医学
需求评估
信息需求
梅德林
系统回顾
社会需求
生存曲线
科克伦图书馆
社会支持
膀胱癌
特殊需要
医疗保健
家庭医学
替代医学
癌症
精神科
心理学
内科学
心理治疗师
病理
社会学
经济
万维网
法学
经济增长
计算机科学
社会科学
政治学
作者
Catherine Paterson,Bente Thoft Jensen,Jørgen Bjerggaard Jensen,Ghulam Nabi
标识
DOI:10.1016/j.ejon.2018.05.006
摘要
Abstract
Background
Little is known about the unmet supportive care needs of patients affected by muscle invasive bladder cancer (MIBC). We set out to determine the different domains of unmet supportive care needs for patients affected by MIBC. Literature Search
A systematic review was conducted according to the PRISMA Statement Guidelines. A sensitive search was performed in electronic databases (DARE, Cochrane, MEDLINE, BNI, PsychINFO, EMBASE and CIHAHL) from the earliest date available to January 2017. Data Evaluation
1405 references were retrieved, 8 articles met the eligibility criteria and were appraised and ranked by strength using the levels of evidence. Synthesis
Individual unmet needs were classified into the following domains: patient-clinician communication, daily living needs, health system/information needs, practical needs, family-related needs, social needs, psychological needs, physical needs and intimacy needs. Patients reported high unmet needs at diagnosis and into survivorship. Conclusions
This review contributes to a greater understanding of the unmet supportive care needs of patients affected by MIBC. Findings reflect a paucity of research, but existing studies indicated needs commonly related to intimacy, informational, physical and psychological needs. Despite the emerging evidence-base, the current within study limitations precludes our understanding about how the needs of patients evolve over time.
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