Management Sport Cancer Laboratory (UR 20122035V), Faculty of Sport Sciences, Aix-Marseille University, 13008 Marseille, France.
Laboratoire 2LPN, UR7489, Université de Lorraine, 54000 Nancy, France.
Int J Environ Res Public Health. 2024 Aug 7;21(8):1041. doi: 10.3390/ijerph21081041.
The fear of cancer recurrence is an important topic in the healthcare field. In general, approximately 40% of survivors experience high levels of fear of recurrence. This study aims to fill this gap by synthesizing the findings of systematic reviews studies investigating ecosystems, correlates or predictors, and barriers and facilitators of fear of cancer recurrence among cancer survivors. An umbrella meta-synthesis was conducted using the following databases: MEDLINE, PsycINFO, PsycARTICLES, CINAHL, Business source premier, and SOCindex, ending in April 2024 with PRISMA methods. A total of 24 systematic reviews, representing 729 articles, were included in the study. In total, six ecosystems were identified, including family, work, friends, the healthcare system, caregivers, and religion. As part of this umbrella review, 55 specific ecosystemic factors were identified that may contribute to fear of cancer recurrence. Furthermore, the umbrella review identified 12 facilitators and 12 barriers related to fear of cancer recurrence. This umbrella meta-synthesis contributed significantly to our review's strength in synthesizing the main ecosystem and its influence on fears of cancer recurrence. Understanding the interdependence of ecosystems should enable future research on intervention effectiveness or the development of interventions that could reduce the fear of cancer recurrence.
癌症复发恐惧是医疗保健领域的一个重要话题。一般来说，约有 40%的幸存者经历着高度的癌症复发恐惧。本研究旨在通过综合系统评价研究的发现来填补这一空白，这些研究调查了癌症幸存者癌症复发恐惧的生态系统、相关因素或预测因素、障碍和促进因素。本研究采用以下数据库进行伞式元分析：MEDLINE、PsycINFO、PsycARTICLES、CINAHL、Business source premier 和 SOCindex，截止到 2024 年 4 月，采用 PRISMA 方法。共有 24 项系统评价，代表 729 篇文章，被纳入研究。共有六个生态系统被确定，包括家庭、工作、朋友、医疗保健系统、照顾者和宗教。作为这项伞式综述的一部分，确定了 55 个可能导致癌症复发恐惧的特定生态系统因素。此外，伞式综述还确定了与癌症复发恐惧相关的 12 个促进因素和 12 个障碍。这项伞式元分析极大地增强了我们综述的实力，综合了主要生态系统及其对癌症复发恐惧的影响。了解生态系统的相互依存关系应该能够促进未来关于干预效果的研究或开发可能减少癌症复发恐惧的干预措施。
