• J Pain Symptom Manage · Mar 2024

    Review Meta Analysis

    Unmet supportive care needs among cancer patients in Sub-Saharan African countries: a mixed method systematic review and meta-analysis.

    • Meless Gebrie Bore, Abel Fekadu Dadi, Kedir Yimam Ahmed, Tahir Ahmed Hassen, Getiye Dejenu Kibret, Zemenu Yohannes Kassa, Erkihun Amsalu, Daniel Bekele Ketema, Lin Perry, Addisu Alehegn Alemu, Jemal Ebrahim Shifa, Animut Alebel, Cheru Tesema Leshargie, and Habtamu Mellie Bizuayehu.
    • School of Nursing and Midwifery (M.G.B., Z.Y.K.), Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia; School of Nursing (M.G.B.), College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia. Electronic address: MelessGebrie.Bore@student.uts.edu.au.
    • J Pain Symptom Manage. 2024 Mar 1; 67 (3): e211e227e211-e227.

    IntroductionSupportive cancer care is vital to reducing the current disparities in cancer outcomes in Sub-Saharan Africa (SSA), including poor survival and low quality of life, and ultimately achieving equity in cancer care. This is the first review aimed to evaluate the extent of unmet supportive care needs and identify their contributing factors among patients with cancer in SSA.MethodsSix electronic databases (CINAHL, Embase, Medline [Ovid], PsycINFO, PubMed, and Cochrane Library of Databases] were systematically searched. Studies that addressed one or more domains of unmet supportive cancer care needs were included. Findings were analyzed using narrative analysis and meta-analysis, as appropriate.ResultEleven articles out of 2732 were retained in the review. The pooled prevalence of perceived unmet need for cancer care in SSA was 63% (95% CI: 45, 81) for physical, 59% (95% CI: 45, 72) for health information and system, 58% (95% CI: 42, 74) for psychological, 44% (95% CI: 29, 59) for patient care and support, and 43% (95% CI: 23, 63) for sexual. Older age, female sex, rural residence, advanced cancer stage, and low access to health information were related to high rates of multiple unmet needs within supportive care domains.ConclusionIn SSA, optimal cancer care provision was low, up to two-thirds of patients reported unmet needs for one or more domains. Strengthening efforts to develop comprehensive and integrated systems for supportive care services are keys to improving the clinical outcome, survival, and quality of life of cancer patients in SSA.Crown Copyright © 2023. Published by Elsevier Inc. All rights reserved.

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