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Supportive Care in Cancer

, Volume 22, Issue 4, pp 1131–1141 | Cite as

Unmet psychosocial needs in haematological cancer: a systematic review

  • B. Swash
  • N. Hulbert-Williams
  • R. Bramwell
Review Article

Abstract

Purpose

Psychosocial need implies a desire or requirement for support that underlies a person’s psychological, social and emotional wellbeing. This is not a new concept in the wider cancer literature, yet remains a relatively unexplored area in relation to haematological malignancies. The well-recognised differences between haematological and other types of cancer diagnosis warrant further investigation to try and highlight the potential differences in the needs of this patient group.

Method

A systematic review of key online databases and psycho-oncology journals was conducted to identify papers that formally assessed unmet psychosocial needs in adults with a diagnosis of haematological cancer. The breadth of methodologies of included studies made a meta-analytical approach unfeasible, therefore studies were analysed using a narrative synthesis approach.

Results

Eighteen studies were found to be relevant and a specific focus was placed on those papers that looked solely at participants with a haematological diagnosis. The key areas of need identified were: psychological need, notably fear of recurrence; information needs; and needs relating to both family and healthcare professionals. Fear of recurrence was the most commonly identified psychosocial need within this literature.

Conclusions

The clinical implications of these findings highlight the need for more widespread access to psychological support for haematology patients and for more to be done to tackle patients’ fears and concerns throughout the course of their illness. Assessment and identification of unmet needs is an important step enabling the development of clinical services that support and maintain psychological wellbeing through treatment and into survivorship.

Keywords

Review Needs Psychosocial Cancer Haematology Wellbeing 

Notes

Conflict of interests

There are no conflicts of interest to declare. The authors have full control of all primary data and consent for the journal to request this data if required.

