Unmet supportive care needs and associated factors among young adult cancer patients in Japan.

Abstract Background: Young adult cancer patients often face unique challenges and have potential unmet needs. This study aimed (1) to describe unmet supportive care needs among young adults with cancer in Japan, and (2) to identify its associated factors.Methods: In a cross-sectional web-based survey, 206 young adults with cancer were assessed for supportive care needs. Multiple regression analysis examined whether demographics, clinical variables and social support were associated with unmet supportive care needs.Results: A total of 206 patients (180 female) with a mean age of 33.7 years (SD=4.3, range: 22-39) participated. One hundred and fifty-eight participants (76.7%) reported at least one unmet supportive care needs. The top 20 unmet needs included 9 of the 10 psychological needs, 3 of the 5 physical and daily living needs, 8 of the 11 health system and information needs and 1 of the 5 sexuality needs. Multiple regression analysis revealed that perceived poorer PS, experience of change in work/school after a cancer diagnosis and poor social support were significantly associated with higher supportive care needs. The total score of supportive care needs was significantly associated with both psychological distress and QOL.Conclusions: More than 70% of young adult cancer survivors reported unmet supportive care needs and most of those were psychological needs. The findings suggest potential opportunities for intervention in addressing psychological needs rather than physical and information needs.

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Unmet supportive care needs and associated factors among young adult cancer patients in Japan

BMC Cancer ◽

10.1186/s12885-020-07721-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Masako Okamura ◽

Maiko Fujimori ◽

Ayako Sato ◽

Yosuke Uchitomi

Keyword(s):

Young Adult ◽

Supportive Care ◽

Cancer Patients ◽

Associated Factors ◽

Information Needs ◽

Unmet Needs ◽

Psychological Needs ◽

Supportive Care Needs ◽

Care Needs ◽

Young Adult Cancer

Abstract Background Young adult cancer patients often face unique challenges and have potential unmet needs. This study aimed (1) to describe unmet supportive care needs among young adults with cancer in Japan, and (2) to identify its associated factors. Methods In a cross-sectional web-based survey, 206 young adults with cancer were assessed for supportive care needs. Multiple regression analysis examined whether demographics, clinical variables and social support were associated with unmet supportive care needs. Results A total of 206 patients (180 female) with a mean age of 33.7 years (SD = 4.3, range: 22–39) participated. One hundred and fifty-eight participants (76.7%) reported at least one unmet supportive care needs. The top 20 unmet needs included 9 of the 10 psychological needs, 3 of the 5 physical and daily living needs, 8 of the 11 health system and information needs and 1 of the 5 sexuality needs. Multiple regression analysis revealed that perceived poorer PS, experience of change in work/school after a cancer diagnosis and poor social support were significantly associated with higher supportive care needs. The total score of supportive care needs was significantly associated with both psychological distress and QOL. Conclusions More than 70% of young adult cancer patients reported unmet supportive care needs and most of those were psychological needs. The findings suggest potential opportunities for intervention in addressing psychological needs rather than physical and information needs.

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Unmet supportive care needs and associated factors among young adult cancer patients in Japan

10.21203/rs.2.22046/v3 ◽

2020 ◽

Author(s):

Masako Okamura ◽

Maiko Fujimori ◽

Ayako Sato ◽

Yosuke Uchitomi

Keyword(s):

Young Adult ◽

Supportive Care ◽

Cancer Patients ◽

Associated Factors ◽

Information Needs ◽

Unmet Needs ◽

Psychological Needs ◽

Supportive Care Needs ◽

Care Needs ◽

Young Adult Cancer

Abstract Background: Young adult cancer patients often face unique challenges and have potential unmet needs. This study aimed (1) to describe unmet supportive care needs among young adults with cancer in Japan, and (2) to identify its associated factors.Methods: In a cross-sectional web-based survey, 206 young adults with cancer were assessed for supportive care needs. Multiple regression analysis examined whether demographics, clinical variables and social support were associated with unmet supportive care needs.Results: A total of 206 patients (180 female) with a mean age of 33.7 years (SD=4.3, range: 22-39) participated. One hundred and fifty-eight participants (76.7%) reported at least one unmet supportive care needs. The top 20 unmet needs included 9 of the 10 psychological needs, 3 of the 5 physical and daily living needs, 8 of the 11 health system and information needs and 1 of the 5 sexuality needs. Multiple regression analysis revealed that perceived poorer PS, experience of change in work/school after a cancer diagnosis and poor social support were significantly associated with higher supportive care needs. The total score of supportive care needs was significantly associated with both psychological distress and QOL.Conclusions: More than 70% of young adult cancer patients reported unmet supportive care needs and most of those were psychological needs. The findings suggest potential opportunities for intervention in addressing psychological needs rather than physical and information needs.

