European Journal of Cancer Care最新文献

{"title":"Path Analysis of Influencing Factors for Financial Toxicity in Patients With Lung Cancer","authors":"Kerui Li,&nbsp;Zefang Long,&nbsp;Meng Luo,&nbsp;Junying Li,&nbsp;Qianqian Mou","doi":"10.1155/ecc/6591289","DOIUrl":"https://doi.org/10.1155/ecc/6591289","url":null,"abstract":"<p><b>Background:</b> The impact of financial toxicity is extensive and far-reaching, even affecting the prognosis of patients with lung cancer. While the influence of sociodemographic factors on financial toxicity in patients with lung cancer has been identified, the exploration of the impact of psychosocial factors remains insufficient.</p><p><b>Aims:</b> This study aims to explore the influencing factors and their pathways of financial toxicity in patients with lung cancer.</p><p><b>Methods:</b> This was a cross-sectional study that utilized a convenience sampling method to select hospitalized patients with lung cancer as research population from a tertiary hospital in Sichuan Province between May and November 2023. Investigations were conducted using a general information questionnaire, Comprehensive Scores for Financial Toxicity, Social Support Rating Scale, and General Self-Efficacy Scale. Data analysis was performed using descriptive analysis, Mann–Whitney <i>U</i> test, Kruskal–Wallis H test, Spearman correlation analysis, stepwise linear regression analysis, and path analysis.</p><p><b>Results:</b> The influencing factors of financial toxicity in patients with lung cancer include age, family income, commercial insurance coverage, social support, and self-efficacy. Furthermore, family income and social support have indirect effects on financial toxicity, while self-efficacy mediates the relationship between social support and financial toxicity.</p><p><b>Conclusion:</b> The financial toxicity experienced by patients with lung cancer should be taken seriously. In clinical practice, healthcare professionals should promptly assess the level of financial toxicity in patients with lung cancer and implement personalized and diversified intervention measures to address it.</p>","PeriodicalId":11953,"journal":{"name":"European Journal of Cancer Care","volume":"2025 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ecc/6591289","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatigue and Co-Occurring Cancer-Related Symptoms in Breast Cancer Survivors: A Systematic Review and Network Meta-Analysis","authors":"Chih-Chieh Huang,&nbsp;Yu-Hsu Liu,&nbsp;Yi-Shiung Horng","doi":"10.1155/ecc/6615635","DOIUrl":"https://doi.org/10.1155/ecc/6615635","url":null,"abstract":"<p><b>Objective:</b> The relative strength of risk factors for cancer-related fatigue (CRF) among breast cancer survivors (BCSs) remains unclear. This study aims to systematically evaluate and compare the strength of different risk factors for CRF using a network meta-analysis (NMA) approach.</p><p><b>Methods:</b> This NMA included observational studies on female BCSs with extractable data related to risk factors for CRF. The PubMed, Cochrane Library, and Embase databases were systematically searched, and the study protocol was registered in PROSPERO (reference no. CRD42025642021). A random-effects meta-analysis was performed to estimate pooled effect sizes, and an NMA with P-scores was used to rank the relative strength of risk factors. Subgroup analyses, sensitivity analyses, and meta-regression were conducted to assess methodological quality and explore potential sources of heterogeneity.</p><p><b>Results:</b> Thirty observational studies (<i>n</i> = 36,302 female BCSs) that were published between 2004 and 2024 were included in this NMA. Depression exhibited the strongest association with CRF (OR = 3.34, 95% CI 2.50–4.46, P-score = 0.9727), followed by insomnia (OR = 2.35, 95% CI 1.45–3.81, P-score = 0.6549), pain (OR = 1.94, 95% CI 1.33–2.84, P-score = 0.4587), and anxiety (OR = 1.85, 95% CI 1.23–2.79, P-score = 0.4132). Subgroup analysis revealed that the associations of the four risk factors with CRF remained significant at the three posttreatment time points (&lt; 1 year, 1–5 years, and &gt; 5 years), with the exception of anxiety and insomnia at &lt; 1 year and pain at &gt; 5 years. Meta-regression demonstrated that higher study quality (measured via the Newcastle–Ottawa scale [NOS]) was significantly correlated with stronger associations of anxiety and insomnia with CRF (<i>β</i> = 0.305 and 0.221, <i>p</i> &lt; 0.05, respectively). Sensitivity analysis confirmed the robustness of the main findings.</p><p><b>Conclusion:</b> Depression plays a central role in CRF development and should be prioritized in survivorship care. Integrating multimodal interventions for depression, sleep disturbances, and pain management may improve fatigue outcomes.