The physical and practical problems experienced by cancer survivors: A rapid review and synthesis of the literature
The physical and practical problems experienced by cancer survivors: A rapid review and synthesis of the literature
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DOI：
10.1016/j.ejon.2011.02.005
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发表时间：
2011-07-01
影响因子：
2.8
通讯作者：
Amir, Z.
中科院分区：
文献类型：
--
作者：
Brearley, S. G.;Stamataki, Z.;Amir, Z.
目的：对成人癌症存活者面临的生理和实际问题进行快速和全面的综述，以确定哪些是已知的，哪些是未知的。结果：检索出5121篇综述，其中42篇通过筛选，9篇符合质量和纳入标准。大多数论文侧重于身体健康(n=6)，其余论文侧重于实际健康(就业和金融)。审查的质量参差不齐(从差到好)。发现的差距包括性功能、下肢淋巴水肿、周围神经病变、膀胱和胃肠道问题、荷尔蒙后遗症、老年癌症幸存者、癌症对工作的影响以及特定背景下未得到满足的支持性护理需求。这项综述发现，生存缺乏标准化的命名和方法限制。结论：在与癌症生存相关的实际和生理问题方面，我们发现了四个主要的知识缺口。这些是关键症状、未得到满足的支持性护理需求、就业和老年癌症幸存者，应该通过未来的研究和系统的文献审查来解决。还需要开展工作来解决存活率的命名问题，并改进癌症幸存者研究的方法(包括标准化的衡量标准、理论框架、纵向设计、纳入老年幸存者和年龄匹配的对照以供比较)。审查强调需要在已确定的领域内进行更好的研究，以改善癌症幸存者的经历。(C)2011爱思唯尔有限公司。保留所有权利。
Purpose: A rapid and comprehensive review to identify what is known and not known about the physical and practical problems faced by adult cancer survivors.Methods: A systematic literature review process was used. This focused on published reviews to enable a fast but rigorous identification of both the gaps and well-researched areas within survivorship.Results: The search identified 5121 reviews, of which 42 were screened and 9 met the quality and inclusion criteria. The majority of papers focused on physical well being (n = 6) with the remaining papers focusing on practical well being (employment and finance). The quality of the reviews varied (ranging from weak to good). Gaps identified include sexual function, lower-limb lymphoedema, peripheral neuropathy, bladder and GI problems, hormonal sequelae, older cancer survivors, work impact of cancer and context-specific unmet supportive care needs. The review found a lack of standardised nomenclature for survivorship and methodological limitations.Conclusions: Four main gaps in knowledge relating to the practical and physical problems associated with cancer survivorship have been identified. These are key symptoms, unmet supportive care needs, employment and older cancer survivors, and should be addressed by future research and systematic literature reviews. Work is also needed to address the nomenclature of survivorship and to improve the methodology of research into cancer survivors (including standardised measures, theoretical frameworks, longitudinal design, inclusion of older survivors and age-matched controls for comparison). The review highlighted the need for better research within the identified areas in order to improve the experiences of cancer survivors. (C) 2011 Elsevier Ltd. All rights reserved.