Evidence map›Paper›PMID 41986578›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Beyond breast cancer: mapping unmet needs and advancing an evidence-based framework of survivorship care.

Amina Silva, Kendra-Lee Dupuis, Aseme Pourrajabi, Kimberlyn Kulawic, Jacqueline Galica, Kylie Teggart, Ruhollah Abolhasani, Monica Lino, Connie Schumacher, Spencer Hayward and 8 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Amina SilvaFaculty of Applied Health Sciences, Department of Nursing, Brock University, 1812 Sir Isaac Brock Way , Niagara Region, St. Catharines, ON, L2S 3A1, Canada. asilva@brocku.ca.
Kendra-Lee DupuisFaculty of Applied Health Sciences, Department of Nursing, Brock University, 1812 Sir Isaac Brock Way , Niagara Region, St. Catharines, ON, L2S 3A1, Canada.
Aseme PourrajabiFaculty of Applied Health Sciences, Department of Nursing, Brock University, 1812 Sir Isaac Brock Way , Niagara Region, St. Catharines, ON, L2S 3A1, Canada.
Kimberlyn KulawicFaculty of Applied Health Sciences, Department of Nursing, Brock University, 1812 Sir Isaac Brock Way , Niagara Region, St. Catharines, ON, L2S 3A1, Canada.
Jacqueline GalicaSchool of Nursing, Queen's University, Kingston, ON, Canada.
Kylie TeggartSchool of Nursing, McMaster University, Hamilton, ON, Canada.
Ruhollah AbolhasaniFaculty of Applied Health Sciences, Department of Nursing, Brock University, 1812 Sir Isaac Brock Way , Niagara Region, St. Catharines, ON, L2S 3A1, Canada.
Monica LinoSchool of Nursing, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Connie SchumacherFaculty of Applied Health Sciences, Department of Nursing, Brock University, 1812 Sir Isaac Brock Way , Niagara Region, St. Catharines, ON, L2S 3A1, Canada.
Spencer HaywardPatient Partners, Kitchener, ON, Canada.
Karyn TaplayFaculty of Applied Health Sciences, Department of Nursing, Brock University, 1812 Sir Isaac Brock Way , Niagara Region, St. Catharines, ON, L2S 3A1, Canada.
Janet GirouxKingston Health Sciences Center, Kingston, ON, Canada.
Debora StarkKingston Health Sciences Center, Kingston, ON, Canada.
Benjamin CarrollSchool of Nursing, Queen's University, Kingston, ON, Canada.
Marian Luctkar-FludeSchool of Nursing, Queen's University, Kingston, ON, Canada.
Ellyn WintersPatient Partners, Kitchener, ON, Canada.
Jovina ConceptionSchool of Nursing, Queen's University, Kingston, ON, Canada.
Vanessa Silva E SilvaFaculty of Applied Health Sciences, Department of Nursing, Brock University, 1812 Sir Isaac Brock Way , Niagara Region, St. Catharines, ON, L2S 3A1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe growing population of breast cancer survivors (BCS) underscores the need to address ongoing challenges that persist beyond active treatment. This scoping review aimed to systematically map the unmet needs of BCS and inform the development of an evidence-based survivorship care framework.

methodsA systematic search of databases identified 13,401 studies, of which 170 met the inclusion criteria. Data were analyzed using qualitative content analysis and descriptive statistics to categorize unmet needs across studies.

resultsSix major categories of unmet needs were identified: physical symptom burden, psychosocial/emotional needs, informational needs, healthcare support needs, relational/sexual needs, and financial/occupational needs. Physical symptoms (33.5% of studies) and psychosocial/emotional concerns (32.4%) were most frequently reported. Based on these domains, a three-phase conceptual framework was developed: (1) universal needs screening, (2) targeted, multidisciplinary interventions tailored to individual survivors, and (3) ongoing evaluation through patient-reported outcomes to optimize care.

conclusionsUnmet needs among BCS are widespread and multifaceted, particularly regarding chronic physical symptoms and persistent psychosocial distress. Existing care frameworks are fragmented and insufficient. The proposed three-phase framework provides a structured approach to delivering proactive, patient-centred survivorship care. IMPLICATIONS FOR CANCER SURVIVORS: Implementing this framework can improve identification and management of unmet needs, enhance quality of life, support long-term physical and emotional recovery, and foster resilience throughout survivorship.

Indexed as

Breast NeoplasmsCancer SurvivorsHealth Services Needs and DemandNeeds AssessmentFemaleHumansQuality of LifeSocial SupportSurvivorshipSymptom BurdenBreast cancer survivorsPatient-centred carePsychosocial supportSurvivorship careSurvivorship frameworkUnmet needs

Identifiers

PMID41986578

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.