Distress and Supportive Care Needs of Ethnically Diverse Older Adults With Advanced or Recurrent Cancer

Haynes-Lewis, Hilda; Clayton, Margaret F.; Shankar, Viswanathan; Moadel-Robblee, Alyson; Clark, Lauren; Caserta, Michael S.

doi:10.1188/18.onf.496-507

Cited by 8 publications

(9 citation statements)

References 52 publications

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“…The presence of higher distress in younger patients (DT score ≥4) coincided with findings reported in the literature (Van Scheppingen et al, 2011;Goulia et al, 2012;Kim et al, 2013;Haynes-Lewis et al, 2018). In a study of adolescents and young adults in China (15-39 years), Xie et al ( 2017) reported a prevalence of 89.1% of DT score ≥4.…”

Section: Discussionsupporting

confidence: 82%

Associated factors of distress in patients with advanced cancer: A retrospective study

2020

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Objective The objective of this study was to assess the psychosocial distress and associated factors in advanced cancer patients consulting at the outpatient Palliative Care Unit at the National Cancer Institute in Mexico City. Design A retrospective study was conducted using electronic records (June 2015 to December 2016). Sample A total of 646 patients with advanced cancer during their first visit to the outpatient palliative care unit at the National Cancer Institute in Mexico were evaluated using the Distress Thermometer (DT) and ECOG performance status scores. Findings Overall, 62% were women, with a median age of 57 years, and married (54.8%). The most frequent diagnosis was gastrointestinal cancer (28.6%), and 38.9% had a functional performance status of ECOG 2. The median DT score was 4.0 (IQR = 2–6), with 56% reporting DT scores ≥4. The three most frequent problems ≥4 were sadness (82.6%), feeling weak (81.2%), worry (79.6%), and <4 were feeling weak (57.7%), fatigue (55.6%), and financial security (52.1%). The variables associated with distress according to the multiple logistic regression analysis were problems with housing (OR = 2.661, 95% CI = 1.538–4.602), sadness (OR = 2.533, 95% CI = 1.615–3.973), transportation (OR = 1.732, 95% CI = 1.157–2.591), eating (OR = 1.626, 95% CI = 1.093–2.417), nervousness (OR = 1.547, 95% CI = 1.014–2.360), and sleep (OR = 1.469, 95% CI = 1.980–2.203). Conclusion The principal factors were related to distress levels, housing problems, transportation issues, and emotional problems such as sadness, nervousness, lower functionality, and younger age. Therefore, psychosocial support is of considerable relevance in palliative care. These findings will help clinicians understand the distress of patients with advanced cancer in palliative care in Latin American countries.

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Section: Discussionsupporting

confidence: 82%

Associated factors of distress in patients with advanced cancer: A retrospective study

2020

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“…In Haynes-Lewis et al ’s 14▪ study, fear of cancer spreading and concerns about the worries of close others were the most common unmet psychological needs reported by 52 and 44% of older patients with advanced cancer, respectively; while clinically significant distress was reported by 33% of the patients. The study further demonstrated that those older patients with clinically significant distress had greater likelihood to report multiple supportive care needs 14▪. Older patients with advanced cancer are also likely to experience significantly increased depressive symptoms when the disease comes to the terminal stage 34.…”

Section: Psychosocial and Spiritual Needsmentioning

confidence: 95%

“…If the information obtained is insufficient or confusing, older patients with advanced cancer would experience a sense of uncertainty regarding the disease prognosis and treatment outcomes, which can further aggravate their psychological distress 39. Older patients with increased distress tend to have higher needs for information 14▪ (Fig. 1).…”

Section: Information Needsmentioning

confidence: 99%

Care needs of older patients with advanced cancer

Molassiotis

Wang

2023

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review This review summarized current research evidence examining care needs of older patients with advanced cancer in dealing with disease, treatment, and treatment-related side effects. It also identified gaps and directions for future research and practice. Recent findings Older patients with advanced cancer need support from health professionals, family, friends, and other social network members in the management of physical symptoms and functioning, psychosocial and spiritual care, information provision, and practical resolution of daily problems. As older patients are affected by aging-related factors, they usually have unique patterns of care needs compared with younger patients. Summary Currently, insufficient research evidence hinders a comprehensive understanding of care needs of older patients with advanced cancer, as well as potential influencing factors. Future efforts are needed to develop more sophisticated assessment methods and interventions to better understand and address care needs of older patients with advanced cancer.

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“…This framework has been used successfully in previous needs assessment studies with various types of cancer survivors, including PC (Fitch & Steele, 2010;Fitch, 2012). In this study, the SCFCC was used to guide the selection of validated instruments to measure unmet SC needs and informed the development of the qualitative interview guide (Cheah et al, 2016;Haynes-Lewis et al, 2018). Lastly, it guided the categorization and interpretation of the findings, identifying unmet SC needs across domains that were prevalent and had the potential to negatively impact the overall health and QOL of PC survivors living with advanced disease.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Unmet supportive care needs in prostate cancer survivors with advanced disease: A mixed-methods exploration

Calvo-Schimmel¹,

Newman²,

Sterba³

et al. 2022

CONJ

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Purpose: Men with advanced prostate cancer experience a wide range of side effects from the cancer and its therapies, which have a negative effect on their quality of life (QOL). Few studies have evaluated supportive care needs in these individuals. The purpose of this study was to conduct a holistic supportive care needs assessment among these survivors guided by the Supportive Care Framework for Cancer Care. Methods: Using a convergent parallel mixed-methods approach, prostate cancer survivors with advanced disease (n = 188) completed a cross-sectional survey. A subset of these survivors (n = 20) participated in an interview to further explore their experience of unmet needs. Results: Survivors reported unmet supportive care needs in every domain of the framework. Up to 95.2% of the survivors had at least one unmet need, with a mean of 14.9 (range: 0–42). Several areas of convergence among the quantitative and qualitative data (fatigue, sexual dysfunction, practical, and emotional/psychological domains), as well as divergence (informational and spiritual domains, depression, urinary dysfunction) were found through the integration process. Conclusions: This study confirms that prostate cancer survivors with advanced disease experience high rates of unmet supportive care needs. The findings also highlight the diversity of those unmet needs. These results may assist with future development of patient-centered supportive care interventions that better meet the specific needs of this vulnerable group of cancer survivors. Keywords: prostate cancer; advanced disease; survivors; supportive care; unmet needs; quality of life; mixed-methods

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Distress and Supportive Care Needs of Ethnically Diverse Older Adults With Advanced or Recurrent Cancer

Abstract: Nursing assessment of patient SCNs and distress is integral to establishing individualized patient-centered care plans and to delivering optimal care.

Cited by 8 publications

References 52 publications

Associated factors of distress in patients with advanced cancer: A retrospective study

Associated factors of distress in patients with advanced cancer: A retrospective study

Care needs of older patients with advanced cancer

Unmet supportive care needs in prostate cancer survivors with advanced disease: A mixed-methods exploration

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