</p>","PeriodicalId":11953,"journal":{"name":"European Journal of Cancer Care","volume":"2025 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ecc/6615635","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Study on the Prehabilitation Needs of Patients and Medical Personnel for Breast Cancer Patients Following Neoadjuvant Chemotherapy","authors":"Jiang Mengzhu,&nbsp;Sun Jialu,&nbsp;Lv Jinhong,&nbsp;Wang Hongru,&nbsp;Zhang Huimin","doi":"10.1155/ecc/9910308","DOIUrl":"https://doi.org/10.1155/ecc/9910308","url":null,"abstract":"<p><b>Background:</b> Breast cancer poses a significant threat to the health of women worldwide. This study comprehensively explored the need for breast cancer patients to enhance their quality of life following neoadjuvant chemotherapy.</p><p><b>Objective:</b> To understand the real-life experiences of breast cancer patients after preoperative neoadjuvant chemotherapy and healthcare professionals’ awareness of prehabilitation post-neoadjuvant chemotherapy, providing references for developing targeted intervention measures.</p><p><b>Methods:</b> Using descriptive phenomenology, 32 patients from breast surgery departments of five tertiary hospitals nationwide and 28 healthcare professionals were selected for semistructured interviews between March 2025 and May 2025. The data analysis followed Colaizzi’s seven-step method.</p><p><b>Results:</b> Four key themes emerged: the preoperative needs of breast cancer patients after neoadjuvant chemotherapy, personal patient goals, healthcare professionals’ understanding of prehabilitation, and optimal timing for prehabilitation interventions.</p><p><b>Conclusion:</b> Healthcare providers should address breast cancer patients’ psychological, physical activity, nutritional, underlying health conditions, economic, and health education needs following neoadjuvant chemotherapy. Enhanced attention should be given to changes in patients’ role perception and attitudes toward rehabilitation. Improving medical staff’s prehabilitation awareness and developing multidisciplinary personalized prehabilitation programs post-neoadjuvant chemotherapy will facilitate patient recovery.</p>","PeriodicalId":11953,"journal":{"name":"European Journal of Cancer Care","volume":"2025 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ecc/9910308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144861853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Effects of Exercise to Mitigate Cancer-Related Fatigue: A State-of-the-Art Review","authors":"Emma L. Gomes,&nbsp;Ryan J. Marker,&nbsp;Christopher Bell,&nbsp;Stephen Aichele,&nbsp;Heather J. Leach","doi":"10.1155/ecc/5511950","DOIUrl":"https://doi.org/10.1155/ecc/5511950","url":null,"abstract":"<p>Cancer-related fatigue (CRF) is one of the most common and distressing symptoms experienced by cancer survivors. While exercise interventions have shown efficacy in reducing CRF, the acute effect of exercise on CRF is not well understood. In this state-of-the-art review, we first provided historical context for the potential for exercise to provide immediate relief of CRF by summarizing plausible physiological and psychological mechanisms, then reviewed studies that have been done to date examining the acute effects of exercise on CRF, and finally, suggested directions for future research.</p>","PeriodicalId":11953,"journal":{"name":"European Journal of Cancer Care","volume":"2025 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ecc/5511950","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining Criteria for Quality and Equity in Prehabilitation Services Before Cancer Surgery: A Delphi Study Informed by Lived and Professional Experience","authors":"L. Wareing,&nbsp;Y. Hirst,&nbsp;C. Shelton,&nbsp;C. Gaffney,&nbsp;A. Partridge,&nbsp;A. Smith,&nbsp;J. Rycroft-Malone,&nbsp;L. Ashmore","doi":"10.1155/ecc/9308284","DOIUrl":"https://doi.org/10.1155/ecc/9308284","url":null,"abstract":"<p><b>Background:</b> Prehabilitation before cancer surgery has been recommended for implementation in clinical practice to improve patients’ functional and psychological wellbeing to improve outcomes. Currently, in the United Kingdom, cancer prehabilitation interventions vary in how and where they are offered, potentially widening health inequalities and little is known about patient preferences. This first of a kind study aimed to invite both people with lived experience of cancer and healthcare professionals to define a set of criteria for quality and equitable prehabilitation interventions for cancer treatment.