unmet need, can enable us to develop services that are more adequate to the task of supporting this population.Methods We conducted a systematic search of four electronic databases to identify studies examining the unmet needs of people living with advanced cancer. Relevant data were extracted and synthesised; meta-analyses were conducted to obtain pooled estimates for prevalence of needs.Results We identified 23 studies (4 qualitative) for inclusion. Unmet needs were identified across a broad range of domains, with greatest prevalence in informational (30-55 %), psychological (18-42 %), physical (17-48 %), and functional (17-37 %) domains. There was considerable heterogeneity amongst studies in terms of methods of assessment, coding and reporting of needs, respondent characteristics, and appraised study quality.Conclusions Heterogeneity made it difficult to compare across studies and inflated confidence intervals for pooled estimates of prevalence-we need standardised and comprehensive approaches to assessment and reporting of unmet needs to further our understanding. Nonetheless, the review identified prominent needs across a range of (interacting) experiential domains. Moreover, by focussing on unmet needs for support, we were able to extrapolate potential implications for service development.
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“Care recipients with a mental illness (e.g., schizophrenia) or advanced or palliative disease were excluded as the needs of these groups differ and in the case of advanced disease grief and bereavement play a role.[21][22][23]”
From Non-pharmacological Interventions for Caregivers with Depression and Caregivers of Care Recipients with Co-morbid Depression: Systematic Review and Meta-analysis (2021) · cites this paper as [22]
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“Unmet care needs seem to occur largely in informational (30%–55%), psychological (18%–42%), physical (17%–48%) and functional (17%–37%) domains.(15) This finding is supported by Puts et al.”
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“USCNs assessment is a patient‐oriented approach, which can lead resources to be distributed efficiently, and bring better outcomes for patients as finite medical resources could be directed to the benefit of patients with the greatest needs [18].”
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Paterson, C. C., Toohey, K. L., Bacon, R., Kavanagh, P. S., & Roberts, C. (2022) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2022.151353 · Cited by 95
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“This is similar to other findings (Moghaddam et al., 2016) and may be explained by either a reluctance to express this need or a reduced salience during treatment and recovery.”
BackgroundResultThe Unmet Needs of Community-Dwelling Stroke Survivors: A Systematic Review of Qualitative Studies
Guo, Y., Zhang, Z., Lin, B., Mei, Y., Liu, Q., Zhang, L., Wang, W., Li, Y., & Fu, Z. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18042140 · Cited by 70
“Some of these requirements represent unmet requirements, including those that are reported as unmet or that they are not aware of [65,66]; furthermore, patients, caregivers, and professionals all have unique perspectives in their own opinion.”
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A Systematic Review on Barriers to Palliative Care in Oncology
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“These needs include physical including assistance with activities of daily living (ADLs), psychological, informational, communication, functional, economic, spiritual, and sexual.(3,4) The high symptom burden associated with cancer can significantly increase feelings of helplessness and hopelessness, and cause physica…”
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Cancer as a chronic illness: support needs and experiences
Boele, F. W., Harley, C., Pini, S. A., Kenyon, L., Daffu-O’Reilly, A., & Velikova, G. (2019) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2019-001882 · Cited by 52
People With Advanced Cancer: The Process of Living Well With Awareness of Dying
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“This was discussed with the team and we became curious about whether the Theory might be relevant to people living with advanced cancer, considering that this stage of the cancer journey is often prolonged and can be considered chronic due to treatment advances (Moghaddam et al., 2016).”
BackgroundAfolabi, O. A., Nkhoma, K. B., Maddocks, M. M., & Harding, R. (2021) · Palliative Medicine · doi:10.1177/02692163211008784 · Cited by 53
Rimmer, B., Crowe, L., Todd, A., & Sharp, L. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01088-6 · Cited by 52
Could Peer Support Programs Be a Good Resource for Managing the Unmet Needs of Cancer Patients?
