Palliative care in the treatment of women with breast cancer: A scoping review.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-06-01 DOI:10.1017/S1478951523001840

Romel Jonathan Velasco Yanez, Ana Fátima Carvalho Fernandes, Erilaine de Freitas Corpes, Régia Christina Moura Barbosa Castro, Judith Sixsmith, Luís Carlos Lopes-Júnior

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Abstract

Objectives: Recent studies on the quality of life in women with breast cancer show a high prevalence of signs and symptoms that should be the focus of palliative care (PC), leading us to question the current role they play in addressing breast cancer. Therefore, the objective of this review is to map the scope of available literature on the role of PC in the treatment of women with breast cancer.

Methods: This is a methodologically guided scoping review by the Joanna Briggs Institute and adapted to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) Checklist for report writing. Systematic searches were conducted in 8 databases, an electronic repository, and gray literature. The searches were conducted with the support of a librarian. The study selection was managed through the RAYYAN software in a blind and independent manner by 2 reviewers. The extracted data were analyzed using the qualitative thematic analysis technique and discussed through textual categories.

Results: A total of 9,812 studies were identified, of which only 136 articles and 3 sources of gray literature are included in this review. In terms of general characteristics, the majority were published in the USA (35.7%), had a cross-sectional design (44.8%), and were abstracts presented at scientific events (19.6%). The majority of interventions focused on palliative radiotherapy (13.6%). Thematic analysis identified 14 themes and 12 subthemes.

Significance of results: Our findings offer a comprehensive view of the evidence on PC in the treatment of breast cancer. Although a methodological quality assessment was not conducted, these results could guide professionals interested in the topic to position themselves in the current context. Additionally, a quick synthesis of recommendations on different palliative therapies is provided, which should be critically observed. Finally, multiple knowledge gaps are highlighted, which could be used for the development of future studies in this field.

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姑息治疗在女性乳腺癌治疗中的应用:范围综述。

目的:最近关于乳腺癌妇女生活质量的研究表明，体征和症状的患病率很高，应该是姑息治疗(PC)的重点，这使我们质疑它们在治疗乳腺癌方面目前所起的作用。因此，这篇综述的目的是绘制现有的关于前列腺癌在女性乳腺癌治疗中的作用的文献范围。方法:这是乔安娜布里格斯研究所在方法上指导的范围审查，并适应于报告写作的PRISMA范围审查扩展(PRISMA- scr)检查表。系统检索了8个数据库、一个电子资源库和灰色文献。搜寻工作是在图书管理员的协助下进行的。研究选择由2名审稿人通过RAYYAN软件进行盲法独立管理。提取的数据采用定性主题分析技术进行分析，并通过文本分类进行讨论。结果:共纳入9812篇文献，其中仅136篇文献和3个灰色文献来源被纳入本综述。就一般特征而言，大多数发表于美国(35.7%)，具有横断面设计(44.8%)，在科学活动中发表的摘要(19.6%)。大多数干预措施集中于姑息性放疗(13.6%)。专题分析确定了14个主题和12个副主题。结果的意义:我们的研究结果提供了一个全面的观点，证据PC治疗乳腺癌。虽然没有进行方法学质量评估，但这些结果可以指导对该主题感兴趣的专业人员在当前背景下定位自己。此外，还提供了不同姑息疗法的快速综合建议，应严格观察。最后，强调了多个知识空白，这些空白可用于该领域未来研究的发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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