References

  1. 1.
    Bensing J (2000) Bridging the gap. The separate worlds of evidence-based medicine and patient-centered medicine. Patient Educ Couns 39(1):17–25PubMedCrossRefGoogle Scholar
  2. 2.
    Holland J, Watson M, Dunn J (2011) The IPOS New International Standard of Quality Cancer Care: integrating the psychosocial domain into routine care. Psycho-Oncology 20(7):677–680PubMedCrossRefGoogle Scholar
  3. 3.
    Watson EK et al (2012) Personalised cancer follow-up: risk stratification, needs assessment or both? Br J Cancer 106(1):1–5PubMedCentralPubMedCrossRefGoogle Scholar
  4. 4.
    Carlson LE, Waller A, Mitchell AJ (2012) Screening for distress and unmet needs in patients with cancer: review and recommendations. J Clin Oncol 30(11):1160–1177PubMedCrossRefGoogle Scholar
  5. 5.
    Sanson-Fisher R et al (2000) The unmet supportive care needs of patients with cancer. Cancer 88(1):225–236CrossRefGoogle Scholar
  6. 6.
    McIllmurray MB et al (2001) The psychosocial needs of cancer patients: findings from an observational study. Eur J Cancer Care 10(4):261–269CrossRefGoogle Scholar
  7. 7.
    Bonevski B et al (2000) Evaluation of an instrument to assess the needs of patients with cancer. Cancer 88(1):217–225PubMedCrossRefGoogle Scholar
  8. 8.
    Wen KG (2004) Needs assessment for cancer patient and their families. Health Qual Life Outcome 2:11CrossRefGoogle Scholar
  9. 9.
    Puts MTE et al (2011) A pilot study on frailty, health and functioning in older newly-diagnosed cancer patients, what have we learned? J Geriatr Oncol 2(4):246–252CrossRefGoogle Scholar
  10. 10.
    Hodgkinson KBPHGEPSHKMLSKWG (2007) The development and evaluation of a measure to assess cancer survivors’ unmet supportive care needs: the CaSUN (Cancer Survivors’ Unmet Needs measure). Psycho-Oncology 16(9):796–804PubMedCrossRefGoogle Scholar
  11. 11.
    Minstrell M et al (2008) Supportive care of rural women with breast cancer in Tasmania, Australia: changing needs over time. Psycho-Oncology 17(1):58–65PubMedCrossRefGoogle Scholar
  12. 12.
    Hemingway H, Marmot M (1999) Evidence based cardiology—psychosocial factors in the aetiology and prognosis of coronary heart disease: systematic review of prospective cohort studies. British Med J318(7196):1460–1467CrossRefGoogle Scholar
  13. 13.
    Harrison JD et al (2009) What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer 17(8):1117–1128PubMedCrossRefGoogle Scholar
  14. 14.
    Howell DA et al (2011) Haematological malignancy: are patients appropriately referred for specialist palliative and hospice care? A systematic review and meta-analysis of published data. Palliat Med 25(6):630–641PubMedCrossRefGoogle Scholar
  15. 15.
    Sherman RS, Cooke E, Grant M (2005) Dialogue among survivors of hematopoietic cell transplantation: support-group themes. J Psychosoc Oncol 23(1):1–24PubMedCrossRefGoogle Scholar
  16. 16.
    Paul CL et al (2011) Cutting the research pie: a value-weighting approach to explore perceptions about psychosocial research priorities for adults with haematological cancers. Eur J Cancer Care 20(3):345–353CrossRefGoogle Scholar
  17. 17.
    Ernst JC et al (2013) Use and need for psychosocial support in cancer patients. Cancer 119(12):2333–2341PubMedCrossRefGoogle Scholar
  18. 18.
    Howie JGR et al (1999) Quality at general practice consultations: cross sectional survey. Br Med J 319(7212):738–743CrossRefGoogle Scholar
  19. 19.
    Macmillan, Cancer clinical nurse specialists: an evidence review. 2011Google Scholar
  20. 20.
    Kmet, L., Lee, R. & Cook, L (2004) Standard quality assessment criteria for evaluating primary research papers from a variety of fields. HTA Initiative 13. http://www.ihe.ca/documents/HTA-FR13.pdf. Accessed 1 Dec 2013
  21. 21.
    Boyes A et al (2006) Does routine assessment and real-time feedback improve cancer patients’ psychosocial well-being? Eur J Cancer Care 15(2):163–171CrossRefGoogle Scholar
  22. 22.
    Hawkins NA et al (2008) Informational needs of patients and perceived adequacy of information available before and after treatment of cancer. J Psychosoc Oncol 26(2):1–16PubMedCentralPubMedCrossRefGoogle Scholar
  23. 23.
    Armes J et al (2009) Patients’ supportive care needs beyond the end of cancer treatment: a prospective, longitudinal survey. J Clin Oncol 27(36):6172–6179PubMedCrossRefGoogle Scholar
  24. 24.
