Journal of Cancer Survivorship最新文献

{"title":"Support needs of young people caring for their parents with cancer.","authors":"Janet Njelesani, Lindsey Kaufman, Sienna Ruiz, Victoria Leigh Brown, Jean Hunleth","doi":"10.1007/s11764-025-01820-6","DOIUrl":"https://doi.org/10.1007/s11764-025-01820-6","url":null,"abstract":"<p><strong>Purpose: </strong>Family members play an essential role in cancer care, but greater attention is needed on how young people who are providing this care for their parents with cancer can be supported. The aim of this qualitative study was to identify strategies for allied healthcare providers to support young caregivers caring for parents with cancer.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 56 participants, including young caregivers (n = 10), parent survivor (n = 12), and allied healthcare providers (n = 34). Interviews were audio-taped, transcribed verbatim, and analyzed using a qualitative content analysis approach.</p><p><strong>Results: </strong>Findings illuminate that young people are giving care with limited or no training and are not receiving intervention, support, or assistance from allied healthcare providers. Participants recognized that greater support is needed to meet young caregivers' needs, and the nature of the support needed changes over the course of cancer treatment. Allied healthcare providers could support young people through skills training, social and emotional support, and connecting to community resources.</p><p><strong>Conclusions: </strong>Findings reveal the unique and dynamic needs of young caregivers and underscore the need for healthcare systems to expand their support models to include these young, often invisible, caregivers.</p><p><strong>Implications for cancer survivors: </strong>Given the chronic nature of cancer, the number of young caregivers is likely to increase; therefore, allied health professionals need to be better at identifying and supporting them as part of the family-centered cancer care provided.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home-based self-management using Traditional Chinese Medicine techniques: empowerment and risks in breast cancer survivors' fulfillment of health-deviation self-care requisites.","authors":"Fei-Yi Zhao, Peijie Xu, Gerard A Kennedy, Li-Ping Yue, Wen-Jing Zhang, Yan-Mei Wang, Yuen-Shan Ho, Qiang-Qiang Fu, Russell Conduit","doi":"10.1007/s11764-025-01808-2","DOIUrl":"https://doi.org/10.1007/s11764-025-01808-2","url":null,"abstract":"<p><strong>Background and aim: </strong>Traditional Chinese Medicine (TCM)-based self-care is widely practiced among cancer survivors worldwide, particularly in China. For Chinese breast cancer survivors (BCSs), it embodies both an expression of ethnomedical cultural identity and a means of health self-empowerment. However, this practice often occurs without professional supervision, posing potential risks. This study aims to explore BCSs' experiences and perspectives to elucidate the purposes and influencing factors behind their home-based TCM self-care engagement, thereby informing future optimization strategies.</p><p><strong>Methods: </strong>A focused ethnographic design was utilized, with a research framework integrating the COM-B model and Theoretical Domains Framework (TDF). Results were mapped onto constructs of a behavioral wheel derived from the COM-B/TDF matrix. Data analysis followed conventional qualitative content analysis procedures.</p><p><strong>Results: </strong>Participants viewed TCM-based self-care as a complement to rather than a substitute for standard care, primarily for relapse prevention. Facilitators of this practice included (1) strong cultural beliefs and confidence in ethnic medicine, (2) a sense of health responsibility, (3) heightened internal health locus of control, (4) prior beneficial experiences, (5) incentives from online key opinion leaders and fellow survivors, (6) support from family and peers, and (7) reduced time and financial costs. Barriers were (1) insufficient TCM knowledge and skills and (2) uncertainty about efficacy; and (3) safety concerns. Additionally, (1) the home-based treatment setting and (2) the immature internet-based TCM nurse service acted as both barriers and facilitators.</p><p><strong>Conclusions: </strong>The interrelated facilitators and barriers underscore that BCSs' home-based TCM self-care constitutes a complex medical-sociological issue involving cultural, economic, information communication, and healthcare service delivery dimensions. Only a minority of survivors are aware of the possible adverse medical consequences. Within a patient-centered framework, healthcare providers must identify the unique health-deviation self-care requisites of BCSs in a culturally sensitive manner, and partner with them in their self-health management, such as telemonitoring their home-based TCM self-care using eHealth technologies. There is also an urgent need to develop clinical guidelines or expert consensus to support these practices.