</p><p><b>Methods:</b> A modified Delphi technique was implemented over three rounds of online questionnaires with prehabilitation professionals (experts by profession, <i>n</i> = 8) and people with lived experience of cancer (experts by experience, <i>n</i> = 14) in the United Kingdom. The first round of criteria statements was developed in a series of co-design workshops. In each Delphi round, participants were asked to rank the statements on a 5-point Likert scale and make suggestions for refinement or additional statements. Consensus was defined as at least 75% of participants voting to indicate agreement on each statement.</p><p><b>Results:</b> A total of 22 participants voted in Delphi questionnaire with a 76% response rate. 63.6% of participants were ‘experts by experience’ and 36.4% were ‘experts by profession’. The questionnaire started with 54 statements and through three rounds of voting, refinement and addition, 56 statements reached consensus. Over three rounds, six statements did not reach consensus. Criteria were grouped into seven themes: <i>developing and delivering prehabilitation</i> (covering prehabilitation definitions, safety and evaluation processes and interactions with patients), <i>emotional health, nutritional, physical and multimodal interventions, integrating community-based care and addressing inequalities</i>.</p><p><b>Conclusions:</b> This is the first research to develop a set of criteria for evaluating and designing equitable prehabilitation before cancer surgery in the United Kingdom. The results will be of interest to researchers, healthcare professionals and service providers interested in designing, evaluating and delivering prehabilitation before cancer surgery.</p>","PeriodicalId":11953,"journal":{"name":"European Journal of Cancer Care","volume":"2025 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ecc/9308284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Debunking Cancer Myths: Understanding Cancer Awareness and Misconceptions Among Patients in Türkiye","authors":"Süleyman Utku Uzun,&nbsp;Merve Akin","doi":"10.1155/ecc/8097126","DOIUrl":"https://doi.org/10.1155/ecc/8097126","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> Cancer is a major global health concern with modifiable risk factors such as tobacco use, alcohol consumption, unhealthy diet, and physical inactivity. Low public awareness of evidence-based risk factors and common cancer myths hamper prevention efforts. This study evaluated the awareness of evidence-based risk factors and the prevalence of cancer myths among patients in Denizli, Türkiye.</p>\u0000 <p><b>Methods:</b> This cross-sectional study was conducted at Pamukkale University Hospital between 1 February 2024 and 15 February 2024. A total of 747 participants were recruited. Data were collected using a structured questionnaire that assessed awareness of both evidence-based cancer risk factors and cancer myths. The questionnaire included the Cancer Awareness Measure Mythical Causes Scale (CAM-MYCS) and a scale assessing evidence-based cancer risk factors. Statistical analyses included Pearson correlation and backward linear regression.</p>\u0000 <p><b>Results:</b> The mean CAM-MYCS score was 20.9 ± 26.4, reflecting substantial variability in beliefs about cancer myths. The mean score for the evidence-based cancer risk factor scale was 57.3 ± 23.1, suggesting a moderate awareness of evidence-based cancer risk factors. The mean total cancer awareness score was 44.1 ± 16.6, reflecting an overall moderate level of cancer awareness. Linear regression analysis identified higher education, seeking information from healthcare professionals and scientific books/articles, and self-perceived knowledge of cancer prevention as significant predictors of total cancer awareness.</p>\u0000 <p><b>Conclusion:</b> This study highlights that despite a moderate level of awareness of evidence-based cancer risk factors, the high prevalence of cancer myths contributes to inadequate awareness of evidence-based cancer risk factors among the Turkish population. Targeted educational interventions are necessary to correct misconceptions and promote evidence-based knowledge to reduce the risk of cancer.</p>\u0000 </div>","PeriodicalId":11953,"journal":{"name":"European Journal of Cancer Care","volume":"2025 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ecc/8097126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144716566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Mindfulness Interventions on Anxiety, Depression, and Quality of Life in Patients Undergoing Chemotherapy for Breast Cancer: A Systematic Review and Meta-Analysis","authors":"Zhuorong Xiang,&nbsp;Xue Li,&nbsp;Youjia Ma","doi":"10.1155/ecc/1656569","DOIUrl":"https://doi.org/10.1155/ecc/1656569","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> This study aims to specifically review the efficacy of mindfulness-based interventions (MBIs) for breast cancer patients undergoing chemotherapy.