Abstract: |
Background: Renal-cell carcinoma (RCC) is among the 10 most common cancers for men and women in the United States and has been shown to cause considerable burden in both patients and their caregivers. Recently, studies have focused on quality-of-life (QOL) measures and the relationship with health outcomes. However, the variety of QOL components and measures is not well represented in the literature, hindering the formulation of specific questions and the development of a systematic review. Objective: To investigate and analyze articles related to RCC patient and caregiver physical, psychological, social, and spiritual well-being published in the past 5 years. These articles will be used to provide an evidence base for the development of an integrative education tool to empower patients and their caregivers following an RCC diagnosis and throughout the continuum of care. Methods: This scoping review considered all studies that addressed physical, psychological, social, and spiritual well-being of patients diagnosed with RCC or their caregivers. A 3-step search strategy was undertaken: (1) an initial limited search of PubMed; (2) an extensive search using all identified keywords and index terms across all included databases; and (3) a hand search of the reference lists of included articles. This review was limited to studies published in English from 2017 to 2022. Reviewers extracted data independently. Any disagreements that arose among the reviewers were resolved through discussion, or with a third reviewer. Results: A total of 3121 articles were screened, 657 full-text publications were reviewed, and 59 relevant articles were identified. Most studies focused on physical well-being, and many articles discussed treatment and risk factors. A limited number of articles focused on spiritual and social well-being. No articles evaluating the patient/caregiver relationship were identified. Conclusions: The most commonly evaluated QOL component was physical well-being, with only a single article each discussing social and spiritual well-being. Psychological well-being was discussed in 4 articles. A single article spanned the psychological and social domains. Inclusion of all 4 QOL components will be beneficial for developing an integrative education tool to empower patients and their caregivers following RCC diagnosis and throughout the continuum of care. |