Supportive Care in Cancer最新文献

{"title":"The mediating effect of positive coping in the association between inner strength and demoralization in lung cancer chemotherapy patients.","authors":"Tianci Xiao, Shuangrong Han, Qiufang Li, Xiaokai Wang, Yuye Zhang, Haoyue Luo, Jiayin Yang","doi":"10.1007/s00520-025-09185-3","DOIUrl":"10.1007/s00520-025-09185-3","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the influence of inner strength on demoralization in patients receiving chemotherapy for lung cancer and confirm the mediating role of positive coping style.</p><p><strong>Methods: </strong>This study was a cross-sectional study and included 210 patients from three general hospitals in China. A sociodemographic questionnaire, Inner Strength Scale, Simplified coping style subscale, and Demoralization Scale-II were applied. A structural equation model was conducted to estimate the hypothesis model of demoralization and explore the potential mediating mechanism.</p><p><strong>Results: </strong>Inner strength was positively correlated with positive coping style (P < 0.01). Inner strength, positive coping style, and demoralization were negatively correlated (P < 0.01). Furthermore, positive coping style mediated the relationship between inner strength and demoralization (β = - 0.269 (95% CI, - 0.415, - 0.159), P < 0.01), accounting for 37.41% of the total effect.</p><p><strong>Conclusion: </strong>The results suggest a negative association between inner strength and demoralization in patients with lung cancer undergoing chemotherapy. Positive coping style as a mediating variable provided the impetus for the demoralization. Healthcare professionals might enhance the inner strength of lung cancer patients undergoing chemotherapy by carrying out targeted interventions and encouraging them to adopt positive coping strategies, which can reduce the level of demoralization and promote mental health.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"216"},"PeriodicalIF":2.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Colorectal surgeon practice patterns of low anterior resection syndrome after rectal cancer treatment.","authors":"Nathan A Coppersmith, Kurt S Schultz, Andrew C Esposito, Kingsley Cruickshank, Ahmad Saleh, Samantha M Linhares, Ira L Leeds, Haddon J Pantel, Vikram B Reddy, Walter E Longo, Anne K Mongiu","doi":"10.1007/s00520-025-09290-3","DOIUrl":"10.1007/s00520-025-09290-3","url":null,"abstract":"<p><strong>Background: </strong>Limited literature exists regarding surgeon perceptions and practice patterns for low anterior resection syndrome (LARS). In this study, we sought to understand how colon and rectal surgery faculty perceive and manage LARS.</p><p><strong>Methods: </strong>We invited colon and rectal surgery faculty (CRS faculty) members from all programs that offer an Accreditation Council for Graduate Medical Education (ACGME)-accredited colon and rectal surgery residency (n = 378) to participate in an electronic survey. Descriptive statistical analyses and ordered logistic regression were performed.</p><p><strong>Results: </strong>The survey achieved a response rate of 30.1% (116/378). The most common number of years in practice was 11-20 (33.6%). Many surgeons always counsel their patients on the risk of LARS preoperatively (76.7%), but 42.4% never routinely screen for LARS following rectal resection. One tenth of surgeons (10.3%) do not treat LARS. The treatment most often \"always\" used for LARS was lifestyle modifications with drug treatment (32.7%), followed by physical therapy (18.5%). Years in practice was significantly related to frequency of using biofeedback (OR = 0.74, 95% CI 0.54-1.00; p = 0.050), transanal irrigation (OR = 1.39, 95% CI 1.00-1.92; p = 0.047) and PFPT (OR = 0.73, 95% CI 0.54-0.98; p = 0.039).</p><p><strong>Discussion: </strong>Most CRS faculty counsel patients preoperatively about the risk of LARS and employ some treatment modality. The low rate of postoperative screening for LARS could be improved and there is a wide variation in LARS treatment practice. Updated guidelines for the management of LARS that incorporate recent literature, increased screening of postoperative patients, and efforts to provide patients access to effective treatments could help clinicians and patients to manage a difficult condition.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"218"},"PeriodicalIF":2.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of adaptive variable-resistance training on chemotherapy-induced sarcopenia, fatigue, and functional restriction in pediatric survivors of acute lymphoblastic leukemia: a prospective randomized controlled trial.","authors":"Ragab K Elnaggar, Waleed S Mahmoud, Mohamed S Abdrabo, Mahmoud S Elfakharany","doi":"10.1007/s00520-025-09250-x","DOIUrl":"10.1007/s00520-025-09250-x","url":null,"abstract":"<p><strong>Purpose: </strong>With the rising survival rate among children and adolescents with acute lymphoblastic leukemia (ALL), prioritizing patient-centered care to address the long-term effects of chemotherapy through tailored rehabilitation interventions is essential for optimizing their quality of life. The purpose of this study was to investigate the impact of an 8-week intervention using adaptive variable-resistance training (Adaptive-VRT) on chemotherapy-induced sarcopenia, fatigue, and functional restrictions in pediatric survivors of ALL.