Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, SA, 5000, Australia.
School of Nursing and Midwifery, University of South Australia, Adelaide, SA, 5000, Australia.
J Cancer Surviv. 2020 Aug;14(4):405-416. doi: 10.1007/s11764-020-00859-x. Epub 2020 Feb 6.
As a treatment summary (TS) documents information for follow-up care, it is believed to be an important communication tool for the patient, their GP, and other health professionals. The aim of this systematic review (SR) was to evaluate the impact of receiving a TS for cancer survivors when compared to receiving standard care and to identify knowledge gaps to inform future research.
A systematic search of electronic databases and grey literature was undertaken from August 2018 to October 2018. Studies were included if participants (cancer survivors) were over 18 years of age and had received a TS, and if outcomes for TS could be separated from other survivorship interventions. The McMaster Critical Appraisal Tool was used to evaluate the methodological quality of the included studies. A narrative synthesis of the study outcomes was then conducted.
Seven studies (one prospective cohort and six cross-sectional studies) met the inclusion criteria. The impact of TS was assessed using widely varied outcomes in these studies. Overall, receipt of a TS was related to greater patient understanding and perception of the quality of care provided. However, caution is required when interpreting these results due to methodological limitations.
This systematic review found that TS may have a positive impact on patient understandings about and perceptions of cancer care. However, more robust research including perspectives of cancer survivors is required.
TS could play an important role for cancer survivors especially in terms of knowledge of cancer care.
治疗总结(TS)为随访护理提供信息,被认为是患者、他们的全科医生和其他卫生专业人员的重要沟通工具。本系统评价(SR)旨在评估与接受标准护理相比,癌症幸存者收到 TS 的影响,并确定知识空白以指导未来的研究。
从 2018 年 8 月到 2018 年 10 月,对电子数据库和灰色文献进行了系统搜索。如果参与者(癌症幸存者)年龄超过 18 岁且已收到 TS,并且可以将 TS 的结果与其他生存干预措施分开,则纳入研究。使用麦克马斯特批判性评估工具评估纳入研究的方法学质量。然后对研究结果进行叙述性综合。
有 7 项研究(一项前瞻性队列研究和 6 项横断面研究)符合纳入标准。这些研究使用广泛不同的结果来评估 TS 的影响。总体而言,收到 TS 与患者对所提供护理质量的理解和感知增加有关。但是,由于方法学限制,在解释这些结果时应谨慎。
本系统评价发现,TS 可能对患者对癌症护理的理解和看法产生积极影响。然而,需要包括癌症幸存者的观点在内的更有力的研究。
TS 可能对癌症幸存者,尤其是在癌症护理知识方面发挥重要作用。