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What is the prevalence of fear of cancer recurrence in cancer survivors and patients? A systematic review and individual participant data meta‐analysis

Luigjes‐Huizer Yvonne L., Tauber Nina M., Humphris Gerry, Kasparian Nadine A., Lam Wendy W. T., Lebel Sophie, Simard Sébastien, Smith Allan Ben, Zachariae Robert, Afiyanti Yati, Bell Katy J. L., Custers José A. E., de Wit Niek J., Fisher Peter L., Galica Jacqueline, Garland Sheila N., Helsper Charles W., Jeppesen Mette M., Liu Jianlin, Mititelu Roxana, Monninkhof Evelyn M., Russell Lahiru, Savard Josée, Speckens Anne E. M., van Helmondt Sanne J., Vatandoust Sina, Zdenkowski Nicholas et van der Lee Marije L.. (2022). What is the prevalence of fear of cancer recurrence in cancer survivors and patients? A systematic review and individual participant data meta‐analysis. Psycho-Oncology, 31, (6), p. 879-892.

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URL officielle: https://doi.org/10.1002/pon.5921

Résumé

Objective Care for fear of cancer recurrence (FCR) is considered the most common unmet need among cancer survivors. Yet the prevalence of FCR and predisposing factors remain inconclusive. To support targeted care, we provide a comprehensive overview of the prevalence and severity of FCR among cancer survivors and patients, as measured using the short form of the validated Fear of Cancer Recurrence Inventory (FCRI-SF). We also report on associations between FCR and clinical and demographic characteristics.

Methods This is a systematic review and individual participant data (IPD) meta-analysis on the prevalence of FCR. In the review, we included all studies that used the FCRI-SF with adult (≥18 years) cancer survivors and patients. Date of search: 7 February 2020. Risk of bias was assessed using the Joanna Briggs Institute critical appraisal tool.

Results IPD were requested from 87 unique studies and provided for 46 studies comprising 11,226 participants from 13 countries. 9311 respondents were included for the main analyses. On the FCRI-SF (range 0–36), 58.8% of respondents scored ≥13, 45.1% scored ≥16 and 19.2% scored ≥22. FCR decreased with age and women reported more FCR than men. FCR was found across cancer types and continents and for all time periods since cancer diagnosis.

Conclusions FCR affects a considerable number of cancer survivors and patients. It is therefore important that healthcare providers discuss this issue with their patients and provide treatment when needed. Further research is needed to investigate how best to prevent and treat FCR and to identify other factors associated with FCR.

The protocol was prospectively registered (PROSPERO CRD42020142185).

Type de document:Article publié dans une revue avec comité d'évaluation
ISSN:1057-9249
Volume:31
Numéro:6
Pages:p. 879-892
Version évaluée par les pairs:Oui
Date:2022
Identifiant unique:10.1002/pon.5921
Sujets:Sciences sociales et humaines > Sciences sociales > Psychologie
Sciences de la santé
Sciences de la santé > Sciences médicales
Sciences de la santé > Sciences médicales > Oncologie
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module de psychologie
Mots-clés:cancer, correlates, fear of recurrence, oncology, prevalence, corrélats, peur de récidive, oncologie, prévalence.
Déposé le:14 janv. 2023 21:01
Dernière modification:14 janv. 2023 21:01
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