</p><p><strong>Methods: </strong>A prospective randomized controlled trial included a total of 62 survivors of ALL, aged 12-18 years, and completed maintenance chemotherapy. Participants were randomized into two groups: the Adaptive-VRT group (n = 31), assigned the Adaptive-VRT intervention, and the control group (n = 31), which adhered to the standard exercise protocol. Baseline and post-intervention measurements were undertaken to analyze sarcopenia-related variables (i.e., muscle thickness and muscle strength), fatigue, and functional performance.</p><p><strong>Results: </strong>The Adaptive-VRT group exhibited more favorable changes in muscle thickness [thigh thickness (P < .001; η²_P = 0.32); rectus femoris (P < .001; η²_P = 0.21); vastus intermedius (P = .002; η²_P = 0.15)], and peak concentric torque of quadriceps [at speed of 90°/s (P = .005; η²_P = 0.13), 120°/s (P = .021; η²_P = 0.10), or 180°/s (P = .008; η²_P = 0.11)] in comparison with the control group. Additionally, the Adaptive-VRT group reported lower fatigue levels (P = .031; η²_P = 0.08) and demonstrated better functional performance [6-min walk test (P < .001; η²_P = 0.25), 4 × 10-m shuttle running test (P < .001; η²_P = 0.24), as well as timed up and down stairs (P < .0006; η²_P = 0.18)].</p><p><strong>Conclusion: </strong>The findings suggest that Adaptive-VRT is a promising intervention for ameliorating chemotherapy-induced sarcopenia, fatigue, and functional limitations in pediatric ALL survivors.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT06338020.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"214"},"PeriodicalIF":2.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of engraftment syndrome with and without budesonide prophylaxis in patients with multiple myeloma undergoing autologous stem cell transplant.","authors":"Lucy Gloe, Alexandria Rakestraw, Stephanie Daniels, Xianyan Chen, Vamsi Kota, Amber B Clemmons","doi":"10.1007/s00520-025-09285-0","DOIUrl":"10.1007/s00520-025-09285-0","url":null,"abstract":"<p><strong>Purpose: </strong>Engraftment syndrome (ES), a rare post-transplant complication, has been defined differently across the literature. This study aims to determine if budesonide prophylaxis reduces ES after autologous hematopoietic cell transplantation (auto-HCT) for patients with multiple myeloma (MM), as defined by the published Spitzer or Maiolino criteria or by the ES definition used by Dhakal et al. METHODS: A single-center retrospective review was conducted on adult patients who received auto-HCT for MM between January 2017 and October 2023. Patients were divided into those who did not receive budesonide prophylaxis (n = 169) versus those who did (n = 144). The primary endpoint was an incidence of ES by the definition used by Spitzer, Maiolino, and Dhakal et al., respectively. Secondary endpoints included receipt of steroids to treat ES, hospital length of stay, engraftment, and 30- and 100-day mortality rates. Exploratory endpoints were antibiotics started in the peri-engraftment period and number of anti-diarrheal and anti-emetic doses.</p><p><strong>Results: </strong>No difference existed between groups in the primary outcome by the ES definition used by Spitzer, Maiolino, or Dhakal et al. (all p > 0.05). Further, no difference existed with respect to any secondary outcomes (all p > 0.05) except a lower incidence of receipt of antibiotics in the peri-engraftment period for those who received budesonide.</p><p><strong>Conclusion: </strong>Our findings suggest concordance between Spitzer and Maiolino criteria with clinically documented ES, with higher incidences when the ES definition used by Dhakal et al. is utilized. Larger controlled trials need to be performed to validate these findings.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"213"},"PeriodicalIF":2.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is palatal augmentation prosthesis effective in restoring speech, swallowing, and quality of life following cancer associated glossectomy? A systematic review.","authors":"Ioli Ioanna Artopoulou, Xanthippi Dereka, Dimokritos Papalexopoulos, Maria Kouri, Nikolaos Nikitas Giannakopoulos","doi":"10.1007/s00520-025-09241-y","DOIUrl":"10.1007/s00520-025-09241-y","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of palatal augmentation prosthesis (PAP) in improving speech intelligibility, swallowing efficacy, masticatory function, patients' perception, and overall quality of life (QoL) in HNC survivors with partial or total glossectomy.