BACKGROUND: Understanding cancer patients' supportive care needs can help optimize health-care systems and inform services development. We therefore examined the prevalence of supportive care needs in Chinese breast (BC) and colorectal cancer (CRC) patients to identify prevalence and correlates of unmet needs. METHODS: We assessed supportive care needs (Supportive Care Needs Survey-Short Form), psychological distress (the Hospital Anxiety and Depression Scale), symptom distress (The Memorial Symptom Assessment Scale-Short Form), and satisfaction with care (Patient Satisfaction Questionnaire) among 210 Chinese BC (97) or CRC (104) outpatient clinic attendees. RESULTS: Breast cancer patients (89.7%) reported more unmet needs (χ(2) = 4.409, p = 0.027), but both CRC and BC samples ranked unmet needs prevalence similarly, with health system and information needs reported as the most common. Younger patients reported higher health system and information and sexuality needs. After multivariate adjustment, the strength of unmet needs did not differ by cancer type. Unmet psychological, physical and daily living, and sexuality needs were positively associated with greater symptom distress. Greater health system information needs were associated with high global distress and low depression scores, whereas greater psychological needs were associated with higher anxiety scores. CONCLUSIONS: Hong Kong Chinese BC and CRC patients strongly prioritized needs related to health systems and information provision. Symptoms and psychological distress were associated with unmet needs, reflecting a service shortfall in symptom management. Improving care provision by optimizing communication and clinic organization can better prepare cancer patients for their rehabilitation and improve symptom control.
BACKGROUND: Understanding cancerpatients' supportive care needs can help optimize health-care systems and inform services development. We therefore examined the prevalence of supportive care needs in Chinese breast (BC) and colorectal cancer (CRC) patients to identify prevalence and correlates of unmet needs. METHODS: We assessed supportive care needs (Supportive Care Needs Survey-Short Form), psychological distress (the Hospital Anxiety and Depression Scale), symptom distress (The Memorial Symptom Assessment Scale-Short Form), and satisfaction with care (Patient Satisfaction Questionnaire) among 210 Chinese BC (97) or CRC (104) outpatient clinic attendees. RESULTS:Breast cancerpatients (89.7%) reported more unmet needs (χ(2) = 4.409, p = 0.027), but both CRC and BC samples ranked unmet needs prevalence similarly, with health system and information needs reported as the most common. Younger patients reported higher health system and information and sexuality needs. After multivariate adjustment, the strength of unmet needs did not differ by cancer type. Unmet psychological, physical and daily living, and sexuality needs were positively associated with greater symptom distress. Greater health system information needs were associated with high global distress and low depression scores, whereas greater psychological needs were associated with higher anxiety scores. CONCLUSIONS: Hong Kong Chinese BC and CRCpatients strongly prioritized needs related to health systems and information provision. Symptoms and psychological distress were associated with unmet needs, reflecting a service shortfall in symptom management. Improving care provision by optimizing communication and clinic organization can better prepare cancerpatients for their rehabilitation and improve symptom control.
Authors: Elise Mansfield; Lisa Mackenzie; Mariko Carey; Kerry Peek; Jan Shepherd; Tiffany-Jane Evans Journal: Support Care Cancer Date: 2017-09-22 Impact factor: 3.603
Authors: Wendy W T Lam; Janice Tsang; Winnie Yeo; Joyce Suen; Wing Ming Ho; Tze Kok Yau; Inda Soong; Ka Yan Wong; Ava Kwong; Dacita Suen; Wing Kin Sze; Alice W Y Ng; Afaf Girgis; Richard Fielding Journal: Support Care Cancer Date: 2013-10-26 Impact factor: 3.603
Authors: Anna Beraldi; Ene Kukk; Alexandra Nest; Gabriele Schubert-Fritschle; Jutta Engel; Pia Heußner; Peter Herschbach Journal: Support Care Cancer Date: 2014-10-17 Impact factor: 3.603
Authors: A M J Braamse; B van Meijel; O Visser; P C Huijgens; A T F Beekman; J Dekker Journal: Bone Marrow Transplant Date: 2013-10-07 Impact factor: 5.483
Authors: Alix G Sleight; Kathleen Doyle Lyons; Cheryl Vigen; Heather Macdonald; Florence Clark Journal: Support Care Cancer Date: 2018-05-16 Impact factor: 3.603
Authors: Nihal E Mohamed; Phapichaya Chaoprang Herrera; Shawna Hudson; Tracey A Revenson; Cheryl T Lee; Diane Z Quale; Christina Zarcadoolas; Simon J Hall; Michael A Diefenbach Journal: J Urol Date: 2013-07-30 Impact factor: 7.450
Authors: Marjan J Traa; Jolanda De Vries; Jan A Roukema; Harm J T Rutten; Brenda L Den Oudsten Journal: Support Care Cancer Date: 2013-11-16 Impact factor: 3.603