The Hidden Morbidity of Cancer
Open accessAbstract
Caregiving is a highly individualized experience. Although numerous articles have been published on caregiver burden from a variety of diagnoses and conditions, this article presents the unique features of caregiving in patients with brain metastases. Improved long-term survival, concerns about disease recurrence or progression, the cancer experience (initial diagnosis, treatment, survivorship, recurrence, progression, and end of life), and the increasing complexity of cancer treatments add to the demands placed on the caregivers of patients with brain metastases. Health care professionals must identify caregiver burden and administer the appropriate interventions, which must be as unique and individualized as the caregivers' experiences.
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Earlier reports in neuro-oncology often describe moderate-to-severe burden levels and identify patient functional dependence and neuropsychiatric symptoms as key correlates.
“When considering caregiver burden, earlier reports in neuro-oncology often describe moderate-to-severe burden levels and identify patient functional dependence and neuropsychiatric symptoms as key correlates.26,27”
From Caregiver burden, quality of life, and psychosocial outcomes among informal caregivers of patients with glioma: A systematic review and meta-analysis (2026) · cites this paper as [26]
In “Primary Demands of Caregiving” (page unavailable), the paper reports that functional status affected one caregiver-burden subscale in a study of primary brain tumors, while neuropsychiatric status affected every subscale. It does not establish the claimed moderate-to-severe burden levels in neuro-oncology; searches for that severity description found no supporting passage. (LLM, conf=0.84)
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“26,27 The pooled burden prevalence in this review is broadly consistent with that literature, while the heterogeneity mirrors the diversity of caregiving contexts previously described.”
- Authors
- Saria, M. G., Nyamathi, A., Phillips, L. R., Stanton, A. L., Evangelista, L., Kesari, S., & Maliski, S.
- Affiliations
- University of California, Los Angeles (US)
- University of California, Irvine (US)
- Saint John's Health Center (US)
- Corresponding author
- Saria, Marlon Garzo
- Venue
- Nursing Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2017-03
- Volume
- 52
- Issue
- 1
- Pages
- 159-178
- ISSN
- 0029-6465 (ISSN-L)
- PMC
- PMC10239524
- OpenAlex
- W2586488084
- Cited by
- 29
- References
- 13
- Citations by year
- 2026: 3 · 2025: 5 · 2023: 2 · 2022: 4 · 2021: 5 · 2020: 6 · 2019: 2 · 2018: 2
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nursing Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute on Aging (R21AG053162)
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Brain Metastases and Treatment
- Keywords
- caregiver burden, brain metastases, cancer caregiving, caregiver experiences, cancer survivorship, end-of-life care, recurrence, caregiver interventions
- MeSH terms
- Adaptation, Psychological, Brain Neoplasms, Female, Humans, Male, Neoplasm Metastasis, Neoplasm Recurrence, Local, Quality of Life, Stress, Psychological, Caregivers
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