Symptom burden and lived experiences of patients, caregivers and healthcare professionals on the management of malignant bowel obstruction: A qualitative systematic review.

Baddeley, E; Mann, M; Bravington, A; Johnson, MJ; Currow, D; Murtagh, FEM; Boland, EG; Obita, G; Oliver, A; Seddon, K; Nelson, A; Boland, JW; Noble, SIR

Symptom burden and lived experiences of patients, caregivers and healthcare professionals on the management of malignant bowel obstruction: A qualitative systematic review.

Baddeley, E Mann, M Bravington, A Johnson, MJ Currow, D

Murtagh, FEM Boland, EG Obita, G Oliver, A Seddon, K Nelson, A Boland, JW Noble, SIR

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Publisher:: SAGE Publications
Publication Type:: Journal Article
Citation:: Palliative Medicine, 2022, 36, (6), pp. 895-911
Issue Date:: 2022-06

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Field	Value	Language
dc.contributor.author	Baddeley, E
dc.contributor.author	Mann, M
dc.contributor.author	Bravington, A
dc.contributor.author	Johnson, MJ
dc.contributor.author	Currow, D https://orcid.org/0000-0003-1988-1250
dc.contributor.author	Murtagh, FEM
dc.contributor.author	Boland, EG
dc.contributor.author	Obita, G
dc.contributor.author	Oliver, A
dc.contributor.author	Seddon, K
dc.contributor.author	Nelson, A
dc.contributor.author	Boland, JW
dc.contributor.author	Noble, SIR
dc.date.accessioned	2022-10-07T01:37:33Z
dc.date.available	2022-10-07T01:37:33Z
dc.date.issued	2022-06
dc.identifier.citation	Palliative Medicine, 2022, 36, (6), pp. 895-911
dc.identifier.issn	0269-2163
dc.identifier.issn	1477-030X
dc.identifier.uri	http://hdl.handle.net/10453/162379
dc.description.abstract	BACKGROUND: Malignant bowel obstruction occurs in up to 50% of people with advanced ovarian and 15% of people with gastrointestinal cancers. Evaluation and comparison of interventions to manage symptoms are hampered by inconsistent evaluations of efficacy and lack of agreed core outcomes. The patient perspective is rarely incorporated. AIM: To synthesise the qualitative data regarding patient, caregiver and healthcare professionals' views and experience of malignant bowel obstruction to inform the development of a core outcome set for the evaluation of malignant bowel obstruction. DESIGN: A qualitative systematic review was conducted, with narrative synthesis. The review protocol was registered prospectively (https://www.crd.york.ac.uk/prospero, CRD42020176393). DATA SOURCES: MEDLINE, EMBASE, CINAHL, PsycINFO and Scopus databases were searched for studies published between 2010 and 2021. Reference lists were screened for further relevant publications, and citation tracking was performed. RESULTS: Nine papers were included, reporting on seven studies which described the views and experiences of malignant bowel obstruction through the perspectives of 75 patients, 13 caregivers and 62 healthcare professionals. Themes across the papers included symptom burden, diverse experiences of interventions, impact on patient quality of life, implications and trajectory of malignant bowel obstruction, mixed experience of communication and the importance of realistic goals of care. CONCLUSION: Some of the most devastating sequelae of malignant bowel obstruction, such as pain and psychological distress, are not included routinely in its clinical or research evaluation. These data will contribute to a wider body of work to ensure the patient and caregiver perspective is recognised in the development of a core outcome set.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE Publications
dc.relation.ispartof	Palliative Medicine
dc.relation.isbasedon	10.1177/02692163221081331
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.classification	Gerontology
dc.subject.mesh	Caregivers
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Health Personnel
dc.subject.mesh	Humans
dc.subject.mesh	Intestinal Obstruction
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Quality of Life
dc.subject.mesh	Caregivers
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Health Personnel
dc.subject.mesh	Humans
dc.subject.mesh	Intestinal Obstruction
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Quality of Life
dc.subject.mesh	Humans
dc.subject.mesh	Intestinal Obstruction
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Quality of Life
dc.subject.mesh	Caregivers
dc.subject.mesh	Health Personnel
dc.subject.mesh	Delivery of Health Care
dc.title	Symptom burden and lived experiences of patients, caregivers and healthcare professionals on the management of malignant bowel obstruction: A qualitative systematic review.
dc.type	Journal Article
utslib.citation.volume	36
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-10-07T01:37:30Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	36
utslib.citation.issue	6

Abstract:

BACKGROUND: Malignant bowel obstruction occurs in up to 50% of people with advanced ovarian and 15% of people with gastrointestinal cancers. Evaluation and comparison of interventions to manage symptoms are hampered by inconsistent evaluations of efficacy and lack of agreed core outcomes. The patient perspective is rarely incorporated. AIM: To synthesise the qualitative data regarding patient, caregiver and healthcare professionals' views and experience of malignant bowel obstruction to inform the development of a core outcome set for the evaluation of malignant bowel obstruction. DESIGN: A qualitative systematic review was conducted, with narrative synthesis. The review protocol was registered prospectively (https://www.crd.york.ac.uk/prospero, CRD42020176393). DATA SOURCES: MEDLINE, EMBASE, CINAHL, PsycINFO and Scopus databases were searched for studies published between 2010 and 2021. Reference lists were screened for further relevant publications, and citation tracking was performed. RESULTS: Nine papers were included, reporting on seven studies which described the views and experiences of malignant bowel obstruction through the perspectives of 75 patients, 13 caregivers and 62 healthcare professionals. Themes across the papers included symptom burden, diverse experiences of interventions, impact on patient quality of life, implications and trajectory of malignant bowel obstruction, mixed experience of communication and the importance of realistic goals of care. CONCLUSION: Some of the most devastating sequelae of malignant bowel obstruction, such as pain and psychological distress, are not included routinely in its clinical or research evaluation. These data will contribute to a wider body of work to ensure the patient and caregiver perspective is recognised in the development of a core outcome set.

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http://hdl.handle.net/10453/162379