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dc.contributor.authorPang, Chuan
dc.contributor.authorHumphris, Gerald Michael
dc.identifier.citationPang , C & Humphris , G M 2021 , ' The relationship between fears of cancer recurrence and patient gender : a systematic review and meta-analysis ' , Frontiers in Psychology , vol. 12 , 640866 .
dc.description.abstractBackground A significant concern for patients treated for cancer is fear of cancer recurrence (FCR). Although a common experience, some patients report high levels of FCR that are difficult to manage and result in over vigilant checking and high use of health services. There has been speculation about the relationship of FCR with gender with mixed reports from several systematic reviews. Aims To determine the association of FCR with gender in previous reported studies and investigate the strength of this relationship with various moderators including year of publication, type of cancer and measurement attributes of self-reported FCR instruments. Methods A systematic review was conducted with searches of the literature from the MEDLINE, PubMed, Embase, and PsycINFO databases following PRISMA guidelines. All the included papers were divided into two groups, namely: ‘pure’ that comprise only of patients with cancer types that both men and women can contract and ‘mixed’ that report on patients with a variety of cancer types. The association between gender and FCR level was assessed by meta-analysis. A meta-regression was performed to investigate the moderating effects of factors including: the year of publication, cancer type, mean age of the sample and the length of the FCR scale measurement. This review was registered with PROSPERO, ID: CRD42020184812. Results Finally, 29 studies were included. The N size of pooled participants was 33339. The meta-analysis showed females to have an overall higher level of FCR than males (ES = 0.30; 95% CI, 0.23. 0.36). The meta-regression of moderating or control variables found little, if any, systematic variation in effect-sizes. Conclusion This systematic review has clarified a potentially confused pattern of previous results in understanding the relationship between gender and FCR. Women report higher levels of FCR than men and this feature is one that clinicians and researchers can factor into their practice and future studies. The effect size is moderate, hence there is ample variation in FCR level, independent of gender, that requires further investigation.
dc.relation.ispartofFrontiers in Psychologyen
dc.subjectCancer recurrenceen
dc.subjectDemographic characteristicsen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectBF Psychologyen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titleThe relationship between fears of cancer recurrence and patient gender : a systematic review and meta-analysisen
dc.typeJournal itemen
dc.contributor.institutionUniversity of St Andrews. Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.description.statusPeer revieweden

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