Minori Yokoo1, Tatsuo Akechi2, Tomoko Takayama3, Atsuya Karato4, Yuki Kikuuchi5, Naoyuki Okamoto6, Kayoko Katayama6, Takako Nakanotani1, Asao Ogawa7. 1. Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center East Hospital, Kashiwa, Chiba. 2. Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City Graduate School of Medical Sciences, Nagoya, Aichi. 3. Cancer Information Service Division, Center for Cancer Control and Information Service, National Cancer Center, Tsukiji, Tokyo. 4. Patient Support Center, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Ariake, Tokyo. 5. Department of Patient and Family Support, Shikoku Cancer Center, Matsuyama, Ehime. 6. Cancer Prevention and Cancer Control Division, Kanagawa Cancer Center Research Institute, Yokohama, Kanagawa, Japan. 7. Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center East Hospital, Kashiwa, Chiba asogawa@east.ncc.go.jp asogawa.ncche@gmail.com.
Abstract
OBJECTIVE: Comprehensive assessment of perceived concerns can be used to guide supportive care appropriate to individual cancer patients. This study sought to determine the prevalence of cancer patients' concerns and the degree to which these concerns contribute to patients' quality of life. METHODS: Participants were patients with all types of cancer, who completed an Internet survey questionnaire regarding comprehensive concerns about physical, psychological, psychosocial and economic aspects of having cancer. The questionnaire was based on the newly developed Comprehensive Concerns Assessment Tool and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. RESULTS: We obtained complete data from 807 patients. Factors related to 'self-management' concerns were the most common (61.2%), followed by concerns about 'psychological symptoms' (48.5%), 'medical information' (46.2%), 'daily living' (29.9%), 'pain' (17.6%), 'constipation' (15.6%) and other 'physical symptoms' (15.2%). Multiple regression analysis revealed that all concerns except those about 'medical information' significantly contributed to quality of life. CONCLUSIONS: Cancer patients' concerns were shown to be multidimensional and significantly associated with quality of life. Thus, assessment of patients' concerns should be multidimensional in nature, and a multidisciplinary care team should help patients improve their quality of life.
OBJECTIVE: Comprehensive assessment of perceived concerns can be used to guide supportive care appropriate to individual cancerpatients. This study sought to determine the prevalence of cancerpatients' concerns and the degree to which these concerns contribute to patients' quality of life. METHODS:Participants were patients with all types of cancer, who completed an Internet survey questionnaire regarding comprehensive concerns about physical, psychological, psychosocial and economic aspects of having cancer. The questionnaire was based on the newly developed Comprehensive Concerns Assessment Tool and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. RESULTS: We obtained complete data from 807 patients. Factors related to 'self-management' concerns were the most common (61.2%), followed by concerns about 'psychological symptoms' (48.5%), 'medical information' (46.2%), 'daily living' (29.9%), 'pain' (17.6%), 'constipation' (15.6%) and other 'physical symptoms' (15.2%). Multiple regression analysis revealed that all concerns except those about 'medical information' significantly contributed to quality of life. CONCLUSIONS:Cancerpatients' concerns were shown to be multidimensional and significantly associated with quality of life. Thus, assessment of patients' concerns should be multidimensional in nature, and a multidisciplinary care team should help patients improve their quality of life.
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: H Sasaki; K Tamura; Y Naito; K Ogata; A Mogi; T Tanaka; Y Ikari; M Masaki; Y Nakashima; Y Takamatsu Journal: Int J Clin Oncol Date: 2017-04-06 Impact factor: 3.402