Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands.
Department of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Eur J Cancer Care (Engl). 2021 Nov;30(6):e13502. doi: 10.1111/ecc.13502. Epub 2021 Aug 18.
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.
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.
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.
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.
罕见癌症患者可能比常见癌症患者有更多的未满足需求。本系统评价的目的是：(1) 调查罕见癌症患者在疾病过程中未满足的支持性护理需求；(2) 确定这些未满足需求的预测因素。
检索了 PubMed、PsycINFO 和 CINAHL 上的文献(2011 年 1 月至 2021 年 3 月)，重点关注罕见癌症患者的未满足需求。两位评审员独立选择研究、提取数据并进行质量评估。结果进行了综合分析。
搜索结果得到了 4598 篇文章，其中 59 篇符合入选标准，57 篇为中高质量。罕见癌症患者最常报告在医疗保健系统和信息领域存在未满足的需求(高达 95%)，其次是心理领域(高达 93%)和身体及日常生活领域(高达 80%)。未满足的需求主要在治疗后阶段报告。最常被识别的预测因素是更高的焦虑、更年轻的年龄和更高的神经质。
罕见癌症患者在疾病过程中存在未满足的需求。应根据罕见癌症亚组和疾病阶段以及从诊断开始，针对罕见癌症患者的个体情况来解决支持性护理需求。