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Why and How to Integrate Early Palliative Care Into Cutting-Edge Personalized Cancer Care
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Berezowska, A., Passchier, E., & Bleiker, E. M. A. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05721-5 · Cited by 36
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“Furthermore, advanced cancer participants have unmet needs across a multitude of domains in addition to physical, including psychological, functional, financial and informational.(9,17) Two systematic reviews examined unmet needs across multiple cancer types and consistently found that the most prominent unmet needs w…”
BackgroundResultInfluentialAbu‐Odah, H., Molassiotis, A., & Liu, J. Y. W. (2022) · BMC Palliative Care · doi:10.1186/s12904-022-00959-8 · Cited by 33
“To better understand, the theoretical SCNF model was adopted [31] and linked with the findings of previous reviews [15, 17].”
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Lu, Q., Mårtensson, J., Zhao, Y., & Johansson, L. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-02774-5 · Cited by 36
The Unmet Supportive Care Needs of Arab Australian and Arab Jordanian Cancer Survivors
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“Recent advances in health care are prolonging the lives of patients and thus changing their support requirements [13].”
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“activities of daily living, other physical needs, psychological needs, informational needs, and economic needs.(5,6) Spiritual needs, interpersonal communication, and sexual needs are least frequently investigated or listed as unmet needs.”
BackgroundSupportive care and unmet needs in patients with melanoma: a mixed-methods systematic review
Fu, H., Teleni, L., Crichton, M., & Chan, R. J. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05464-3 · Cited by 22
“These needs vary according to the stage of cancer journey, but all aim to improve the patients’ comfort and quality of life as well as support those closest to them [15].”
BackgroundResultInfluentialPalliative and End-of-Life Care Service Models: To What Extent Are Consumer Perspectives Considered?
Rumbold, B. D., & Aoun, S. M. (2021) · Healthcare · doi:10.3390/healthcare9101286 · Cited by 23
“With advanced cancer increasingly experienced as a chronic illness [32], needs remain diverse, requiring greater attention to the illness experience of particular people.”
BackgroundDriessen, H. P. A., Busschbach, J. J. V., van der Rijt, C. C. D., Elfrink, E. J., Raijmakers, N. J. H., van Roij, J., Rietjens, J. A. C., & Kranenburg, L. W. (2023) · BMJ Supportive & Palliative Care · doi:10.1136/spcare-2023-004242 · Cited by 23
Li, Z., Laginha, K.-J., Boyle, F. M., Daly, M. G., Dinner, F., Hirsch, P., Hobbs, K., Kirsten, L. T., Mazariego, C. G., McAuley, R., et al. (2024) · Journal of Cancer Survivorship · doi:10.1007/s11764-023-01515-w · Cited by 26
“Consequently, many people with advanced or metastatic cancer report feeling isolated and report high levels of unmet supportive care needs [7, 13–15].”
Assessment of Unmet Supportive Care Needs in Haematological Cancer Survivors
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“A recent review found that the most frequent unmet care needs in patients with advanced cancer were informative (30-55%), psychological (18-42%), physical (17-48%) and functional (17-37%) (Moghaddam et al., 2016).”
BackgroundPerceptions of care and patient-reported outcomes in people living with neuroendocrine tumours
Beesley, V., Burge, M., Dumbrava, M., Callum, J., Neale, R. E., & Wyld, D. (2018) · Supportive Care in Cancer · doi:10.1007/s00520-018-4166-5 · Cited by 9
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“Overall, the different questionnaires used for needs assessment hamper comparability of data in general [35, 36].”
BackgroundWhat Can Social Media Tell Us About Patient Symptoms
Lee, Y. J., Park, A., Roberge, M. C., & Donovan, H. S. (2020) · Cancer Nursing · doi:10.1097/ncc.0000000000000860 · Cited by 17
Arditi, C., Eicher, M., Colomer‐Lahiguera, S., Bienvenu, C., Anchisi, S., Betticher, D. C., Dietrich, P., Duchosal, M. A., Peters, S., & Peytremann‐Bridevaux, I. (2022) · European Journal of Cancer Care · doi:10.1111/ecc.13705 · Cited by 19
“Indeed, issues related to communication and information, supportive care, or social and financial support, are often reported in patient experiences surveys as well as surveys on unmet needs (Harrison et al., 2009; Moghaddam et al., 2016).”
BackgroundThiessen, M. H., Sinclair, S., Tang, P. A., & Bouchal, S. R. (2020) · Journal of Medical Internet Research · doi:10.2196/20510 · Cited by 19
“One of the most commonly reported unmet supportive care needs of those facing cancer, including patients [1-4] and their friends and family [5-7], is for information.”
