Department of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, No.37, Guoxue Lane, Wuhou District, Chengdu, Sichuan, China.
The School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
BMC Cancer. 2023 Jun 26;23(1):587. doi: 10.1186/s12885-023-11087-8.
Breast cancer is the most common type of cancer in women worldwide. Though improved treatments and prolonged overall survival, breast cancer survivors (BCSs) persistently suffer from various unmet supportive care needs (USCNs) throughout the disease. This scoping review aims to synthesize current literature regarding USCNs among BCSs.
This study followed a scoping review framework. Articles were retrieved from Cochrane Library, PubMed, Embase, Web of Science, and Medline from inception through June 2023, as well as reference lists of relevant literature. Peer-reviewed journal articles were included if USCNs among BCSs were reported. Inclusion/exclusion criteria were adopted to screen articles' titles and abstracts as well as to entirely assess any potentially pertinent records by two independent researchers. Methodological quality was independently appraised following Joanna Briggs Institute (JBI) critical appraisal tools. Content analytic approach and meta-analysis were performed for qualitative and quantitative studies respectively. Results were reported according to the PRISMA extension for scoping reviews.
A total of 10,574 records were retrieved and 77 studies were included finally. The overall risk of bias was low to moderate. The self-made questionnaire was the most used instrument, followed by The Short-form Supportive Care Needs Survey questionnaire (SCNS-SF34). A total of 16 domains of USCNs were finally identified. Social support (74%), daily activity (54%), sexual/intimacy (52%), fear of cancer recurrence/ spreading (50%), and information support (45%) were the top unmet supportive care needs. Information needs and psychological/emotional needs appeared most frequently. The USCNs was found to be significantly associated with demographic factors, disease factors, and psychological factors.
BCSs are experiencing a large number of USCNs in fearing of cancer recurrence, daily activity, sexual/intimacy, psychology and information, with proportions ranging from 45% to 74%. Substantial heterogeneity in study populations and assessment tools was observed. There is a need for further research to identify a standard evaluation tool targeted to USCNs on BCSs. Effective interventions based on guidelines should be formulated and conducted to decrease USCNs among BCSs in the future.
乳腺癌是全球女性最常见的癌症类型。尽管治疗方法有所改善，总生存期延长，但乳腺癌幸存者（BCS）在整个疾病过程中仍持续存在各种未满足的支持性护理需求（USCN）。本范围综述旨在综合目前关于 BCS 中 USCN 的文献。
本研究遵循范围综述框架。从 Cochrane Library、PubMed、Embase、Web of Science 和 Medline 中检索了从成立到 2023 年 6 月的文章，并检索了相关文献的参考文献列表。如果报告了 BCS 中的 USCN，则纳入同行评审的期刊文章。采用纳入/排除标准筛选文章的标题和摘要，并由两名独立研究人员对任何潜在相关记录进行全面评估。采用 Joanna Briggs 研究所（JBI）的批判性评估工具对方法学质量进行独立评估。对定性研究和定量研究分别采用内容分析方法和荟萃分析。根据扩展后的 PRISMA 范围审查报告结果。
共检索到 10574 条记录，最终纳入 77 项研究。整体偏倚风险为低至中度。最常用的仪器是自制问卷，其次是简短的支持性护理需求调查问卷（SCNS-SF34）。最终确定了 16 个 USCN 领域。社会支持（74%）、日常活动（54%）、性/亲密关系（52%）、对癌症复发/扩散的恐惧（50%）和信息支持（45%）是最未满足的支持性护理需求。信息需求和心理/情绪需求出现的频率最高。USCN 与人口统计学因素、疾病因素和心理因素显著相关。
BCS 在担心癌症复发、日常活动、性/亲密关系、心理和信息方面存在大量 USCN，比例在 45%至 74%之间。研究人群和评估工具存在很大的异质性。需要进一步研究以确定针对 BCS 的 USCN 的标准评估工具。未来应制定并实施基于指南的有效干预措施，以减少 BCS 中的 USCN。
