Factors associated with unmet supportive care needs of oncology patients at Dessie Referral Hospital, 2020

Adolescents and young adults (AYAs) represent an overlooked population in cancer survivorship care. Identifying the needs of AYAs can guide the development of tailored programs for this population. We conducted a cross-sectional descriptive analysis to identify biopsychosocial factors associated with AYA post-treatment supportive care needs and unmet needs using data obtained from the Experiences of Cancer Patients in Transitions Study of the Canadian Partnership Against Cancer, in collaboration with cancer agencies in the 10 Canadian provinces. The analysis focused on data from n = 530 AYAs between the ages of 18 and 34 who had undergone treatment within the past 5 years. Respondents reported a median of two moderate to big (MTB) physical needs (out of 9) and one unmet physical need, two MTB emotional needs (out of 6) with two unmet MTB emotional needs, and one (out of 5) practical need reported and one unmet MTB practical need. We found some common associations across supportive care domains. Income (lower) and more complex treatment were associated with high needs and unmet needs across the three domains. Respondents with a family doctor who was “very involved” in their cancer care had a lower number of unmet physical and emotional needs. Identifying those at risk of supportive care needs and developing tailored pathways in which they are proactively connected with tailored and appropriate resources and programs may help to reduce the number of unmet needs and improve cancer survivors’ quality of life.

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Prevalence and factors associated with supportive care needs among newly diagnosed Mexican breast cancer patients

Supportive Care in Cancer ◽

10.1007/s00520-017-3741-5 ◽

2017 ◽

Vol 25 (10) ◽

pp. 3273-3280 ◽

Cited By ~ 7

Author(s):

Adriana Pérez-Fortis ◽

Joke Fleer ◽

Juan José Sánchez-Sosa ◽

María Guadalupe Veloz-Martínez ◽

Patricia Alanís-López ◽

...

Keyword(s):

Breast Cancer ◽

Supportive Care ◽

Cancer Patients ◽

Supportive Care Needs ◽

Newly Diagnosed ◽

Breast Cancer Patients ◽

Care Needs ◽

Factors Associated

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The impact of the COVID-19 pandemic on patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) in an Australian outpatient oncology setting.

Journal of Clinical Oncology ◽

10.1200/jco.2020.39.28_suppl.195 ◽

2021 ◽

Vol 39 (28_suppl) ◽

pp. 195-195

Author(s):

Kate Webber ◽

Olivia Cook ◽

Michelle White ◽

Alastair Kwok ◽

Eva Segelov

Keyword(s):

Supportive Care ◽

Sleep Problems ◽

Short Form ◽

Phase 1 ◽

Assessment System ◽

Supportive Care Needs ◽

Care Needs ◽

Oncology Patients ◽

Patient Reported ◽

The Impact

195 Background: PROMs and PREMs may be useful tools to reflect the impact of the COVID-19 pandemic on cancer patients’ wellbeing and care. This analysis compares baseline self-reported quality of life (QoL), symptoms and supportive care needs between two independent patient groups based on when and how they attended their oncology appointment: 1) in person, prior to the global declaration of the COVID-19 pandemic and; 2) via telehealth, during the pandemic. Methods: Patients were invited to complete a suite of PROMs and PREMs including the EQ-5D-5L, modified Edmonton Symptom Assessment System-Revised (ESAS-R) and the modified Supportive Care Needs Survey Short-Form (SCNS-SF34) on an iPad in the waiting room before each appointment (pre-COVID-19 pandemic phase, December 2019 to March 2020) or online prior to a telehealth appointment (COVID-19 pandemic phase, October 2020 to April 2021). Descriptive statistics were reported for clinical and demographic factors and the PROMs and PREMs. Baseline scores from pre-COVID-19 and COVID-19 cohorts were compared using t-tests and chi-square tests. Results: In the pre-COVID-19 phase, 100 patients (99 females, 60.7 years old) participated compared with 129 patients (128 females, 59.7 years old) in the COVID-19 phase. Primary cancer diagnoses were breast (pre-COVID-19 68%, COVID-19 71%), gynaecological (pre-COVID-19 31%, COVID-19 37%) and lung (pre-COVID-19 1%) cancers. Mean age, gender, relationship status, language spoken, cancer diagnoses, and staging were similar, all p > 0.05. Median self-rated health (EQ-VAS score) was also similar between the pre-COVID-19 phase (74, IQR 33) and the COVID-19 phase (75, IQR 34), p = 0.51. Median ESAS-R swelling/lymphoedema score was higher for the COVID-19 phase (1, IQR 3) than the pre-COVID-19 phase (0, IQR 3), p = 0.03. Median SCNS standardised psychological domain score was lower for the COVID-19 phase (35, IQR 40) compared with the pre-COVID-19 phase (45, IQR 42), p = 0.03. No other significant differences in symptoms or unmet needs were noted (all p > 0.05). The top three symptoms concerns (ESAS-R score ≥7) were: 1) tiredness (pre-COVID-19 33%, COVID-19 22.7%); 2) sleep problems (pre-COVID-19 24.5%, COVID-19 21.9%); 3) drowsiness (pre-COVID-19 21.2%) and concentration and memory (COVID-19 19.5%). Conclusions: Despite the COVID-19 pandemic, these data reflect the symptoms and concerns impacting on the QoL among Australian oncology patients have remained largely stable. Although Australian COVID-19 case numbers have remained low, PROMs and PREMs are crucial tools for continuing to support oncology patients with QoL and supportive needs in the pandemic era. Clinical trial information: ACTRN12619001470189.

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Do we understand patients’ supportive care needs? Validation and results of a novel needs assessment tool for gynecologic oncology patients

Gynecologic Oncology ◽

10.1016/j.ygyno.2018.04.504 ◽

2018 ◽

Vol 149 ◽

pp. 222-223

Author(s):

T.S. Pradhan ◽

M. Maloney ◽

A. West ◽

A. Snyder ◽

A. Palileo ◽

...

Keyword(s):

Supportive Care ◽

Needs Assessment ◽

Assessment Tool ◽

Gynecologic Oncology ◽

Supportive Care Needs ◽

Care Needs ◽

Oncology Patients

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Perceived information provision, is it related to supportive care needs?

10.26226/morressier.5770e29cd462b80290b4c03a ◽

2016 ◽

Author(s):

Mark Rietveld

Keyword(s):

Supportive Care ◽

Information Provision ◽

Supportive Care Needs ◽

Care Needs

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Patients' Supportive Care Needs Beyond the End of Cancer Treatment: A Prospective, Longitudinal Survey

Journal of Clinical Oncology ◽

10.1200/jco.2009.22.5151 ◽

2009 ◽

Vol 27 (36) ◽

pp. 6172-6179 ◽

Cited By ~ 354

Author(s):

Jo Armes ◽

Maggie Crowe ◽

Lynne Colbourne ◽

Helen Morgan ◽

Trevor Murrells ◽

...

Keyword(s):

Negative Affect ◽

Supportive Care ◽

Unmet Needs ◽

Unmet Need ◽

Hormone Treatment ◽

Longitudinal Survey ◽

Supportive Care Needs ◽

Fear Of Recurrence ◽

Care Needs ◽

Prospective Longitudinal

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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