BackgroundPatterns of unmet supportive needs and relationship to quality of life in Chinese cancer patients
Zhu, L., Yao, J., Schroevers, M. J., Zhang, H., Xie, J., Liu, A., Fleer, J., Ranchor, A. V., & Song, Z. (2017) · Psycho-Oncology · doi:10.1002/pon.4554 · Cited by 19
“3% reported other types of unmet needs.(19) Our findings showed that although unmet sexuality need was generally low frequent, it could be highly salient for a small amount of people even during the receipt of medical treatment.”
BackgroundResultInfluentialPrevalence vs impact: a mixed methods study of survivorship issues in colorectal cancer
Drury, A., Payne, S. A., & Brady, A. (2021) · Quality of Life Research · doi:10.1007/s11136-021-02975-2 · Cited by 18
Natori, A., Sookdeo, V. D., Koru‐Sengul, T., Schlumbrecht, M. P., Calfa, C. L., Maclntyre, J., Benzo, R. M., Moreno, P. I., Crane, T. E., Garcia, S. F., et al. (2022) · Journal of Clinical Oncology · doi:10.1200/jco.22.01038 · Cited by 18
“Furthermore, these needs often lack proper and systematic screening and provision of specialized cancer care.(3-5) Although clinician-reported outcomes can facilitate some of this care, administration of patientreported outcome (PRO) assessments reflects any information (eg, symptoms or needs) sourced directly from th…”
Backgroundİnan, F. Ş., Yedigün, T., & Er, İ. (2023) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2023.151449 · Cited by 18
Aoun, S. M., RICHMOND, R. L., Jiang, L., & Rumbold, B. D. (2021) · Healthcare · doi:10.3390/healthcare9121615 · Cited by 18
“Nevertheless, the findings where unmet needs exist are in line with those reported in the national and international literature [14,33].”
ResultThomas, T. H., Taylor, S. E., Rosenzweig, M. Q., Schenker, Y., & Bender, C. M. (2022) · International Journal of Behavioral Medicine · doi:10.1007/s12529-022-10085-7 · Cited by 17
“Patients with advanced cancer arguably have the most to gain from self-advocating because of the frequency and intensity of their unmet needs specifically regarding long-term quality of life and emotional concerns [4, 12, 13].”
BackgroundSchuit, A. S., Holtmaat, K., Hooghiemstra, N., Jansen, F., Lissenberg-Witte, B. I., Coupé, V. M. H., Linde, M. E. V., Becker‐Commissaris, A., Reijneveld, J. C., Zijlstra, J. M., et al. (2019) · BMC Palliative Care · doi:10.1186/s12904-019-0468-8 · Cited by 19
“Nowadays, patients are expected to adopt an active role in the management of their own well-being and healthcare [9, 10].”
BackgroundPilegaard, M. S., Rossau, H. K., Lejsgaard, E., Møller, J. K., Jarlbæk, L., Dalton, S. O., & la Cour, K. (2020) · Acta Oncologica · doi:10.1080/0284186x.2020.1827156 · Cited by 17
Palliative Care: Oncology Nurses’ Confidence in Provision to Patients With Cancer
Parajuli, J., Hupcey, J. E., Kitko, L. A., & Birriel, B. (2021) · Clinical journal of oncology nursing · doi:10.1188/21.cjon.449-455 · Cited by 16
Rygg, L. Ø., Brataas, H. V., & Nordtug, B. (2021) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2021.101955 · Cited by 16
Living with or beyond lymphoma: A rapid review of the unmet needs of lymphoma survivors
Boland, V., Drury, A., Sheaf, G., & Brady, A. (2022) · Psycho-Oncology · doi:10.1002/pon.5973 · Cited by 16
“Quantifying the prevalence of survivors experiencing difficulties, including their unmet needs, is needed to promote recovery and supportive self‐management.(18,22,23) Understanding the unmet needs of lymphoma survivors can enable informed decision‐making relating to survivorship care.”
BackgroundPergolotti, M., Wood, K. C., Kendig, T., & Mayo, S. (2024) · Cancers · doi:10.3390/cancers16101927 · Cited by 15
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“However, few of them have widely validated Chinese versions that have sound psychometric properties (Moghaddam et al., 2016).”
