Exploring the contribution of cancer palliative care development toward alleviating the human crisis of suffering in low- and middle-income countries: A framework synthesis protocol.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Shrikant Atreya, Arathi Rao, Vijay Shree Dhyani, Mebin Mathew, Roop Gursahani, Srinagesh Simha, Nancy Preston, Catherine Walshe, Naveen Salins
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Abstract

Objectives: Inadequate access to cancer care, high mortality, and out-of-pocket expenditure contribute to health-related suffering in low- and middle-income countries, making palliative care a relevant option. How palliative care development has alleviated suffering is not systematically studied, necessitating this review's conduct. The objective of this systematic review with a framework synthesis approach is to identify and map the dimensions and indicators of cancer palliative care development and the components of integration between cancer and palliative care in LMICs.

Methods: Uni- and multi-disciplinary databases like Cochrane, MEDLINE (PubMed), EMBASE, CINAHL Complete, and PsycINFO will be systematically searched for eligible studies exploring cancer palliative care development in LMICs and their contribution to alleviating health-related suffering in the cancer context. Our selection process will encompass countries classified by the World Bank as low-income (26 countries), lower-income (54 countries), and upper-middle-income (54 countries).

Results: Review findings will be synthesised and analysed using a best-fit framework synthesis method using 2 frameworks (the WHO model of components and indicators for palliative care development and integration elements between oncology and palliative care), and the findings will be developed as themes and subthemes, and patterns interpreted using these 2 models.

Significance of results: This review will analyse the development of cancer palliative care in LMICs. It will identify gaps in provision, solutions derived at the regional level to address them, and best practices and failed models with reasons underpinning them.

探索癌症姑息关怀发展对减轻中低收入国家人类痛苦危机的贡献:框架综合协议。
目的:在低收入和中等收入国家,癌症护理服务的不足、高死亡率和自付费用造成了与健康相关的痛苦,使姑息关怀成为一种相关的选择。姑息关怀的发展如何减轻了患者的痛苦尚未得到系统的研究,因此有必要进行此次综述。本系统综述采用框架综合法,旨在确定和绘制癌症姑息关怀发展的维度和指标,以及低收入和中等收入国家癌症与姑息关怀整合的组成部分:方法:我们将系统地检索 Cochrane、MEDLINE (PubMed)、EMBASE、CINAHL Complete 和 PsycINFO 等单学科和多学科数据库,寻找符合条件的研究,探讨低收入国家癌症姑息关怀的发展及其对减轻癌症患者健康相关痛苦的贡献。我们的选择过程将包括世界银行划分为低收入(26 个国家)、较低收入(54 个国家)和中高收入(54 个国家)的国家:综述结果将采用最合适的框架综合法,使用两个框架(世界卫生组织姑息关怀发展的组成部分和指标模型以及肿瘤学和姑息关怀之间的整合要素)进行综合和分析,综述结果将发展为主题和次主题,并使用这两个模型对模式进行解释:本综述将分析低收入与中等收入国家癌症姑息关怀的发展情况。结果的意义:本综述将分析低收入国家癌症姑息关怀的发展情况,找出在提供姑息关怀方面存在的差距、在地区层面为解决这些问题而提出的解决方案、最佳实践和失败的模式及其原因。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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