Supportive care interventions for cancer patients in low- and middle-income countries (LMICs): a scoping review.

Journal: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

Volume: 30

Issue: 11

Year of Publication: 2022

Affiliated Institutions:  Global Focus On Cancer, South Salem, NY, USA. anna@globalfocusoncancer.org. Global Focus On Cancer, South Salem, NY, USA. Global Health Program, New York University School of Global Public Health, New York, NY, USA. Department of Social Behavioral Sciences, New York University School of Global Public Health, New York, NY, USA.

Abstract summary 

In high-income countries (HICs), supportive care is often used to assist cancer patients as they seek treatment and beyond. However, in low-and middle-income countries (LMICs), where more than 70% of all cancer-related deaths occur [1], the provision of supportive care has not been assessed. The purpose of this scoping review is to assess the type of supportive care interventions for cancer patients across the cancer care continuum in LMICs.We examined published articles reporting on supportive care interventions in LMICs. Following PRISMA guidelines, we performed a systematic search of PubMed, ERIC, CINAHL, and PsycINFO. We limited the scope to original research studies focused on LMICs, studies concerning any type of supportive care intervention for adult cancer patients, from diagnosis, treatment, and post-treatment.Thirty-five studies met the criteria for inclusion in the scoping review. The majority were randomized clinical trials (RCT) or used a quasi-experimental design. The highest number of studies (n = 23) was implemented in the WHO Eastern-Mediterranean region, followed by South-East Asia (n = 6), Africa (n = 4), and Western-Pacific Regions (n = 2). Most studies focused on women's cancers and included interventions for psychosocial support, symptom management, health literacy/education, and patient navigation.Although we found only a small number of interventions being conducted in these settings, our results suggest that providing different types of supportive services in less-resourced settings, even when health systems are fragmented and fragile, can improve mental health, physical health, and the quality of life (QoL) of cancer patients.

Authors & Co-authors:  Cabanes Anna A Taylor Carolyn C Malburg Carly C Le Phuong Thao D PTD

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Bray F, Ferlay J, Soerjomataram I et al (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA A Cancer Journal for Clinicians. 68:394–424. https://doi.org/10.3322/caac.21492
Authors :  4
Identifiers
Doi : 10.1007/s00520-022-07319-5
SSN : 1433-7339
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Cancer;Intervention;Low-and middle-income countries;Psychosocial support;Supportive care
Study Design
Randomized Control Trial,Cross Sectional Study,Quasi Experimental Study
Study Approach
Systemic Review
Country of Study
Publication Country
Germany