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

Roma Maguire (Lead / Corresponding author), Grigorios Kotronoulas, Mhairi Simpson, Catherine Paterson

    Research output: Contribution to journalArticle

    32 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 4,936 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.

    Original languageEnglish
    Pages (from-to)478-490
    Number of pages13
    JournalGynecologic Oncology
    Volume136
    Issue number3
    Early online date20 Nov 2014
    DOIs
    Publication statusPublished - Mar 2015

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    Uterine Cervical Neoplasms
    Sexuality
    Health Information Systems
    Body Image
    MEDLINE
    Patient Selection
    Fear
    Survival Rate
    Communication
    Demography
    Databases
    Guidelines
    Psychology
    Recurrence
    Pain
    Therapeutics
    Population
    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. 478-490.
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    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 4,936 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.",
    author = "Roma Maguire and Grigorios Kotronoulas and Mhairi Simpson and Catherine Paterson",
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    A systematic review of the supportive care needs of women living with and beyond cervical cancer. / Maguire, Roma (Lead / Corresponding author); Kotronoulas, Grigorios; Simpson, Mhairi; Paterson, Catherine.

    In: Gynecologic Oncology, Vol. 136, No. 3, 03.2015, p. 478-490.

    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. Published by Elsevier Inc.

    PY - 2015/3

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    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 4,936 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 4,936 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.

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    DO - 10.1016/j.ygyno.2014.10.030

    M3 - Article

    VL - 136

    SP - 478

    EP - 490

    JO - Gynecologic Oncology

    JF - Gynecologic Oncology

    SN - 0090-8258

    IS - 3

    ER -