Zhang Tongyu, Bai Zhuobing, Zhao Bingyan, Chen Yu, Zhang Chunmei
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
School of International Trade and Economics, Central University of Finance and Economics, Room 1021, CUFE Building, 39 South College Road, Beijing, 102206, China.
Patient. 2025 Mar;18(2):115-129. doi: 10.1007/s40271-024-00722-6. Epub 2024 Nov 1.
Cancer survivors frequently encounter multiple challenges, including physical, psychological, social, emotional, and financial difficulties. These challenges significantly impact their quality of life and recovery process. This systematic review intends to delineate and assess the evidence gathered from discrete choice experiments, aiming to unravel the preferences of cancer survivors towards their follow-up care.
A systematic literature review was conducted across PubMed, Web of Science, Embase, CINAHL, PsycINFO, CNKI, Wanfang, and SinoMed databases up to July 2024. Two reviewers independently conducted the screening, data extraction, and quality appraisal of the studies. The collected data were synthesized through a narrative approach. Additionally, semi-quantitative analyses were used to evaluate the frequency, importance, and significance of each attribute.
Eight studies conducted across four countries were analyzed, yielding 41 distinct attributes grouped into eight main categories and 14 subcategories, further refined by subject matter. Despite the differences in payment systems between countries, the type of provider topped the list of preferences for cancer survivors' follow-up care. Next in preference was the contact modality. Service quality (comprehensive plans, personalized service, detailed information) was also valued. However, opinions diverged on continuity, additional support, and service frequency.
The attributes of follow-up care preferences integrated in this review demonstrate a diverse range among cancer survivors. Generally, they prioritize skilled professionals, flexible contact modality, and other high-quality follow-up care elements. Future studies should analyze cancer survivors' preferences for follow-up care from the perspectives of different stakeholders, and further consider internal and external factors to ensure authentic decision making.
癌症幸存者经常面临多种挑战，包括身体、心理、社会、情感和经济困难。这些挑战严重影响他们的生活质量和康复进程。本系统评价旨在描述和评估从离散选择实验中收集的证据，以揭示癌症幸存者对其后续护理的偏好。
截至2024年7月，在PubMed、科学网、Embase、CINAHL、PsycINFO、中国知网、万方和中国生物医学文献数据库中进行了系统的文献综述。两名评审员独立进行研究的筛选、数据提取和质量评估。收集的数据通过叙述性方法进行综合。此外，还采用了半定量分析来评估每个属性的频率、重要性和意义。
对四个国家进行的八项研究进行了分析，得出41个不同的属性，分为八个主要类别和14个子类别，并根据主题进一步细化。尽管各国支付系统存在差异，但提供者类型在癌症幸存者后续护理的偏好列表中位居榜首。其次是联系方式。服务质量（全面计划、个性化服务、详细信息）也受到重视。然而，在连续性、额外支持和服务频率方面存在不同意见。
本综述中纳入的后续护理偏好属性在癌症幸存者中表现出多样性。一般来说，他们优先考虑技术熟练的专业人员、灵活的联系方式和其他高质量的后续护理要素。未来的研究应从不同利益相关者的角度分析癌症幸存者对后续护理的偏好，并进一步考虑内部和外部因素，以确保做出真实的决策。