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“Consequently, those living long-term with advanced or metastatic cancers often report unmet supportive care needs [8], in particular, high levels of informational, psychological, physical and functional unmet needs [8].”
BackgroundFaro, J. M., Dressler, E. V. M., Kittel, C., Beeler, D., Bluethmann, S. M., Sohl, S. J., McDonald, A. M., Weaver, K. E., Nightingale, C. L., Neuman, H. B., et al. (2024) · JNCI Cancer Spectrum · doi:10.1093/jncics/pkae005 · Cited by 13
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“greatest prevalence in informational domain, which can strongly correlate to elevated anxiety and depression [14, 35, 36].”
BackgroundBasile, I., Consolo, L., Rusconi, D., Arba, L., Rampichini, F., Caraceni, A. T., & Lusignani, M. (2024) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/10499091231226429 · Cited by 12
“8,12 For example, cancer patients often rank functional loss as a top unmet care need due to the disease, its treatments, and related symptoms.”
BackgroundWang, L., Li, Y., Zhao, R., Li, J., Gong, X., Li, H., & Chi, Y. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1348214 · Cited by 12
“…there are many research investigations on the end-of-life needs of older adult people with cancer at home, such as the physiological need for pain control (13), the psychological need for worry and terror relief (14), the spiritual need for peace of mind (15), and other economic support (16).”
BackgroundKienle, G., Mussler, M., Fuchs, D., & Kiene, H. (2018) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2018.04.012 · Cited by 8
The Unmet Supportive Care Needs of Omani Women Diagnosed with Breast Cancer
Al-Azri, M. H., Al-Bimani, K., Al-Maqbali, A.-A., Al-Riyami, H., Al-Shabnooti, A.-K., Panchatcharam, S. M., & Jaju, S. (2021) · Sultan Qaboos University medical journal · doi:10.18295/squmj.9.2021.135 · Cited by 12
Thiessen, M., Bouchal, S. R., Tang, P., & Sinclair, S. (2022) · JMIR Cancer · doi:10.2196/41740 · Cited by 10
“In the noncurative intent setting, similar findings have been identified, with information needs consistently being one of the most common and important unmet supportive care needs [9].”
Yong, A. S. J., Cheong, W. L., Hamzah, E., & Teoh, S. L. (2023) · Quality of Life Research · doi:10.1007/s11136-023-03401-5 · Cited by 12
“Cancer patients’ need for a myriad of information is consistent with findings from other systematic reviews, which showed that information need is one of the most prevalent unmet needs among patients [9] and their caregivers [10].”
ResultRussell, B. J., Vogrin, S., Philip, J. A. M., Anderson, N. H., Collins, A., Burchell, J., Le, B. H. C., Brand, C. A., Hudson, P., & Sundararajan, V. (2019) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2019.08.009 · Cited by 12
Unmet Needs and Care Delivery Gaps Among Rural Cancer Survivors
Stout, N. L., Boatman, D., Rice, M., Branham, E., Miller, M., & Salyer, R. (2024) · Journal of Patient Experience · doi:10.1177/23743735241239865 · Cited by 11
“22,23 The combination of these issues has led to urgent calls for developing better long-term survivorship care centered in the communities where patients live and work.”
BackgroundBrick, R. S., Gallicchio, L. M., Mollica, M. A., Zaleta, A. K., Tonorezos, E. S., Jacobsen, P. B., Castro, K. M., & Miller, M. F. (2024) · Journal of Cancer Survivorship · doi:10.1007/s11764-024-01573-8 · Cited by 11
“Variables included in the multivariable models were selected a priori based on a literature review of factors associated with unmet needs and concerns in populations with cancer [5–7].”
la Cour, K., Oestergaard, L. G., Brandt, Å., Offersen, S. M. H., Lindahl-Jacobsen, L. E., Cutchin, M. P., & Pilegaard, M. S. (2020) · Palliative Medicine · doi:10.1177/0269216320939227 · Cited by 11
Papadakos, J., Ugas, M. A., Quartey, N. K., Papadakos, C. J., & Giuliani, M. (2023) · Current Oncology · doi:10.3390/curroncol30040291 · Cited by 12
“Support for cancer CGs is critical given this complexity and the non-linearity of the cancer journey, making caregiving responsibilities laborious and variable [13].”
