Improving quality of life and ensuring equitable access in oncology care

Kirolos Eskandar

Abstract


The quest to improve quality of life (QOL) and ensure equitable access in oncology care represents a fundamental paradigm in modern cancer treatment. This literature review explores recent advancements aimed at enhancing survivorship and QOL for cancer patients, examining the interconnected roles of psychosocial support, palliative care, and equitable access to comprehensive oncology services. By integrating mental health services, developing innovative palliative care methods, and addressing disparities in care, these advancements can profoundly impact patients, families, and healthcare providers. The review also evaluates the ethical considerations underpinning these initiatives, balancing treatment efficacy with patient autonomy. This synthesis of current research, case studies, and expert perspectives offers a comprehensive overview of efforts to foster a holistic, patient-centred approach in oncology care.

Keywords: quality of life (QOL), psychosocial support, palliative care, equitable access, oncology care

DOI:10.5737/23688076355642


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References


American Association for Cancer Research. (2024, May 16). Overcoming cancer disparities: Science-based public policy. AACR Cancer Disparities Progress Report. https://cancerprogressreport.aacr.org/disparities/cdpr22-contents/cdpr22-overcoming-cancer-health-disparities-through-science-based-public-policy/

American Cancer Society. (n.d.). Psychosocial support options for people with cancer. https://www.cancer.org/cancer/survivorship/coping/understanding-psychosocial-support-services.html

Archer, S., Holch, P., Armes, J., Calman, L., Foster, C., Gelcich, S., MacLennan, S. J., & Absolom, K. (2020). “No turning back” Psycho-oncology in the time of COVID-19: Insights from a survey of UK professionals. Psycho-Oncology, 29(9), 1430–1435. https://doi.org/10.1002/pon.5486

Association of Cancer Care Centers [ACCC]. (2023, August 8). Psychosocial care in oncology: The impact of social determinants of health. https://www.accc-cancer.org/acccbuzz/blog-post-template/accc-buzz/2023/08/08/psychosocial-care-in-oncology-the-impact-of-social-determinants-of-health

Barbor, M. (n.d.). Initiatives by professional oncology organizations focus on improving equitable cancer care. The ASCO Post. https://ascopost.com/issues/august-10-2022/initiatives-by-professional-oncology-organizations-focus-on-improving-equitable-cancer-care/

Celona, T. (2024, April 9). Quality of life across the lifespan. Cancer Today. https://www.cancertodaymag.org/cancer-talk/quality-of-life-across-the-lifespan/

Drug Target Review. (2024, January 25). Immuno-oncology innovations redefining cancer treatment in 2024. https://www.drugtargetreview.com/article/125151/immuno-oncology-innovations-redefining-cancer-treatment-in-2024/

Fernando, A. (2020). Mental health and cancer: Why it is tme to innovate and integrate–A call to action. European Urology Focus, 6(6), 1165–1167. https://doi.org/10.1016/j.euf.2020.06.025

Freeman, H. P., & Rodriguez, R. L. (2011). History and principles of patient navigation. Cancer, 117(15 Suppl), 3539–3542. https://doi.org/10.1002/cncr.26262

Inhestern, L., Johannsen, L. M., & Bergelt, C. (2021). Families affected by parental cancer: Quality of life, impact on children and psychosocial care needs. Frontiers in Psychiatry, 12, 765327. https://doi.org/10.3389/fpsyt.2021.765327

IQVIA. (n.d.). Global oncology trends 2022. https://www.iqvia.com/insights/the-iqvia-institute/reports-and-publications/reports/global-oncology-trends-2022

Johnson, K. B., Ibrahim, S. A., & Rosenbloom, S. T. (2023). Ensuring equitable access to patient portals—Closing the “techquity” gap. JAMA Health Forum, 4(11), e233406. https://doi.org/10.1001/jamahealthforum.2023.3406

Keruakous, A. R., Akpan, I., Chahin, M., Kirolos, A., & Keruakous, M. (2024). Equity in oncology care: Addressing disparities in cancer treatment in Georgia. Frontiers in Public Health, 12, 1381075. https://doi.org/10.3389/fpubh.2024.1381075

Kim, N. J., Cravero, A., VoPham, T., Vutien, P., Carr, R., Issaka, R. B., Johnston, J., McMahon, B., Mera, J., & Ioannou, G. N. (2023). Addressing racial and ethnic disparities in US liver cancer care. Hepatology Communications, 7(7), e00190. https://doi.org/10.1097/HC9.0000000000000190

Marron, J. M., Charlot, M., Gaddy, J., & Rosenberg, A. R. (2021). The ethical imperative of equity in oncology: Lessons learned from 2020 and a path forward. American Society of Clinical Oncology. Annual meeting, 41, e13–e19. https://doi.org/10.1200/EDBK_100029

Mba, S. S. P. (2022, August 18). Taking action to address health equity in oncology. AJMC - The American Journal of Managed Care, 28(6), SP312.

https://www.ajmc.com/view/taking-action-to-address-health-equity-in-oncology

Miceli, S. (2022, January 18). Promoting health equity in cancer care — ‘It’s time to declare dsparities intolerable. National Academy of Sciences. https://www.nationalacademies.org/news/2022/01/promoting-health-equity-in-cancer-care-its-time-to-declare-disparities-intolerable

