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Symptom Map of Endocrine Therapy for Breast Cancer: A Scoping Review
Yehui Zhu1, Susan M Cohen, Margaret Q Rosenzweig
1Author Affiliations: School of Nursing, University of Pittsburgh, Pennsylvania.
Cancer Nursing
|August 24, 2018
Summary
Endocrine therapy for breast cancer causes significant symptoms impacting quality of life. This review identified five key symptoms: joint/muscle pain, hot flashes, low sexual desire, stiffness, and fatigue, guiding clinical practice and future research.
Area of Science:
- Oncology
- Endocrinology
- Symptom Science
Background:
- Endocrine therapy for breast cancer is associated with numerous symptoms.
- These symptoms negatively affect patient adherence to treatment and overall quality of life.
Purpose of the Study:
- To systematically map symptoms experienced by breast cancer patients undergoing endocrine therapy.
- To inform current clinical practices and guide future research directions in symptom management.
Main Methods:
- A comprehensive scoping review was conducted using PubMed, CINAHL, and China Science Periodical Databases.
- Searched for studies in English and Chinese, including reference lists of identified articles.
- Synthesized data from 57 included studies out of 2551 initially identified.
Main Results:
- Synthesized evidence for 16 most studied and 15 most prevalent symptoms.
- Identified five key symptoms: joint/muscle pain, hot flashes, low sexual interest/desire, joint/muscle stiffness, and fatigue/lack of energy.
- Highlighted gaps in research regarding understudied but prevalent symptoms.
Conclusions:
- Healthcare providers should routinely assess the five identified key symptoms in patients on endocrine therapy.
- Significant gaps persist in understanding the full spectrum of symptom experiences.
- Future research should address symptom intensity, distress, understudied symptoms, clusters, and develop specialized assessment tools.
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