Changes in supportive care needs after first‐line treatment for ovarian cancer: identifying care priorities and risk factors for future unmet needs

Beesley, Vanessa L.; Price, Melanie A.; Webb, Penelope M.; O’Rourke, Peter; Marquart, Louise; Butow, Phyllis

doi:10.1002/pon.3169

Cited by 87 publications

(70 citation statements)

References 29 publications

(67 reference statements)

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“…Our findings are consistent with other studies, which have found that younger women diagnosed with a malignancy are at particularly vulnerable to negative quality of life outcomes [10] [11]. Furthermore, evidence shows that even patients remote from treatment could benefit from continued support in regards to their emotional and psychological needs, and that women who have received chemotherapy are more likely to have unmet survivorship needs than women that have received other forms of treatment [12].…”

Section: Discussionsupporting

confidence: 82%

Chemotherapy Use Is a Significant Predictor for Sexual Dysfunction in Women with Gynecologic Cancer

Blake¹,

Flink²,

Sheeder³

et al. 2017

JCT

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Objectives: Sexual dysfunction is a significant survivorship issue in women with gynecologic cancer. We examined the association between chemotherapy and impaired sexual functioning. Methods: A cross sectional study of women with gynecologic cancer was conducted with a 181-item survey of validated instruments. A sub-analysis of women with chemotherapy treatment was performed to examine factors associated with sexual function including age, menopause status, BMI, diagnosis, stage, surgery/radiation use, active disease status, number of regimens, and number of cycles. Sexual dysfunction was measured by change in the Female Sexual Function Index (FSFI) score from pre-treatment with a significant decline in sexual function determined to be a 5.6 point decrease using a Reliable Change Index Statistic (RCIS). Standard statistical tools were employed. Results: A total of 107 (63%) of the women in the larger study had received chemotherapy as part of their treatment and were included in the sub-study. Women undergoing chemotherapy were more likely to experience sexual dysfunction post-treatment (51% vs. 26%; OR 2.9, 95% CI 1.5 -5.7). In bivariate analyses, sexual dysfunction following chemotherapy was associated with age < 50 (80% vs. 42%; OR 5.6, 95% CI 1.9 -16.6), premenopausal (30.8% vs. 12.7%, OR 3.1, 95% CI 1.1 -8.2) cervical cancer (25.5% vs. 10.0%, OR 3.1, 95% CI 1.0 -9.4), and low (I/II) stage (51.1% vs. 24.5%; OR 3.2, 95% CI 1.4 -7.7). Conclusions: Women treated with chemotherapy for gynecologic cancer are at a significant risk of impaired sexual function. Women with cervical cancer, early stage disease, those who are premenopausal, and those younger than age 50 are at the highest risk.

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Section: Discussionsupporting

confidence: 82%

Chemotherapy Use Is a Significant Predictor for Sexual Dysfunction in Women with Gynecologic Cancer

Blake¹,

Flink²,

Sheeder³

et al. 2017

JCT

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“…[6910111213141516] Few studies have investigated the supportive care needs of cancer patients in non-Western setting. [1718192021] While results of studies in non-Western countries reported that cancer patients have many unmet supportive needs, there remains several nuances between studies in the West and non-Western countries.…”

Section: Introductionmentioning

confidence: 99%

Supportive care needs of Iranian cancer patients

Rahmani

Ferguson

Jabarzadeh

et al. 2014

Indian J Palliat Care

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Background:A supportive needs assessment is an essential component of any care program. There is no research evidence regarding the supportive care needs of cancer patients in Iran or other Middle Eastern countries.Aims:The aim of this study was to determine the supportive care needs of Iranian cancer patients.Materials and Methods:This descriptive study was conducted in a referral medical center in the northwest of Iran. A total of 274 cancer patients completed the Supportive Care Needs Survey (SCNS-59). Descriptive statistics were used for data analysis.Results:In 18 items of the SCNS, more than 50% of the participants reported that their needs were unmet. Most frequently, unmet needs were related to the health system, information, physical, and daily living domains, and most met needs were related to sexuality, patient care, and support domains.Conclusions:Iranian cancer patients experience many unmet needs and there is an urgent need for establishing additional supportive care services in Iran.

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“…Primary needs in each of the common domains were: loss of previous functional ability (ADL); fatigue and pain (physical); being informed about self-care and having a professional contact with whom to discuss concerns (health system and informational); and illness-related fears and concerns about close others (psychological). Spiritual: Uncertainty about the future (13%) Beesley [22] Fears about the cancer spreading (25%)…”

Section: Prominent Specific Needsmentioning

confidence: 99%

“…The SCNS was the most commonly applied assessment -used in six studies [8, 20-22, 26, 37] -but even studies applying the SCNS used different variants of the tool (e.g., 34-item [22] versus 61-item [26] versions); classified needs in different ways (e.g., coding of some items as 'spiritual' [26] versus 'psychological' [21]); and applied different thresholds for identifying a need as 'unmet' (e.g., whether 'low' levels of need were considered to be unmet needs [37] or not [8]). As discussed above, measurement approaches and assumptions construct and constrain the needs that can be identified: this is most obviously the case in studies that purposively focussed on a single domain of need but even 'comprehensive' assessments like the SCNS arguably neglect some aspects of wellbeing (e.g., spiritual, cultural, and occupational needs).…”

Section: Assessment Of Unmet Needsmentioning

confidence: 99%

Unmet care needs in people living with advanced cancer: a systematic review

Moghaddam

Coxon

Nabarro

et al. 2016

Support Care Cancer

144

128

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PURPOSE:\ud The support needs of cancer patients vary according to the phase of their cancer journey. Recent developments in healthcare are such that the advanced cancer phase is increasingly experienced as a chronic illness phase, with consequent changes in patient support needs. Understanding these needs, and identifying areas of unmet need, can enable us to develop services that are more adequate to the task of supporting this population.\ud METHODS:\ud We conducted a systematic search of four electronic databases to identify studies examining the unmet needs of people living with advanced cancer. Relevant data were extracted and synthesised; meta-analyses were conducted to obtain pooled estimates for prevalence of needs.\ud RESULTS:\ud We identified 23 studies (4 qualitative) for inclusion. Unmet needs were identified across a broad range of domains, with greatest prevalence in informational (30-55 %), psychological (18-42 %), physical (17-48 %), and functional (17-37 %) domains. There was considerable heterogeneity amongst studies in terms of methods of assessment, coding and reporting of needs, respondent characteristics, and appraised study quality.\ud CONCLUSIONS:\ud Heterogeneity made it difficult to compare across studies and inflated confidence intervals for pooled estimates of prevalence-we need standardised and comprehensive approaches to assessment and reporting of unmet needs to further our understanding. Nonetheless, the review identified prominent needs across a range of (interacting) experiential domains. Moreover, by focussing on unmet needs for support, we were able to extrapolate potential implications for service development

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Changes in supportive care needs after first‐line treatment for ovarian cancer: identifying care priorities and risk factors for future unmet needs

Cited by 87 publications

References 29 publications

Chemotherapy Use Is a Significant Predictor for Sexual Dysfunction in Women with Gynecologic Cancer

Chemotherapy Use Is a Significant Predictor for Sexual Dysfunction in Women with Gynecologic Cancer

Supportive care needs of Iranian cancer patients

Unmet care needs in people living with advanced cancer: a systematic review

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