BackgroundPark, J., Jung, W., Lee, G., Kang, D., Shim, Y. M., Kim, H. K., Jeong, A., Cho, J., & Shin, D. W. (2023) · Healthcare · doi:10.3390/healthcare11142012 · Cited by 13
Care needs of older patients with advanced cancer
Molassiotis, A., & Wang, M. (2023) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0000000000000636 · Cited by 11
Shallwani, S. M., Thomas, R. L., King, J., Toupin‐April, K., & Poitras, S. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2023.2200037 · Cited by 11
Nekhlyudov, L., Birken, S. A., & Mayer, D. K. (2017) · European Journal of Cancer Care · doi:10.1111/ecc.12708 · Cited by 11
Velasco-Durántez, V., Mihic-Góngora, L., Membribes, S. C., Galán-Moral, R., Montés, A. F., Trujillo, O. A. C., Sorribes, E., Quilez, A., Puntí, L., Jiménez‐Fonseca, P., et al. (2023) · Current Oncology · doi:10.3390/curroncol30040273 · Cited by 10
“This creates a difficult situation for both the patient and the attending physicians [5,6].”
BackgroundA mixed-method systematic review of unmet care and support needs among Japanese cancer survivors
Tsuchiya, M., Tazaki, M., Fujita, R., Kodama, S., & Takata, Y. (2023) · Journal of Cancer Survivorship · doi:10.1007/s11764-023-01439-5 · Cited by 10
“As survivors’ unmet needs may be affected by local clinical practice, synthesizing literature at the local level would be more useful while implementing models of care [10].”
InfluentialThe role of the nutrition in malnourished cancer patients: Revisiting an old dilemma
Bozzetti, F. (2024) · Clinical Nutrition · doi:10.1016/j.clnu.2024.03.018 · Cited by 10
Pradhan, P., Sharman, A. R., Palme, C. E., Elliott, M., Clark, J. R., & Venchiarutti, R. L. (2024) · Psycho-Oncology · doi:10.1002/pon.9311 · Cited by 10
Schnabel, A., Lordick, F., Oberth, P., Neuschulz, M., Lehmann‐Laue, A., Mehnert, A., & Hinz, A. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1166801 · Cited by 10
Exploring the care needs of Iranian patients with cancer: a qualitative content analysis
Mazhari, F., & Khoshnood, Z. (2021) · BMC Nursing · doi:10.1186/s12912-021-00659-3 · Cited by 10
“Research has also suggested that the most critical primary needs of patients with cancer were a deficiency in daily care, fatigue, pain, and the lack of advice from the treatment staff [11].”
BackgroundInfluentialLin, B., Ding, C., Mei, Y., Wang, P., Ma, F., & Zhang, Z. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-029160 · Cited by 10
“The Mixed Methods Appraisal Tool56 will be applied as a framework for quality appraisal and which has previously been used in a systematic review of unmet needs of patients with cancer conducted by Moghaddam.50 data extraction The main reviewer will extract data and establish a tabled file; the second reviewer will ch…”
MethodOccupations creating joy for people living with advanced cancer: A qualitative descriptive study
Bentz, H. H., Madsen, S. H., Pilegaard, M. S., Oestergaard, L. G., Brandt, Å., Offersen, S. M. H., & la Cour, K. (2021) · British Journal of Occupational Therapy · doi:10.1177/03080226211009419 · Cited by 9
“People living with advanced cancer often experience loss of bodily functions, inability to maintain social roles and engage in basic daily activities (Johnsen et al., 2009; Moghaddam et al., 2016).”