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Health and supportive care needs of young adult cancer patients and survivors

Journal of Cancer Survivorship ◽

10.1007/s11764-007-0015-0 ◽

2007 ◽

Vol 1 (2) ◽

pp. 137-145 ◽

Cited By ~ 94

Author(s):

Brad J. Zebrack ◽

Jennifer Mills ◽

Tammy S. Weitzman

Keyword(s):

Young Adult ◽

Supportive Care ◽

Cancer Patients ◽

Supportive Care Needs ◽

Care Needs ◽

Young Adult Cancer

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Age, Health, and Education Determine Supportive Care Needs of Men Younger Than 70 Years With Prostate Cancer

Journal of Clinical Oncology ◽

10.1200/jco.2006.09.8046 ◽

2007 ◽

Vol 25 (18) ◽

pp. 2560-2566 ◽

Cited By ~ 101

Author(s):

David P. Smith ◽

Rajah Supramaniam ◽

Madeleine T. King ◽

Jeanette Ward ◽

Martin Berry ◽

...

Keyword(s):

Prostate Cancer ◽

Supportive Care ◽

Unmet Needs ◽

Specific Antigen ◽

Unmet Need ◽

Psychological Needs ◽

Supportive Care Needs ◽

Newly Diagnosed ◽

Treatment Needs ◽

Care Needs

Purpose It is important to meet the supportive care needs of cancer patients to ensure their satisfaction with their care. A population-wide sample of men younger than 70 years and newly diagnosed with prostate cancer was surveyed to determine their unmet needs in five domains and the factors predicting them. Patients and Methods Eligible men were younger than 70 years and residents in New South Wales, Australia, with newly diagnosed histopathologically confirmed prostate cancer. Sixty-seven percent of eligible men diagnosed between October 2000 and October 2001 participated. Demographic, treatment, and self-reported health data were collected. Information on cancer stage, grade, and prostate-specific antigen was obtained from medical records. Logistic regression analyses determined patient and treatment variables that predicted higher unmet needs. Results More than half (54%) of men with prostate cancer expressed some level of unmet psychological need, and 47% expressed unmet sexuality needs. Nearly one fourth expressed a moderate or high level of unmet need with respect to changes in sexuality. Sexuality needs were independently predicted by being younger, having had a secondary school education only, having had surgery, and being married, living as married, or divorced. Uncertainty about the future was also an important area of unmet need. Conclusion Attention should be given to sexual and psychological needs in the early months after diagnosis or treatment of prostate cancer, particularly in younger men, those with less education, and those having surgery. Research into better ways of meeting these needs will enable us to meet them with as much rigor as we meet clinical treatment needs.

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Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18158124 ◽

2021 ◽

Vol 18 (15) ◽

pp. 8124

Author(s):

Ya-Ting Tseng ◽

Chia-Hsun Hsieh ◽

Chien-Wei Hung ◽

Chia-Chia Chen ◽

Shu-Hui Lee ◽

...

Keyword(s):

Social Support ◽

Supportive Care ◽

Cancer Patients ◽

Unmet Needs ◽

Symptom Distress ◽

Supportive Care Needs ◽

Cancer Center ◽

Care Needs ◽

Outpatient Chemotherapy ◽

Upper Gastrointestinal

Upper gastrointestinal (UGI) cancer treatment can cause physical and psychological distress and may result in unmet needs. The purposes of this study were to (1) examine the levels of gastrointestinal (GI) symptom distress, social support, and supportive care needs; (2) screen the priorities of unmet supportive care needs; and (3) identify the factors associated with supportive care needs among UGI cancer patients receiving chemotherapy. This cross-sectional study examined UGI cancer patients who received treatment from the outpatient chemotherapy department of a single cancer center in northern Taiwan. Questionnaires were used to collect data regarding GI symptom distress, social support, unmet needs, and supportive care needs. The top three unmet needs were “fears about the cancer spreading”, “uncertainty about the future”, and “being informed about things you can do to help yourself to get well”. Descriptive statistics examined the levels of GI symptom distress, social support, supportive care needs, and priorities of unmet supportive care needs. Stepwise regression was conducted to determine significant factors related to supportive care needs. Greater supportive care needs were found to be associated with higher levels of disease-related worries, increased treatment-related symptoms, and a lower level of physical performance. These factors explained 48.0% of the variance in supportive care needs. Disease-related worries and treatment-related symptoms strongly influence overall supportive care needs and each domain of supportive care needs. Symptom management and psychological support for patients receiving outpatient chemotherapy may help patients meet needs.

