Cultural and Ethical Barriers to Cancer Treatment in Nursing Homes and Educational Strategies: A Scoping Review.
barriers to treatment
cancer
education
nursing homes
Journal
Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829
Informations de publication
Date de publication:
14 Jul 2021
14 Jul 2021
Historique:
received:
30
05
2021
revised:
30
06
2021
accepted:
05
07
2021
entrez:
24
7
2021
pubmed:
25
7
2021
medline:
25
7
2021
Statut:
epublish
Résumé
(1) Background: The aging of the population, the increase in the incidence of cancer with age, and effective chronic oncological treatments all lead to an increased prevalence of cancer in nursing homes. The aim of the present study was to map the cultural and ethical barriers associated with the treatment of cancer and educational strategies in this setting. (2) Methods: A systematic scoping review was conducted until April 2021 in MEDLINE, Embase, and CINAHL. All articles assessing continuum of care, paramedical education, and continuing education in the context of older cancer patients in nursing homes were reviewed. (3) Results: A total of 666 articles were analyzed, of which 65 studies were included. Many factors interfering with the decision to investigate and treat, leading to late- or unstaged disease, palliative-oriented care instead of curative, and a higher risk of unjustified transfers to acute care settings, were identified. The educational strategies explored in this context were generally based on training programs. (4) Conclusions: These results will allow the co-construction of educational tools intended to develop knowledge and skills to improve diagnostic and therapeutic decision-making, the consistency of care, and, ultimately, the quality of life of older cancer patients in nursing homes.
Identifiants
pubmed: 34298728
pii: cancers13143514
doi: 10.3390/cancers13143514
pmc: PMC8305927
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Subventions
Organisme : Fondation Solimut Mutuelle de France, Canceropole Lyon Auvergne Rhône Alpes (CLARA)
ID : CVPPRCAN000173
Références
J Am Med Dir Assoc. 2019 Sep;20(9):1116-1120
pubmed: 30853425
J Pain Symptom Manage. 2018 Jun;55(6):1509-1518
pubmed: 29496536
Eur J Cancer Care (Engl). 2015 Mar;24(2):147-54
pubmed: 24754568
Arch Gerontol Geriatr. 2006 Sep-Oct;43(2):193-212
pubmed: 16325939
J Am Med Dir Assoc. 2012 Jun;13(5):464-9
pubmed: 22325239
J Clin Oncol. 2009 Jun 10;27(17):2758-65
pubmed: 19403886
J Am Med Dir Assoc. 2006 Jul;7(6):383-7
pubmed: 16843239
Psychooncology. 2011 Dec;20(12):1285-91
pubmed: 20737411
Semin Oncol Nurs. 2006 Feb;22(1):51-7
pubmed: 16458183
Collegian. 2000 Oct;7(4):30-4
pubmed: 11858309
Cancer Nurs. 2005 Sep-Oct;28(5):406-14
pubmed: 16192833
J Am Geriatr Soc. 2020 Apr;68(4):783-793
pubmed: 31880312
Semin Oncol. 2004 Apr;31(2):128-36
pubmed: 15112144
JAMA. 2005 Mar 2;293(9):1073-81
pubmed: 15741529
BMJ Open. 2018 Apr 12;8(4):e020250
pubmed: 29654025
Int J Palliat Nurs. 2007 Jan;13(1):20-7
pubmed: 17353847
Br J Nutr. 2009 Feb;101(3):417-23
pubmed: 18533072
BMC Palliat Care. 2016 Jul 15;15:61
pubmed: 27422410
BMC Surg. 2019 Oct 28;19(1):155
pubmed: 31660937
J Med Philos. 1995 Apr;20(2):123-44
pubmed: 7636419
Dis Colon Rectum. 2012 Dec;55(12):1229-35
pubmed: 23135580
J Pain Symptom Manage. 2019 Jul;58(1):72-79.e2
pubmed: 31034869
Geriatr Gerontol Int. 2013 Oct;13(4):1018-25
pubmed: 23506621
Cancer Nurs. 2013 Jul-Aug;36(4):E68-74
pubmed: 23051868
