Abstract

Problem identification

Expanding on previous work in specific cancer populations, this review aimed to explore factors associated with decisional regret following treatment for a range of cancer types.

Literature search

A systematic search of four databases identified 1747 studies, using search terms relating to cancer survivors and decisional regret. Following quality appraisal, correlates of regret were abstracted and analyzed using narrative synthesis.

Data evaluation/synthesis

Seventy-two studies met the inclusion criteria. Factors associated with treatment regret were categorized as being either modifiable or less modifiable. Regret was associated with various sociodemographic factors, physical health, treatment type, an unsatisfactory decision-making process, poorer mental health and lack of social support.

Conclusion

Results highlight the complex nature of regret and illustrate how this can be experienced following a range of cancer treatments. As regret can be an obstacle to full-recovery from cancer, this review suggests some ways in which the emergence of regret may be mitigated.

中文翻译：

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对癌症后治疗后悔相关因素的系统评价

摘要

问题识别

本综述扩展了先前在特定癌症人群中的工作，旨在探索与一系列癌症类型治疗后的决定性后悔相关的因素。

文献检索

对四个数据库的系统搜索确定了 1747 项研究，使用与癌症幸存者和决策后悔相关的搜索词。在质量评估之后，使用叙述综合法对遗憾的相关性进行抽象和分析。

数据评估/综合

72 项研究符合纳入标准。与治疗后悔相关的因素被归类为可改变或不可改变的。后悔与各种社会人口因素、身体健康、治疗类型、不令人满意的决策过程、较差的心理健康和缺乏社会支持有关。

结论

结果突出了遗憾的复杂性，并说明了在一系列癌症治疗后如何体验到遗憾。由于遗憾可能是癌症完全康复的障碍，本综述提出了一些可以减轻遗憾出现的方法。