Alisha
Das

A Systematic Review & Meta-Narrative of Unmet Needs in Adult Thyroid Cancer Survivors

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Authors:

Alisha Das

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Most patients with thyroid cancer have excellent survival (98.5% at 5 years). Thyroid cancer survivors represent 10% of all cancer survivors in the U.S. Our objective was to summarize the unmet care needs of thyroid cancer survivors. We conducted a systematic review of studies evaluating the unmet care needs of adult thyroid cancer survivors. We included quantitative and qualitative reports without any language restrictions published between 2000-2023. Quantitative findings were summarized descriptively due to data heterogeneity precluding meta-analysis. Meta- aggregation was used to summarized qualitative findings. We identified 12 quantitative (N=7083) and 7 qualitative studies (N=125). Only 3 studies utilized validated questionnaires to assess unmet needs, with unmet psychological needs been the most common (50-70% of participants). Informational needs were the most commonly evaluated, with variability in the extent to which they were considered unmet needs (7-40% of participants). Three synthesized findings were obtained from meta-aggregation: thyroid cancer "good cancer" label driving unmet needs, unmet informational needs through the survivorship process and unmet emotional support needs from family, peers, medical professionals, and co-workers. Thyroid cancer survivors commonly expressed unmet psychological and emotional support needs that might be driven by the label of "good cancer", with variability in unmet informational needs. 460

Source:

University of Florida / 2024

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Co-authors:

Alisha Das