{"id":"https://openalex.org/W7219716368","doi":"https://doi.org/10.3389/fpsyg.2026.1830770","title":"Living with Cancer under watch and wait: a qualitative systematic review and thematic synthesis","display_name":"Living with Cancer under watch and wait: a qualitative systematic review and thematic synthesis","publication_year":2026,"publication_date":"2026-10-05","ids":{"openalex":"https://openalex.org/W7219716368","doi":"https://doi.org/10.3389/fpsyg.2026.1830770","pmid":"https://pubmed.ncbi.nlm.nih.gov/42898263","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13677477"},"language":"en","primary_location":{"id":"doi:10.3389/fpsyg.2026.1830770","doi":"https://doi.org/10.3389/fpsyg.2026.1830770","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1830770","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1830770/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1830770/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5058949786","display_name":"Clement Boutry","orcid":"https://orcid.org/0000-0002-6781-2201","observed_orcids":["https://orcid.org/0000-0002-6781-2201"]},"institutions":[{"id":"https://openalex.org/I142263535","display_name":"University of Nottingham","ror":"https://ror.org/01ee9ar58","country_code":"GB","type":"education","lineage":["https://openalex.org/I142263535"]},{"id":"https://openalex.org/I4210101111","display_name":"Institute of Mental Health","ror":"https://ror.org/015dvxx67","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101111"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Clement Boutry","raw_affiliation_strings":["Institute of Mental Health, School of Medicine, University of Nottingham"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Mental Health, School of Medicine, University of Nottingham","institution_ids":["https://openalex.org/I142263535","https://openalex.org/I4210101111"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130366166","display_name":"Melissa Covington","orcid":"https://orcid.org/0009-0004-7039-9317","observed_orcids":["https://orcid.org/0009-0004-7039-9317"]},"institutions":[{"id":"https://openalex.org/I2802381302","display_name":"Nottinghamshire Healthcare NHS Foundation Trust","ror":"https://ror.org/04ehjk122","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802381302"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Melissa Covington","raw_affiliation_strings":["Nottinghamshire Healthcare NHS Foundation Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nottinghamshire Healthcare NHS Foundation Trust","institution_ids":["https://openalex.org/I2802381302"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117386852","display_name":"Anika Kochar","orcid":"https://orcid.org/0009-0009-6113-2617","observed_orcids":["https://orcid.org/0009-0009-6113-2617"]},"institutions":[{"id":"https://openalex.org/I2802381302","display_name":"Nottinghamshire Healthcare NHS Foundation Trust","ror":"https://ror.org/04ehjk122","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802381302"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Anika Kochar","raw_affiliation_strings":["Nottinghamshire Healthcare NHS Foundation Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nottinghamshire Healthcare NHS Foundation Trust","institution_ids":["https://openalex.org/I2802381302"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157212009","display_name":"Angel Nicholson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802381302","display_name":"Nottinghamshire Healthcare NHS Foundation Trust","ror":"https://ror.org/04ehjk122","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802381302"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Angel Nicholson","raw_affiliation_strings":["Nottinghamshire Healthcare NHS Foundation Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nottinghamshire Healthcare NHS Foundation Trust","institution_ids":["https://openalex.org/I2802381302"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020383823","display_name":"Naomi Thorpe","orcid":"https://orcid.org/0000-0002-4539-8564","observed_orcids":["https://orcid.org/0000-0002-4539-8564"]},"institutions":[{"id":"https://openalex.org/I2802381302","display_name":"Nottinghamshire Healthcare NHS Foundation Trust","ror":"https://ror.org/04ehjk122","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802381302"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Naomi Thorpe","raw_affiliation_strings":["Nottinghamshire Healthcare NHS Foundation Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nottinghamshire Healthcare NHS Foundation Trust","institution_ids":["https://openalex.org/I2802381302"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006496988","display_name":"Nima G Moghaddam","orcid":"https://orcid.org/0000-0002-8657-4341","observed_orcids":["https://orcid.org/0000-0002-8657-4341"]},"institutions":[{"id":"https://openalex.org/I51532219","display_name":"University of Lincoln","ror":"https://ror.org/03yeq9x20","country_code":"GB","type":"education","lineage":["https://openalex.org/I51532219"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Nima Moghaddam","raw_affiliation_strings":["Psychological Health and Wellbeing Group, University of Lincoln"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychological Health and Wellbeing Group, University of