Lei Cheng1, Liying Wang2, Mengxue He3, Sheng Feng4, Yehui Zhu5, Cheryl Rodgers6. 1. School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, China. chengleis@126.com. 2. Nursing Department, Fudan University Cancer Hospital, 270 Dongan Road, Shanghai, 200000, China. 3. Pediatric Hematology/Oncology Unit, Shanghai Children's Medical Center (SCMC) affiliated to Shanghai Jiaotong University School of Medicine, 1678, Dongfang Road, Shanghai, 200127, China. 4. Pediatric Intensive Care Unit, Shanghai Children's Medical Center (SCMC) affiliated to Shanghai Jiaotong University School of Medicine, 1678 Dongfang Road, Shanghai, 200127, China. 5. School of Nursing, University of Pittsburgh, 3500 Victoria Street, Pittsburgh, PA, 15261, USA. 6. School of Nursing, Duke University, 307 Trent Drive, Durham, NC, 27710, USA.
Abstract
OBJECTIVES: To evaluate the existing body of evidence to determine the current state of knowledge regarding the perspectives of the following groups: (1) children with cancer, (2) family caregivers, and (3) healthcare professionals, about symptoms, as well as factors that may influence the symptom reports. METHODS: A systematic search was performed for all types of studies that included the perspectives of at least two groups of participants' symptom reports. Children included anyone younger than 19 years of age who was diagnosed with any type of cancer. Electronic searches were conducted in five English databases and four Chinese databases. The appraisal of methodological quality was conducted using the GRADE criteria. Data were extracted into matrix tables. RESULTS: Thirty-three studies were included. The pediatric oncology symptoms reported by children, family caregivers, and healthcare professionals were synthesized. Findings suggested that family caregivers' symptom reports were more closely aligned with children's reports than with the healthcare professionals' reports. Influencing factors on the different symptom reports included the children's diagnosis, symptom characteristics, social-demographic factors, and family caregivers' psychosocial status. CONCLUSIONS: Children with cancer should be the primary reporters for their symptoms. When there are reporters other than the children, the potential discrepancy between the different perspectives needs to be carefully considered.
OBJECTIVES: To evaluate the existing body of evidence to determine the current state of knowledge regarding the perspectives of the following groups: (1) children with cancer, (2) family caregivers, and (3) healthcare professionals, about symptoms, as well as factors that may influence the symptom reports. METHODS: A systematic search was performed for all types of studies that included the perspectives of at least two groups of participants' symptom reports. Children included anyone younger than 19 years of age who was diagnosed with any type of cancer. Electronic searches were conducted in five English databases and four Chinese databases. The appraisal of methodological quality was conducted using the GRADE criteria. Data were extracted into matrix tables. RESULTS: Thirty-three studies were included. The pediatric oncology symptoms reported by children, family caregivers, and healthcare professionals were synthesized. Findings suggested that family caregivers' symptom reports were more closely aligned with children's reports than with the healthcare professionals' reports. Influencing factors on the different symptom reports included the children's diagnosis, symptom characteristics, social-demographic factors, and family caregivers' psychosocial status. CONCLUSIONS:Children with cancer should be the primary reporters for their symptoms. When there are reporters other than the children, the potential discrepancy between the different perspectives needs to be carefully considered.
Entities:
Keywords:
Family caregiver; Health care professional; Oncology; Pediatrics; Symptom; Systematic review
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