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Patients' supportive care needs beyond end of cancer treatment: a prospective, longitudinal survey

Patients' supportive care needs beyond end of cancer treatment: a prospective, longitudinal survey
Patients' supportive care needs beyond end of cancer treatment: a prospective, longitudinal survey
Purpose: To estimate prevalence and severity of patients' self-perceived supportive care needs in the immediate post-treatment phase and identify predictors of unmet need.
Patients and Methods: A multicenter, prospective, longitudinal survey was conducted. Sixty-six centers recruited patients for 12 weeks. Patients receiving treatment for the following cancers were recruited: breast, prostate, colorectal, and gynecologic cancer and non-Hodgkin's lymphoma. Measures of supportive care needs, anxiety and depression, fear of recurrence, and positive and negative affect were completed at the end of treatment (T0) and 6 months later (T1).
Results: Of 1,850 patients given questionnaire packs, 1,425 (79%) returned questionnaires at T0, and 1,152 (62%) returned questionnaires at T1. Mean age was 61 years; and most respondents were female (69%) and had breast cancer (57%). Most patients had no or few moderate or severe unmet supportive care needs. However, 30% reported more than five unmet needs at baseline, and for 60% of these patients, the situation did not improve. At both assessments, the most frequently endorsed unmet needs were psychological needs and fear of recurrence. Logistic regression revealed several statistically significant predictors of unmet need, including receipt of hormone treatment, negative affect, and experiencing an unrelated significant event between assessments.
Conclusion: Most patients do not express unmet needs for supportive care after treatment. Thirty percent reported more than five moderate or severe unmet needs at both assessments. Unmet needs were predicted by hormone treatment, negative mood, and experiencing a significant event. Our results suggest that there is a proportion of survivors with unmet needs who might benefit from the targeted application of psychosocial resources.
1527-7755
6172-6179
Armes, Jo
d72d1004-457a-4f30-bec7-329e696fe34f
Crowe, Maggie
f0f51bda-6768-4198-8e02-f9a9894b5777
Colbourne, Lynne
1fc0db39-5b68-4375-821c-314f33330cb0
Morgan, Helen
4cbea504-4665-49d8-a75a-ab7de8bfffba
Murrels, Trevor
6eac9004-2b07-4158-8fb6-67ab713f4ee4
Oakley, Catherine
34288e92-220c-4eaa-9dd2-115020b3e49f
Palmer, Nigel
42952a53-3396-4289-8464-c7840d698d8d
Ream, Emma
cac5aaf5-797c-4aff-b86f-ea717ac178fa
Young, Annie
52b8e574-4400-4ef9-8955-1f24cc4d7fae
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Armes, Jo
d72d1004-457a-4f30-bec7-329e696fe34f
Crowe, Maggie
f0f51bda-6768-4198-8e02-f9a9894b5777
Colbourne, Lynne
1fc0db39-5b68-4375-821c-314f33330cb0
Morgan, Helen
4cbea504-4665-49d8-a75a-ab7de8bfffba
Murrels, Trevor
6eac9004-2b07-4158-8fb6-67ab713f4ee4
Oakley, Catherine
34288e92-220c-4eaa-9dd2-115020b3e49f
Palmer, Nigel
42952a53-3396-4289-8464-c7840d698d8d
Ream, Emma
cac5aaf5-797c-4aff-b86f-ea717ac178fa
Young, Annie
52b8e574-4400-4ef9-8955-1f24cc4d7fae
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7

Armes, Jo, Crowe, Maggie, Colbourne, Lynne, Morgan, Helen, Murrels, Trevor, Oakley, Catherine, Palmer, Nigel, Ream, Emma, Young, Annie and Richardson, Alison (2009) Patients' supportive care needs beyond end of cancer treatment: a prospective, longitudinal survey. Journal of Clinical Oncology, 27 (36), 6172-6179. (doi:10.1200/JCO.2009.22.5151).

Record type: Article

Abstract

Purpose: To estimate prevalence and severity of patients' self-perceived supportive care needs in the immediate post-treatment phase and identify predictors of unmet need.
Patients and Methods: A multicenter, prospective, longitudinal survey was conducted. Sixty-six centers recruited patients for 12 weeks. Patients receiving treatment for the following cancers were recruited: breast, prostate, colorectal, and gynecologic cancer and non-Hodgkin's lymphoma. Measures of supportive care needs, anxiety and depression, fear of recurrence, and positive and negative affect were completed at the end of treatment (T0) and 6 months later (T1).
Results: Of 1,850 patients given questionnaire packs, 1,425 (79%) returned questionnaires at T0, and 1,152 (62%) returned questionnaires at T1. Mean age was 61 years; and most respondents were female (69%) and had breast cancer (57%). Most patients had no or few moderate or severe unmet supportive care needs. However, 30% reported more than five unmet needs at baseline, and for 60% of these patients, the situation did not improve. At both assessments, the most frequently endorsed unmet needs were psychological needs and fear of recurrence. Logistic regression revealed several statistically significant predictors of unmet need, including receipt of hormone treatment, negative affect, and experiencing an unrelated significant event between assessments.
Conclusion: Most patients do not express unmet needs for supportive care after treatment. Thirty percent reported more than five moderate or severe unmet needs at both assessments. Unmet needs were predicted by hormone treatment, negative mood, and experiencing a significant event. Our results suggest that there is a proportion of survivors with unmet needs who might benefit from the targeted application of psychosocial resources.

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Published date: 20 December 2009
Organisations: Health Sciences

Identifiers

Local EPrints ID: 71852
URI: https://eprints.soton.ac.uk/id/eprint/71852
ISSN: 1527-7755
PURE UUID: 38f719e0-94dd-4f49-b08b-2ba77ec81ab8
ORCID for Alison Richardson: ORCID iD orcid.org/0000-0003-3127-5755

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Date deposited: 06 Jan 2010
Last modified: 06 Jun 2018 12:34

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Contributors

Author: Jo Armes
Author: Maggie Crowe
Author: Lynne Colbourne
Author: Helen Morgan
Author: Trevor Murrels
Author: Catherine Oakley
Author: Nigel Palmer
Author: Emma Ream
Author: Annie Young

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