Identifying the unmet supportive care needs, with concomitant influencing factors, in adult acute leukemia patients in China

Yu, Fangfang; Bai, Yan-Ni; He, Hong; Zhu, Lixia; Zhang, Ruili; Hongxia, Jiao; Li, Qiao-Yan; Fu, Jianfang

doi:10.1016/j.ejon.2017.07.003

Cited by 18 publications

(24 citation statements)

References 42 publications

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“…The psychological domain of SCNs ranked second in this study, which is consistent with previous studies [13], with 76.8% patients reporting the item of "concerns about the worries of those close to you". Previous studies [38,39] have demonstrated that the item with the highest demand score in the psychological domain is "fear of cancer recurrence or spread", which is inconsistent with the results of this study, and possibly due to the differences between AL and a solid tumour, or a limited sample size.…”

Section: The Unmet Scns Of Adult Al Patientssupporting

confidence: 92%

“…The results show that the health systems and information domain scores the highest of the five domains, which is consistent with the results of previous studies [13,35,36]. Information needs are concerned with treatment for most cancer patients [37].…”

Section: The Unmet Scns Of Adult Al Patientssupporting

confidence: 91%

“…In the patient care and support domain, our research finds the highest reported item is "more choice about which cancer specialists you see", which may result from patients' uncertainty regarding the treatment of the disease and their anticipated life expectancy. In terms of the sexual domain, the results of this study are consistent with previous research [13,32]. For AL patients, treating the disease and managing symptoms is more important than their sexual lives, which can pose potential risks.…”

Section: The Unmet Scns Of Adult Al Patientssupporting

confidence: 90%

“…[12] Currently, most studies on SCNs for cancer patients are conducted in western countries [13], or in areas with well-funded health care systems areas, such as Hong Kong [14], Taiwan [15] and Japan [16]. SCNs may vary depending on the patient's cultural background [13]. Patients have been reported to be better able to cope with cancer by receiving quality supportive care [17].…”

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confidence: 99%

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Unmet supportive care needs and its relation to quality of life among adult acute leukaemia patients in China: a cross-sectional study

Yan

Wang

Chen

et al. 2020

Preprint

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Background: Patients with acute leukaemia (AL) usually require prolonged periods of hospitalisation.The treatment and clinical symptoms may lead to patients' supportive care needs (SCNs) not being met and impairs their quality of life (QoL). Studies on QoL and SCNs among AL patients are limited.This study aimed to identify the unmet SCNs and its relation to QoL of adult AL patients in China.Methods: This multicentre cross-sectional study recruited 346 participants to complete a selfdeveloped questionnaire, detailing demographic information and disease-related variables. A 34-item Supportive Care Needs Survey (SCNS-SF34) was used to identify unmet SCNs, and the Functional Assessment of Cancer Therapy-Leukaemia (FACT-Leu) questionnaire measured patients' QoL.Results: Unmet SCN rates for the 34 items ranged from17.6% to 81.7%. Patients' needs were high for health systems and information, but low in the sexual domain. The results reveal nine factors associated with the unmet SCNs of adult AL patients, including marital status, original residence, age, education, occupation, other diseases, chemotherapy course, disease course, and treatment stage (p <0.05). The total score of the FACT-Leu negatively correlated with the SCNS-SF34 in the physical/daily living (r = -0.527, p <0.01), psychological (r = -0.688, p <0.01), sexual (r = -0.170, p <0.01), patient care and support (r = -0.352, p <0.01), and health systems and information (r = -0.220, p <0.01) domains. Conclusions: Adult AL patients exhibit a high demand for unmet SCNs, especially in the domain of health systems and information. There was a significant association between patients' unmet SCNs and QoL. Future research should develop tailored interventions to address the unmet SCNs of adult AL patients, to further improve their QoL.