</p><p><strong>Methods: </strong>The systematic review was conducted in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered in the International Prospective Register of Systematic Reviews (PROSPERO). The focused question was constructed according to the PICO (participant, intervention, comparison, and outcome) approach, and a three-stage screening in PubMed, Cochrane, Scopus, and Google Scholar databases with Medical Subject Heading (MeSH) terms was performed. The National Institute of Health (NIH) tool, \"Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group,\" was employed for risk of bias assessment, and the data was synthesized qualitatively, according to the Synthesis without Meta-Analysis (SWiM) reporting guideline.</p><p><strong>Results: </strong>The initial search resulted in 131 articles, 80 were screened based on title and abstract, 11 full text articles were assessed for eligibility, and 9 articles were evaluated. Eight studies (88.9%) were characterized as fair and one as good. The total sample size included 176 participants. The \"before\" assessment was performed post-operatively, before PAP insertion, and the \"after\" at a time point ranging from after PAP insertion to a mean time of 9.3 (10.6) months, with a follow-up period ranging from 2 weeks to 82 months (mean time of 13.7 (17.3) months). Speech intelligibility was evaluated in eight studies. Six studies assessed swallowing and deglutition. Lingual movement dynamics of the center of the tongue, mastication ability, and patients' reported experience with PAP were each evaluated in one study. QoL assessment was performed in two studies. The results of this systematic review indicate that PAP has a significant effect in improving speech intelligibility, swallowing efficacy, masticatory function, patients' perceived outcomes, and overall QoL in HNC survivors with partial or total glossectomy.</p><p><strong>Conclusion: </strong>Due to the particular defect site-related disabilities, patients with tongue resection could benefit from PAP prostheses. However, future studies evaluating the role of PAP in alleviating speech and swallowing by means of current methods of assessment, as well as more explicit patient's perceived treatment outcomes and QoL evaluations, are essential.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"215"},"PeriodicalIF":2.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mixed methods scoping review of patients' experiences of urgent and emergency cancer care.","authors":"A L Hurley-Wallace, J Defty, A Richardson, R Wagland","doi":"10.1007/s00520-025-09245-8","DOIUrl":"10.1007/s00520-025-09245-8","url":null,"abstract":"<p><strong>Background: </strong>Patients with oncological emergencies require immediate specialist cancer care to ensure optimum outcomes. This is often a stressful, time-sensitive situation for patients and their families who describe having to navigate complex care pathways to access urgent treatment. Acute oncology was established as a subspecialty in the UK in 2009, with the goal to streamline emergency cancer care. Patient experiences of urgent care in acute oncology contexts have not specifically been explored; hence, it is unknown whether patient experiences of emergency cancer care have improved. This may be due to lack of a patient-reported experience measure for this purpose.</p><p><strong>Methods: </strong>A mixed methods scoping review was conducted from 2010 to April 2024, with the aim of identifying core aspects of the care experience important to patients with cancer during an acute oncological episode, based on published research evidence. Qualitative, quantitative, and mixed methods articles were sourced and screened in accordance with Joanna Briggs Institute scoping review guidance. Core domains of patient experience were collated and summarised using mixed methods evidence synthesis.</p><p><strong>Results: </strong>Fifteen articles reporting on 14 unique studies were included. Issues important to patient experiences of emergency cancer care were described by patients, healthcare professional, and carer proxies. Studies captured experiences of various care delivery models including telehealth, in-person presentation to an Emergency Department, and acute oncology services. Six core domains of patient experience arose from the synthesis: managing emotional distress, being treated with compassion and respect, deciding when to seek help, hospital environment, quality of care and communication, and discharge planning.