Lincoln","institution_ids":["https://openalex.org/I51532219"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5058949786"],"corresponding_institution_ids":["https://openalex.org/I142263535","https://openalex.org/I4210101111"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.53123615,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"1830770","last_page":"1830770"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.9589999914169312,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.9589999914169312,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.0284000001847744,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.00279999990016222,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/expectant-management","display_name":"expectant management","score":0.9909999966621399},{"id":"https://openalex.org/keywords/active-surveillance","display_name":"active surveillance","score":0.9919999837875366},{"id":"https://openalex.org/keywords/cancer-patients","display_name":"cancer patients","score":0.48100000619888306},{"id":"https://openalex.org/keywords/patient-experience","display_name":"patient experience","score":0.6830000281333923},{"id":"https://openalex.org/keywords/emotional-burden","display_name":"emotional burden","score":0.703000009059906},{"id":"https://openalex.org/keywords/psychological-distress","display_name":"psychological distress","score":0.578000009059906},{"id":"https://openalex.org/keywords/coping-strategies","display_name":"coping strategies","score":0.8130000233650208},{"id":"https://openalex.org/keywords/social-isolation","display_name":"social isolation","score":0.5899999737739563},{"id":"https://openalex.org/keywords/stigma","display_name":"stigma","score":0.9070000052452087},{"id":"https://openalex.org/keywords/family-relationships","display_name":"family relationships","score":0.6340000033378601},{"id":"https://openalex.org/keywords/patient-clinician-communication","display_name":"patient-clinician communication","score":0.7440000176429749},{"id":"https://openalex.org/keywords/supportive-care","display_name":"supportive care","score":0.9240000247955322},{"id":"https://openalex.org/keywords/overtreatment-avoidance","display_name":"overtreatment avoidance","score":0.5649999976158142}],"concepts":[{"id":"https://openalex.org/C2776141087","wikidata":"https://www.wikidata.org/wiki/Q2161551","display_name":"Watchful waiting","level":4,"score":0.9039999842643738},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.7008000016212463},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6948999762535095},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6003000140190125},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5669999718666077},{"id":"https://openalex.org/C94124525","wikidata":"https://www.wikidata.org/wiki/Q912550","display_name":"Categorization","level":2,"score":0.4657000005245209},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.41350001096725464},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.352400004863739},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.34610000252723694},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.33399999141693115},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3321000039577484},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.32280001044273376},{"id":"https://openalex.org/C3017945913","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Emotional distress","level":3,"score":0.32089999318122864},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.30869999527931213},{"id":"https://openalex.org/C2777179973","wikidata":"https://www.wikidata.org/wiki/Q5031456","display_name":"Cancer survivor","level":3,"score":0.304500013589859},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.27250000834465027},{"id":"https://openalex.org/C139807058","wikidata":"https://www.wikidata.org/wiki/Q352374","display_name":"Adaptation (eye)","level":2,"score":0.267300009727478},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.2671000063419342},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.25999999046325684},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.2540999948978424},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.25380000472068787},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2522999942302704}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fpsyg.2026.1830770","doi":"https://doi.org/10.3389/fpsyg.2026.1830770","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1830770","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1830770/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13677477","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13677477/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13677477/pdf/fpsyg-17-1830770.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Psychol","raw_type":"Text"},{"id":"pmid:42898263","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42898263","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in psychology","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:c298ad74a1d04ff5b4500f9a93b13540","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/c298ad74a1d04ff5b4500f9a93b13540","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Psychology, Vol 17 