J Am Geriatr Soc. 2004 May;52(5):762-7
pubmed: 15086658
JAMA Surg. 2018 Dec 1;153(12):1090-1096
pubmed: 30167636
BMC Geriatr. 2019 May 22;19(1):137
pubmed: 31117991
J Adv Nurs. 2012 Sep;68(9):2070-8
pubmed: 22272816
J Nurs Manag. 2010 Mar;18(2):205-14
pubmed: 20465748
Nurse Educ Today. 2014 Jul;34(7):1087-93
pubmed: 24630905
Dermatol Res Pract. 2020 Nov 5;2020:8849355
pubmed: 33204253
Aging Ment Health. 2014 May;18(4):400-10
pubmed: 24131061
BMJ Support Palliat Care. 2015 Mar;5(1):48-53
pubmed: 24644182
J Oncol Pract. 2017 Sep;13(9):e792-e799
pubmed: 28813191
J Pain Symptom Manage. 2017 Sep;54(3):355-360.e2
pubmed: 28760523
J Am Geriatr Soc. 2012 May;60(5):967-73
pubmed: 22428583
J Natl Cancer Inst. 1994 Dec 7;86(23):1766-70
pubmed: 7966414
Clin Interv Aging. 2015 Sep 25;10:1529-36
pubmed: 26451093
Nat Clin Pract Oncol. 2006 Feb;3(2):86-93
pubmed: 16462849
Health Serv Insights. 2019 Apr 02;12:1178632919834318
pubmed: 31043789
Cancer. 1994 Oct 1;74(7 Suppl):1995-2003
pubmed: 8087762
J Adv Nurs. 2018 Oct;74(10):2273-2289
pubmed: 30019486
J Pain Symptom Manage. 2017 Mar;53(3):561-570
pubmed: 28042063
Electron Physician. 2017 Oct 25;9(10):5541-5550
pubmed: 29238496
J Am Geriatr Soc. 2015 Apr;63(4):633-41
pubmed: 25900481
JMIR Med Educ. 2019 Jul 23;5(2):e13997
pubmed: 31339105
J Geriatr Oncol. 2013 Jul;4(3):271-81
pubmed: 24070464
Int J Palliat Nurs. 2013 Aug;19(8):396-402
pubmed: 23970296
Cancer. 2012 Jul 1;118(13):3377-86
pubmed: 22072065
J Cancer Educ. 2004 Spring;19(1):50-7
pubmed: 15059756
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
Res Nurs Health. 2009 Aug;32(4):453-64
pubmed: 19444814
Eur J Cancer Care (Engl). 2019 Mar;28(2):e12957
pubmed: 30370946
Oncologist. 2000;5(4):302-11
pubmed: 10964998
J Natl Cancer Inst. 2008 Jan 2;100(1):21-31
pubmed: 18159068
J Geriatr Oncol. 2019 Sep;10(5):805-810
pubmed: 30898534
J Soc Work End Life Palliat Care. 2019 Jan-Mar;15(1):34-54
pubmed: 30892139
Cancer. 2020 Mar 15;126(6):1322-1329
pubmed: 31860129
Am J Respir Crit Care Med. 2015 Jun 1;191(11):1318-30
pubmed: 25978438
Nepal J Epidemiol. 2018 Jun 30;8(2):727-734
pubmed: 31086682
Cancer Detect Prev. 2007;31(3):199-206
pubmed: 17658225
J Pain Symptom Manage. 2000 May;19(5):329-38
pubmed: 10869873
Qual Life Res. 2013 Mar;22(2):317-25
pubmed: 22383105
Cancer. 1999 Sep 1;86(5):887-97
pubmed: 10463990
Taehan Kanho Hakhoe Chi. 2006 Dec;36(8):1308-14
pubmed: 17215603
J Am Med Dir Assoc. 2013 Jun;14(6):421-8
pubmed: 23375521
J Am Med Dir Assoc. 2002 Sep-Oct;3(5):302-9
pubmed: 12807617
Health Serv Res. 2009 Dec;44(6):1983-2003
pubmed: 19780848
Eur J Oncol Nurs. 2006 Apr;10(2):150-5
pubmed: 16618589
Cancer Nurs. 2018 Mar/Apr;41(2):E13-E20
pubmed: 28146014
Drugs Aging. 2019 Jun;36(6):549-557
pubmed: 30924097
J Clin Nurs. 2013 Jan;22(1-2):106-14
pubmed: 22882807
J Pain Symptom Manage. 2016 Jan;51(1):71-8
pubmed: 26384557
J Gen Intern Med. 2019 Oct;34(10):2029-2037
pubmed: 31346909
Psychooncology. 2019 Jun;28(6):1197-1206
pubmed: 30908755
J Rural Health. 2003 Fall;19(4):477-83
pubmed: 14526506
Palliat Care. 2014 Mar 12;8:1-6
pubmed: 25278762
J Cancer Educ. 2003 Winter;18(4):194-201
pubmed: 14766329
Prog Palliat Care. 2016 May 3;24(3):147-152
pubmed: 27365898
Psychooncology. 2017 Dec;26(12):2285-2293
pubmed: 28029712
Int J Palliat Nurs. 2015 Jul;21(7):349-56
pubmed: 26203955
Australas J Ageing. 2017 Sep;36(3):E14-E20
pubmed: 28925098
Cancer Nurs. 2012 Jul-Aug;35(4):295-301
pubmed: 21946900