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Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study

Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study
Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study
Purpose: to investigate unmet needs of patients with colorectal cancer (CRC) at the end of treatment and whether unmet needs improve over time. Identify predictors of need following treatment and whether unmet need is associated with worse health-related quality of life (HRQoL).

Methods: as part of the UK ColoREctal Wellbeing (CREW) cohort study, patients treated for CRC completed the Supportive Care Needs Survey Short Form-34 (SCNS SF-34) 15 and 24 months following surgery, along with questionnaires measuring HRQoL, wellbeing, life events, social support, and confidence to manage their cancer before surgery, 3, 9, 15, and 24 months post-surgery.

Results: the SCNS SF-34 was completed by 526 patients at 15 months and 510 patients at 24 months. About one-quarter of patients had at least one moderate or severe unmet need at both time points. Psychological and physical unmet needs were the most common and did not improve over time. Over 60% of patients who reported 5 or more moderate or severe unmet needs at 15 months experienced the same level of unmet need at 24 months. HRQoL at the beginning of treatment predicted unmet needs at the end of treatment. Unmet needs, specifically physical, psychological, and health system and information needs, were associated with poorer health and HRQoL at the end of treatment.

Conclusions: unmet needs persist over time and are associated with HRQoL. Evaluation of HRQoL at the start of treatment would help inform the identification of vulnerable patients. Assessment and care planning in response to unmet needs should be integrated into person-centred care.
1932-2259
899-909
Sodergren, S. C.
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Wheelwright, S. J.
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Permyakova, N. V.
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Patel, M.
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Calman, L.
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Smith, P. W. F.
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Din, A.
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Richardson, A.
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Fenlon, D.
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Winter, J.
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Corner, J.
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Foster, C.
00786ac1-bd47-4aeb-a0e2-40e058695b73
Members of Study Advisory Committee
Sodergren, S. C.
d66fc3fa-2c98-403d-8ae5-410ef95de46e
Wheelwright, S. J.
2df90681-fb0a-4871-ae7d-75c88b35024b
Permyakova, N. V.
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Patel, M.
b91108e8-7cb6-4784-8026-2d3aa24b7149
Calman, L.
9ae254eb-74a7-4906-9eb4-62ad99f058c1
Smith, P. W. F.
961a01a3-bf4c-43ca-9599-5be4fd5d3940
Din, A.
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Richardson, A.
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Fenlon, D.
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Winter, J.
768d4b60-3b95-458c-bef6-81264fa10c1c
Corner, J.
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Foster, C.
00786ac1-bd47-4aeb-a0e2-40e058695b73

Sodergren, S. C., Wheelwright, S. J., Permyakova, N. V., Patel, M., Calman, L., Smith, P. W. F., Din, A., Richardson, A., Fenlon, D., Winter, J., Corner, J. and Foster, C. , Members of Study Advisory Committee (2019) Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study. Journal of Cancer Survivorship, 13 (6), 899-909. (doi:10.1007/s11764-019-00805-6).

Record type: Article

Abstract

Purpose: to investigate unmet needs of patients with colorectal cancer (CRC) at the end of treatment and whether unmet needs improve over time. Identify predictors of need following treatment and whether unmet need is associated with worse health-related quality of life (HRQoL).

Methods: as part of the UK ColoREctal Wellbeing (CREW) cohort study, patients treated for CRC completed the Supportive Care Needs Survey Short Form-34 (SCNS SF-34) 15 and 24 months following surgery, along with questionnaires measuring HRQoL, wellbeing, life events, social support, and confidence to manage their cancer before surgery, 3, 9, 15, and 24 months post-surgery.

Results: the SCNS SF-34 was completed by 526 patients at 15 months and 510 patients at 24 months. About one-quarter of patients had at least one moderate or severe unmet need at both time points. Psychological and physical unmet needs were the most common and did not improve over time. Over 60% of patients who reported 5 or more moderate or severe unmet needs at 15 months experienced the same level of unmet need at 24 months. HRQoL at the beginning of treatment predicted unmet needs at the end of treatment. Unmet needs, specifically physical, psychological, and health system and information needs, were associated with poorer health and HRQoL at the end of treatment.

Conclusions: unmet needs persist over time and are associated with HRQoL. Evaluation of HRQoL at the start of treatment would help inform the identification of vulnerable patients. Assessment and care planning in response to unmet needs should be integrated into person-centred care.

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Accepted/In Press date: 30 August 2019
e-pub ahead of print date: 11 September 2019
Published date: 11 September 2019

Identifiers

Local EPrints ID: 434809
URI: http://eprints.soton.ac.uk/id/eprint/434809
ISSN: 1932-2259
PURE UUID: bf7f9129-1711-4c3e-a849-bbac8f9ff922
ORCID for S. C. Sodergren: ORCID iD orcid.org/0000-0001-8755-146X
ORCID for S. J. Wheelwright: ORCID iD orcid.org/0000-0003-0657-2483
ORCID for L. Calman: ORCID iD orcid.org/0000-0002-9964-6017
ORCID for P. W. F. Smith: ORCID iD orcid.org/0000-0003-4423-5410
ORCID for C. Foster: ORCID iD orcid.org/0000-0002-4703-8378

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Date deposited: 10 Oct 2019 16:30
Last modified: 18 Feb 2021 17:20

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Contributors

Author: S. C. Sodergren ORCID iD
Author: N. V. Permyakova
Author: M. Patel
Author: L. Calman ORCID iD
Author: P. W. F. Smith ORCID iD
Author: A. Din
Author: A. Richardson
Author: D. Fenlon
Author: J. Winter
Author: J. Corner
Author: C. Foster ORCID iD
Corporate Author: Members of Study Advisory Committee

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