Symptom clusters in childhood cancer survivors in Korea: A latent class analysis

Hong, Hye Chong; Kim, Young Man; Min, Ari

doi:10.1111/ecc.13322

Cited by 16 publications

(15 citation statements)

References 72 publications

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“…However, there is limited research on childhood cancer and the experience of late effects during survivorship, especially in Korea. In our prior quantitative research, it was found that more than 50% of CCS in Korea experience late effects of cancer treatment and that there is a need for tailored interventions for CCS with different numbers and intensities of late effects [25]. Yet, this prior research was fractional and used generic quantitative measures, which limited the ability of CCS to report real experiences that are significant to them [26].…”

Section: Introductionmentioning

confidence: 99%

Living with the Late Effects of Childhood Cancer Treatment: A Descriptive Qualitative Study

Hong

Min

Choi

2021

IJERPH

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Long-term childhood cancer survivors (CCS) may experience physical, social, and emotional struggles posttreatment. Our aim was to explore the experiences of CCS dealing with the late effects of cancer treatment from their own perspectives. This study employed a qualitative descriptive design to explore and describe the experience of dealing with late effects among CCS. Semi-structured interviews were conducted with 15 CCS in Korea. Participants were selected by purposive and snowball sampling and individually interviewed during the period from September to November 2020. Conventional content analysis was used to analyze data and identify themes. Two main themes and seven subthemes emerged. The two main themes were: “Things I encountered while crossing a bridge” and “Living as a survivor”. The participants reported both positive and negative experiences with dealing with the late effects of cancer treatment. The main themes indicated that late effects exert significant impacts on the lives of CCS in both positive and negative ways. Healthcare providers and researchers should pay attention to early intervention needs of CCS and their support systems to strengthen their positive experiences in dealing with late effects during their survivorships.

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Section: Introductionmentioning

confidence: 99%

Living with the Late Effects of Childhood Cancer Treatment: A Descriptive Qualitative Study

Hong

Min

Choi

2021

IJERPH

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“…Sleeping disturbances, fatigue, pain, worries, fears and nervousness were prevalent in over 30% of patients, DT scores and information on whether or not psychooncological help was requested was available for all patients. Previous studies also selected the most prevalent symptoms to perform analysis [21,[37][38][39]. We identified the appropriate number of classes using the Akaike information criterion (AIC),…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

“…In the present exploratory analysis, we aimed to investigate the association of the overall distress score, as measured with the distress thermometer (DT; [20]), with the individual decision for or against psycho-oncological support, sleeping disturbances, fatigue, pain, worry, fears, and nervousness. The objective is to J o u r n a l P r e -p r o o f distinguish subgroups based on different distress profiles to help health care providers identify patients in need and tailor subsequent treatments [21]. Based on our clinical observation, we hypothesized that patients with primarily physical challenges (pain, sleeping disturbances, fatigue), but no emotional problems, will be more likely to decline psycho-oncological help, while all subgroups with high emotional distress will request psycho-oncological services.…”

Section: Introductionmentioning

confidence: 99%

Distinct psycho-oncological support inclinations and needs in patients with cancer: A large sample latent class analysis approach

Schulze

Günther

Riemenschnitter

et al. 2022

General Hospital Psychiatry

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Background In patients with cancer, the routine recording of distress symptoms has been widely established in recent years. Psycho-oncological support has proven to reduce distress and increase quality of life. Despite high levels of distress as well as physical and emotional challenges in patients with cancer, a significant proportion forgoes psycho-oncological services. Methods A cross-sectional retrospective evaluation was carried out. Latent class analysis was used to examine the relationship between distress, physical and emotional challenges, and desire for psycho-oncological services in 2191 patients with cancer. Results Latent class analysis revealed four homogeneous subgroups: a) patients with high distress, high physical and low emotional challenges and no desire for psycho-oncology, b) patients with high distress, low physical and high emotional challenges and no desire for psycho-oncology, c) patients with high distress, high physical and emotional challenges and a desire for psycho-oncology, d) patients with low distress, low physical and emotional challenges and no desire for psycho-oncology. Conclusion The identification of these subgroups of patients with cancer is useful for health care providers in order to focus their efforts in patients with cancer. It might contribute to a more tailored treatment offer for specific subgroups whose needs have so far been insufficiently met. Keywords Cancer-related distress Distress thermometer and problem list Psycho-oncology Latent class analysis

