A longitudinal study of supportive care needs among Chinese patients awaiting colorectal cancer surgery

Lam, Wendy Wing Tak; Law, Wai‐Lun; Poon, Jensen T. C.; Fong, Daniel Yee Tak; Girgis, Afaf; Fielding, Richard

doi:10.1002/pon.3946

Cited by 23 publications

(36 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As expected, the most frequent reported information needs through the diagnosis and treatment phases were in the cancer‐specific information, treatment‐related information , and prognosis information categories. In addition to these, frequently cited information needs during the post‐treatment/survivorship phase included follow up/rehabilitation , surveillance and health , health system , and coping information . More specifically, many patient and survivor participants wanted information on diet/nutrition, physical activity and complementary medicine.…”

Section: Resultssupporting

confidence: 72%

“…A change of priority in information needs was identified between early stage and midcourse of treatment . Distinct trajectories were also identified for each domain of unmet information needs, and the trajectory patterns (except for sexuality needs) were found to be predicted by factors such as education, cancer‐related rumination, and physical symptom distress …”

Section: Resultsmentioning

confidence: 97%

“…Chinese communities residing in China, Hong Kong, Taiwan, and Singapore, albeit speaking similar languages, have subtly unique cultural values because of the different extent of modernisation and westernisation . Information needs related to cancer diagnosis, treatment, prognosis, follow‐up and coping were common among Chinese participants across all 4 countries, while information needs associated with body image and sexuality were reported by only Chinese participants from China and Hong Kong …”

Section: Resultsmentioning

confidence: 98%

“…Only 3 studies included in this review employed a 2 time‐points or longitudinal research design. A change of priority in information needs was identified between early stage and midcourse of treatment .…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Information needs of the Chinese community affected by cancer: A systematic review

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Resultssupporting

confidence: 72%

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Information needs of the Chinese community affected by cancer: A systematic review

et al. 2017

View full text Add to dashboard Cite

show abstract

“…As with previous longitudinal research (Lam et al, 2016), certain patient needs remained prominent 3 (and to an extent unmet) throughout our study. Dealing with fear of recurrence, lack of energy, and 4 the inability/difficulty to return to normal were ranked as top unmet needs regardless of time-point.…”

supporting

confidence: 76%

Feasibility and acceptability of the use of patient-reported outcome measures (PROMs) in the delivery of nurse-led supportive care to people with colorectal cancer

Kotronoulas

Papadopoulou

MacNicol

et al. 2017

European Journal of Oncology Nursing

View full text Add to dashboard Cite

Purpose Logistical issues pertinent to the use of patient-reported outcome measures (PROMs) by colorectal cancer nurse specialists (CNS) to identify the needs of people with colorectal cancer (CRC) in acute care remain unknown. We explored the feasibility and acceptability of PROMs-driven, CNS-led consultations to enhance delivery of supportive care to people with CRC completing adjuvant chemotherapy. Methods A systematic literature review and focus groups with patients and CNS (Phase 1) were followed by a repeated-measures, exploratory study (Phase 2), whereby pre-consultation PROM data were collected during three consecutive, monthly consultations, and used by the CNS to enable delivery of personalised supportive care. Results Based on Phase 1 data, the Supportive Care Needs Survey was selected for use in Phase 2. Fourteen patients were recruited (recruitment rate: 56%); thirteen (93%) completed all study assessments. Forty in-clinic patient-clinician consultations took place. At baseline, 219 unmet needs were reported in total, with a notable 21% (T2) and 32% (T3) over-time reduction. Physical/daily living and psychological domain scores declined from T1 to T3, yet not statistically significantly. In exit interviews, patients described how using the PROM helped them shortlist and prioritise their needs. CNS stressed how the PROM helped them tease out more issues with patients than they would normally. Conclusions Nurse-led, PROMs-driven needs assessments with patients with CRC appear to be feasible and acceptable in clinical practice, possibly associated with a sizeable reduction in the frequency of unmet needs, and smaller decreases in physical/daily living and psychosocial needs in the immediate post-chemotherapy period

show abstract

Unmet needs from the first diagnosis of cancer until the end of medical treatment: A longitudinal study

Gao

Zhu

Xie³

et al. 2020

Psycho-Oncology

View full text Add to dashboard Cite

Objective This study aimed to examine (1) The courses of Chinese cancer patients' unmet supportive care needs (psychological, physical and daily living, health system and information, patient care and support, and sexual) from the first cancer diagnosis until the end of medical treatment; (2) The predictive role of socio‐demographic and medical characteristics (i.e., age, gender, and cancer stage) in the courses of unmet needs; and (3) The associations of courses of unmet needs with courses of depressive and anxiety symptoms. Methods A longitudinal study was performed at Shaanxi Provincial Tumour Hospital in Xi'an, China. A total of 153 heterogeneous cancer patients were assessed after the first diagnosis (T1), at the beginning (T2) and the end (T3) of the receipt of medical treatment. Latent growth curve models were used to examine the research questions. Results Psychological needs and health system and information needs showed a decrease over time, whereas physical needs, patient care needs and sexual needs remained stable. Younger and female patients tended to report higher levels of unmet psychological needs at T1 and experienced slower decreases from T1 to T3. Only the courses of unmet psychological needs were associated with the courses of depressive and anxiety symptoms from T1 to T3. Conclusions More attention can be given to young and female cancer patients, as they were more likely to suffer from high unmet psychological needs over the disease trajectory. Future research may focus more on addressing unmet needs reported by Chinese cancer patients.

show abstract

A longitudinal study of supportive care needs among Chinese patients awaiting colorectal cancer surgery

Abstract: These Chinese CRC patients showed generally low stable supportive care needs, but a minority demonstrated high persistent unmet needs. Supportive care services should target those at risk of prolonged high unmet needs.

Cited by 23 publications

References 40 publications

Information needs of the Chinese community affected by cancer: A systematic review

Information needs of the Chinese community affected by cancer: A systematic review

Feasibility and acceptability of the use of patient-reported outcome measures (PROMs) in the delivery of nurse-led supportive care to people with colorectal cancer

Unmet needs from the first diagnosis of cancer until the end of medical treatment: A longitudinal study

Contact Info

Product

Resources

About