Tàrsila Ferro1, Luisa Aliste2, Montserrat Valverde3, M Paz Fernández4, Concepción Ballano5, Josep M Borràs6. 1. Catalonian Institute of Oncology (Instituto Catalán de Oncología), Department of Clinical Sciences, IDIBELL, Fundamental Nursing Department, University of Barcelona, Barcelona, Spain. Electronic address: tferro@iconcologia.net. 2. Catalonian Cancer Strategy, Department of Health, Barcelona, Spain. 3. Clinic Hospital of Barcelona, Barcelona, Spain. 4. Catalonian Institute of Oncology (Instituto Catalán de Oncología), Barcelona, Spain. 5. Parc Sanitari Mar Hospital, Barcelona, Spain. 6. Catalonian Cancer Strategy, Department of Health, Department of Clinical Sciences, IDIBELL, University of Barcelona, Barcelona, Spain.
Abstract
INTRODUCTION: The growing number of long-term cancer survivors poses a new challenge to health care systems. In Spain, follow-up is usually carried out in oncology services, but knowledge of cancer survivors' health care needs in this context is limited. The purpose of this study was to ascertain the health status of long-term survivors of breast, prostate, and colorectal cancer and to characterize their use of health care services. METHODS: Retrospective multicenter cohort study. We collected data from patients' clinical histories and through telephone interviews, using a specially designed questionnaire that included the SF-36v2 Quality of Life and Nottingham Health Profile scales. RESULTS: The questionnaire was completed by 51.2% (n= 583) of the potential sample. No significant differences were observed between 5-year and 10-year survivors. Overall, more than 80% of respondents were undergoing drug treatment for morbidity related to advanced age. Quality of life was good in most patients, and cancer-related morbidity was low and of little complexity. For the most part, participants reported using primary care services for care of chronic diseases and opportunistic treatment of sequelae related to the cancer treatment. Oncological follow-up was centralized at the hospital. CONCLUSIONS: Survivors of breast, prostate and colorectal cancer with tumoral detection at an early stage and without recurrences or second neoplasms experienced little morbidity and enjoyed good quality of life. This study proposes exploration of a follow-up model in the Spanish health system in which primary care plays a more important role than is customary in cancer survivors in Spain.
INTRODUCTION: The growing number of long-term cancer survivors poses a new challenge to health care systems. In Spain, follow-up is usually carried out in oncology services, but knowledge of cancer survivors' health care needs in this context is limited. The purpose of this study was to ascertain the health status of long-term survivors of breast, prostate, and colorectal cancer and to characterize their use of health care services. METHODS: Retrospective multicenter cohort study. We collected data from patients' clinical histories and through telephone interviews, using a specially designed questionnaire that included the SF-36v2 Quality of Life and Nottingham Health Profile scales. RESULTS: The questionnaire was completed by 51.2% (n= 583) of the potential sample. No significant differences were observed between 5-year and 10-year survivors. Overall, more than 80% of respondents were undergoing drug treatment for morbidity related to advanced age. Quality of life was good in most patients, and cancer-related morbidity was low and of little complexity. For the most part, participants reported using primary care services for care of chronic diseases and opportunistic treatment of sequelae related to the cancer treatment. Oncological follow-up was centralized at the hospital. CONCLUSIONS: Survivors of breast, prostate and colorectal cancer with tumoral detection at an early stage and without recurrences or second neoplasms experienced little morbidity and enjoyed good quality of life. This study proposes exploration of a follow-up model in the Spanish health system in which primary care plays a more important role than is customary in cancer survivors in Spain.
Authors: Anna Jansana; Margarita Posso; Inmaculada Guerrero; Alexandra Prados-Torres; Maria Isabel Del Cura; Xavier Castells; Maria Sala Journal: J Cancer Surviv Date: 2019-04-09 Impact factor: 4.442
Authors: Jasmijn F M Holla; Lonneke V van de Poll-Franse; Peter C Huijgens; Floortje Mols; Joost Dekker Journal: Support Care Cancer Date: 2016-02-03 Impact factor: 3.603