医学
心理信息
奇纳
癌症
神经质
疾病
梅德林
系统回顾
生活质量(医疗保健)
焦虑
医疗保健
家庭医学
内科学
精神科
护理部
心理干预
心理学
经济
人格
法学
社会心理学
经济增长
政治学
作者
Eline de Heus,Jan Maarten van der Zwan,Olga Husson,Anne-Roos Frissen,Carla M.L. van Herpen,Matthias A.W. Merkx,Saskia Duijts
摘要
Objective Patients with rare cancers may experience different unmet needs than those with common cancer. The objective of this systematic review was to (1) investigate unmet supportive care needs of rare cancer patients throughout the disease trajectory and (2) identify predictive factors for these unmet needs. Methods PubMed, PsycINFO and CINAHL were searched for publications (January 2011 to March 2021) focusing on unmet needs of patients with rare cancer. Two reviewers independently selected studies, extracted data and performed quality assessment. Findings were synthesised. Results The search yielded 4,598 articles, of which 59 articles met eligibility criteria and 57 were of medium or high quality. Rare cancer patients most frequently reported unmet needs in the healthcare system and information domain (up to 95%), followed by the psychological domain (up to 93%) and the physical and daily living domain (up to 80%). Unmet needs were mainly reported in the posttreatment phase. The most frequently identified predictors were higher anxiety, younger age and higher neuroticism. Conclusion Patients with rare cancer have unmet needs throughout their disease trajectory. Supportive care needs of rare cancer patients should be addressed individually, depending on the rare cancer subdomain and phase of disease and from diagnosis onwards.
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