</p><p><strong>Implications for cancer survivors: </strong>BCSs' TCM self-care represents an intentional health autonomy strategy beyond conventional biomedical dominance, necessitating professional supervision to equilibrate health self-empowerment and iatrogenic risk.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise interventions and physical activity in adults living with and beyond blood cancer: a scoping review.","authors":"Ojbindra Kc, Moataz Ellithi, Emily Herdman, Danielle Westmark, Tanya M Wildes, Edward S Peters, Sara E Bills, Windy Alonso, Vijaya R Bhatt","doi":"10.1007/s11764-025-01822-4","DOIUrl":"https://doi.org/10.1007/s11764-025-01822-4","url":null,"abstract":"<p><strong>Purpose: </strong>Adults living with and beyond cancer (survivors) often face physical and psychological challenges, including pain, fatigue, sleep disturbances, and depression, which impair quality of life (QOL). While exercise interventions are demonstrated to benefit survivors of solid tumors, their impact on survivors of blood cancer remains underexplored. This review evaluates the evidence regarding exercise interventions in survivors of blood cancer, focusing on intervention types, study participant characteristics, and reported outcomes.</p><p><strong>Methods: </strong>A literature search was conducted using Embase (Elsevier), Medline (EBSCO), CINAHL (EBSCO), and Scopus (Elsevier) to identify studies on exercise interventions in survivors of blood cancer published through March 15, 2024. Articles were screened based on inclusion criteria, including adults aged 18 or older who completed cancer treatment and underwent exercise interventions. Exclusion criteria included pediatric populations, active cancer treatment, study protocols, incomplete results, or non-English publications.</p><p><strong>Results: </strong>Seventeen studies were identified, including nine feasibility studies and eight randomized controlled trials. Participants, predominantly white, had a median age range of 31.5-63.5 years. Interventions, often combining aerobic and resistance exercises, were delivered three times weekly over 8-12 weeks. Feasibility studies reported adherence rates of 66-87% and retention rates of 70-95%, with improvements in QOL and physical function. Randomized controlled trials similarly demonstrated benefits in fatigue, QOL, and physical function.  CONCLUSIONS: Exercise interventions improve QOL for survivors of blood cancer, though long-term effectiveness and adherence require further study.</p><p><strong>Implications for cancer survivors: </strong>Future research should focus on diverse populations and long-term outcomes to develop tailored, accessible exercise interventions for survivors of blood cancer.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and incidence of falls in older adults with cancer: a systematic review with meta-analysis.","authors":"Udari N Colombage, Ilana N Ackerman, Selina M Parry, Catherine L Granger, Thanh Nguyen, Keith D Hill, Sze-Ee Soh","doi":"10.1007/s11764-025-01796-3","DOIUrl":"https://doi.org/10.1007/s11764-025-01796-3","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prevalence and incidence of falls and fall-related injuries in community-dwelling older adults with a diagnosis of cancer and examine whether falls prevalence varies with specific cancer characteristics.</p><p><strong>Methods: </strong>A systematic search of five databases was conducted. Studies that included community-dwelling adults with a mean age ≥ 60 years with a current or past diagnosis of cancer and that reported data on the prevalence and/or incidence of falls and/or fall-related injuries were included. Prevalence and incidence rates of falls were pooled for meta-analysis, and meta-regression was used to investigate associations between cancer characteristics (e.g. cancer type and cancer treatment received) and prevalence of falls.</p><p><strong>Results: </strong>Fifty-seven studies with sample sizes ranging from 51-146,959 participants were included. The pooled prevalence of older adults with cancer who fell in the last 6 months (25%; 95% CI 19%, 32%) and 12 months (29%; 95% CI 24%, 34%) was similar. Subgroup analysis showed that the pooled prevalence of falls for older adults with breast cancer was higher (26%; 95% CI 22%, 30%) compared to those with prostate (14%; 95% CI 9%, 20%) or colorectal cancer (13%; 95% CI 11%, 16%).</p><p><strong>Conclusions: </strong>The overall prevalence of falls amongst community-dwelling older adults with cancer is relatively similar compared to the general older adult population, noting that fall events may have been under-reported.</p><p><strong>Implications for cancer survivors: </strong>Falls are common amongst older adults with cancer, but the link between cancer characteristics and exposure to falls risk requires further investigation to better understand the risk factors specific to cancer survivors.