Evidence map›Paper›PMID 37228101›Full record

SynthesisPloS one2023

Treatment burden in individuals living with and beyond cancer: A systematic review of qualitative literature.

Rosalind Adam, Revathi Nair, Lisa F Duncan, Esyn Yeoh, Joanne Chan, Vaselisa Vilenskaya, Katie I Gallacher

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07667881 (OUTPATIENT CANCER PATIENTS), which is not on this map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT07667881 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Outpatient cancer patients: the relationship between information overload, symptom severity, and empowerment level

Typeobservational_patient_registrySponsorUniversity of YalovaRan2026 to 2026Enrolled300ConditionsOncologic Disease
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Cancer patients' experiences of "time toxicity": a qualitative meta-synthesis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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

7 authors.

Rosalind AdamInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom.ORCID 0000-0003-3082-6578
Revathi NairSchool of Medicine and Dentistry, University of Aberdeen, Aberdeen, United Kingdom.
Lisa F DuncanInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom.
Esyn YeohSchool of Medicine and Dentistry, University of Aberdeen, Aberdeen, United Kingdom.ORCID 0000-0002-4565-4177
Joanne ChanSchool of Medicine and Dentistry, University of Aberdeen, Aberdeen, United Kingdom.
Vaselisa VilenskayaSchool of Medicine and Dentistry, University of Aberdeen, Aberdeen, United Kingdom.
Katie I GallacherInstitute of Health & Wellbeing, General Practice & Primary Care, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0001-8620-8758

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with cancer are being given increasing responsibility for the self-management of their health and illness. In other chronic diseases, individuals who experience treatment burden are at risk of poorer health outcomes. Less is known about treatment burden and its impact on individuals with cancer. This systematic review investigated perceptions of treatment burden in individuals living with and beyond cancer. METHODS AND

findingsMedline, CINAHL and EMBASE databases were searched for qualitative studies that explored treatment burden in individuals with a diagnosis of breast, prostate, colorectal, or lung cancer at any stage of their diagnostic/treatment trajectory. Descriptive and thematic analyses were conducted. Study quality was assessed using a modified CASP checklist. The review protocol was registered on PROSPERO (CRD42021145601). Forty-eight studies were included. Health management after cancer involved cognitive, practical, and relational work for patients. Individuals were motivated to perform health management work to improve life-expectancy, manage symptoms, and regain a sense of normality. Performing health care work could be empowering and gave individuals a sense of control. Treatment burden occurred when there was a mismatch between the resources needed for health management and their availability. Individuals with chronic and severe symptoms, financial challenges, language barriers, and limited social support are particularly at risk of treatment burden. For those with advanced cancer, consumption of time and energy by health care work is a significant burden.

conclusionTreatment burden could be an important mediator of inequities in cancer outcomes. Many of the factors leading to treatment burden in individuals with cancer are potentially modifiable. Clinicians should consider carefully what they are asking or expecting patients to do, and the resources required, including how much patient time will be consumed.

Indexed as

NeoplasmsSelf-ManagementHumansMaleSocial Support

Identifiers

PMID37228101
PMCPMC10212163

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.