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Experiences and needs of patients with sarcoma: a qualitative meta-synthesis

Wang, Q.
; 
Liu, Q.
; 
Ho, K. Y.
; 
Lam, K. K. W.
; 
Mao, T.
; 
Law, K.
; 
Liao, K.
; 
Wang, M.
; 
Gao, Y.
; 
Abu-Odah, H.
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Abstract
PURPOSE: To systematically identify, summarize, and synthesize qualitative evidence on the experiences and needs of patients living with sarcoma, providing insights into their multidimensional challenges. METHODS: This qualitative meta-synthesis follows the ENTREQ guidelines. Seven electronic databases (PubMed, Web of Science, Scopus, Embase, Cochrane Library, CINAHL, and PsycINFO) were searched up to November 2024. Two reviewers independently conducted the study screening and data extraction. The quality was evaluated using the Joanna Briggs Institute's Qualitative Research Standard Assessment tool. Thematic analysis was used for data synthesis. RESULTS: Twenty-seven studies were included in this meta-synthesis. Three analytical themes emerged: (1) 'Self-perceived health challenges after diagnosis' highlighting the physical and emotional challenges faced by patients; (2) 'Mixed experiences during social interactions' reflecting the complex dynamics in relationships with friends, family, and healthcare providers; and (3) 'Unfriendliness in the society towards sarcomas' emphasizing societal barriers such as employment limitations, financial burdens, and stigma. CONCLUSIONS: Sarcoma patients face significant challenges that extend beyond the individual health condition, impacting their interpersonal relationships and social wellbeing. A comprehensive understanding of the experiences and needs of sarcoma patients on their disease journey can help provide effective management for patients with this rare disease. Addressing these challenges requires a holistic approach involving healthcare providers management, organizational change, community support, and public policy reform.
Authors
Wang, Q.
Liu, Q.
Ho, K. Y.
Lam, K. K. W.
Mao, T.
Law, K.
Liao, K.
Wang, M.
Gao, Y.
Abu-Odah, H.
Takemura, N.
Loong, H. H. F.
Yorke, J.
Affiliation
School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: vickie.wang@polyu.edu.hk. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: qiqiqi.liu@connect.polyu.hk. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: kyeva.ho@polyu.edu.hk. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: kw-katherine.lam@polyu.edu.hk. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: tingting.mao@connect.polyu.hk. Christie Patient Centered Research, The Christie NHS Foundation Trust, Manchester, United Kingdom; Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine & Health, University of Manchester, United Kingdom. Electronic address: kate.law4@nhs.net. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: kuan-m.liao@polyu.edu.hk. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: robbie-m.wang@polyu.edu.hk. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: lily.gao@polyu.edu.hk. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: hammoda-mm.abuodah@polyu.edu.hk. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: naomi.takemura@polyu.edu.hk. Department of Clinical Oncology, The Chinese University of Hong Kong, Hong Kong Special Administrative Region of China. Electronic address: h_loong@clo.cuhk.edu.hk. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China; JC STEM Lab of Digital Oncology Care Enhancement (DOCE), The Hong Kong Jockey Club Charities Trust, Hong Kong Special Administrative Region of China. Electronic address: janelle.yorke@polyu.edu.hk.
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2025
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Wang Q, Liu Q, Ho KY, Lam KKW, Mao T, Law K, et al. Experiences and needs of patients with sarcoma: a qualitative meta-synthesis. European journal of oncology nursing : the official journal of European Oncology Nursing Society. 2025 Jun;76:102890. PubMed PMID: 40250283. Epub 2025/04/19. eng.
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https://christie.openrepository.com/handle/10541/627734
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