Evidence map›Paper›PMID 34363187›Full record

SynthesisJournal of cancer survivorship : research and practice2022

Assessing unmet needs in advanced cancer patients: a systematic review of the development, content, and quality of available instruments.

Ben Rimmer, Lisa Crowe, Adam Todd, Linda Sharp

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Unmet Needs of Palliative Cancer Patients: A Grounded Theory Study.The American journal of hospice & palliative care · 2026
    Article
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  10. Barriers and facilitators to self-management in people living with a lower-grade glioma.Journal of cancer survivorship : research and practice · 2025
    Article
  11. Bangkok declarations on cancer control in Asia.The Lancet regional health. Western Pacific · 2025
    Review
  12. Review
  13. Article
  14. Navigation as a system approach: A qualitative descriptive study to inform a statewide cancer navigation approach in Australia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Ben RimmerPopulation Health Sciences Institute, Newcastle University, Newcastle University Centre for Cancer, Newcastle, England. ben.rimmer@newcastle.ac.uk.ORCID 0000-0003-4110-0588
Lisa CrowePopulation Health Sciences Institute, Newcastle University, Newcastle University Centre for Cancer, Newcastle, England.
Adam ToddPopulation Health Sciences Institute, Newcastle University, Newcastle University Centre for Cancer, Newcastle, England.
Linda SharpPopulation Health Sciences Institute, Newcastle University, Newcastle University Centre for Cancer, Newcastle, England.
Newcastle University · GBNewcastle College · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdvances in treatment, including biological and precision therapies, mean that more people are living with advanced cancer. Supportive care needs likely change across the cancer journey. We systematically identified instruments available to assess unmet needs of advanced cancer patients and evaluated their development, content, and quality.

methodsSystematic searches of MEDLINE, CINAHL, Embase, PubMed, and PsycINFO were performed from inception to 11 January 2021. Independent reviewers screened for eligibility. Data was abstracted on instrument characteristics, development, and content. Quality appraisal included methodological and quality assessment, GRADE, feasibility, and interpretability, following consensus-based standards for the selection of health measurement instruments (COSMIN) guidelines.

resultsThirty studies reporting 24 instruments were identified. These were developed for general palliative patients (n = 2 instruments), advanced cancer (n = 8), and cancer irrespective of stage (n = 14). None focused on patients using biological or precision therapies. The most common item generation and reduction techniques were amending an existing instrument (n = 11 instruments) and factor analysis (n = 8), respectively. All instruments mapped to ≥ 5 of 11 unmet need dimensions, with Problems and Needs in Palliative Care (PNPC) and Psychosocial Needs Inventory (PNI) covering all 11. No instrument reported all of the COSMIN measurement properties, and methodological quality was variable.

conclusionsMany instruments are available to assess unmet needs in advanced cancer. There is extensive heterogeneity in their development, content, and quality. IMPLICATIONS FOR CANCER SURVIVORS: Given the growth of precision and biological therapies, research needs to explore how these instruments perform in capturing the needs of people using such therapies.

Indexed as

NeoplasmsPalliative CareDelivery of Health CareHumansPsychometricsReproducibility of ResultsAdvanced diseaseCancerInstrumentUnmet needs

Identifiers

PMID34363187
PMCPMC9489568
OpenAlexW3189323385

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.