Deborah Welch-McCaffrey, RN, MSN; Barbara Hoffman, JD; Susan A. Leigh, RN, BS; Lois J. Loescher, RN, MS; Frank L. Meyskens Jr., MD
Purpose: To address the psychosocial implications of surviving adult cancers by a comprehensive review of the literature.
Data Identification: An English-language literature search using MEDLINE (1970 to 1988), Index Medicus (1970 to 1988), and bibliographic reviews of textbooks and review articles.
Study Selection: Of 103 originally identified articles, 58 that specifically addressed the stated purpose were selected.
Data Extraction: Four authors reviewed and critiqued the literature extrapolating the major themes on this topic.
Results of Data Synthesis: There is little information on the many psychosocial variables that affect an adult's long-term cancer survival trajectory. Collation of data identified the following significant psychosocial themes: fear of recurrence and death, relationships with the health care team, adjustment to physical compromise, alterations in customary social support, isolationism, psychosocial reorientation, and employment and insurance problems.
Conclusions: The continuation of a rehabilitation effort begun around the initial diagnosis of cancer would be instrumental in providing post-therapy evaluation and guidance needed by adult long-term survivors of cancer. Education, research, and support interventions need to be mobilized for this population of adults with a history of cancer.
Welch-McCaffrey D, Hoffman B, Leigh SA, et al. Surviving Adult Cancers. Part 2: Psychosocial Implications. Ann Intern Med. 1989;111:517–524. doi: https://doi.org/10.7326/0003-4819-111-6-517
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Published: Ann Intern Med. 1989;111(6):517-524.
Cancer Survivorship, Hematology/Oncology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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