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Systematic review: unmet supportive care needs in people diagnosed with chronic liver disease

OBJECTIVE: People with chronic liver disease, particularly those with decompensated cirrhosis, experience several potentially debilitating complications that can have a significant impact on activities of daily living and quality of life. These impairments combined with the associated complex treatm...

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Autores principales: Valery, Patricia C, Powell, Elizabeth, Moses, Neta, Volk, Michael L, McPhail, Steven M, Clark, Paul J, Martin, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4390721/
https://www.ncbi.nlm.nih.gov/pubmed/25854973
http://dx.doi.org/10.1136/bmjopen-2014-007451
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author Valery, Patricia C
Powell, Elizabeth
Moses, Neta
Volk, Michael L
McPhail, Steven M
Clark, Paul J
Martin, Jennifer
author_facet Valery, Patricia C
Powell, Elizabeth
Moses, Neta
Volk, Michael L
McPhail, Steven M
Clark, Paul J
Martin, Jennifer
author_sort Valery, Patricia C
collection PubMed
description OBJECTIVE: People with chronic liver disease, particularly those with decompensated cirrhosis, experience several potentially debilitating complications that can have a significant impact on activities of daily living and quality of life. These impairments combined with the associated complex treatment mean that they are faced with specific and high levels of supportive care needs. We aimed to review reported perspectives, experiences and concerns of people with chronic liver disease worldwide. This information is necessary to guide development of policies around supportive needs screening tools and to enable prioritisation of support services for these patients. DESIGN: Systematic searches of PubMed, MEDLINE, CINAHL and PsycINFO from the earliest records until 19 September 2014. Data were extracted using standardised forms. A qualitative, descriptive approach was utilised to analyse and synthesise data. RESULTS: The initial search yielded 2598 reports: 26 studies reporting supportive care needs among patients with chronic liver disease were included, but few of them were patient-reported needs, none used a validated liver disease-specific supportive care need assessment instrument, and only three included patients with cirrhosis. Five key domains of supportive care needs were identified: informational or educational (eg, educational material, educational sessions), practical (eg, daily living), physical (eg, controlling pruritus and fatigue), patient care and support (eg, support groups), and psychological (eg, anxiety, sadness). CONCLUSIONS: While several key domains of supportive care needs were identified, most studies included hepatitis patients. There is a paucity of literature describing the supportive care needs of the chronic liver disease population likely to have the most needs—namely those with cirrhosis. Assessing the supportive care needs of people with chronic liver disease have potential utility in clinical practice for facilitating timely referrals to support services.
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spelling pubmed-43907212015-04-13 Systematic review: unmet supportive care needs in people diagnosed with chronic liver disease Valery, Patricia C Powell, Elizabeth Moses, Neta Volk, Michael L McPhail, Steven M Clark, Paul J Martin, Jennifer BMJ Open Gastroenterology and Hepatology OBJECTIVE: People with chronic liver disease, particularly those with decompensated cirrhosis, experience several potentially debilitating complications that can have a significant impact on activities of daily living and quality of life. These impairments combined with the associated complex treatment mean that they are faced with specific and high levels of supportive care needs. We aimed to review reported perspectives, experiences and concerns of people with chronic liver disease worldwide. This information is necessary to guide development of policies around supportive needs screening tools and to enable prioritisation of support services for these patients. DESIGN: Systematic searches of PubMed, MEDLINE, CINAHL and PsycINFO from the earliest records until 19 September 2014. Data were extracted using standardised forms. A qualitative, descriptive approach was utilised to analyse and synthesise data. RESULTS: The initial search yielded 2598 reports: 26 studies reporting supportive care needs among patients with chronic liver disease were included, but few of them were patient-reported needs, none used a validated liver disease-specific supportive care need assessment instrument, and only three included patients with cirrhosis. Five key domains of supportive care needs were identified: informational or educational (eg, educational material, educational sessions), practical (eg, daily living), physical (eg, controlling pruritus and fatigue), patient care and support (eg, support groups), and psychological (eg, anxiety, sadness). CONCLUSIONS: While several key domains of supportive care needs were identified, most studies included hepatitis patients. There is a paucity of literature describing the supportive care needs of the chronic liver disease population likely to have the most needs—namely those with cirrhosis. Assessing the supportive care needs of people with chronic liver disease have potential utility in clinical practice for facilitating timely referrals to support services. BMJ Publishing Group 2015-04-08 /pmc/articles/PMC4390721/ /pubmed/25854973 http://dx.doi.org/10.1136/bmjopen-2014-007451 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Gastroenterology and Hepatology
Valery, Patricia C
Powell, Elizabeth
Moses, Neta
Volk, Michael L
McPhail, Steven M
Clark, Paul J
Martin, Jennifer
Systematic review: unmet supportive care needs in people diagnosed with chronic liver disease
title Systematic review: unmet supportive care needs in people diagnosed with chronic liver disease
title_full Systematic review: unmet supportive care needs in people diagnosed with chronic liver disease
title_fullStr Systematic review: unmet supportive care needs in people diagnosed with chronic liver disease
title_full_unstemmed Systematic review: unmet supportive care needs in people diagnosed with chronic liver disease
title_short Systematic review: unmet supportive care needs in people diagnosed with chronic liver disease
title_sort systematic review: unmet supportive care needs in people diagnosed with chronic liver disease
topic Gastroenterology and Hepatology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4390721/
https://www.ncbi.nlm.nih.gov/pubmed/25854973
http://dx.doi.org/10.1136/bmjopen-2014-007451
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