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Specification of self-reported late-term impairments 3-7 years after primary breast cancer treatment: a nationwide cross-sectional study among Danish breast cancer survivors.","authors":"Kim Michéle Feder, Kim Gordon Ingwersen, Hans Bjarke Rahr, Heidi Klakk Egebæk, Lonny Stokholm, Marianne Djernes Lautrup","doi":"10.1007/s11764-025-01815-3","DOIUrl":"https://doi.org/10.1007/s11764-025-01815-3","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the characteristics of Danish women treated for primary breast cancer, the prevalence and severity of self-reported late-term impairments, and the registration of these impairments in the Danish National Patient Registry.</p><p><strong>Methods: </strong>This is a nationwide cross-sectional survey study. A nationwide sample of 9927 women were invited to complete a questionnaire on late-term impairments, including shoulder impairment, lymphedema, fatigue, and chemotherapy-induced neuropathy. Severity was scored on validated patient-reported scales. Clinical characteristics of women and diagnostic codes for \"late-term effects\" were extracted from the Danish National Patient Registry.</p><p><strong>Results: </strong>The response rate was 60.9%. The 6046 responders were on average 57 years old at surgery, and 53.5% had a lower education level, 62.7% were married, 56.7% had a body mass index ≥ 25, and 54.4% had one or more co-morbidities. Overall, 60.7% reported having late-term impairments from their breast cancer treatment. The most common impairments were shoulder impairment (75.3%), fatigue (56.9%), chemotherapy-induced neuropathy (49.6%), and lymphedema (26.3%). On average, 58.0% women reporting impairments scored moderate to severe disturbances on validated patient-reported scales. Despite the high self-reported rates, impairments were rarely recorded in the Danish National Patient Registry (lymphedema, 1.3%; fatigue, 0.2%; shoulder impairment, 0.1%; and chemotherapy-induced neuropathy, 0.1%).</p><p><strong>Conclusion: </strong>More than 60% of Danish breast cancer survivors reported moderate to severe late-term impairments 3-7 years post-treatment, yet these impairments were rarely recorded in the Danish National Patient Registry.</p><p><strong>Implications for cancer survivors: </strong>Future research should focus on organizational structures in the Danish secondary healthcare, in relation to facilitating screening and timely detection of late-term impairments.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality cancer survivorship care: a modified Delphi study to define nurse capabilities.","authors":"Gemma McErlean, Heidi Hui, Fiona Crawford-Williams, Nicolas H Hart, Meinir Krishnasamy, Bogda Koczwara, Thomas Walwyn, Mahesh Iddawela, Rebecca McIntosh, Raymond J Chan, Michael Jefford","doi":"10.1007/s11764-025-01804-6","DOIUrl":"https://doi.org/10.1007/s11764-025-01804-6","url":null,"abstract":"<p><strong>Purpose: </strong>To establish capabilities required by nurses to deliver quality cancer survivorship care in Australia.</p><p><strong>Methods: </strong>A two-round online modified Delphi involving Australian cancer nurses. Initial domains and capability statements were based on the Quality of Cancer Survivorship Care Framework and supplemented by national and international nursing frameworks. In Round 1 (R1), experts categorised the applicability of 53 capabilities for cancer nurses, across eight domains, in relation to Australian National Professional Development Framework for Cancer Nursing (EdCaN) groups: 'All', 'Many', 'Some', and 'Few' nurses, or not relevant. In Round 2 (R2), experts rated agreement with capabilities allocated to the nurse groups. A priori consensus was set at ≥ 80%.</p><p><strong>Results: </strong>Surveys were distributed to 51 experts, with a response rate of 92% (47/51) for R1 and 75% (38/51) for R2. Following R1, ten capabilities were added, resulting in 63 capabilities for R2 to establish consensus allocation to EdCaN groupings. Fifty-seven capabilities reached consensus; four capabilities were moved from 'many' to 'some' nurses; one capability was moved from 'some' to 'few' nurses; and one capability was retained in 'all' nurses following Delphi feedback and research team discussion.</p><p><strong>Conclusions: </strong>Sixty-three capabilities across eight cancer survivorship care domains were identified and allocated to different nursing groupings. This study provides important foundational work by identifying the capabilities of cancer nurses to deliver quality cancer survivorship care in Australia.</p><p><strong>Implications for cancer survivors: </strong>The identification of clearly defined capabilities may improve the quality of cancer survivorship care through the enrichment and standardisation of educational curricula and continuing professional education, and through improved workforce planning.