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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.”
BackgroundMollica, M. A., Smith, A. W., Tonorezos, E. S., Castro, K. M., Filipski, K. K., Guida, J., Perna, F. M., Green, P. A., Jacobsen, P. B., Mariotto, A. B., et al. (2021) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djab223 · Cited by 116
Unmet supportive care needs of breast cancer survivors: a systematic scoping review
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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].”
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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