Survivorship Needs in Patients With Head and Neck Cancer in Regional, Rural and Remote Areas: A Systematic Review

IF 3.3 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2024-09-17 DOI:10.1002/pon.9311

Poorva Pradhan, Ashleigh R. Sharman, Carsten E. Palme, Michael S. Elliott, Jonathan R. Clark, Rebecca L. Venchiarutti

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Abstract

ObjectiveUnderstanding survivorship issues among people with head and neck cancer (HNC) is important as survival rates increase. Most research has focused on urban patients, leaving a gap in understanding the challenges faced by those in rural areas. This study aims to summarise the literature on survivorship needs for people with HNC in rural areas.MethodsPubMed, PsycINFO, Scopus, Medline, CINAHL, Web of Science, and Embase were searched from database inception to 10 July 2024, with no restriction on publication period, country, or language. Data on study aims, country, methodology, and major findings related to HNC survivors in rural areas were extracted. Study quality was assessed using the Joanna Briggs Institute critical appraisal checklists.ResultsTwenty‐one studies met the inclusion criteria. Eight studies were qualitative, 11 were quantitative, and two adopted a mixed‐methods approach. Results demonstrate the impact of complex treatments on physical (n = 13) and psychosocial (n = 14) functioning. This study also emphasises multifaceted challenges, including reduced access to specialised services, resulting in greater travel and financial burden, extending to caregivers. Hence, primary healthcare services are crucial in supporting these patients closer to home.ConclusionsAddressing the gaps in equitable post‐treatment care requires an even distribution of healthcare funding and workforce in rural areas. Future research could target these issues to develop tailored interventions or models of care, such as shared care, to ease access and financial burden.

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地区、农村和偏远地区头颈部癌症患者的生存需求：系统回顾

目标随着生存率的提高，了解头颈癌（HNC）患者的生存问题非常重要。大多数研究都集中在城市患者身上，因此在了解农村地区患者所面临的挑战方面存在空白。本研究旨在总结有关农村地区 HNC 患者生存需求的文献。研究方法检索了从数据库开始到 2024 年 7 月 10 日的 PubMed、PsycINFO、Scopus、Medline、CINAHL、Web of Science 和 Embase，对出版时间、国家或语言没有限制。提取了与农村地区 HNC 幸存者相关的研究目的、国家、方法和主要发现等数据。研究质量采用乔安娜-布里格斯研究所（Joanna Briggs Institute）的批判性评估清单进行评估。其中 8 项为定性研究，11 项为定量研究，2 项采用了混合方法。结果表明，综合治疗对身体（13 项）和社会心理（14 项）功能的影响。这项研究还强调了多方面的挑战，包括获得专科服务的机会减少，导致护理人员的旅行和经济负担加重。因此，初级医疗保健服务对于支持这些患者就近就医至关重要。结论要解决治疗后公平护理方面的差距，需要在农村地区平均分配医疗保健资金和劳动力。未来的研究可以针对这些问题制定有针对性的干预措施或护理模式，如共同护理，以减轻患者的就医和经济负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.

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