TY - JOUR
T1 - Unmet supportive care needs of patients with rare cancer
T2 - A systematic review
AU - de Heus, Eline
AU - van der Zwan, Jan Maarten
AU - Husson, Olga
AU - Frissen, Anne-Roos
AU - van Herpen, Carla M. L.
AU - Merkx, Matthias A. W.
AU - Duijts, Saskia F. A.
N1 - Funding Information: We thank Olga van der Hel for her assistance with developing the search strategy and Milou Reuvers for her help with the data extraction and quality assessment. Publisher Copyright: © 2021 John Wiley & Sons Ltd.
PY - 2021/11/1
Y1 - 2021/11/1
N2 - 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.
AB - 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.
KW - rare cancer
KW - supportive care
KW - systematic review
KW - unmet needs
UR - http://www.scopus.com/inward/record.url?scp=85112751067&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/ecc.13502
DO - https://doi.org/10.1111/ecc.13502
M3 - Article
C2 - 34409667
SN - 0961-5423
VL - 30
JO - European journal of cancer care
JF - European journal of cancer care
IS - 6
M1 - e13502
ER -