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Cancer-specific distress, supportive care needs and satisfaction with psychosocial care in young adult cancer survivors

European Journal of Oncology Nursing ◽

10.1016/j.ejon.2019.101708 ◽

2020 ◽

Vol 44 ◽

pp. 101708 ◽

Cited By ~ 1

Author(s):

Annekathrin Sender ◽

Michael Friedrich ◽

Ricarda Schmidt ◽

Kristina Geue

Keyword(s):

Young Adult ◽

Supportive Care ◽

Cancer Survivors ◽

Psychosocial Care ◽

Supportive Care Needs ◽

Care Needs ◽

Young Adult Cancer Survivors ◽

Adult Cancer Survivors ◽

Young Adult Cancer

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Sexuality and romantic relationships in young adult cancer survivors: satisfaction and supportive care needs

Psycho-Oncology ◽

10.1002/pon.3805 ◽

2015 ◽

Vol 24 (11) ◽

pp. 1368-1376 ◽

Cited By ~ 36

Author(s):

Kristina Geue ◽

Ricarda Schmidt ◽

Annekathrin Sender ◽

Siegfried Sauter ◽

Michael Friedrich

Keyword(s):

Young Adult ◽

Romantic Relationships ◽

Supportive Care ◽

Cancer Survivors ◽

Supportive Care Needs ◽

Care Needs ◽

Young Adult Cancer Survivors ◽

Adult Cancer Survivors ◽

Young Adult Cancer

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A national survey of support and information needs of Australian women living with advanced breast cancer.

Journal of Clinical Oncology ◽

10.1200/jco.2012.30.15_suppl.9124 ◽

2012 ◽

Vol 30 (15_suppl) ◽

pp. 9124-9124

Author(s):

Linda R. Mileshkin ◽

Lisa Sheeran ◽

Kate Robins-Browne ◽

Michelle Marven ◽

Karla Gough ◽

...

Keyword(s):

Breast Cancer ◽

Supportive Care ◽

Advanced Breast Cancer ◽

Information Needs ◽

Unmet Needs ◽

Advanced Breast ◽

Supportive Care Needs ◽

Medical Oncologist ◽

Care Needs ◽

Breast Care Nurse

9124 Background: Improved treatments mean women with advanced breast cancer (ABC) are living longer, sometimes for many years. As a result, these women may experience chronic needs that are different from those with early breast cancer. We aimed to assess the support and information needs of women living with ABC. Methods: A national postal survey was sent to 2,345 women with ABC registered as members of the consumer organizations BCNA and/or BreaCan. Women were asked about their disease, treatment, experiences of care, and to complete the Supportive Care Needs Survey. Results: The response rate was 34% (792 valid responses). Mean age was 57 (range 25-99) with 21% living alone and 27% working. 18% reported living with ABC for >7 years. 656 (85%) were having current treatment: chemotherapy (43%), hormonal therapy (46%), bisphosphonates (49%), and/or trastuzumab (Herceptin) (19%) respectively. 49% of women reported having access to a Breast Care Nurse (BCN) since diagnosis of ABC but only 3% cited a BCN or cancer nurse as their main contact. The majority (76%) cited their medical oncologist as their main contact, 8% cited their family doctor. Women wanted information about: treatment options (84.2%), new treatments (79.2%), symptoms/side effects (78.9%), clinical trials (60.8%), managing pain (57.2%) and financial assistance (38%). Women ≤ 65 had significantly higher levels of unmet needs than those >65 for the 7 items below, including all items from the sexual domain. Conclusions: Women with ABC have many unmet needs with younger women particularly needing more support with sexual needs and anxiety. Women are heavily reliant on their medical oncologist, who may not be equipped or best placed to meet these needs. Models of care need to be developed to address the unmet supportive care needs of women living with ABC. [Table: see text]

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