Understanding the psychosocial impact of colorectal cancer on young-onset patients: A scoping review.

Autor: Khoo AM; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Lau J; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore., Loh XS; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Ng CW; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Griva K; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore., Tan KK; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jazyk: angličtina
Zdroj: Cancer medicine [Cancer Med] 2022 Apr; Vol. 11 (7), pp. 1688-1700. Date of Electronic Publication: 2022 Feb 11.
DOI: 10.1002/cam4.4575
Abstrakt: Objective: The incidence of young-onset (<50 years) colorectal cancer (CRC) has been increasing internationally. The psychosocial experience of younger cancer patients is vastly different from older patients, especially in domains such as financial toxicity, body image, and sexual dysfunction. What is unknown is the cancer type-specific experience. The aim of the current scoping review was to examine (1) the psychosocial factors and/or outcomes associated with young-onset CRC and (2) other determinants that influences these outcomes.
Methods: A systematic search was conducted on four databases (PubMed, CINAHL, Scopus and PsycINFO) from inception to December 2020 using key terms and combinations. Primary literature that examined the psychosocial (e.g., quality-of-life, emotional, social, sexual) impact of young-onset CRC were included.
Results: A total of 1389 records were assessed by four reviewers, with a total of seven studies meeting inclusion criteria (n = 5 quantitative, n = 1 qualitative and n = 1 case series). All studies indicated there was significant psychosocial impact in younger CRC patients, including emotional impact, social impact, physical burden, sexual impact, work impact, unmet needs, financial impact and global quality of life. Three studies explored other determinants that influenced the psychosocial experience and found that socioeconomic background (e.g., being female, lower education), CRC treatment (e.g., chemotherapy) and health status were associated with worse psychosocial impact.
Conclusions: Young-onset CRC patients face severe psychosocial impact unique to this age group, such as self-image and sexual impact. Social support services and resources needs to be uniquely tailored. More empirical investigations are required to understand its long-term impact and influence of other psychosocial domains.
(© 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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