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dc.contributor.authorStewart, Ross James
dc.contributor.authorHumphris, Gerald Michael
dc.contributor.authorDonaldson, Jayne
dc.contributor.authorCruickshank, Susanne
dc.identifier.citationStewart , R J , Humphris , G M , Donaldson , J & Cruickshank , S 2021 , ' Does cancer type influence the impact of recurrence? a review of the experience of patients with breast or prostate cancer recurrence ' , Frontiers in Psychology , vol. 12 , 635660 .
dc.identifier.otherPURE: 275130002
dc.identifier.otherPURE UUID: b654f228-1cb2-44eb-9810-573acf843098
dc.identifier.otherPubMed: 34267696
dc.identifier.otherPubMedCentral: PMC8276075
dc.identifier.otherORCID: /0000-0002-4601-8834/work/97473380
dc.identifier.otherWOS: 000672507400001
dc.identifier.otherScopus: 85110457712
dc.description.abstractObjective: Patients will experience a plethora of issues when faced with a recurrence of their cancer. It is unclear if cancer type is a significant factor in how recurrence is experienced by an individual. The aim of the current review is to explore the evidence base and summarise the experiences of patients specifically with a recurrence of breast or prostate cancer (the most common for women and men, respectively) and then provide a comparison of these experiences. These experiences include the physical, psychological and psychosocial issues that arise at this time.  Methods: A systematic search was conducted of studies published between January 1994 and April 2019. Due to the mix of research designs used previously in the literature, this review was conducted in an integrative manner; allowing for inclusion of diverse research designs. Results were synthesised narratively, with data categorised according to physical, psychological, and psychosocial indices of quality of life. The review protocol was registered in the international database of prospective systematic reviews in health and social care- (CRD42019137381).  Results: Fifteen breast cancer and six prostate cancer articles were identified, each reporting one relevant study. Patients reported several negative issues at the time of a breast or prostate cancer recurrence. Similarities were found between cancer types, with physical problems such as fatigue, psychological issues including anxiety and depressive symptoms, and psychosocial concerns such as issues with healthcare professionals common in both cancers. Certain findings were inconsistent across studies, with some experiences differing between studies rather than due to cancer type.  Conclusions: Differences in the experience of recurrent cancer appear to be more heavily influenced by individual factors, rather than cancer type. Findings are confounded by gender; and should be considered preliminary. Effects of recurrence should be studied in samples where cancer type and gender are not confounded. Concerns are raised about available study quality and differing outcome measures in this interpretation. Care and support of the individual at the time of a cancer recurrence is a key focus. Future research suggestions with implications for clinical practise are included.
dc.relation.ispartofFrontiers in Psychologyen
dc.rightsCopyright © 2021 Stewart, Humphris, Donaldson and Cruickshank. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en
dc.subjectBreast canceren
dc.subjectProstate canceren
dc.subjectIntegrative reviewen
dc.subjectQuality of lifeen
dc.subjectCancer recurrenceen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.titleDoes cancer type influence the impact of recurrence? : a review of the experience of patients with breast or prostate cancer recurrenceen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.description.statusPeer revieweden

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