</p>\u0000 <p><b>Methods:</b> Five databases (PubMed, Embase, Cochrane, Web of Science, and CINAHL) were searched to collect relevant randomized controlled trials (RCTs). A total of 1869 articles were initially retrieved, of which 8 met the inclusion criteria. The search cutoff date was May 1, 2024. Included studies met prespecified inclusion and exclusion criteria. Data analysis was performed using RevMan 5.4 and STATA/SE 15.0 software.</p>\u0000 <p><b>Results:</b> This study included 8 studies. The findings revealed statistically significant improvements in anxiety, depression levels, and quality of life among patients undergoing MBIs compared to those receiving standard care, with a statistically significant difference [SMD = −0.72, 95% CI (−1.07, −0.37), <i>p</i> = 0.040], [SMD = −0.72, 95% CI (−1.07, −0.38), <i>p</i> = 0.026], and [SMD = 0.51, 95% CI (0.22, 0.81), <i>p</i> = 0.037], respectively.</p>\u0000 <p><b>Conclusions:</b> MBIs have been shown to significantly enhance the psychological well-being and quality of life in breast cancer patients undergoing chemotherapy. Despite certain limitations, MBIs hold substantial promise for clinical use as a complementary therapy and warrant further investigation through larger-scale RCTs. Moreover, future studies should examine the reactions of breast cancer patients from various cultural backgrounds to MBIs, with the goal of refining intervention strategies to better serve a diverse population.</p>\u0000 </div>","PeriodicalId":11953,"journal":{"name":"European Journal of Cancer Care","volume":"2025 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ecc/1656569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144716567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construction of a Palliative Care Services Framework for End-of-Life Adult Patients at Medical Institutions: A Delphi Study","authors":"Yang Dong,&nbsp;Minjun Chen,&nbsp;Ya Yu,&nbsp;Leyi Huang,&nbsp;Li Chen,&nbsp;Tingting Zhang,&nbsp;Weijie Zhong,&nbsp;Zhigang Zhu,&nbsp;Hongying Rao","doi":"10.1155/ecc/9034166","DOIUrl":"https://doi.org/10.1155/ecc/9034166","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Palliative care focuses on end-of-life patients and their family members (caregivers) to control pain and discomfort symptoms in end-of-life patients and provides comprehensive physical, psychological, and spiritual care to improve quality of life and help patients die comfortably, peacefully, and with dignity. This study aims to develop a scientific and comprehensive palliative care service framework based on expert consensus to provide a reference and basis for palliative care practices for end-of-life adult patients in medical institutions.</p>\u0000 <p><b>Methods:</b> This study designed three rounds of expert inquiry via the Delphi method, involving a total of 21 experts from diverse fields, including geriatrics, geriatric nursing, palliative care, hospice care, traditional Chinese medicine, death education, anesthesia, ethics, and psychology.</p>\u0000 <p><b>Results:</b> The final framework comprises five first-level categories, namely, service process and requirements, symptom management, comfort care, psychological and social support, and complementary therapy, which are supported by 16 second-level and 37 third-level items. The expert authority coefficients (0.900–0.910) and Kendall’s W (0.330–0.489, <i>p</i> &lt; 0.001) indicated high reliability and consensus.</p>\u0000 <p><b>Conclusions:</b> This study, which is based on the Delphi method, has formulated a framework for palliative care services tailored to the needs of end-of-life adult patients in medical institutions. The content of the developed service framework is clear and relatively comprehensive. The results of this study are conducive to promoting the development and practice of Palliative Care and Hospice in China, thereby enhancing the quality of death for end-of-life adult patients.</p>\u0000 </div>","PeriodicalId":11953,"journal":{"name":"European Journal of Cancer Care","volume":"2025 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ecc/9034166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turkish Validity and Reliability Study of the Cancer Care Evaluation Scale","authors":"Sevgi Doğan,&nbsp;Yasemin Erden,&nbsp;Gülçin Avşar","doi":"10.1155/ecc/9996675","DOIUrl":"https://doi.org/10.1155/ecc/9996675","url":null,"abstract":"<div>\u0000 <p><b>Purpose:</b> The aim of the study is to adapt the “Cancer Care Evaluation Scale” to Turkish and to test its validity and reliability.