Authors
1 Department of Adult Health Nursing, Student Research Committee, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 Department of Hematology‑Oncology, Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Islamic Education, ALA Cancer Prevention and Control Center, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
BACKGROUND: Identifying and addressing the needs of Colorectal cancer (CRC) patients/survivors’
is important to improve patients/survivors’ quality of life (QoL) and health. The present study aimed
to review studies that have investigated CRC patients/survivors’ needs.
MATERIALS AND METHODS: In this narrative review, databases including PubMed, Scopus, Web
of Science, Iranmedex, ISC, SID, and Magiran were searched during 2011–2021 using keywords
included need, CRC, colon cancer, rectal cancer.
RESULTS: The findings of the studies showed that the needs of the CRC patients/survivors’ can
be categorized into the 6 domains including informational, psychological, social, physical, financial,
and spiritual needs.
CONCLUSIONS: By identifying CRC patients/survivors’ needs, healthcare providers particularly
nurses can develop and design comprehensive care programs tailored to the needs and priorities
of these patients/survivors to improve their QoL and health.
Keywords
- Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA Cancer
J Clin 2019;69:7‑34.
2. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A.
Global cancer statistics 2018: GLOBOCAN estimates of incidence
and mortality worldwide for 36 cancers in 185 countries. CA
Cancer J Clin 2018;68:394‑424.
3. Lenza NF, Buetto LS, de Siqueira Vieira F, de Oliveira MS,
da Silva Teles AA, Sonobe HM. Intestinal colostomy needs in
oncological monitoring: Integrative review. J Nurs UFPE Line
2015;9:8715‑24.
4. Gruß I, Hanson G, Bradley C, McMullen C, Ritzwoller D, Hodge S,
et al. Colorectal cancer survivors’ challenges to returning to work:
A qualitative study. Eur J Cancer Care (Engl) 2019;28:e13044.
5. Dau H, Safari A, Saad El Din K, McTaggart‑Cowan H, Loree JM,
Gill S, et al. Assessing how health information needs of individuals
with colorectal cancer are met across the care continuum: An
international cross‑sectional survey. BMC Cancer 2020;20:1031.
6. KimH, YooYS. Factors influencing supportive care needs of colorectal
cancer survivors. Asian Nurs Res (Korean Soc Nurs Sci) 2021;15:60‑6. - 7. Bahrami M, Parker S, Blackman I. Patients’ quality of life:
A comparison of patient and nurse perceptions. Contemp Nurse
2008;29:67‑79.
8. Sakamoto N, Takiguchi S, Komatsu H, Okuyama T, Nakaguchi T,
Kubota Y, et al. Supportive care needs and psychological distress
and/or quality of life in ambulatory advanced colorectal cancer
patients receiving chemotherapy: A cross‑sectional study. Jpn J
Clin Oncol 2017;47:1157‑61.
9. Santin O, Murray L, Prue G, Gavin A, Gormley G, Donnelly M.
Self‑reported psychosocial needs and health‑related quality of life
of colorectal cancer survivors. Eur J Oncol Nurs 2015;19:336‑42.
10. Lam WW, Law WL, Poon JT, Fong D, Girgis A, Fielding R.
A longitudinal study of supportive care needs among Chinese
patients awaiting colorectal cancer surgery. Psychooncology
2016;25:496‑505.
11. Kotronoulas G, Papadopoulou C, Burns‑Cunningham K,
Simpson M, Maguire R. A systematic review of the supportive
care needs of people living with and beyond cancer of the colon
and/or rectum. Eur J Oncol Nurs 2017;29:60‑70.
12. Jin Y, Zhang J, Zheng MC, Bu XQ, Zhang JE. Psychosocial
behaviour reactions, psychosocial needs, anxiety and depression
among patients with rectal cancer before and after colostomy
surgery: A longitudinal study. J Clin Nurs 2019;28:3547‑55.
13. Jorgensen ML, Young JM, Harrison JD, Solomon MJ. Unmet
supportive care needs in colorectal cancer: Differences by age.
Support Care Cancer 2012;20:1275‑81.
