Skip to content

Research at St Andrews

A systematic review of the supportive care needs of people living with and beyond cancer of the colon and/or rectum

Research output: Contribution to journalReview article

Author(s)

Grigorios Kotronoulas, Constantina Papadopoulou, Kathryn Cunningham, Mhairi Simpson, Roma Maguire

School/Research organisations

Abstract

Purpose: Gaining a clear understanding of the health needs and concerns of people with cancer of the colon and/or rectum can help identify ways to offer a comprehensive care package. Our aim was to systematically assess the relevant literature and synthesise current available evidence.

Methods: A systematic review was conducted according to the PRISMA Statement guidelines. Five electronic databases were searched to identify studies employing qualitative and/or quantitative methods. Pre-specified selection criteria were applied to all retrieved records. Findings were integrated in a narrative synthesis.

Results: Of 3709 references initially retrieved, 54 unique studies were retained. A total of 136 individual needs were identified and classified into eight domains. Just over half of the needs (70; 51%) concerned information/education or health system/patient-clinician communication issues. Emotional support and reassurance when trying to deal with fear of cancer recurrence featured as the most prominent need regardless of clinical stage or phase of treatment. Information about diet/nutrition and about long-term self-management of symptoms and complications at home; tackling issues relating to the quality and mode of delivery of health-related information; help with controlling fatigue; and on-going contact with a trustworthy health professional also featured as salient needs. Available research evidence is of moderate-to-good quality.

Conclusions: Investing time to sensitively inquire about the supportive care needs of this patient population is key, whilst evaluating and re-shaping clinical interactions based on patients’ priorities is equally essential. The diverse needs identified require a multi-professional and multi-agency approach to ensure unmet needs are addressed or measures offered.
Close

Details

Original languageEnglish
Pages (from-to)60-70
Number of pages11
JournalEuropean Journal of Oncology Nursing
Volume29
Early online date30 May 2017
DOIs
Publication statusPublished - Aug 2017

    Research areas

  • Supportive care, Supportive care needs, Colorectal cancer, Colon cancer, Rectum cancer, Unmet needs, Patient-centred care, Patient-reported outcomes, Systematic review

Discover related content
Find related publications, people, projects and more using interactive charts.

View graph of relations

Related by author

  1. Loneliness and quality of life after head and neck cancer

    Dahill, A., Al-Nakisbandi, H., Cunningham, K. B., Humphris, G. M., Lowe, D. & Rogers, S. N., 1 Oct 2020, In : British Journal of Oral and Maxillofacial Surgery. 58, 8, p. P959-965

    Research output: Contribution to journalArticle

  2. Children and parents’ perspectives on the acceptability of three management strategies for dental caries in primary teeth within the ‘Filling Children’s Teeth: Indicated or Not’ (FiCTION) randomised controlled trial – a qualitative study

    El-Yousfi, S., Innes, N. P. T., Holmes, R. D., Freeman, R., Cunningham, K. B., McColl, E., Maguire, A., Douglas, G. V. A., Clarkson, J. E. & Marshman, Z., 12 Mar 2020, In : BMC Oral Health. 20, 12 p., 69.

    Research output: Contribution to journalArticle

  3. Dental professionals’ experiences of managing children with carious lesions in their primary teeth – a qualitative study within the FiCTION randomised controlled trial

    Marshman, Z., Kettle, J. E., Holmes, R. D., Cunningham, K. B., Freeman, R., Gibson, B. J., McColl, E., Maguire, A., Douglas, G. V. A., Clarkson, J. E. & Innes, N. P. T., 4 Mar 2020, In : BMC Oral Health. 20, 16 p., 64.

    Research output: Contribution to journalArticle

ID: 250889936

Top