A systematic review of the supportive care needs of women living with and beyond cervical cancer

Roma Maguire, Grigorios Kotronoulas, Mhairi Simpson, Catherine Paterson

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

BACKGROUND: Women with cervical cancer constitute a patient population in need for ongoing, person-centred supportive care. Our aim was to synthesise current available evidence with regard to the supportive care needs of women living with and beyond cervical cancer. METHODS: A systematic review was conducted according to the PRISMA Statement guidelines. Seven electronic databases (DARE, Cochrane, MEDLINE, CINAHL, BNI, PsychINFO and EMBASE) were searched to identify studies employing qualitative and/or quantitative methods. Pre-specified selection criteria were applied to all records published between 1990 and 2013. Methodological quality evaluation was conducted using the standardised QualSyst evaluation tool. Findings were integrated in a narrative synthesis. FINDINGS: Of 4936 references initially retrieved, 15 articles (13 unique studies) met eligibility criteria. One study fell below a pre-specified 55% threshold of methodological quality and was excluded. Individual needs were classified into ten domains of need. Interpersonal/intimacy (10; 83.3%), health system/information (8; 66.7%), psychological/emotional (7; 58.3%) and physical needs (6; 50%) were those most frequently explored. Spiritual/existential (1; 8.3%), family-related (2; 16.7%), practical (2; 16.7%), and daily living needs (2; 16.7%) were only rarely explored. Patient-clinician communication needs and social needs were addressed in 4 studies (33.3%). Dealing with fear of cancer recurrence, concerns about appearance/body image, lack of sexual desire, requiring more sexuality-related information, dealing with pain, and dealing with difficulties in relationship with partner were the most frequently cited individual needs (≥4 studies). CONCLUSIONS: Despite a host of additional needs experienced by women with cervical cancer, a predominant focus on sexuality/intimacy and information seeking issues is noted. Study limitations preclude drawing conclusions as to how these needs evolve over time from diagnosis to treatment and subsequently to survivorship. Whether demographic or clinical variables such as age, race/ethnicity, disease stage or treatment modality play a moderating role, only remains to be answered in future studies.

LanguageEnglish
Pages478-90
Number of pages13
JournalGynecologic Oncology
Volume136
Issue number3
Early online date20 Nov 2014
DOIs
Publication statusPublished - Mar 2015
Externally publishedYes

Fingerprint

Uterine Cervical Neoplasms
cancer
Sexuality
Health Information Systems
Body Image
MEDLINE
Patient Selection
Fear
Survival Rate
Communication
Demography
Databases
Guidelines
Psychology
Recurrence
Pain
intimacy
Therapeutics
sexuality
Population

Keywords

  • access to information
  • mental health
  • cancer survivors
  • quality of life
  • needs assessment
  • patient-centered care
  • physician-patient relations
  • research support
  • social support
  • women's health
  • uterine cervical neoplasms

Cite this

Maguire, Roma ; Kotronoulas, Grigorios ; Simpson, Mhairi ; Paterson, Catherine. / A systematic review of the supportive care needs of women living with and beyond cervical cancer. In: Gynecologic Oncology. 2015 ; Vol. 136, No. 3. pp. 478-90.
@article{be6ddfef95a0452aaad0794d3b143aba,
title = "A systematic review of the supportive care needs of women living with and beyond cervical cancer",
abstract = "BACKGROUND: Women with cervical cancer constitute a patient population in need for ongoing, person-centred supportive care. Our aim was to synthesise current available evidence with regard to the supportive care needs of women living with and beyond cervical cancer. METHODS: A systematic review was conducted according to the PRISMA Statement guidelines. Seven electronic databases (DARE, Cochrane, MEDLINE, CINAHL, BNI, PsychINFO and EMBASE) were searched to identify studies employing qualitative and/or quantitative methods. Pre-specified selection criteria were applied to all records published between 1990 and 2013. Methodological quality evaluation was conducted using the standardised QualSyst evaluation tool. Findings were integrated in a narrative synthesis. FINDINGS: Of 4936 references initially retrieved, 15 articles (13 unique studies) met eligibility criteria. One study fell below a pre-specified 55{\%} threshold of methodological quality and was excluded. Individual needs were classified into ten domains of need. Interpersonal/intimacy (10; 83.3{\%}), health system/information (8; 66.7{\%}), psychological/emotional (7; 58.3{\%}) and physical needs (6; 50{\%}) were those most frequently explored. Spiritual/existential (1; 8.3{\%}), family-related (2; 16.7{\%}), practical (2; 16.7{\%}), and daily living needs (2; 16.7{\%}) were only rarely explored. Patient-clinician communication needs and social needs were addressed in 4 studies (33.3{\%}). Dealing with fear of cancer recurrence, concerns about appearance/body image, lack of sexual desire, requiring more sexuality-related information, dealing with pain, and dealing with difficulties in relationship with partner were the most frequently cited individual needs (≥4 studies). CONCLUSIONS: Despite a host of additional needs experienced by women with cervical cancer, a predominant focus on sexuality/intimacy and information seeking issues is noted. Study limitations preclude drawing conclusions as to how these needs evolve over time from diagnosis to treatment and subsequently to survivorship. Whether demographic or clinical variables such as age, race/ethnicity, disease stage or treatment modality play a moderating role, only remains to be answered in future studies.",
keywords = "access to information, mental health, cancer survivors, quality of life, needs assessment, patient-centered care, physician-patient relations, research support, social support, women's health, uterine cervical neoplasms",
author = "Roma Maguire and Grigorios Kotronoulas and Mhairi Simpson and Catherine Paterson",
note = "Copyright {\circledC} 2014 Elsevier Inc. All rights reserved.",
year = "2015",
month = "3",
doi = "10.1016/j.ygyno.2014.10.030",
language = "English",
volume = "136",
pages = "478--90",
journal = "Gynecologic Oncology",
issn = "0090-8258",
number = "3",

}

A systematic review of the supportive care needs of women living with and beyond cervical cancer. / Maguire, Roma; Kotronoulas, Grigorios; Simpson, Mhairi; Paterson, Catherine.