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer survivors' health outcomes over the life course: differences by sexual orientation and gender identity.","authors":"Ulrike Boehmer, Christopher W Wheldon, Bill M Jesdale","doi":"10.1007/s11764-025-01799-0","DOIUrl":"https://doi.org/10.1007/s11764-025-01799-0","url":null,"abstract":"<p><strong>Purpose: </strong>This study seeks to examine sexual and gender minority (SGM) cancer survivors' quality of life (QoL) by age at diagnosis and time since diagnosis.</p><p><strong>Methods: </strong>This secondary data analysis utilized 2014-2023 Behavior Risk Factor Surveillance Survey data. The survey respondents consisted of 1708 SGM cancer survivors and 56,184 heterosexual cisgender cancer survivors. Logistic regression models compared individual SGM cancer survivor groups to heterosexual cisgender survivors' QoL while stratifying by age at diagnosis and time since cancer diagnosis. We adjusted models for sociodemographic characteristics, access to care, and survey year.</p><p><strong>Results: </strong>Lesbian women's and gay men's QoL was similar to heterosexual men's and women's overall and when stratifying by time since diagnosis. However, after stratifying by age at diagnosis, both lesbian women and gay men had significantly greater odds of difficulty concentrating compared to their peers, when diagnosed at younger ages. Bisexual women and men as well as transgender survivors' QoL, differed from heterosexual cisgender survivors' overall and by both time since diagnosis and age at diagnosis.</p><p><strong>Conclusions: </strong>Sexual and gender minority survivors' QoL varied by age at diagnosis and time since diagnosis, indicating a dynamic vulnerability among SGM cancer survivors. Therefore, this study elucidates critical periods for targeted interventions that address the unique needs of SGM cancer survivors.</p><p><strong>Implications for cancer survivors: </strong>We found that sexual and gender minority survivors' QoL differs based on stages of life and time since diagnosis. These findings highlight the need for targeted support for sexual and gender minority survivors at times of their greatest vulnerability.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-sectional associations of proteomic age acceleration with self-reported physical and mental health and depression symptoms among those with and without cancer.","authors":"Matia Solomon, R Bhatia, S Wang, A H Blaes, E A Platz, W Guan, P I Jewett, A Prizment","doi":"10.1007/s11764-025-01803-7","DOIUrl":"https://doi.org/10.1007/s11764-025-01803-7","url":null,"abstract":"<p><strong>Purpose: </strong>Accelerated aging may affect quality of life (QOL), and having cancer may further complicate that relationship. We assessed the cross-sectional association of a novel proteomic aging clock (PAC) with self-reported physical and mental health and depression symptoms among individuals with and without cancer.</p><p><strong>Methods: </strong>Data for this cross-sectional analysis came from the prospective Atherosclerosis Risk in Communities (ARIC) Study. We estimated proteomic age acceleration (PAA), i.e., the deviation of PAC from chronological age, at two ARIC visits (1990-1992 and 2011-2013). We used linear regression models to estimate the association of PAA and change in PAA with self-reported physical (PCS) and mental health (MCS) as well as depression symptoms, separately for cancer survivors and individuals without cancer.</p><p><strong>Results: </strong>Among cancer survivors, mean PCS, MCS, and depression scores were 44.0, 54.8, and 6.7, respectively; and 46.6, 55.3, and 6.5 among those without a cancer history. PAA was associated with lower PCS (adjusted coefficients per additional 5 years; cancer survivors, - 1.73, 95% CI - 3.11, - 0.35; without a cancer history, - 2.70, 95% CI - 3.90, - 1.51) and with higher depression scores among those without a cancer history (0.57, 95% CI 0.27, 0.88). Neither PAA nor change in PAA was associated with MCS in either population.</p><p><strong>Conclusion: </strong>We found some evidence for a cross-sectional association of PAA with self-reported physical health, but little evidence for an association with mental health and depression scores.</p><p><strong>Implications for cancer survivors: </strong>PAA may have stronger implications for physical than for mental health outcomes among those with and without cancer.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterizing surveillance-associated anxiety following curative-intent surgery for gastrointestinal cancer: a mixed methods approach.","authors":"Natalie M Bath, Rakhsha Khatri, Patrick L Quinn, Joanne Kim, Mary Dillhoff, Aslam Ejaz, John Hays, Anne Noonan, Emily Huang, Alex Kim, Timothy M Pawlik, Jordan M Cloyd","doi":"10.1007/s11764-025-01781-w","DOIUrl":"https://doi.org/10.1007/s11764-025-01781-w","url":null,"abstract":"<p><strong>Purpose: </strong>Imaging is often an essential component of cancer surveillance following curative-intent surgery but can be distressing for some patients. While this phenomenon has been studied among patients undergoing active cancer treatment and screening, the frequency and severity of \"scanxiety\" among patients undergoing surveillance after curative-intent cancer surgery is poorly understood.