Association of supportive care needs and quality of patient‐centered cancer care with depression in women with breast and cervical cancer in Mexico

Abstract

Objective To compare the prevalence of depression, supportive care needs (SC‐needs), and quality of patient‐centered cancer care (PCC‐quality) between women with breast cancer and women with cervical cancer and to assess the association of SC‐needs and PCC‐quality with depression. Methods We conducted a cross‐sectional survey in a public oncology hospital in Mexico City with 247 breast cancer and 165 cervical cancer ambulatory patients aged ≥18 years with at least one hospitalization and ≤5 years since diagnosis. Participants completed the short‐form Supportive Care Needs Survey, the Patient‐Centered Quality of Cancer Care Questionnaire, and the Hospital Anxiety and Depression Scale. We performed multiple logistic regression analyses to evaluate the association between SC‐needs, PCC‐quality, and probable presence of depression. Results Nearly all women reported SC‐needs—mainly health system and information needs, followed by physical and psychological needs. PCC‐quality was substandard in both groups. PCC‐quality was lowest when addressing biopsychosocial needs, followed by information for treatment decision‐making needs. Cervical cancer patients had probable depression more often (41.2%) than those with breast cancer (29.5%). Having unmet psychological and care needs was associated with increased odds of probable depression, while high‐quality timely care was associated with reduced odds of probable depression. Conclusion In Mexico, women with cervical and breast cancer face unmet SC‐needs, probable depression, and substandard PCC‐quality, pointing to priority areas for improvements in cancer care.

European Society of Gynaecological Oncology Guidelines for the Management of Patients with Vulvar Cancer - Update 2023

“…[167][168][169][170] Some retrospective studies on cervical cancer showed that even in tertiary care centers fewer than half of patients received palliative care consultation, and those referred to palliative care were often evaluated late in their disease course. [171][172][173][174][175] Palliative care referral was associated with fewer emergency department visits, inpatient stays, and intensive care unit admissions in the last 30 days of life. Palliative care did not affect chemotherapy or radiation administration within 14 days of death.…”

Anxiety and Depression in Gynecological Cancer

“…Согласно статистике рака в Корее уровень заболеваемости раком у женщин постоянно растет с 1999 г., на 6,6; 5,3 и 1,9 % при раке молочной железы, раке матки и раке яичников соответственно. В то же время, с развитием современной медицины, выживаемость этих женщин, больных раком, продолжает увеличиваться; относительная выживаемость при раке молочной железы, раке матки, раке яичников и раке шейки матки возросла до 14,0; 5,3; 4,8 % и 1,9 % соответственно [8]. Поэтому возникла необходимость проведения различных мероприятий у женщин, перенесших  SCIENTIFIC REVIEW № 4, 2022   MEDICAL SCIENCES  рак, для адаптации к социальным факторам жизни.…”

“…Тревога и депрессия также являются одними из актуальных психосоциальных проблем у больных гинекологическим раком (шейки, тела матки и яичников) [5,6]. В этом отношении не только медикаментозное лечение, но и социальная поддержка должна быть ключевым инструментом в борьбе пациентов с различными факторами риска как важный вклад в их благополучие [7][8][9].…”

Development of a supportive care needs eHealth application for patients with cervical cancer undergoing surgery: a feasibility study

“…Health care professionals have the responsibility to promote matching between patients’ supportive care needs and supportive care services for their medical specialty [ 5 ]. Due to the lack of awareness of the active utilization of supportive care services, various unmet supportive care needs of patients with cervical cancer have been exhibited [ 6 ]. A study showed that 88% of long-term cancer survivors (N = 2,107) preferred oncologists to be involved in their cancer follow-up care, but only 60% reported an oncologist visit after treatment [ 7 ].…”

“…Tailoring of interventions to cancer patients’ needs has been argued to be a prerequisite for their successful rehabilitation [ 12 ]. Virtually, the needs management intervention approaches have mainly focused on face-to-face counseling, telephone follow-up, web-based intervention, or the combination of the three and are typically offered by health care professionals [ 6 , 13 ]. Such approaches, although promising, have encountered problems in effectively motivating individual self-management and difficulties in functioning as a navigation instrument for personalized supportive care [ 14 ].…”