The role of religion and spirituality in cancer care: An umbrella review of the literature |
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| Institution: | 1. Faculté de médecine, université Saint-Joseph, Beyrouth, Lebanon;2. Département de psychiatrie, faculté de médecine, université Saint-Joseph, Beyrouth, Lebanon;3. Département de médecine interne, faculté de médecine, université Saint-Joseph, Beyrouth, Lebanon;4. Département de pneumologie, faculté de médecine, université Saint-Joseph, Beyrouth, Lebanon;5. Département de néphrologie, faculté de médecine, université Saint-Joseph, Beyrouth, Lebanon;6. Département de gastro-entérologie, faculté de médecine, université Saint-Joseph, Beyrouth, Lebanon;1. Department of Medicine and Health Sciences, Health Leadership and Management, The George Washington Institute for Spirituality & Health, The George Washington University School of Medicine & Health Sciences, The George Washington University School of Public Health, MFA-GWU Supportive and Palliative Care Clinic, 2600 Virginia Avenue, Northwest, Suite 300, Washington, DC 20037, USA;2. Chaplaincy, Child Life, Seattle Cancer Care Alliance, PO Box 19023, Mail Stop K-231, Seattle, WA 98109, USA;3. Division of Nursing Research and Education, Department of Population Sciences, City of Hope Medical Center, 1500 East Duarte Road, Duarte, CA 91010, USA;1. Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN;2. Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN;3. Department of Chaplain Services, Mayo Clinic, Rochester, MN;4. Division of Medical Oncology, Department of Oncology, Mayo Clinic, Rochester, MN;5. Center for Shared Decision Making and Collaborative Care Research, Oslo University Hospital, HF Division of Medicine, Oslo, Norway;6. Department of Health Sciences Research, Mayo Clinic Arizona, Scottsdale, AZ;1. Division of Nursing Research and Education, City of Hope National Medical Center, Duarte, California, USA;2. Health Services Research & Quality, HealthCare Chaplaincy Network, New York, New York, USA;3. Cambia Health Foundation Sojourns Scholar Program, Camarillo, California, USA;4. Department of Medicine and Health Sciences, The George Washington University''s Institute for Spirituality and Health, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA;5. Robert Wood Johnson Foundation Future of Nursing Program, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA |
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| Abstract: | Although some studies have suggested a strong relationship between religion and spirituality (R&S) and patient outcomes in cancer care, other data have been mixed or even noted adverse effects associated with R&S in the healthcare setting. We sought to perform an umbrella review to systematically appraise and synthesize the current body of literature on the role of patient R&S in cancer care. A systematic search of the literature was conducted that focused on “cancer” (neoplasm, malignant neoplasm, malignancy), “spirituality” (beliefs, divine), and “religion” (specific practices like Christianity, faith, faith healing, prayer, Theology). A total of 41 review articles published from 1995 to 2019 were included: 8 systematic reviews, 6 meta-analyses, 4 systematic reviews and meta-analysis, and 23 other general reviews. The number of studies included in each review ranged from 7 to 148, while 10 studies did not indicate sample size. Most articles did not focus on a specific cancer diagnosis (n = 36), stage of cancer (n = 32), or patient population (n = 34). Many articles noted that R&S had a positive impact on cancer care, yet some reviews reported inconclusive or negative results. Marked variation in methodological approaches to studying R&S among cancer patients, including operational definitions and measurement, were identified. Resolving these issues will be an important step to understanding how patients seek to have R&S integrated into their patient-centered cancer care experience. |
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| Keywords: | Spirituality Religion Cancer Cancer treatment Umbrella review |
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