</p><p><strong>Conclusions: </strong>This is the first review to identify existing literature on patient experiences of emergency cancer care, highlighting core domains of patient experience impactful for patients and their families. Patients' decisions about when to seek help and the impact of discussing palliative care needs during an emergency were more specific to emergency cancer care, compared to issues like the hospital environment, which can be important throughout a patient's cancer care journey. Results will help inform development of a patient-reported experience measure to allow healthcare providers to evaluate and continuously improve specialist urgent and emergency cancer care services.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"208"},"PeriodicalIF":2.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and enablers to exercise prehabilitation before breast cancer surgery in an Australian regional health service: patient and clinician perspective.","authors":"April Chiu, Sarah Huntly, Breanna McPhee, Molly Branson, Matthew Wallen, Declan Hennessy","doi":"10.1007/s00520-025-09261-8","DOIUrl":"10.1007/s00520-025-09261-8","url":null,"abstract":"<p><strong>Purpose: </strong>To identify barriers and enablers of an exercise-based prehabilitation service for surgical patients with breast cancer and medical professionals in a regional healthcare setting.</p><p><strong>Methods: </strong>A cross-sectional survey was distributed to patients with breast cancer and medical professionals from regional populations. Surveys included closed and open-ended responses. A chi-square goodness of fit test with a Fisher's exact correction was used for quantitative analysis of the frequencies of barriers and enablers within groups. Content analysis was used for open-ended responses.</p><p><strong>Results: </strong>Twenty-five patients and 14 clinicians participated. Patients identified psychological barriers as the lowest concern to exercise prehabilitation (χ²(9, n = 23) = 21.78, p = .011). No other patient barriers were statistically significant. Fifty-nine percent of patients expressed interest in participation in exercise prehabilitation, with 40% citing personal fitness benefits as the leading enabler. Clinicians identified time constraints as a barrier (χ²(2, n = 13) = 8.00, p < .05), with challenges integrating prehabilitation into pre-surgery timelines. Clinicians indicated electronic referral methods and information would be enablers for prehabilitation.</p><p><strong>Conclusion: </strong>The study underpins the need for integrating exercise professionals into preoperative teams to address exercise prehabilitation within limited time frames. Patients do not describe psychological barriers and instead report motivation to improve fitness as an enabler of prehabilitation. Clinicians report time constraints in pre-operative appointments as a barrier to prehabilitation. Implementing electronic referral methods alongside traditional approaches may enhance prehabilitation delivery for patients receiving breast cancer surgery. Future research should leverage these findings for prehabilitation referral and program design.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"211"},"PeriodicalIF":2.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of intimate partner violence among female cancer patients: a meta-synthesis of qualitative research.","authors":"Qiyang Huai, Ren Jie Zhang, Ya Nan Shi, Mei Shao, Lijuan Yang","doi":"10.1007/s00520-025-09277-0","DOIUrl":"10.1007/s00520-025-09277-0","url":null,"abstract":"<p><strong>Objectives: </strong>This research systematically synthesized qualitative studies on intimate partner violence experiences among female cancer patients, aiming to inform the development of relevant psychosocial interventions.</p><p><strong>Methods: </strong>PubMed, Embase, Web of Science, Scopus, Medline, The Cochrane Library, CINAHL, CNKI, Wanfang, VIP, and Sinomed databases were searched for qualitative studies on intimate partner violence among female cancer patients. The search time frame was from the establishment of the database to April 8 2024. The quality of included studies was assessed using the list of qualitative studies in the Joanna Briggs Institute (JBI) Reviewer Manual. Meta-synthesis was integrated according to the meta-aggregation method proposed by the JBI and reported in accordance with the guidelines for Enhancing Transparency in Reporting Qualitative Research Synthesis (ENTREQ).</p><p><strong>Results: </strong>This study incorporated literature from seven sources, extracting 24 primary findings into 10 categories. These categories were further synthesized into four overarching results: cancer patients experienced multiple forms of violence; the multiple impacts of violence on cancer patients; patients' different ways of coping with violence; and multiple needs of cancer patients.</p><p><strong>Conclusions: </strong>Intimate partner violence has emerged as a major, preventable global health issue, particularly affecting female cancer patients and significantly impacting their physical and mental health. Healthcare professionals must vigilantly monitor and address the psychological aspects of these patients, offering psychological counseling and treatment promptly as required.