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Mapping a decade of interventions to address the supportive care needs of individuals living with or beyond cancer: a scoping review of reviews

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Abstract

Purpose

Individuals diagnosed with cancer have a range of supportive care needs that are often unmet despite substantial evidence supporting interventions to address them. Addressing this knowledge-translation gap represents a significant opportunity to improve health outcomes. A scoping review of reviews was conducted to map the breadth of evidence for interventions, highlighting those with an existing evidence base, as well as those requiring further research.

Methods

Systematic or meta-analytic reviews that examined interventions targeting supportive care needs of adults and children with cancer published between 2009 and 2019 were identified via searches in Medline, PsycINFO, CINAHL, Scopus and Cochrane.

Results

Five hundred fifty-one systematic reviews, including 250 meta-analyses, of interventions addressing supportive care needs, were included. Most reviews focused on interventions to address the physical and psychosocial needs of individuals with few reviews identified to address practical needs. Interventions using mental health therapies and physical activity were most commonly used to address all supportive care needs, followed by the use of pharmaceutical and medical devices, complementary and alternative therapies, information and education resources, dietary information and specific spirituality and return-to-work interventions.

Conclusion

This scoping review of reviews presents the first broad overview of the literature addressing the supportive care needs of people living with or beyond cancer. It provides a database that health service providers can search to identify appropriate interventions. Results highlight specific research gaps, particularly for practical needs, where reviews are needed. It highlights where a substantial evidence base exists that researchers and policy-makers can consider when implementing interventions.

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Acknowledgements

The authors greatly acknowledge the contribution of Mrs. Shannon Brown, research librarian at Flinders University, for developing the extensive search strategy employed. The authors also wish to thank Ms. Chloe Karnon and Mr. Ben Karnon for conducting the data extraction.

Funding

This study was funded under the National Health and Medical Research Council Centre for Research Excellence grant (1135048).

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  1. Flinders Health and Medical Research Institute, Flinders University, Adelaide, Australia

    Laura Catherine Edney, Jacqueline Roseleur, Jodi Gray, Bogda Koczwara & Jonathan Karnon

  2. Flinders Medical Centre, Adelaide, Australia

    Bogda Koczwara

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Contributions

L.C.E. and J.K. conceptualised the study. L.C.E., J.R., J.G. and J.K. were involved in title and abstract screening. L.C.E. completed the first draft of the paper, J.R. revised subsequent drafts and all authors commented on versions of the manuscript and read and approved the final version.

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Correspondence to Jacqueline Roseleur.

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Laura Catherine Edney and Jacqueline Roseleur are co-first authors

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Edney, L.C., Roseleur, J., Gray, J. et al. Mapping a decade of interventions to address the supportive care needs of individuals living with or beyond cancer: a scoping review of reviews. Support Care Cancer 30, 3793–3804 (2022). https://doi.org/10.1007/s00520-021-06713-9

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