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“…CCS are at risk for adverse late effects, including peripheral neuropathy, respiratory, cardiovascular, metabolic, skeletal, reproductive, and neurocognitive disorders, due to the aggressive and toxic treatments received in childhood (Huang et al, 2013; Krull et al, 2018). In our previous study, we used the 32‐item Memorial Symptom Assessment Scale (MSAS) to identify symptoms among CCS, who reported 13 symptoms on average, including difficulty concentrating, lack of energy, worrying, drowsiness, and pain (Hong et al, 2020). These disorders and associated symptoms occur more often in CCS than in their siblings or peers (Norsker et al, 2018; Schulte et al, 2021; Suh et al, 2020) and are shown to increase with age (Hudson et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…In Korean, most CCS have regular follow‐ups (every 6 months to 1 year) with the hematologist who provided their cancer treatment until they are declared to be survivors (5 years posttreatment). These follow‐ups are usually brief and focus on the signs and symptoms of cancer relapse, not on managing late and long‐term effects of cancer treatment, psychological symptoms or health behaviors that may contribute to poor HRQOL (Hong et al, 2020). Examining contributory factors is important for healthcare professionals in planning, developing, and delivering appropriate interventions specific to CCS to improve HRQOL (Wakefield et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing quality of life among childhood cancer survivors in Korea: A quantile regression approach

Hong

Kim

Min

2021

Research in Nursing & Health

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Cancer treatment in childhood may negatively affect survivors' quality of life. In this study, we aimed to determine the contributing factors for health‐related quality of life (HRQOL) in survivors of childhood cancer in Korea using quantile regression analysis. This study was a secondary analysis. Data were collected from 130 childhood cancer survivors (CCS) from November 2018 to July 2019. Participants completed the Memorial Symptom Assessment Scale, Depression Anxiety Stress Scale, Health‐Promoting Lifestyle Profile‐II, and 36‐Item Short Form Health Survey (physical component summary [PCS] and mental component summary [MCS]). Quantile and multiple linear regressions were used to analyze the factors contributing to HRQOL. The quantile and linear regression models revealed different results on the contributing factors to HRQOL in CCS. Mean PCS and MCS scores were 78.55 (SD = 15.08) and 64.02 (SD = 18.00), respectively. Symptoms (e.g., difficulty concentrating, worrying, pain, and lack of energy), physical activity, spiritual growth, interpersonal relationships, stress management, depression, and anxiety were significant influencing factors in some PCS quantiles, while symptoms, spiritual growth, interpersonal relationships, depression, and stress were significant influencing factors in some MCS quantiles. The findings of this study showed specific contributing factors in CCS with different levels of HRQOL. There is a need for targeted interventions related to risk reduction and stratification for CCS with different HRQOL levels. Symptom management strategies, early detection programs for CCS with psychological distress, and clinical and counseling interventions for CCS with poor HRQOL need to be developed.

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Symptom clusters in childhood cancer survivors in Korea: A latent class analysis

Cited by 16 publications

References 72 publications

Living with the Late Effects of Childhood Cancer Treatment: A Descriptive Qualitative Study

Living with the Late Effects of Childhood Cancer Treatment: A Descriptive Qualitative Study

Distinct psycho-oncological support inclinations and needs in patients with cancer: A large sample latent class analysis approach

Factors influencing quality of life among childhood cancer survivors in Korea: A quantile regression approach

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