ArticleBMJ (Clinical research ed.)2003
Dying from cancer in developed and developing countries: lessons from two qualitative interview studies of patients and their carers.
Article in BMJ (Clinical research ed.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.
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Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Family Caregiver Challenges in Pain Management for Patients with Advanced Illnesses: A Systematic Review.Journal of palliative medicine · 2022Pooled it
- What constitutes a palliative care need in people with serious illnesses across Africa? A mixed-methods systematic review of the concept and evidence.Palliative medicine · 2021Pooled it
- Community-based palliative care needs and barriers to access among cancer patients in rural north India: a Participatory action research.BMC palliative care · 2024Article
- Exploring factors and trends in place of death by cancer: a population-based study in Brazil.Lancet regional health. Americas · 2024Article
- Improving bereavement outcomes in Zimbabwe: results of a feasibility cluster trial of the 9-cell bereavement tool.Pilot and feasibility studies · 2023Article
- Correlation between the Human Development Index and the Incidence and Mortality of Non-Hodgkin Lymphoma.Current medical science · 2023Article
- Global Mapping of Interventions to Improve Quality of Life of Patients with Cancer: A Protocol for Literature Mining and Meta-Analysis.International journal of environmental research and public health · 2022Article
- Cancer Survivors in Saint Lucia Deeply Value Social Support: Considerations for Cancer Control in Under-Resourced Communities.International journal of environmental research and public health · 2022Article
- Competencies for Nurses Regarding Psychosocial Care of Patients With Cancer in Africa: An Imperative for Action.JCO global oncology · 2022Article
- Symptom prevalence and burden, and the risk of depression among patients with advanced cancer attending two South African oncology units.Ecancermedicalscience · 2022Article
- Palliative care needs among patients with advanced illnesses in Bhutan.BMC palliative care · 2021Article
- Article
- Strengthening global commitment to eliminating cervical cancer: What lessons from the past can we apply to the future?Journal of global health · 2020Review
- Spiritual Care, Pain Reduction, and Preferred Place of Death Among Advanced Cancer Patients in Soweto, South Africa.Journal of pain and symptom management · 2020Article
- Community health workers in palliative care provision in low-income and middle-income countries: a systematic scoping review of the literature.BMJ global health · 2020Article
- Improving bereavement outcomes in Zimbabwe: protocol for a feasibility cluster trial of the 9-cell bereavement tool.Pilot and feasibility studies · 2019Article
- Perception of Cervical Cancer Patients on their Financial Challenges in Western Kenya.BMC health services research · 2018Article
- Caregivers needing care: the unmet needs of the family caregivers of end-of-life cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- Perspectives of Screening-Eligible Women and Male Partners on Benefits of and Barriers to Treatment for Precancerous Lesions and Cervical Cancer in Kenya.The oncologist · 2018Article
- Spiritual issues of people living and dying with advanced heart failure in Kenya: a qualitative serial interview study.BMJ global health · 2016Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the experiences of illness and needs and use of services in two groups of patients with incurable cancer, one in a developed country and the other in a developing country.
designScotland: longitudinal study with qualitative interviews. Kenya: cross sectional study with qualitative interviews. SETTINGS: Lothian region, Scotland, and Meru District, Kenya.
participantsScotland: 20 patients with inoperable lung cancer and their carers. Kenya: 24 patients with common advanced cancers and their main informal carers.
main outcome measuresDescriptions of experiences, needs, and available services.
results67 interviews were conducted in Scotland and 46 in Kenya. The emotional pain of facing death was the prime concern of Scottish patients and their carers, while physical pain and financial worries dominated the lives of Kenyan patients and their carers. In Scotland, free health and social services (including financial assistance) were available, but sometimes underused. In Kenya, analgesia, essential equipment, suitable food, and assistance in care were often inaccessible and unaffordable, resulting in considerable unmet physical needs. Kenyan patients thought that their psychological, social, and spiritual needs were met by their families, local community, and religious groups. Some Scottish patients thought that such non-physical needs went unmet.
conclusionsIn patients living in developed and developing countries there are differences not only in resources available for patients dying from cancer but also in their lived experience of illness. The expression of needs and how they are met in different cultural contexts can inform local assessment of needs and provide insights for initiatives in holistic cancer care.
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