</p><p><strong>Methods: </strong>A cross-sectional mixed-methods analysis of patients with a history of resected gastrointestinal (GI) or hepatopancreatobiliary (HPB) cancer undergoing routine cancer surveillance was conducted. After their imaging was completed but before meeting with their provider, patients completed the Impact of Events Scale-revised (IES-r) and the Hospital Anxiety and Depression Scale (HADS) anxiety subscale surveys. IES-r and HADS-anxiety scores ≥ 24 (scale 0-88) and ≥ 11 (scale 0-22), respectively, were considered clinically meaningful. Semi-structured interviews were conducted among a convenience sample of patients, which were subsequently transcribed and then coded using an inductive approach.</p><p><strong>Results: </strong>Among 101 participants, mean age was 62 ± 13.9 years old and 52% were male. The most common diagnoses were cancers of the pancreas (23.8%), appendix (20.8%), and colon & rectum (20.8%). Mean time since surgery was 30.7 ± 28.0 months. Overall IES-r and HADS scores were 12.1 ± 14.7 and 5.2 ± 4.7, respectively. On multivariable linear regression analysis, a previous mental health diagnosis was associated with increased HADS, total IES, and all IES subscale scores whereas older age was associated with lower HADS and total IES scores (all p < 0.05). African American race, public insurance, and longer distance traveled were associated with increased IES hyperarousal scores. Qualitative analysis highlighted the psychological symptoms associated with surveillance imaging, its impact on daily living, and primary coping strategies.</p><p><strong>Conclusions: </strong>In this cross-sectional study of patients with resected GI and HPB cancers, symptoms of anxiety and post-traumatic stress around the time of routine cancer surveillance were common but relatively mild. A prior mental health diagnosis and younger age may be risk factors for greater symptomatology.</p><p><strong>Implications for cancer survivors: </strong>Future research should work to identify which patients are at highest risk for surveillance-associated anxiety so that patient-centered interventions can be designed and studied in this growing patient population.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review exploring cancer survivorship in Africa: 2011 to 2024.","authors":"Tonia Onyeka, Abdulhafiz Zakieh, Isaiah Gitonga, Goodluck Nchasi, Md Ahasanur Rahman, Nikki Prattipati, Alicia A Livinski, Timiya S Nolan, Mishka Kohli Cira","doi":"10.1007/s11764-025-01805-5","DOIUrl":"https://doi.org/10.1007/s11764-025-01805-5","url":null,"abstract":"<p><strong>Purpose: </strong>The scope of cancer survivorship in Africa remains largely unexplored. This scoping review aims to describe current survivorship-related factors and care delivery characteristics in Africa, and to provide insights that can inform a more systematic integration of survivorship care into the broader cancer care continuum.</p><p><strong>Methods: </strong>Four databases (PubMed, Embase, Web of Science: Core, CINAHL Plus) were searched for journal articles and grey literature published from 2011 to August 2024 in English. Articles were included if they focused on post-treatment care for African cancer survivors. Covidence® was utilised for screening and data collection. Microsoft Excel was used for data cleaning and analysis.</p><p><strong>Results: </strong>A total of 9417 articles were screened and 181 included. The number of studies per year grew from 6 (2011) to 32 (2023). These comprised 71 conference abstracts and 110 journal articles conducted in 19 African countries. The study methodologies utilised include 97 quantitative, 42 qualitative, 25 programme descriptions, and 18 mixed methods. Childhood survivorship was the focus for 40 studies. Psychosocial effects of cancer and its treatment were discussed in 104 studies.</p><p><strong>Conclusions: </strong>Interest in post-treatment cancer survivorship and related care is increasing across Africa. While significant research has explored the physical and psychosocial effects of cancer, there remains a critical need for studies focused on care coordination, targeted interventions, and strategies to improve quality-of-life outcomes for survivors.</p><p><strong>Implications for cancer survivors: </strong>The overall scope of post-treatment cancer survivorship care in Africa primarily centres on psychosocial outcomes, with limited emphasis on care coordination. This underscores the need for further research and the development of context-relevant, feasible, and integrated care models within African health systems.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}