Unmet supportive care needs of breast cancer survivors: a systematic scoping review
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Abstract
Background: Breast cancer is the most common type of cancer in women worldwide. Though improved treatments and prolonged overall survival, breast cancer survivors (BCSs) persistently suffer from various unmet supportive care needs (USCNs) throughout the disease. This scoping review aims to synthesize current literature regarding USCNs among BCSs. Methods: This study followed a scoping review framework. Articles were retrieved from Cochrane Library, PubMed, Embase, Web of Science, and Medline from inception through June 2023, as well as reference lists of relevant literature. Peer-reviewed journal articles were included if USCNs among BCSs were reported. Inclusion/exclusion criteria were adopted to screen articles’ titles and abstracts as well as to entirely assess any potentially pertinent records by two independent researchers. Methodological quality was independently appraised following Joanna Briggs Institute (JBI) critical appraisal tools. Content analytic approach and meta-analysis were performed for qualitative and quantitative studies respectively. Results were reported according to the PRISMA extension for scoping reviews. Results: A total of 10,574 records were retrieved and 77 studies were included finally. The overall risk of bias was low to moderate. The self-made questionnaire was the most used instrument, followed by The Short-form Supportive Care Needs Survey questionnaire (SCNS-SF34). A total of 16 domains of USCNs were finally identified. Social support (74%), daily activity (54%), sexual/intimacy (52%), fear of cancer recurrence/ spreading (50%), and information support (45%) were the top unmet supportive care needs. Information needs and psychological/emotional needs appeared most frequently. The USCNs was found to be significantly associated with demographic factors, disease factors, and psychological factors. Conclusion: BCSs are experiencing a large number of USCNs in fearing of cancer recurrence, daily activity, sexual/intimacy, psychology and information, with proportions ranging from 45% to 74%. Substantial heterogeneity in study populations and assessment tools was observed. There is a need for further research to identify a standard evaluation tool targeted to USCNs on BCSs. Effective interventions based on guidelines should be formulated and conducted to decrease USCNs among BCSs in the future.
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A large number of breast cancer survivors experiencing symptoms of depression and anxiety have unmet supportive care needs.
“With a large number of breast cancer survivors experiencing symptoms of depression and anxiety, they have been shown to have unmet supportive care needs [7,8].”
From Co-Designing the MOSAIC mHealth App With Breast Cancer Survivors: User-Centered Design Approach (2024) · cites this paper as [7]
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Flagged first, then by citations
Research works printed but not linked: 3
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Cited by
Sorted by citations
Co-Designing the MOSAIC mHealth App With Breast Cancer Survivors: User-Centered Design Approach
Nuseibeh, B. Z., Johns, S. A., Shih, P. C., Lewis, G. F., Gowan, T. M., & Jordan, E. J. (2024) · JMIR Formative Research · doi:10.2196/59426 · Cited by 5 · see citing works
- Authors
- Fan, R., Wang, L., Bu, X., Wang, W., & Zhu, J.
- Affiliations
- Sichuan University (CN)
- Hong Kong Polytechnic University (HK)
- Corresponding author
- Zhu, Jing
- Venue
- BMC Cancer
- Published
- 2023-06-26
- Volume
- 23
- Issue
- 1
- Pages
- 587-587
- ISSN
- 1471-2407 (ISSN-L)
- PMC
- PMC10294377
- OpenAlex
- W4382141253
- Cited by
- 103
- References
- 145
- Citations by year
- 2026: 41 · 2025: 39 · 2024: 18 · 2023: 5
- FWCI
- 3.34
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Cancer (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- breast cancer survivors, unmet supportive care needs, social support, fear of cancer recurrence, daily activities, information needs, psychological needs, emotional needs, survivorship care
- MeSH terms
- Cancer Survivors, Breast Neoplasms, Female, Humans, Neoplasm Recurrence, Local, Social Support, Survivors
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