患有癌症的女性退伍军人的护理情况:证据图。
The Landscape of Care for Women Veterans with Cancer: An Evidence Map.
发表日期:2024 Jul 04
作者:
Rachel Pace, Karen M Goldstein, April R Williams, Kacey Clayton-Stiglbauer, Clare Meernik, Megan Shepherd-Banigan, Neetu Chawla, Haley Moss, Lesley A Skalla, Sarah Colonna, Michael J Kelley, Leah L Zullig
来源:
Best Pract Res Cl Ob
摘要:
女性是美国增长最快的退伍军人群体,患有癌症的女退伍军人 (WV) 人数正在上升;然而,人们对这个群体知之甚少。 WV 的癌症护理很复杂,必须了解他们的独特需求和护理协调挑战,以提供循证护理。本综述的目的是绘制 WV 中描述癌症及其治疗的文献的数量、分布和特征。我们从最初到2024 年 1 月。报告西弗吉尼亚州癌症护理各个方面的性别特定数据的出版物符合资格。数据是由一名研究者通过过度阅读而提取的。其中包括 46 份报告; 44 份为观察样本,19 份为女性样本。没有干预报告,也没有包含患者样本的定性报告。乳腺癌是最常见的(n = 19)。还有六份关于特定性别癌症的报告。许多报告使用大型 VA 数据库或之前的试验数据,导致报告之间存在患者重叠的可能性。在退伍军人事务部特定的兴趣领域中,只有三份报告评估了种族差异的潜在影响,并且只有两份报告涉及变性人群。没有报告研究有毒物质暴露对癌症的影响。在 NCI 癌症控制连续体中,交叉领域更为常见;超过一半(25)的报告涉及流行病学。关于重点领域的报道很少,重点领域和交叉领域之间也很少有重叠。现有文献对患有癌症的西弗吉尼亚州人群了解不够。关于西弗吉尼亚州癌症患者群体、他们的护理偏好或经历,或者如何最好地识别和解决未满足的医疗保健需求的信息很少。当务之急是扩大研究范围,为这一人群提供基于证据的护理。© 2024。这是美国政府的作品,在美国不受版权保护;外国版权保护可能适用。
Women are the fastest growing veteran group in the US and the number of women veterans (WVs) with cancer is rising; however, little is known about this population. Cancer care for WVs is complex and it is essential to understand their unique needs and care coordination challenges to provide evidence-based care. The purpose of this review is to map the quantity, distribution, and characteristics of literature describing cancer and its treatment among WVs.We searched MEDLINE (via PubMed), Embase (Elsevier), and Web of Science Core Collection (Clarivate) from inception through January, 2024. Publications were eligible that reported gender-specific data on any aspect of cancer care among WVs. Data was abstracted by a single investigator with over-reading.Forty-six reports were included; 44 were observational and 19 had a women-only sample. There were no interventional reports and no qualitative reports had a patient sample. Breast cancer was the most commonly addressed (n = 19). There were six additional reports on sex-specific cancers. Many reports used large VA databases or previous trial data, creating the potential for patient overlap between reports. Among VA-specific areas of interest, only three reports evaluated the potential implications of racial differences and only two included a transgender population. No reports examined the effects of toxic exposures on cancer. Within the NCI Cancer Control Continuum, crosscutting areas were more commonly represented; over half (25) of the reports addressed epidemiology. There were few reports on focus areas and little overlap between focus and crosscutting areas.Existing literature provides an inadequate understanding of the population of WVs with cancer. There is scant information regarding the population of WVs with cancer, their care preferences or experiences, or how to best identify and address unmet healthcare needs. It is imperative to expand research to provide evidence-based care for this population.© 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.