• Lutte contre les cancers

  • Qualité de vie, soins de support

Interventions for prostate cancer survivorship: A systematic review of reviews

A partir d'une revue systématique de la littérature (44 revues et méta-analyses), cette étude fait le point sur les interventions dédiées à la prise en charge des patients ayant survécu à un cancer de la prostate, notamment dans le domaine de la promotion de la santé, du suivi, de la prise en charge des effets indésirables et du soutien psychosocial

Objectives : To systematically review the evidence for interventions addressing key domains of the American Cancer Society (ACS) and American Society of Clinical Oncology (ASCO) Prostate Cancer Survivorship Care Guidelines: health promotion, surveillance, physical side effects, psychosocial management, and care-coordination. Methods : We conducted a systematic review of systematic reviews and meta-analyses of interventions targeting ACS/ASCO guideline domains. All titles and abstracts were independently assessed for inclusion based on predetermined criteria. Relevant data were extracted and assessment of methodological quality performed. Results : Forty-four systematic reviews of interventions targeting ACS prostate cancer guideline domains were included for review. Exercise and psychosocial interventions were effective for improving men's survivorship outcomes in the domains of health promotion, physical side effects, and psychosocial management. Across the domains evidence quality varied and there was a limited diversity of participants. No reviews of interventions addressing surveillance and cancer care coordination were identified. Conclusions : There are substantive knowledge gaps in prostate cancer survivorship research that are a barrier to real improvements in men's outcomes across the breadth of the survivorship experience. A targeted research and implementation agenda in prostate cancer survivorship is urgently needed if we are to meet the current and future burden of this disease on individuals, families, and communities.

Psycho-Oncology 2018

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