Treatment burden in individuals living with and beyond cancer: A systematic review of qualitative literature.
<h4>Background</h4>Individuals with cancer are being given increasing responsibility for the self-management of their health and illness. In other chronic diseases, individuals who experience treatment burden are at risk of poorer health outcomes. Less is known about treatment burden and...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0286308 |
| _version_ | 1797799840220971008 |
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| author | Rosalind Adam Revathi Nair Lisa F Duncan Esyn Yeoh Joanne Chan Vaselisa Vilenskaya Katie I Gallacher |
| author_facet | Rosalind Adam Revathi Nair Lisa F Duncan Esyn Yeoh Joanne Chan Vaselisa Vilenskaya Katie I Gallacher |
| author_sort | Rosalind Adam |
| collection | DOAJ |
| description | <h4>Background</h4>Individuals with cancer are being given increasing responsibility for the self-management of their health and illness. In other chronic diseases, individuals who experience treatment burden are at risk of poorer health outcomes. Less is known about treatment burden and its impact on individuals with cancer. This systematic review investigated perceptions of treatment burden in individuals living with and beyond cancer.<h4>Methods and findings</h4>Medline, CINAHL and EMBASE databases were searched for qualitative studies that explored treatment burden in individuals with a diagnosis of breast, prostate, colorectal, or lung cancer at any stage of their diagnostic/treatment trajectory. Descriptive and thematic analyses were conducted. Study quality was assessed using a modified CASP checklist. The review protocol was registered on PROSPERO (CRD42021145601). Forty-eight studies were included. Health management after cancer involved cognitive, practical, and relational work for patients. Individuals were motivated to perform health management work to improve life-expectancy, manage symptoms, and regain a sense of normality. Performing health care work could be empowering and gave individuals a sense of control. Treatment burden occurred when there was a mismatch between the resources needed for health management and their availability. Individuals with chronic and severe symptoms, financial challenges, language barriers, and limited social support are particularly at risk of treatment burden. For those with advanced cancer, consumption of time and energy by health care work is a significant burden.<h4>Conclusion</h4>Treatment burden could be an important mediator of inequities in cancer outcomes. Many of the factors leading to treatment burden in individuals with cancer are potentially modifiable. Clinicians should consider carefully what they are asking or expecting patients to do, and the resources required, including how much patient time will be consumed. |
| first_indexed | 2024-03-13T04:26:00Z |
| format | Article |
| id | doaj.art-8b27953aa8804d7185ace11fc58fc2ea |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-13T04:26:00Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-8b27953aa8804d7185ace11fc58fc2ea2023-06-20T05:31:24ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01185e028630810.1371/journal.pone.0286308Treatment burden in individuals living with and beyond cancer: A systematic review of qualitative literature.Rosalind AdamRevathi NairLisa F DuncanEsyn YeohJoanne ChanVaselisa VilenskayaKatie I Gallacher<h4>Background</h4>Individuals with cancer are being given increasing responsibility for the self-management of their health and illness. In other chronic diseases, individuals who experience treatment burden are at risk of poorer health outcomes. Less is known about treatment burden and its impact on individuals with cancer. This systematic review investigated perceptions of treatment burden in individuals living with and beyond cancer.<h4>Methods and findings</h4>Medline, CINAHL and EMBASE databases were searched for qualitative studies that explored treatment burden in individuals with a diagnosis of breast, prostate, colorectal, or lung cancer at any stage of their diagnostic/treatment trajectory. Descriptive and thematic analyses were conducted. Study quality was assessed using a modified CASP checklist. The review protocol was registered on PROSPERO (CRD42021145601). Forty-eight studies were included. Health management after cancer involved cognitive, practical, and relational work for patients. Individuals were motivated to perform health management work to improve life-expectancy, manage symptoms, and regain a sense of normality. Performing health care work could be empowering and gave individuals a sense of control. Treatment burden occurred when there was a mismatch between the resources needed for health management and their availability. Individuals with chronic and severe symptoms, financial challenges, language barriers, and limited social support are particularly at risk of treatment burden. For those with advanced cancer, consumption of time and energy by health care work is a significant burden.<h4>Conclusion</h4>Treatment burden could be an important mediator of inequities in cancer outcomes. Many of the factors leading to treatment burden in individuals with cancer are potentially modifiable. Clinicians should consider carefully what they are asking or expecting patients to do, and the resources required, including how much patient time will be consumed.https://doi.org/10.1371/journal.pone.0286308 |
| spellingShingle | Rosalind Adam Revathi Nair Lisa F Duncan Esyn Yeoh Joanne Chan Vaselisa Vilenskaya Katie I Gallacher Treatment burden in individuals living with and beyond cancer: A systematic review of qualitative literature. PLoS ONE |
| title | Treatment burden in individuals living with and beyond cancer: A systematic review of qualitative literature. |
| title_full | Treatment burden in individuals living with and beyond cancer: A systematic review of qualitative literature. |
| title_fullStr | Treatment burden in individuals living with and beyond cancer: A systematic review of qualitative literature. |
| title_full_unstemmed | Treatment burden in individuals living with and beyond cancer: A systematic review of qualitative literature. |
| title_short | Treatment burden in individuals living with and beyond cancer: A systematic review of qualitative literature. |
| title_sort | treatment burden in individuals living with and beyond cancer a systematic review of qualitative literature |
| url | https://doi.org/10.1371/journal.pone.0286308 |
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