In: Gynecologic Oncology, Vol. 136, No. 3, 03.2015, p. 478-90.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A systematic review of the supportive care needs of women living with and beyond cervical cancer

AU - Maguire, Roma

AU - Kotronoulas, Grigorios

AU - Simpson, Mhairi

AU - Paterson, Catherine

N1 - Copyright © 2014 Elsevier Inc. All rights reserved.

PY - 2015/3

Y1 - 2015/3

N2 - BACKGROUND: Women with cervical cancer constitute a patient population in need for ongoing, person-centred supportive care. Our aim was to synthesise current available evidence with regard to the supportive care needs of women living with and beyond cervical cancer. METHODS: A systematic review was conducted according to the PRISMA Statement guidelines. Seven electronic databases (DARE, Cochrane, MEDLINE, CINAHL, BNI, PsychINFO and EMBASE) were searched to identify studies employing qualitative and/or quantitative methods. Pre-specified selection criteria were applied to all records published between 1990 and 2013. Methodological quality evaluation was conducted using the standardised QualSyst evaluation tool. Findings were integrated in a narrative synthesis. FINDINGS: Of 4936 references initially retrieved, 15 articles (13 unique studies) met eligibility criteria. One study fell below a pre-specified 55% threshold of methodological quality and was excluded. Individual needs were classified into ten domains of need. Interpersonal/intimacy (10; 83.3%), health system/information (8; 66.7%), psychological/emotional (7; 58.3%) and physical needs (6; 50%) were those most frequently explored. Spiritual/existential (1; 8.3%), family-related (2; 16.7%), practical (2; 16.7%), and daily living needs (2; 16.7%) were only rarely explored. Patient-clinician communication needs and social needs were addressed in 4 studies (33.3%). Dealing with fear of cancer recurrence, concerns about appearance/body image, lack of sexual desire, requiring more sexuality-related information, dealing with pain, and dealing with difficulties in relationship with partner were the most frequently cited individual needs (≥4 studies). CONCLUSIONS: Despite a host of additional needs experienced by women with cervical cancer, a predominant focus on sexuality/intimacy and information seeking issues is noted. Study limitations preclude drawing conclusions as to how these needs evolve over time from diagnosis to treatment and subsequently to survivorship. Whether demographic or clinical variables such as age, race/ethnicity, disease stage or treatment modality play a moderating role, only remains to be answered in future studies.

AB - BACKGROUND: Women with cervical cancer constitute a patient population in need for ongoing, person-centred supportive care. Our aim was to synthesise current available evidence with regard to the supportive care needs of women living with and beyond cervical cancer. METHODS: A systematic review was conducted according to the PRISMA Statement guidelines. Seven electronic databases (DARE, Cochrane, MEDLINE, CINAHL, BNI, PsychINFO and EMBASE) were searched to identify studies employing qualitative and/or quantitative methods. Pre-specified selection criteria were applied to all records published between 1990 and 2013. Methodological quality evaluation was conducted using the standardised QualSyst evaluation tool. Findings were integrated in a narrative synthesis. FINDINGS: Of 4936 references initially retrieved, 15 articles (13 unique studies) met eligibility criteria. One study fell below a pre-specified 55% threshold of methodological quality and was excluded. Individual needs were classified into ten domains of need. Interpersonal/intimacy (10; 83.3%), health system/information (8; 66.7%), psychological/emotional (7; 58.3%) and physical needs (6; 50%) were those most frequently explored. Spiritual/existential (1; 8.3%), family-related (2; 16.7%), practical (2; 16.7%), and daily living needs (2; 16.7%) were only rarely explored. Patient-clinician communication needs and social needs were addressed in 4 studies (33.3%). Dealing with fear of cancer recurrence, concerns about appearance/body image, lack of sexual desire, requiring more sexuality-related information, dealing with pain, and dealing with difficulties in relationship with partner were the most frequently cited individual needs (≥4 studies). CONCLUSIONS: Despite a host of additional needs experienced by women with cervical cancer, a predominant focus on sexuality/intimacy and information seeking issues is noted. Study limitations preclude drawing conclusions as to how these needs evolve over time from diagnosis to treatment and subsequently to survivorship. Whether demographic or clinical variables such as age, race/ethnicity, disease stage or treatment modality play a moderating role, only remains to be answered in future studies.

KW - access to information

KW - mental health

KW - cancer survivors

KW - quality of life

KW - needs assessment

KW - patient-centered care

KW - physician-patient relations

KW - research support

KW - social support

KW - women's health

KW - uterine cervical neoplasms

UR - http://www.sciencedirect.com/science/journal/00908258

U2 - 10.1016/j.ygyno.2014.10.030

DO - 10.1016/j.ygyno.2014.10.030

M3 - Article

VL - 136

SP - 478

EP - 490

JO - Gynecologic Oncology

T2 - Gynecologic Oncology

JF - Gynecologic Oncology

SN - 0090-8258

IS - 3

ER -