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Section: The Unmet Scns Of Adult Al Patientssupporting

confidence: 92%

Section: The Unmet Scns Of Adult Al Patientssupporting

confidence: 91%

Section: The Unmet Scns Of Adult Al Patientssupporting

confidence: 90%

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confidence: 99%

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Unmet supportive care needs and its relation to quality of life among adult acute leukaemia patients in China: a cross-sectional study

Yan

Wang

Chen

et al. 2020

Preprint

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“…These populations are often characterised by poor and uncertain prognosis and undergo aggressive and intensive oncological treatments resulting in complex symptom burdens (Jarden, Baadsgaard, Hovgaard, Boesen, & Adamsen, ; Jarden, Moller, et al, ; Piil, Jarden, Jakobsen, Christensen, & Juhler, ; Piil, Juhler, Jakobsen, & Jarden, ). It is important to hear the voices of patients and their relatives, as research shows there are unmet supportive care needs and different preferences (Piil et al, ; Yogaparan et al, ; Yu et al, ). Moreover, the clinical specialists involved in complex cancer trajectories are also valuable collaborators with professional insight that can contribute to future research directions.…”

Section: Introductionmentioning

confidence: 99%

Research agenda for life-threatening cancer

2018

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Objectives The aim of this study was to identify future research agendas that reflect the concerns and unexplored areas of interest for patients with life‐threatening cancer, their relatives and the clinical specialists during the cancer trajectory. Methods Six focus group discussions were conducted addressing two different cancer trajectories: primary malignant brain tumour and acute leukaemia. For each of the two cancer trajectories, separate FGIs were carried out with patients, relatives and clinical specialists to identify important concerns, challenges and uncertainties. The FGIs were video/audio‐recorded, transcribed and thematically analysed within and across FGI groups to construct research topics. Finally, the literature was reviewed for existing evidence concerning the identified research topic(s) to strengthen the suggested research agendas. Results New research agendas related to high‐grade glioma brain tumour and acute leukaemia with corresponding research questions were formulated within the topics of supportive care/palliation, education/information, rehabilitation, complementary and alternative therapy and organization of health care. Conclusion User involvement in identifying research agendas has the potential to improve quality of care for patients and caregivers across the cancer trajectory, while minimizing the gap in research between the healthcare user and healthcare provider.

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Effects of an Interprofessional Communication Approach on Support Needs, Quality of Life, and Mood of Patients with Advanced Lung Cancer: A Randomized Trial

et al. 2021

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Background. To address the support needs of newly diagnosed patients with lung cancer with limited prognosis, the Milestone Communication Approach (MCA) was developed and implemented. The main elements of the MCA are situation-specific conversations along the disease trajectory conducted by an interprofessional tandem of physician and nurse. The aim of the study was to evaluate the effects of MCA on addressing support needs, quality of life, and mood as compared with standard oncological care. Patients and Methods. A randomized trial was conducted with baseline assessment and follow-up assessments at 3, 6, and 9 months in outpatients with newly diagnosed lung cancer stage IV at a German thoracic oncology hospital. The primary outcome was the Health System and Information Needs subscale of the Short Form Supportive Care Needs Survey (SCNS-SF34-G) at 3-month follow-up.Secondary outcomes included the other subscales of the SCNS-SF34-G, the Schedule for the Evaluation of Individual Quality of Life, the Functional Assessment of Cancer Therapy lung module, the Patient Health Questionnaire for Depression and Anxiety, and the Distress Thermometer. Results. At baseline, 174 patients were randomized, of whom 102 patients (MCA: n = 52; standard care: n = 50) provided data at 3-month follow-up. Patients of the MCA group reported lower information needs at 3-month followup (mean AE SD, 33.4 AE 27.5; standard care, 43.1 AE 29.9; p = .033). No effects were found for secondary outcomes. Conclusion.MCA lowered patient-reported information needs but did not have other effects. MCA contributed to tailored communication because an adequate level of information and orientation set the basis for patient-centeredcare. The Oncologist 2021;26:1-15 Implications for Practice: By addressing relevant issues at predefined times, the Milestone Communication Approach provides individual patient-centered care facilitating the timely integration of palliative care for patients with a limited prognosis. The needs of patients with lung cancer must be assessed and addressed throughout the disease trajectory. Although specific topics may be relevant for all patients, such as information about the disease and associated health care, situations of individual patients and their families must be considered. Additionally, using the short form of the Supportive Care Needs Survey in clinical practice to identify patients' problems might support individually targeted communication and preference-sensitive care.

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Identifying the unmet supportive care needs, with concomitant influencing factors, in adult acute leukemia patients in China

Cited by 18 publications

References 42 publications

Unmet supportive care needs and its relation to quality of life among adult acute leukaemia patients in China: a cross-sectional study

Unmet supportive care needs and its relation to quality of life among adult acute leukaemia patients in China: a cross-sectional study

Research agenda for life-threatening cancer

Effects of an Interprofessional Communication Approach on Support Needs, Quality of Life, and Mood of Patients with Advanced Lung Cancer: A Randomized Trial

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