Global Focus On Cancer, South Salem, NY, USA.
Global Health Program, New York University School of Global Public Health, New York, NY, USA.
Support Care Cancer. 2022 Nov;30(11):9483-9496. doi: 10.1007/s00520-022-07319-5. Epub 2022 Aug 13.
In high-income countries (HICs), supportive care is often used to assist cancer patients as they seek treatment and beyond. However, in low-and middle-income countries (LMICs), where more than 70% of all cancer-related deaths occur [1], the provision of supportive care has not been assessed. The purpose of this scoping review is to assess the type of supportive care interventions for cancer patients across the cancer care continuum in LMICs.
We examined published articles reporting on supportive care interventions in LMICs. Following PRISMA guidelines, we performed a systematic search of PubMed, ERIC, CINAHL, and PsycINFO. We limited the scope to original research studies focused on LMICs, studies concerning any type of supportive care intervention for adult cancer patients, from diagnosis, treatment, and post-treatment.
Thirty-five studies met the criteria for inclusion in the scoping review. The majority were randomized clinical trials (RCT) or used a quasi-experimental design. The highest number of studies (n = 23) was implemented in the WHO Eastern-Mediterranean region, followed by South-East Asia (n = 6), Africa (n = 4), and Western-Pacific Regions (n = 2). Most studies focused on women's cancers and included interventions for psychosocial support, symptom management, health literacy/education, and patient navigation.
Although we found only a small number of interventions being conducted in these settings, our results suggest that providing different types of supportive services in less-resourced settings, even when health systems are fragmented and fragile, can improve mental health, physical health, and the quality of life (QoL) of cancer patients.
在高收入国家（HICs），支持性护理通常用于帮助癌症患者在治疗过程中和治疗后获得支持。然而，在中低收入国家（LMICs），超过 70%的癌症相关死亡发生于此[1]，支持性护理的提供尚未得到评估。本范围综述的目的是评估 LMIC 中癌症患者在整个癌症护理连续体中接受的支持性护理干预措施的类型。
我们查阅了报道 LMIC 中支持性护理干预措施的已发表文章。我们遵循 PRISMA 指南，对 PubMed、ERIC、CINAHL 和 PsycINFO 进行了系统搜索。我们将范围限制在针对 LMIC 的原始研究，研究对象为成年癌症患者的任何类型的支持性护理干预，从诊断、治疗到治疗后。
35 项研究符合纳入范围综述的标准。其中大部分为随机临床试验（RCT）或采用准实验设计。实施数量最多的研究（n=23）来自世界卫生组织东地中海区域，其次是东南亚（n=6）、非洲（n=4）和西太平洋区域（n=2）。大多数研究集中于女性癌症，并包括心理社会支持、症状管理、健康素养/教育和患者导航等干预措施。
尽管我们仅在这些环境中发现了少数干预措施，但我们的研究结果表明，即使在卫生系统分散且脆弱的情况下，在资源较少的环境中提供不同类型的支持性服务，也可以改善癌症患者的心理健康、身体健康和生活质量（QoL）。