National Cancer Institute. (2022, June 7). Meeting psychosocial health needs of cancer survivors. https://www.cancer.gov/news-events/cancer-currents-blog/2022/psychosocial-cancer-survivors-patricia-ganz

National Cancer Institute. (2024a). Putting cancer disparities in the rearview mirror. https://www.cancer.gov/news-events/cancer-currents-blog/2024/cancer-disparities-social-drivers

National Cancer Institute. (2024b). Community outreach, research, and engagement branch (CORE). https://www.cancer.gov/about-nci/organization/cche/community-outreach

National Cancer Institute. (2024c). CRCHD announces the establishment of cancer equity leaders to contribute to health equity efforts. https://www.cancer.gov/about-nci/organization/cche/blog/2024/cel-announcement

Nguyen, L. B., Vu, L. G., Le, T. T., Nguyen, X. T., Dao, N. G., Nguyen, D. C., Huyen Thi Dang, T., Vu, T. M. T., Boyer, L., Fond, G., Auquier, P., Latkin, C. A., Zhang, M. W. B., Ho, R. C. M., & Ho, C. S. H. (2023). Impact of interventions on the quality of life of cancer patients: A systematic review and meta-analysis of longitudinal research. Health and Quality of Life Outcomes, 21(1), 112. https://doi.org/10.1186/s12955-023-02189-9

Nolazco, J. I., & Chang, S. L. (2023). The role of health-related quality of life in improving cancer outcomes. Journal of Clinical and Translational Research, 9(2), 110–114.

Olsen, M. L., Swetz, K. M., & Mueller, P. S. (2010). Ethical decision making with end-of-life care: Palliative sedation and withholding or withdrawing life-sustaining treatments. Mayo Clinic Proceedings, 85(10), 949–954. https://doi.org/10.4065/mcp.2010.0201

Orr, L. (2024, August 5). Measuring “quality of life” is an important trend in cancer care. University of Rochester Medical Center Newsroom. https://www.urmc.rochester.edu/news/story/measuring-quality-of-life-is-an-important-trend-in-cancer-care

Pharmaphorum. (2023, October 20). How quality of life can drive equitable cancer care and outcomes. https://pharmaphorum.com/oncology/how-quality-life-can-drive-equitable-cancer-care-and-outcomes

Quill, C. M., Sussman, B. L., & Quill, T. E. (2015). Palliative care, ethics, and the law in the intensive care unit. Critical Care Nursing Clinics of North America, 27(3), 383–394. https://doi.org/10.1016/j.cnc.2015.05.007

Riches, J. C., & Voigt, L. P. (2021). Palliative, ethics, and end-of-life care issues in the cancer patient. Critical Care Clinics, 37(1), 105–115. https://doi.org/10.1016/j.ccc.2020.08.005

Richwine, C. (2023). Progress and persistent disparities in patient access to electronic health information. JAMA Health Forum, 4(11), e233883. https://doi.org/10.1001/jamahealthforum.2023.3883

Rosenberg, J. (2020, August 24). Psychosocial support for patients with cancer waning as COVID-19 pandemic continues. AJMC - The American Journal of Managed Care. https://www.ajmc.com/view/psychosocial-support-for-patients-with-cancer-waning-as-covid-19-pandemic-continues

Schofield, G., Dittborn, M., Huxtable, R., Brangan, E., & Selman, L. E. (2021). Real-world ethics in palliative care: A systematic review of the ethical challenges reported by specialist palliative care practitioners in their clinical practice. Palliative Medicine, 35(2), 315–334. https://doi.org/10.1177/0269216320974277

Scott, R. (2024, May 8). Action is key to continue to break down barriers for equitable cancer care. OncLive. https://www.onclive.com/view/action-is-key-to-continue-to-break-down-barriers-for-equitable-cancer-care

Spine, K., Skwira-Brown, A., Schlifke, D., & Carr, E. (2022). Clinical oncology nurse best practices: Palliative care and end-of-life conversations. Clinical Journal of Oncology Nursing. https://doi.org/10.1188/22.cjon.612-620

Sullivan, D. R., Chan, B., Lapidus, J. A., Ganzini, L., Hansen, L., Carney, P. A., Fromme, E. K., Marino, M., Golden, S. E., Vranas, K. C., & Slatore, C. G. (2019). Association of early palliative care use with survival and place of death among patients with advanced lung cancer receiving care in the Veterans Health Administration. JAMA Oncology, 5(12), 1702–1709. https://doi.org/10.1001/jamaoncol.2019.3105

Tack, L., Schofield, P., Boterberg, T., Chandler, R., Parris, C. N., & Debruyne, P. R. (2022). Psychosocial care after cancer diagnosis: Recent advances and challenges. Cancer, 14(23), 5882. https://doi.org/10.3390/cancers14235882

Tremblay, D., Roberge, D., Touati, N., Maunsell, E., & Berbiche, D. (2017). Effects of interdisciplinary teamwork on patient-reported experience of cancer care. BMC Health Services Research, 17(1), 218. https://doi.org/10.1186/s12913-017-2166-7

UCSF Health. (n.d.). Palliative care. University of California San Francisco. https://www.ucsfhealth.org/list-of-clinics/palliative-care

Wasilewski, A., & Mohile, N. (2022). Tele-neuro-oncology: Current practices and future directions. Current Oncology Reports, 24(1), 99–103. https://doi.org/10.1007/s11912-021-01176-x


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