Unmet supportive care needs of people with advanced cancer and their caregivers: A systematic scoping review
Open accessAbstract
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.
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Prolonged survival of cancer patients means there is a need for continued tailored supportive care.
“prolonged survival means there is a need for continued tailored supportive care [9].”
From Exploring the Unmet Needs of Cancer Caregivers in India: A Cross-Sectional Survey (2024) · cites this paper as [9]
The Abstract reports unmet supportive care needs in adults with advanced cancer and says its findings can inform targeted interventions. It does not link those needs to prolonged survival or specify that care must continue over time. (LLM, conf=0.85)
Experimental — accuracy not yet measuredFamily caregivers of cancer patients commonly report unmet needs regarding health systems and information, patient care and support, leaving them unprepared for caregiving tasks.
“Family caregivers of cancer patients have commonly reported unmet needs regarding health systems and information, patient care and support, leaving them unprepared for caregiving tasks.”
From The burdens, coping strategies, and unmet needs of family caregivers of Chinese patients with lymphoma receiving commercial CAR-T-cell therapy: A qualitative study (2026) · cites this paper as [28]
The available passages contain the paper’s title and bibliographic details, but no findings about which caregiver needs are common or whether caregivers feel unprepared for tasks. Searches for health-system and information needs, patient-care support, and caregiving preparedness returned no substantive passage addressing the claim. (LLM, conf=0.75)
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“Noteworthy, one recent systematic review [12] excluded patients reporting unmet supportive care needs during the COVID-19 pandemic because this was beyond the scope of their review.”
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Self-citationPalliative care facilitates the preparedness of caregivers for thoracic cancer patients
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“Thus, prolonged survival means there is a need for continued tailored supportive care [9].”
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- Authors
- Hart, N. H., Crawford-Williams, F., Crichton, M., Yee, J., Smith, T. J., Koczwara, B., Fitch, M. I., Crawford, G. B., Mukhopadhyay, S., Mahony, J., Cheah, C., Townsend, J., Cook, O., Agar, M. R., & Chan, R. J.
- Affiliations
- Edith Cowan University (AU)
- Queensland University of Technology (AU)
- Bond University (AU)
- The University of Sydney (AU)
- Johns Hopkins University (US)
- Flinders University (AU)
- University of Toronto (CA)
- SA Health (AU)
- Burdwan Medical College & Hospital (IN)
- The University of Western Australia (AU)
- Monash University (AU)
- University of Technology Sydney (AU)
- Corresponding author
- Hart, Nicolas H.
- ORCID
- Venue
- Critical Reviews in Oncology/Hematology
- Publisher
- Elsevier BV
- Published
- 2022-08
- Volume
- 176
- Pages
- 103728
- ISSN
- 1040-8428 (ISSN-L)
- OpenAlex
- W4281931702
- Cited by
- 270
- References
- 142
- Citations by year
- 2026: 64 · 2025: 88 · 2024: 78 · 2023: 35 · 2022: 5
- FWCI
- 6.30
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Critical Reviews in Oncology/Hematology (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by)
- Australasian Journal of Paramedicine (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Griffith Research Online (submittedVersion, other-oa)
- 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 supportive care needs, advanced cancer, cancer caregivers, financial need, psychological distress, depression, anxiety, hematologic malignancies, solid tumors, quality of cancer care
- MeSH terms
- Adult, Anxiety, Health Services Needs and Demand, Humans, Neoplasms, Surveys and Questionnaires, Social Support, Caregivers, Needs Assessment
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