</p>\u0000 <p><b>Methods:</b> The research was conducted methodologically. The data of the study were obtained from patients in a university hospital in eastern Türkiye between January and April 2023. The research was carried out with 350 people who met the inclusion criteria. The data were collected by the researchers using the “Patient Information Form” and the “Cancer Care Evaluation Scale.” Content validity index (CVI), Bartlett’s test of sphericity, Kaiser–Meyer–Olkin (KMO) index, and confirmatory factor analysis (CFA) were used to find out the content and construct validity. Cronbach’s alpha coefficient, split-half reliability analysis, and correlation analysis were used to test reliability.</p>\u0000 <p><b>Results:</b> As a result of the evaluations and analyses, the CVI of the scale was found to be as 0.94. The Cronbach’s alpha value of the subdimensions of the scale ranged from 0.843 to 0.975 and the total Cronbach’s alpha value was found to be 0.948. In the split-half reliability analysis, Spearman–Brown’s coefficient was found to be 0.989. The fit index values were found to be as follows: <i>X</i>²/SD = 2.57, RMSEA = 0.067, GFI = 0.83, CFI = 0.955, and SRMR = 0.062. CFA results showed good fit index values.</p>\u0000 <p><b>Conclusion:</b> As a result of the research, the factor structure of 35 items and 12 subdimensional scales was confirmed by CFA. It was determined that the Turkish version of the Cancer Care Evaluation Scale is a valid and reliable measurement tool to evaluate the care of cancer patients. The scale allows the care offered to cancer patients to be evaluated from the patient’s perspective. For this reason, it is thought that the scale will contribute to the identification of deficiencies in care and the improvement of the quality of care.</p>\u0000 </div>","PeriodicalId":11953,"journal":{"name":"European Journal of Cancer Care","volume":"2025 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ecc/9996675","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work Participation of Patients Affected by Advanced Cancer: A Scoping Review of Current Knowledge","authors":"Paul Guiouillier,&nbsp;Sibylle Jouteau,&nbsp;Karine Bilodeau,&nbsp;Yves Roquelaure,&nbsp;Bertrand Porro","doi":"10.1155/ecc/5333340","DOIUrl":"https://doi.org/10.1155/ecc/5333340","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> The increasing survival rates among patients with advanced cancer have brought attention to the issue of work participation for working-age individuals, while current studies predominantly focus on early-stage cancer patients. The objective of this scoping review was to summarize the current knowledge regarding the work participation of patients diagnosed with advanced-stage cancer.</p>\u0000 <p><b>Methods:</b> A scoping review was conducted following Mak and Thomas’s guidelines and adhering to PRISMA-ScR standards. Three databases (PubMed, Web of Science, and PsycINFO) were systematically searched for articles published up to December 2023. An update was performed in September 2024. We included English and French studies on patients with advanced cancer, aged 18 years and over, with a focus on their work participation. The results are presented according to the arena model, which provides a framework for understanding different dimensions of work participation.</p>\u0000 <p><b>Results:</b> Ten studies, primarily focusing on breast cancer, were included after screening 239 records. Key findings revealed that older women and certain ethnic groups face greater challenges in maintaining employment, with treatment side effects such as pain, fatigue, and cognitive impairment having a significant impact on work participation. The research emphasized the need for improved support and information from the healthcare system regarding employment issues.</p>\u0000 <p><b>Conclusion:</b> This scoping review addresses the challenges of work participation for patients with advanced cancer, identifying personal, psychological, and workplace barriers. It emphasizes the need for tailored interventions and highlights a significant gap in healthcare professionals’ guidance on employment issues. Expanding research beyond breast cancer is essential to improve work participation for this population. The predominance of breast cancer in the current literature underscores the urgent need for broader research that includes a wider range of tumor types and male patients, in order to ensure that work participation strategies are inclusive and equitable.</p>\u0000 </div>","PeriodicalId":11953,"journal":{"name":"European Journal of Cancer Care","volume":"2025 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ecc/5333340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}