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Palliative care in the treatment of women with breast cancer: A scoping review

Published online by Cambridge University Press:  07 December 2023

Romel Jonathan Velasco Yanez Open the ORCID record for Romel Jonathan Velasco Yanez [Opens in a new window] ,
Ana Fátima Carvalho Fernandes ,
Erilaine de Freitas Corpes ,
Régia Christina Moura Barbosa Castro ,
Judith Sixsmith  and
Luís Carlos Lopes-Júnior
Romel Jonathan Velasco Yanez*
Affiliation:
Department of Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil
Ana Fátima Carvalho Fernandes
Affiliation:
Department of Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil
Erilaine de Freitas Corpes
Affiliation:
Department of Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil
Régia Christina Moura Barbosa Castro
Affiliation:
Department of Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil
Judith Sixsmith
Affiliation:
School of Health Sciences, University of Dundee, Dundee, Scotland
Luís Carlos Lopes-Júnior
Affiliation:
Department of Nursing, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil
*
Corresponding author: Romel Jonathan Velasco Yanez; Email: romebarce_95@hotmail.com
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Abstract

Objectives

Recent studies on the quality of life in women with breast cancer show a high prevalence of signs and symptoms that should be the focus of palliative care (PC), leading us to question the current role they play in addressing breast cancer. Therefore, the objective of this review is to map the scope of available literature on the role of PC in the treatment of women with breast cancer.

Methods

This is a methodologically guided scoping review by the Joanna Briggs Institute and adapted to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) Checklist for report writing. Systematic searches were conducted in 8 databases, an electronic repository, and gray literature. The searches were conducted with the support of a librarian. The study selection was managed through the RAYYAN software in a blind and independent manner by 2 reviewers. The extracted data were analyzed using the qualitative thematic analysis technique and discussed through textual categories.

Results

A total of 9,812 studies were identified, of which only 136 articles and 3 sources of gray literature are included in this review. In terms of general characteristics, the majority were published in the USA (35.7%), had a cross-sectional design (44.8%), and were abstracts presented at scientific events (19.6%). The majority of interventions focused on palliative radiotherapy (13.6%). Thematic analysis identified 14 themes and 12 subthemes.

Significance of results

Our findings offer a comprehensive view of the evidence on PC in the treatment of breast cancer. Although a methodological quality assessment was not conducted, these results could guide professionals interested in the topic to position themselves in the current context. Additionally, a quick synthesis of recommendations on different palliative therapies is provided, which should be critically observed. Finally, multiple knowledge gaps are highlighted, which could be used for the development of future studies in this field.

Keywords

Palliative carebreast neoplasmswomen’s healthscoping review
Type
Review Article
Information
Palliative & Supportive Care , Volume 22 , Issue 3 , June 2024 , pp. 592 - 609
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Copyright
© The Author(s), 2023. Published by Cambridge University Press.

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