    Clavarino AM et al (2002) The needs of cancer patients and their families from rural and remote areas of Queensland. Aust J Rural Health 10(4):188–195PubMedCrossRefGoogle Scholar
  25. 25.
    Liang LP et al (1990) Identifying priorities of psychosocial need in cancer patients. Br J Cancer 62(6):1000–1003PubMedCentralPubMedCrossRefGoogle Scholar
  26. 26.
    Jenkins V, Fallowfield L, Saul J (2001) Information needs of patients with cancer: results from a large study in UK cancer centres. Br J Cancer 84(1):48–51PubMedCentralPubMedCrossRefGoogle Scholar
  27. 27.
    Preyde M et al (2010) Exploratory survey of patients’ needs and perceptions of psychosocial oncology. J Psychosoc Oncol 28(3):320–333PubMedCrossRefGoogle Scholar
  28. 28.
    Sollner W et al (2001) How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counselling? Br J Cancer 84(2):179–185PubMedCentralPubMedCrossRefGoogle Scholar
  29. 29.
    Ashbury FD et al (1998) A Canadian survey of cancer patients’ experiences: are their needs being met? J Pain Symptom Manag 16(5):298–306CrossRefGoogle Scholar
  30. 30.
    McDowell ME et al (2010) Predictors of change in unmet supportive care needs in cancer. Psycho-Oncology 19(5):508–516PubMedCrossRefGoogle Scholar
  31. 31.
    McIllmurray MB et al (2003) Psychosocial needs in cancer patients related to religious belief. Palliat Med 17(1):49–54PubMedCrossRefGoogle Scholar
  32. 32.
    Soothill K et al (2001) The significant unmet needs of cancer patients: probing psychosocial concerns. Support Care Cancer 9(8):597–605PubMedCrossRefGoogle Scholar
  33. 33.
    Mesters N et al (2001) Measuring information needs among cancer patients. Patient Educ Couns 43(3):253–262PubMedCrossRefGoogle Scholar
  34. 34.
    Soothill K et al (2003) The universal, situational, and personal needs of cancer patients and their main carers. Eur J Oncol Nurs: Off J Eur Oncol Nurs Soc 7(1):5–13, discussion 14–6CrossRefGoogle Scholar
  35. 35.
    Soothill K et al (2004) Grouping cancer patients by psychosocial needs. J Psychosoc Oncol 22(2):89–109CrossRefGoogle Scholar
  36. 36.
    Molassiotis A et al (2011) Unmet supportive care needs, psychological well-being and quality of life in patients living with multiple myeloma and their partners. Psycho-Oncology 20(1):88–97PubMedCrossRefGoogle Scholar
  37. 37.
    Lobb EA et al (2009) When the safety net of treatment has been removed: patients’ unmet needs at the completion of treatment for haematological malignancies. Patient Educ Couns 77(1):103–108PubMedCrossRefGoogle Scholar
  38. 38.
    Hammond CTC et al (2008) Non-Hodgkin’s lymphoma survivors’ fertility and sexual function-related information needs. Fertil Steril 90(4):1256–1258PubMedCrossRefGoogle Scholar
  39. 39.
    Department of Health (2012) Quality of life of cancer survivors in England: report on a pilot survey using patient reported outcome measures (PROMS). National Institute for Health Research: UKGoogle Scholar
  40. 40.
    Thewes B et al (2005) Fertility- and menopause-related information needs of younger women with a diagnosis of early breast cancer. J Clin Oncol 23(22):5155–5165PubMedCrossRefGoogle Scholar
  41. 41.
    Vivar CG, McQueen A (2005) Informational and emotional needs of long-term survivors of breast cancer. J Adv Nurs 51(5):520–528PubMedCrossRefGoogle Scholar
  42. 42.
    van Mossel C et al (2012) Information needs across the colorectal cancer care continuum: scoping the literature. Eur J Cancer Care 21(3):296–320CrossRefGoogle Scholar
  43. 43.
    Vitinius F et al (2012) Psychosocial strain and information needs of patients with prostate cancer—a systematic review. J Psychosom Res 72(6):507–508Google Scholar
  44. 44.
    Rutten LJ, Arora NK, Bakos AD, Aziz N, Rowland J (2005) Information needs and sources of information among cancer patients: a systematic review of research (1980–2003). Patient Educ Couns 57:250–261PubMedCrossRefGoogle Scholar
  45. 45.
    Kazimierczak KA, Skea ZC, Dixon-Woods M, Entwistle VA, Feldman-Stewart D, N’dow JM, MacLennan SJ (2012) Provision of cancer information as a “support for navigating the knowledge landscape”: findings from a critical interpretive literature synthesis. Eur J Oncol Nurs 17(3):1–10Google Scholar
  46. 46.
    Morrison V et al (2012) Common, important, and unmet needs of cancer outpatients. Eur J Oncol Nurs 16(2):115–123PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of ChesterChesterUK

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