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpsyg.2026.1830770","doi":"https://doi.org/10.3389/fpsyg.2026.1830770","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1830770","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1830770/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7219716368.pdf","grobid_xml":"https://content.openalex.org/works/W7219716368.grobid-xml"},"referenced_works_count":28,"referenced_works":["https://openalex.org/W1853502668","https://openalex.org/W2004819694","https://openalex.org/W2006114931","https://openalex.org/W2070750573","https://openalex.org/W2109305774","https://openalex.org/W2137777824","https://openalex.org/W2146629016","https://openalex.org/W2166897270","https://openalex.org/W2604525151","https://openalex.org/W2775212908","https://openalex.org/W2786032507","https://openalex.org/W2902699591","https://openalex.org/W2911552134","https://openalex.org/W2982484831","https://openalex.org/W3081669562","https://openalex.org/W3096105916","https://openalex.org/W3100217431","https://openalex.org/W3162004102","https://openalex.org/W3184180244","https://openalex.org/W4225654678","https://openalex.org/W4292428648","https://openalex.org/W4324143593","https://openalex.org/W4390944094","https://openalex.org/W4392951016","https://openalex.org/W4404049771","https://openalex.org/W4404447029","https://openalex.org/W4409178859","https://openalex.org/W4410042492"],"related_works":["https://openalex.org/W4253629955","https://openalex.org/W4376613219","https://openalex.org/W4401919626","https://openalex.org/W4388044808","https://openalex.org/W2060752017","https://openalex.org/W3201712923","https://openalex.org/W2014661765","https://openalex.org/W7047156610","https://openalex.org/W4291012450","https://openalex.org/W2586347824"],"abstract_inverted_index":{"Objective:":[0],"Watchful":[1,298],"waiting,":[2,135],"sometimes":[3],"referred":[4],"to":[5,19,72,156,245,291],"as":[6,280],"active":[7,136,252],"surveillance":[8],"or":[9,21,138,347],"observation,":[10],"is":[11,51,300],"used":[12,119],"across":[13,82,108],"a":[14,47,88,133,171,258,302],"range":[15,172,259],"of":[16,44,68,79,95,101,127,173,209,217,251,260],"cancer":[17,49,83,131,174],"contexts":[18],"avoid":[20],"delay":[22],"unnecessary":[23],"treatment":[24],"and":[25,63,92,112,122,149,159,176,214,221,234,238,272,276,289,294,310,332,344],"its":[26],"associated":[27,324],"harms.":[28],"Although":[29],"this":[30,69],"approach":[31],"may":[32,59,338],"reduce":[33],"overtreatment,":[34],"it":[35],"can":[36,306],"also":[37],"place":[38],"patients":[39,185,255,283,336],"in":[40,219,248],"the":[41,125,249,321],"unusual":[42],"position":[43],"living":[45,129,326],"with":[46,130,282,325,327],"known":[48],"that":[50],"being":[52],"monitored":[53,330],"rather":[54],"than":[55],"immediately":[56],"treated.":[57],"This":[58],"have":[60],"important":[61],"psychological":[62,346],"social":[64,225],"consequences.":[65],"The":[66],"aim":[67],"review":[70,91],"was":[71,205],"synthesize":[73],"qualitative":[74,89,120],"research":[75],"exploring":[76],"patients'":[77,99],"experiences":[78,100,126,226],"watchful":[80,102,134],"waiting":[81,299],"contexts.":[84],"Methods:":[85],"We":[86],"conducted":[87],"systematic":[90],"thematic":[93,154],"synthesis":[94,155],"published":[96],"studies":[97,118,143,167],"examining":[98],"waiting.":[103],"Systematic":[104],"searches":[105],"were":[106,144,151,168,182,227],"undertaken":[107],"major":[109],"electronic":[110],"databases":[111],"supplemented":[113],"by":[114,207,230],"hand":[115],"searching.":[116],"Eligible":[117],"methods":[121],"focused":[123],"on":[124,257],"adults":[128],"under":[132],"surveillance,":[137],"equivalent":[139],"monitoring":[140],"pathway.":[141],"Included":[142],"appraised":[145],"for":[146,196],"methodological":[147],"quality,":[148],"findings":[150],"analysed":[152],"using":[153],"generate":[157],"descriptive":[158],"higher":[160],"order":[161],"analytical":[162],"themes.":[163],"Results:":[164],"Twenty":[165],"five":[166],"included,":[169],"representing":[170],"types":[175],"clinical":[177],"pathways.":[178],"Five":[179],"overarching":[180],"themes":[181],"identified.":[183],"First,":[184],"described":[186],"complex":[187],"emotional":[188,295,322],"responses,":[189],"including":[190,263],"shock,":[191],"fear,":[192],"anxiety,":[193],"uncertainty,":[194],"and,":[195],"some,":[197],"gradual":[198],"adaptation":[199],"over":[200],"time.":[201],"Second,":[202],"decision":[203],"making":[204],"shaped":[206],"perceptions":[208],"risk,":[210],"beliefs":[211],"about":[212],"treatment,":[213],"varying":[215],"degrees":[216],"trust":[218],"clinicians":[220],"healthcare":[222],"systems.":[223],"Third,":[224],"often":[228],"marked":[229],"isolation,":[231],"misunderstanding,":[232],"stigma,":[233],"strain":[235],"within":[236],"family":[237],"intimate":[239],"relationships,":[240],"particularly":[241],"where":[242],"others":[243],"struggled":[244],"understand":[246],"distress":[247],"absence":[250],"treatment.":[253],"Fourth,":[254],"drew":[256],"coping":[261],"strategies,":[262],"reassurance":[264],"from":[265,340],"monitoring,":[266],"peer":[267,348],"support,":[268],"information":[269],"seeking,":[270],"acceptance,":[271],"routines.":[273],"Fifth,":[274],"communication":[275],"supportive":[277],"care":[278],"emerged":[279],"central,":[281],"valuing":[284],"clear":[285],"explanations,":[286],"continuity,":[287],"validation,":[288],"opportunities":[290],"discuss":[292],"uncertainty":[293],"burden.":[296],"Conclusion:":[297],"not":[301],"passive":[303],"experience.":[304],"It":[305],"be":[307],"psychologically":[308],"demanding":[309],"socially":[311],"complex,":[312],"even":[313],"when":[314],"clinically":[315],"appropriate.":[316],"Cancer":[317],"services":[318],"should":[319,333],"recognize":[320],"burden":[323],"untreated":[328],"but":[329],"disease":[331],"proactively":[334],"identify":[335],"who":[337],"benefit":[339],"clearer":[341],"communication,":[342],"reassurance,":[343],"tailored":[345],"support.":[349]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-10-05T00:00:00"}