A systematic mixed studies review of fear of cancer recurrence in families and caregivers of adults diagnosed with cancer.

Cancer Caregivers Fear of cancer recurrence Oncology Survivorship Systematic review

Journal

Journal of cancer survivorship : research and practice
ISSN: 1932-2267
Titre abrégé: J Cancer Surviv
Pays: United States
ID NLM: 101307557

Informations de publication

Date de publication:
12 2022
Historique:
received: 20 01 2021
accepted: 06 09 2021
pubmed: 12 11 2021
medline: 5 11 2022
entrez: 11 11 2021
Statut: ppublish

Résumé

Fear of cancer recurrence (FCR) may be equally prevalent, persistent and burdensome in cancer caregivers as in survivors. This systematic review evaluated FCR prevalence, severity, correlates, course, impact and interventions in cancer caregivers. Electronic databases were searched from 1997 to May 2021. Two reviewers identified eligible peer-reviewed qualitative or quantitative studies on FCR in adult caregivers or family members of adult cancer survivors. The risk of bias was assessed using the Cochrane Risk of Bias tools for randomised and non-randomised studies and the Mixed-Methods Appraisal Tool. A narrative synthesis and thematic synthesis occurred on quantitative and qualitative studies, respectively. Of 2418 papers identified, 70 reports (59 peer-reviewed articles, 11 postgraduate theses) from 63 studies were included. Approximately 50% of caregivers experienced FCR. Younger caregivers and those caring for survivors with worse FCR or overall health reported higher FCR. Most studies found caregivers' FCR levels were equal to or greater than survivors'. Caregivers' FCR was persistently elevated but peaked approaching survivor follow-up appointments. Caregivers' FCR was associated with poorer quality of life in caregivers and survivors. Three studies found couple-based FCR interventions were acceptable, but had limited efficacy. FCR in caregivers is prevalent, persistent and burdensome. Younger caregivers of survivors with worse overall health or FCR are at the greatest risk. Further research on identifying and treating caregivers' FCR is required. Caregiver and survivor FCR are similarly impactful and appear interrelated. Addressing FCR may improve outcomes for both cancer caregivers and survivors.

Identifiants

pubmed: 34762248
doi: 10.1007/s11764-021-01109-4
pii: 10.1007/s11764-021-01109-4
doi:

Types de publication

Systematic Review Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1184-1219

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Allan 'Ben' Smith (A')

Ingham Institute for Applied Medical Research, Liverpool Hospital, Locked Bag 7103, Liverpool, BC NSW, 1871, Australia. ben.smith@unsw.edu.au.
South Western Sydney Clinical School, The University of New South Wales, Liverpool, Australia. ben.smith@unsw.edu.au.

Verena Shuwen Wu (VS)

Ingham Institute for Applied Medical Research, Liverpool Hospital, Locked Bag 7103, Liverpool, BC NSW, 1871, Australia.

Sylvie Lambert (S)

Ingram School of Nursing, McGill University, Montreal, QC, Canada.
St. Mary's Research Centre, Montreal, QC, Canada.

Jani Lamarche (J)

School of Psychology, University of Ottawa, Ottawa, ON, Canada.

Sophie Lebel (S)

School of Psychology, University of Ottawa, Ottawa, ON, Canada.

Stuart Leske (S)

Ingham Institute for Applied Medical Research, Liverpool Hospital, Locked Bag 7103, Liverpool, BC NSW, 1871, Australia.

Afaf Girgis (A)

Ingham Institute for Applied Medical Research, Liverpool Hospital, Locked Bag 7103, Liverpool, BC NSW, 1871, Australia.
South Western Sydney Clinical School, The University of New South Wales, Liverpool, Australia.

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