BackgroundSong, H. J., Seo, H., Choi, E. J., Lee, J. S., & Choi, Y. (2024) · Journal of Cancer Survivorship · doi:10.1007/s11764-024-01661-9 · Cited by 12
Schmidt, E. B., Blum, D., Benedetti, F. D., Schlögl, M., & Strasser, F. (2020) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2020-002495 · Cited by 8
Llave, K., Cheng, K. K., Ko, A., Pham, A., Ericson, M., Campos, B., Perez-Gilbe, H. R., & Kim, J. H. J. (2024) · International Journal of Behavioral Medicine · doi:10.1007/s12529-024-10264-8 · Cited by 8
Xiao, J., Chow, K. M., Chen, J., Huang, X., Tang, S., Wang, G., & Chan, C. W. H. (2022) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2022.100168 · Cited by 8
Koczwara, B., Knowles, R., Beatty, L., Shepherd, H. L., Shaw, J., Dhillon, H. M., Karnon, J. D., Ullah, S., & Butow, P. N. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-07547-9 · Cited by 8
Meghani, S. H., Levoy, K. N., Magan, K. C., Starr, L. T., Yocavitch, L., & Barg, F. K. (2020) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909120969121 · Cited by 8
“Variable Total (N 1⁄4 32) African Americans (n 1⁄4 16) Whites (n 1⁄4 16) Median age in years (Range) 53 (24-76) 53 (24-74) 54.”
Karacan, Y., Akkus, Y., Ozcelik, E. T., & Ali, R. (2021) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/apjon.apjon_53_20 · Cited by 7
“, the needs of care that were least addressed in the cancer patients were the informative approach (30%–55%) as well as psychological (18%–42%), physical (17%–48%), and functional fields (17%–37%).([7]) In another study, 48% of hematologic cancer patients stated that they were less understood by the others, 44.”
BackgroundUneno, Y., Morita, T., Watanabe, Y., Okamoto, S., Kawashima, N., & Muto, M. (2023) · Journal of integrative nursing and palliative care · doi:10.51847/lmadkz2u1j · Cited by 7
Senßfelder, A., Havemann, M., Carrasco, A. J. P., von Blanckenburg, P., & Seifart, C. (2024) · Palliative Medicine · doi:10.1177/02692163241269727 · Cited by 7
A Review on the Application of Hospice Care in Patients with Advanced Cancer
Li, X., Bai, F., Liu, X., & Yang, G. (2023) · Patient Preference and Adherence · doi:10.2147/ppa.s434509 · Cited by 7
“A systematic review conducted in 2016 by Moghaddam et al 34 included 23 studies and showed that unmet needs were identified in many areas, with information (30% to 55%), psychology (18% to 42%), physical (17% to 48%), and function (17% to 37”
Hand, L. C., Thomas, T. H., Belcher, S. M., Campbell, G. B., Lee, Y. J., Roberge, M. C., & Donovan, H. S. (2019) · Journal of Oncology Practice · doi:10.1200/jop.18.00420 · Cited by 7
Nordtug, B., Brataas, H. V., & Rygg, L. Ø. (2021) · Health Psychology Open · doi:10.1177/20551029211012208 · Cited by 6
“Yet, considerable research suggests that patients with various forms of cancer often have unmet needs of professional support (Moghaddam et al., 2016).”
Background
Metadata
- Authors
- Moghaddam, N., Coxon, H., Nabarro, S., Hardy, B., & Cox, K.
- Affiliations
- University of Lincoln (GB)
- University of York (GB)
- University of Nottingham (GB)
- Corresponding author
- Moghaddam, Nima
- Venue
- Supportive Care in Cancer
- Published
- 2016-04-30
- Volume
- 24
- Issue
- 8
- Pages
- 3609-3622
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2343005671
- Cited by
- 177
- References
- 48
- Citations by year
- 2026: 9 · 2025: 20 · 2024: 27 · 2023: 29 · 2022: 16 · 2021: 30 · 2020: 16 · 2019: 14 · 2018: 10 · 2017: 5 · 2016: 1
- FWCI
- 1.01
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Lincoln Repository (University of Lincoln) (acceptedVersion)
- Repository@Nottingham (University of Nottingham) (acceptedVersion, other-oa)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- Kent Academic Repository (University of Kent) (submittedVersion)
- Nottingham ePrints (University of Nottingham) (submittedVersion, cc-by)
- Figshare (submittedVersion, cc-by)
- Funders
- National Institute for Health Research (CityCare Research Capability Funding 2014-15)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- unmet care needs, advanced cancer, palliative care, patient support needs, information needs, psychological needs, physical needs, functional needs, chronic disease, needs assessment, service development
- MeSH terms
- Female, Health Services Needs and Demand, Humans, Male, Neoplasms, Needs Assessment
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