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"212"},"PeriodicalIF":2.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of the relationship between the empathic tendencies and sleep quality of caregivers of cancer patients.","authors":"Müjde Kerkez, Muhammet Faruk Yiğit, Zeynep Yaztürk","doi":"10.1007/s00520-025-09255-6","DOIUrl":"10.1007/s00520-025-09255-6","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aims to reveal the relationship between the empathic tendencies and sleep quality of caregivers of cancer patients.</p><p><strong>Material and method: </strong>This cross-sectional study was conducted with caregivers of cancer patients registered in the oncology unit of a hospital between May and July 2024 (n = 346). The study data were collected using a sociodemographic information form, the Empathic Tendency Scale, and the Pittsburgh Sleep Quality Index. The data were analyzed using the Pearson correlation and hierarchical regression analyses as well as descriptive statistics.</p><p><strong>Findings: </strong>59.5% of the participants were female and 88.2% lived with patients. 62.7% of the cancer patients were male and 61.1% were partially dependent in daily life activities. The caregivers had a mean total score of 70.58 ± 16.85 on the Empathic Tendency Scale and a mean total score of 4.40 ± 3.94 on the Pittsburgh Sleep Quality Index. It was found that there was a negative, strong, and statistically significant relationship between the mean total scores on the Empathic Tendency Scale and the Pittsburgh Sleep Quality Index (r = - 0.924; p < 0.001). According to the hierarchical regression model, certain sociodemographic features of the caregivers explained the variance in empathic tendency (Adj. R² = 0.607; p < 0.001), whereas when sleep quality components were added to the model, the variance in empathic tendency was explained (Adj. R² = 0.896; p < 0.001).</p><p><strong>Conclusion: </strong>The caregivers of cancer patients were found to have high empathic tendencies, which was associated with high sleep quality. Furthermore, low empathic tendencies among the caregivers were found to be primarily associated with increasing length of care and advancing patient age. The findings underscore the pivotal role that empathic approaches play in enhancing the quality of care, underscoring the necessity for augmented interventions that prioritize a compassionate approach, and the management of empathy in caregivers of cancer patients.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"209"},"PeriodicalIF":2.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding siblings' grief: a scoping review focused on death by cancer.","authors":"Alejandro Unda López, Ana Mercedes Albuja, Iris Marin Dett, Ariela Orbea Cevallos, Paula Hidalgo-Andrade","doi":"10.1007/s00520-025-09266-3","DOIUrl":"10.1007/s00520-025-09266-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the existing literature on the grief experienced by siblings of cancer patients who have died, focusing on adaptation processes, emotional impact, and support needs of this population during and after the illness.</p><p><strong>Methods: </strong>The current scoping review follows the PRISMA-ScR guidelines. Peer-reviewed articles that explored the experiences of sibling grief due to oncological death were included. The search was conducted on twelve databases in July 2023. Thirty-four studies were included.</p><p><strong>Results: </strong>Findings evidenced a lack of sample representativity. Moreover, coping with grief depends on several facilitating and hindering factors. Quality of the sibling bond, passage of time, recreational activities, social support, healthcare professionals' communication during illness and after death, and cultural practices are among the most common facilitating factors. Conversely, isolation, inadequate social support, and a lack of information about illness and death may hinder grief coping. Intervention studies play a key role in assessing social support and helping individuals construct meaning around death and loss. Recommendations for a better approach to managing grief in siblings are reported.</p><p><strong>Conclusion: </strong>The topic studied could benefit from further research as no study includes samples from low- and middle-income countries. A better understanding of how the sibling bond affects grief and coping is needed to tailor interventions for these populations. A cohesive response from healthcare professionals, community-based support, and school-based support is needed to accompany the family and the bereaved sibling during illness and after the patient's death.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"210"},"PeriodicalIF":2.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}