14. Li WW, Lam WW, Au AH, Ye M, Law WL, Poon J, et al.
Interpreting differences in patterns of supportive care needs
between patients with breast cancer and patients with colorectal
cancer. Psychooncology 2013;22:792‑8.
15. Salz T, Baxi SS, Blinder VS, Elkin EB, Kemeny MM, McCabe MS,
et al. Colorectal cancer survivors’ needs and preferences for
survivorship information. J Oncol Pract 2014;10:e277‑82.
16. Shun SC, Yeh KH, Liang JT, Huang J, Chen SC, Lin BR, et al.
Unmet supportive care needs of patients with colorectal cancer:
Significant differences by type D personality Oncol Nurs Forum
2014;41:E3‑11.
17. Sodergren SC, Wheelwright SJ, Permyakova NV, Patel M,
Calman L, Smith PW, et al. Supportive care needs of patients
following treatment for colorectal cancer: Risk factors for unmet
needs and the association between unmet needs and health‑related
quality of life‑results from the ColoREctal Wellbeing (CREW)
study. J Cancer Surviv 2019;13:899‑909.
18. Vu JV, Matusko N, Hendren S, Regenbogen SE, Hardiman KM.
Patient‑reported unmet needs in colorectal cancer survivors after
treatment for curative Intent. Dis Colon Rectum 2019;62:815‑22.
19. Wiljer D, Walton T, Gilbert J, Boucher A, Ellis PM, Schiff S, et al.
Understanding the needs of colorectal cancer patients during the
pre‑diagnosis phase. J Cancer Educ 2013;28:402‑7.
20. Wieldraaijer T, Duineveld LA, Bemelman WA, van Weert HC,
Wind J. Information needs and information seeking behaviour of
patients during follow‑up of colorectal cancer in the Netherlands.
J Cancer Surviv 2019;13:603‑10.
21. Wieldraaijer T, Duineveld LA, van Asselt KM, van Geloven AA,
Bemelman WA, van Weert HC, et al. Follow‑up of colon cancer
patients; causes of distress and need for supportive care: Results
from the ICARE Cohort Study. Eur J Surg Oncol 2017;43:118‑25.
22. Russell L, Gough K, Drosdowsky A, Schofield P, Aranda S,
Butow PN, et al. Psychological distress, quality of life, symptoms
and unmet needs of colorectal cancer survivors near the end of
treatment. J Cancer Surviv 2015;9:462‑70.
23. Anderson AS, Steele R, Coyle J. Lifestyle issues for colorectal
cancer survivors‑perceived needs, beliefs and opportunities.
Support Care Cancer 2013;21:35‑42.
24. Appleton L, Goodlad S, Irvine F, Poole H, Wall C. Patients’
experiences of living beyond colorectal cancer: A qualitative
study. Eur J Oncol Nurs 2013;17:610‑7.
25. Browne S, Dowie A, Mitchell E, Wyke S, Ziebland S, Campbell N,
et al. Patients’ needs following colorectal cancer diagnosis: Where
does primary care fit in? Br J Gen Pract 2011;61:e692‑9.
26. den Bakker CM, Schaafsma FG, Huirne JA, Consten EC,
Stockmann HB, Rodenburg CJ, et al. Cancer survivors’ needs
during various treatment phases after multimodal treatment
for colon cancer – Is there a role for eHealth? BMC Cancer
2018;18:1207.
27. Hardcastle SJ, Maxwell‑Smith C, Hagger MS, O’Connor M,
Platell C. Exploration of information and support needs in relation
to health concerns, diet and physical activity in colorectal cancer
survivors. Eur J Cancer Care (Engl) 2018;27:1‑9.
28. Harrison JD, Young JM, Auld S, Masya L, Solomon MJ, Butow PN.
Quantifying postdischarge unmet supportive care needs of
people with colorectal cancer: A clinical audit. Colorectal Dis
2011;13:1400‑6.
