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Cited by 162Nursing care and researchCancer survivorship and careFamily Support in Illness

Impact of informal cancer caregiving across the cancer experience: A systematic literature review of quality of life

Open access
Ochoa, Carol Y., Buchanan Lunsford, Natasha, Lee Smith, Judith·2020·Palliative and Supportive Care
DOI 10.1017/s1478951519000622PMC PMC8678891
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Abstract

Objective: Informal caregiving may likely increase as the number of cancer survivors grows. Caregiving responsibilities can impact caregivers’ quality of life (QOL). Understanding the current state of the science regarding caregiving QOL could help inform future research and intervention development. Methods: A systematic literature review in PubMed/Medline examined research on QOL among informal cancer caregivers and related psychosocial health outcomes. Original research articles in English, published between 2007 and 2017 about caregivers (aged >18 years) of adult cancer patients in the United States were included. Abstracted articles were categorized according to caregiving recipient's phase of survivorship (acute, middle to long-term, end of life/bereavement). Results: Of 920 articles abstracted, 60 met inclusion criteria. Mean caregiver age ranged from 37 to 68 with the majority being female, non-Hispanic white, with at least a high school degree, and middle income. Almost half of the studies focused on caregivers who provided care for survivors from diagnosis through the end of active treatment. Studies examined physical health, spirituality, psychological distress, and social support. Differences in QOL were noted by caregiver age, sex, and employment status. Significance of Results: Additional research includes the examination of the needs of diverse cancer caregivers and determines how additional caregiver characteristics (e.g., physical functioning, financial burden, etc.) affect QOL. This includes studies examining caregiver QOL in the phases following the cessation of active treatment and assessments of health systems, support services, and insurance to determine barriers and facilitators needed to meet the immediate and long-term needs of cancer caregivers.

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  • La revisión sistemática de Ochoa et al. recogió 60 estudios: 38% describen la calidad de vida en fase aguda, 7% en fase de largo plazo y 12% en fase de final de la vida, con una muestra total de 21,501 personas.

    “Ochoa et al.Recoge 60 estudios en donde un 38% describe la CdV en fase aguda, 7% en fase de largo plazo y un 12% en fase de final de la vida; con una muestra total de 21,501 personas.”

    From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Ochoa et al., 2020

    The Results, under Study characteristics (page not available), report 60 articles and the stated 38% acute, 7% middle-to-long-term, and 12% figures. They label the 12% group the bereavement phase, within the review’s broader end-of-life/bereavement classification. Our copy gives sample-size ranges but does not report a combined sample of 21,501 people, so that part is unsupported. (LLM, conf=0.88)

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  • Una percepción negativa de los cuidadores conyugues acerca de la calidad de vida de los pacientes y el impacto de la situación en la relación conyugal fueron factores negativos en la calidad de vida de los cuidadores.

    “una percepción negativa de los cuidadores conyugues acerca de la CdV de los pacientes y el impacto de la situación en la relación conyugal, fueron factores negativos en la CdV de los cuidadores.”

    From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Ochoa et al., 2020

    In Results > Major Findings (page not provided), the review links patients’ self-reported poor quality of life with poorer caregiver mental health. It also reports that perceived caregiving stress negatively affected caregivers’ quality of life and spousal intimacy. It does not establish that caregivers’ negative perceptions of patients’ quality of life, or the effect on the marital relationship itself, were factors worsening caregiver quality of life. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • La percepción negativa de los cuidadores conyugues acerca de la calidad de vida de los pacientes y el impacto de la situación en la relación conyugal son factores negativos en la calidad de vida de los cuidadores.

    “percepción negativa de los cuidadores conyugues acerca de la CdV de los pacientes y el impacto de la situación en la relación conyugal, fueron factores negativos en la CdV de los cuidadores (Ochoa et al., 2020).”

    From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Ochoa et al., 2020

    In Results > Major Findings (page unavailable), the review links patients’ self-reported poor quality of life with poorer caregiver mental health, and reports that perceived caregiving stress negatively affects both caregivers’ quality of life and spousal intimacy. It does not establish that spouses’ negative perceptions of patients’ quality of life, or the effect on the marital relationship itself, are the factors lowering caregivers’ quality of life. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Los cuidadores masculinos tienen una mejor calidad de vida física, relacionada con una menor carga y la percepción de un mayor apoyo familiar.

    “los cuidadores masculinos tuvieron una CdV física mejor, relacionada a una menor carga y a la percepción de un mayor apoyo familiar”

    From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Ochoa et al., 2020

    In Results > Major Findings, under Social Support (page unavailable), the review reports that male caregivers had fewer health problems when they perceived less burden because they perceived greater family support. This supports the relationship with burden and family support, but the passage does not specifically report better physical quality of life or a comparison showing that men had better physical quality of life than other caregivers. (LLM, conf=0.82)

    Experimental — accuracy not yet measured

  • Los cuidadores de pacientes con cáncer de próstata avanzado tuvieron una calidad de vida más pobre en relación con los de estadios tempranos.

    “En los estudios analizados se observó que los cuidadores de pacientes con cáncer de próstata avanzado tuvieron una CdV más pobre en relación a los de estadios tempranos.”

    From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Ochoa et al., 2020

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Cited by

Sorted by citations

Authors
Ochoa, C. Y., Buchanan Lunsford, N., & Lee Smith, J.
Affiliations
University of Southern California (US)
Corresponding author
Ochoa, Carol Y.
ORCID
Ochoa, Carol Y.
Venue
Palliative and Supportive Care
Publisher
Cambridge University Press (CUP)
Published
2019-10-07
Volume
18
Issue
2
Pages
220-240
ISSN
  • 1478-9515 (ISSN-L)
  • 1478-9523
DOI
10.1017/s1478951519000622
PMC
PMC8678891
OpenAlex
W2977768238
Cited by
162
References
12
Citations by year
2026: 17 · 2025: 28 · 2024: 40 · 2023: 35 · 2022: 25 · 2021: 9 · 2020: 7 · 2019: 1
FWCI
2.02
Type
journal article
Language
en
Open access
Licence
www.cambridge.org/core/terms (unspecified)
Locations
  • Palliative & Supportive Care (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (CC999999)
Topics
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Sociology and Political Science › Family Support in Illness
Keywords
caregiver quality of life, cancer survivors, psychosocial outcomes, psychological distress, social support, spirituality, end-of-life care, bereavement, caregiver employment status
MeSH terms
Adaptation, Psychological, Patient Care, Humans, Neoplasms, Quality of Life, Social Support, Caregivers

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