Health care needs of cancer survivors in general practice: a systematic review.
Health care needs of cancer survivors in general practice: a systematic review.
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DOI：
10.1186/1471-2296-15-94
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发表时间：
2014-05-13
影响因子：
2.9
通讯作者：
Korevaar JC
中科院分区：
文献类型：
--
作者：
Hoekstra RA;Heins MJ;Korevaar JC
由于治疗方法的改进，癌症幸存者的数量正在增加。因此，全科医生将在未来几年治疗越来越多的癌症幸存者。对这些幸存者的护理需求知之甚少，缺乏支持全科医生治疗这些患者的指南。本研究的目的是深入了解癌症幸存者在全科医疗中的医疗保健需求。在PubMed、Embase和科克伦系统评价图书馆对癌症幸存者的全科医疗需求进行了系统评价。合格的研究可以是定性或定量研究，检查癌症幸存者在一般实践中的需求。纳入了对患有任何癌症类型的成年幸存者的研究，这些幸存者被认为没有活动性疾病并且不再接受积极治疗。对于每项研究，使用专门为此研究开发的表格给出质量评分。收集了关于幸存者一般实践需求的陈述，并对相应的主题进行了分组。纳入了15项研究，其中12项是定性研究。大多数提到的全科医疗需求是社会心理需求，主要是从全科医生那里得到的支持，其次是医疗问题方面的帮助需求，以及关于癌症、康复、晚期治疗效果和适应治疗后生活的信息需求。癌症幸存者有不同类型的一般实践需求，目前没有或不充分满足。这篇综述为全科医生制定新的指南以支持癌症生存提供了一个起点。
The number of cancer survivors is increasing due to improved treatments. Consequently, general practitioners will treat more and more cancer survivors in the upcoming years. Only little is known about the care needs of these survivors and guidelines to support general practitioners in their treatment of these patients are lacking. The aim of this study was to gain insight in the health care needs of cancer survivors in general practice. A systematic review on cancer survivors’ general practice needs was conducted in PubMed, Embase and the Cochrane Library of Systematic Reviews. Eligible studies could be qualitative or quantitative studies examining cancer survivors’ needs in general practice. Studies of adult survivors, with any cancer type, considered free of active disease and no longer receiving active treatment, were included. For each study a quality score was given using a form developed specifically for this study. Statements about survivors’ general practice needs were collected and corresponding themes were grouped. Fifteen studies were included, of which twelve were qualitative. Most mentioned general practice needs were psychosocial needs, mainly being support received form the GP, followed by a need for help with medical issues, and a need for information on cancer, recovery, late treatment effects and on adjusting to life after treatment. Cancer survivors have different types of general practice needs that are currently not or insufficiently met. This review provides a starting point for the development of new guidelines for general practitioners to support in cancer survivorship.
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