29. Ho MY, McBride ML, Gotay C, Grunfeld E, Earle CC, Relova S,
et al. A qualitative focus group study to identify the needs of
survivors of stage II and III colorectal cancer. Psychooncology
2016;25:1470‑6.
30. Husebø AM, Karlsen B, Husebø SE. Health professionals’
perceptions of colorectal cancer patients’ treatment burden and
their supportive work to ameliorate the burden – A qualitative
study. BMC Health Serv Res 2020;20:661.
31. Law E, Levesque JV, Lambert S, Girgis A. The “sphere of care”:
A qualitative study of colorectal cancer patient and caregiver
experiences of support within the cancer treatment setting. PLoS
One 2018;13:e0209436.
32. LithnerM, KlefsgardR, Johansson J, Andersson E. The significance
of information after discharge for colorectal cancer surgery – A
qualitative study. BMC Nurs 2015;14:36.
33. Sutton PA, Bourdon‑Pierre R, Smith C, Appleton N, Lightfoot T,
Gabriel C, et al. Evaluating unmet needs in patients undergoing
surgery for colorectal cancer: A patient reported outcome
measures study. Colorectal Dis 2019;21:797‑804.
34. Traa MJ, De Vries J, Roukema JA, Rutten HJ, Den Oudsten BL.
The sexual health care needs after colorectal cancer: The view of
patients, partners, and health care professionals. Support Care
Cancer 2014;22:763‑72.
35. Yoon S, Chua TB, Tan IB, Matchar D, Ong ME, Tan E. Living
with long‑term consequences: Experience of follow‑up care and
support needs among Asian long‑term colorectal cancer survivors.
Psychooncology 2020;29:1557‑63.
36. van Mossel C, Leitz L, Scott S, Daudt H, Dennis D, Watson H, et al.
Information needs across the colorectal cancer care continuum:
Scoping the literature. Eur J Cancer Care (Engl) 2012;21:296‑320.
37. Wong EY, Chua C, Beh SY, Koh D, Chong D, Tan IB. Addressing
the needs of colorectal cancer survivors: Current strategies and
future directions. Expert Rev Anticancer Ther 2015;15:639‑48.
38. Hoedjes M, de Kruif A, Mols F, Bours M, Beijer S, Winkels R, et al.
An exploration of needs and preferences for dietary support in
colorectal cancer survivors: A mixed‑methods study. PLoS One
2017;12:e0189178.
39. Lowenstein LM, Volk RJ, Cuddy A, Hempstead AP, You YN,
Van Loon K, et al. Patients’ information needs and attitudes about
post‑treatment surveillance for colorectal cancer in the United
States: A multi‑perspective, mixed methods study. BMJ Open
2019;9:e025888.
40. Kamradt M, Baudendistel I, Längst G, Kiel M, Eckrich F,
Winkler E, et al. Collaboration and communication in colorectal
cancer care: A qualitative study of the challenges experienced by
patients and health care professionals. Fam Pract 2015;32:686‑93.
41. Zhang X, Liu J, Zhu H, Zhang X, Jiang Y, Zhang J. Effect of
psychological intervention on quality of life and psychological
outcomes of colorectal cancer patients. Psychiatry 2020;83:58‑69.
42. Mosher CE, Winger JG, Given BA, Helft PR, O’Neil BH. Mental
health outcomes during colorectal cancer survivorship: A review of the literature. Psychooncology 2016;25:1261‑70.
43. Céilleachair AÓ, Costello L, Finn C, Timmons A, Fitzpatrick P,
Kapur K, et al. Inter‑relationships between the economic and
emotional consequences of colorectal cancer for patients and their
families: A qualitative study. BMC Gastroenterol 2012;12:1‑10.
44. Regenbogen SE, Veenstra CM, Hawley ST, Banerjee M, Ward KC,
Kato I, et al. The personal financial burden of complications after
colorectal cancer surgery. Cancer 2014;120:3074‑81.
45. Puchalski CM, Sbrana A, Ferrell B, Jafari N, King S, Balboni T, et al.
Interprofessional spiritual care in oncology: A literature review.
ESMO Open 2019;4:1‑12.e000465.