Unmet supportive care needs and associated factors among Chinese discharged patients with esophageal cancer after esophagectomy: A cross-sectional study

Ren, Jin Ying; Zhong, Jiu Di; Yuan, Jingkun; Zhang, Mengjie; Li, Chuan Zhen; Wei, Wei Jin

doi:10.1016/j.ejon.2020.101767

Cited by 12 publications

(7 citation statements)

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“…9 However, stays are usually shorter in most tertiary Grade A hospitals in China due to the usage efficiency of health resources and the implementation of enhanced recovery after surgery (ERAS) for esophageal cancer surgical treatment. 10 After an esophagectomy, patients suffer from a variety of surgery-related problems that may contribute to a reduced quality of life, and a shorter stay may aggravate this situation. The overall prognosis after esophagectomy is poor, with a 5-year survival rate of under 25%.…”

Section: Introductionmentioning

confidence: 99%

“…Most of the top 10 identified moderate-to-severe unmet needs are in the health and information domains. 10 Several supportive care interventions have been developed to improve the quality of life of postsurgical patients with esophageal cancer . 30 , 31 , 32 , 33 Almost all studies that have evaluated interventions during postsurgical supportive care show an effect on cost and patient satisfaction, although some studies show no significant difference in the quality of life compared with regular follow-up care.…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of telephone and internet-based supportive care for patients with esophageal cancer on enhanced recovery after surgery in China: A randomized controlled trial

Yuan¹,

Li²,

Kang³

et al. 2022

Asia-Pacific Journal of Oncology Nursing

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effectiveness of telephone and internet-based supportive care for patients with esophageal cancer on enhanced recovery after surgery in China: A randomized controlled trial

Yuan¹,

Li²,

Kang³

et al. 2022

Asia-Pacific Journal of Oncology Nursing

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“…However, a face-to-face approach may not be easy for patients who live far away from the hospital or those who have physical difficulties in travelling. Therefore, a home-based supportive care intervention is warranted for discharged patients with esophageal cancer after esophagectomy [ 18 , 19 ]. An offer of timely guidance of home-based supportive care to patients can help reduce symptom distress or anxiety and prevent complications, and thus promote physical rehabilitation after surgery.…”

Section: Introductionmentioning

confidence: 99%

Development and Feasibility of a Mobile Health–Supported Comprehensive Intervention Model (CIMmH) for Improving the Quality of Life of Patients With Esophageal Cancer After Esophagectomy: Prospective, Single-Arm, Nonrandomized Pilot Study

Cheng¹,

Ho²,

Guo³

et al. 2020

J Med Internet Res

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Background Patients with esophageal cancer often experience clinically relevant deterioration of quality of life (QOL) after esophagectomy owing to malnutrition, lack of physical exercise, and psychological symptoms. Objective This study aimed to evaluate the feasibility, safety, and efficacy of a comprehensive intervention model using a mobile health system (CIMmH) in patients with esophageal cancer after esophagectomy. Methods Twenty patients with esophageal cancer undergoing the modified McKeown surgical procedure were invited to join the CIMmH program with both online and offline components for 12 weeks. The participants were assessed before surgery and again at 1 and 3 months after esophagectomy. QOL, depressive symptoms, anxiety, stress, nutrition, and physical fitness were measured. Results Of the 20 patients, 16 (80%) completed the program. One month after esophagectomy, patients showed significant deterioration in overall QOL (P=.02), eating (P=.005), reflux (P=.04), and trouble with talking (P<.001). At the 3-month follow-up, except for pain (P=.02), difficulty with eating (P=.03), dry mouth (P=.04), and trouble with talking (P=.003), all other QOL dimensions returned to the preoperative level. There were significant reductions in weight (P<.001) and BMI (P=.02) throughout the study, and no significant changes were observed for physical fitness measured by change in the 6-minute walk distance between baseline and the 1-month follow-up (P=.22) or between baseline and the 3-month follow-up (P=.52). Depressive symptoms significantly increased 1 month after surgery (P<.001), while other psychological measures did not show relevant changes. Although there were declines in many measures 1 month after surgery, these were much improved at the 3-month follow-up, and the recovery was more profound and faster than with traditional rehabilitation programs. Conclusions The CIMmH was feasible and safe and demonstrated encouraging efficacy testing with a control group for enhancing recovery after surgery among patients with esophageal cancer in China. Trial Registration Chinese Clinical Trial Registry (ChiCTR-IPR-1800019900); http://www.chictr.org.cn/showprojen.aspx?proj=32811.

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“…12,13 One study reported that patients after esophagectomy had a wide range of unmet needs concerning health system and information, physical and daily living, psychological, and care and support, which were associated with their symptoms. 14 Recently, researchers are becoming more aware of the interdependence between patients and their family caregivers in coping with cancer. 15,16 The National Comprehensive Cancer Network guidelines recommend that patients and family caregivers should be considered as an integral part of symptom management.…”

mentioning

confidence: 99%

“…Given that esophageal cancer predominately affects the elderly with decreased physiologic reserve and cognitive decline, patients may rely more on caregivers during the cancer trajectory 12,13 . One study reported that patients after esophagectomy had a wide range of unmet needs concerning health system and information, physical and daily living, psychological, and care and support, which were associated with their symptoms 14 . Recently, researchers are becoming more aware of the interdependence between patients and their family caregivers in coping with cancer 15,16 .…”

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confidence: 99%

Patient-Family Caregiver Concordance of Symptom Assessment for Esophageal Cancer Patients Undergoing Esophagectomy

et al. 2023

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BackgroundEsophageal cancer patients suffer from multiple and severe symptoms during the postoperative recovery period. Family caregivers play a vital role in assisting patients to cope with their symptoms.ObjectiveTo examine the concordance of esophageal cancer patients and their caregivers on assessing patients’ symptoms after surgery and identify predictors associated with the symptom concordance.MethodsIn this cross-sectional study, 213 patient-caregiver dyads completed general information questionnaires, the Memorial Symptom Assessment Scale, the Depression Subscale of Hospital Anxiety and Depression Scale, the Mutuality Scale, and the Zarit Burden Interview (for caregivers). Data were analyzed using intraclass correlation coefficients, paired t tests, and binary logistic regression.ResultsAt the dyad level, agreement of patients’ and caregivers’ reported symptoms ranged from poor to fair. At the group level, patients reported significantly higher scores than caregivers in most symptoms. Of the 213 dyads, 119 (55.9%) were identified as concordant on symptom assessment. Patients’ nasogastric tube, perceived mutuality, caregivers’ educational background, and dyad’s communication frequency with each other could predict their concordance of symptom assessment.ConclusionsThere were relatively low agreements between esophageal cancer patients and caregivers on assessing patients’ symptoms, and caregivers tended to underestimate patients’ symptoms. The dyad’s symptom concordance was influenced by patient-, caregiver-, and dyad-related factors.Implications for PracticeHaving an awareness of the incongruence on assessing symptoms between esophageal cancer patients and caregivers may help healthcare professionals to comprehensively interpret patients’ symptoms and develop targeted dyadic interventions to improve their concordance, contributing to optimal symptom management and health outcomes.

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Unmet supportive care needs and associated factors among Chinese discharged patients with esophageal cancer after esophagectomy: A cross-sectional study

Cited by 12 publications

References 60 publications

The effectiveness of telephone and internet-based supportive care for patients with esophageal cancer on enhanced recovery after surgery in China: A randomized controlled trial

The effectiveness of telephone and internet-based supportive care for patients with esophageal cancer on enhanced recovery after surgery in China: A randomized controlled trial

Development and Feasibility of a Mobile Health–Supported Comprehensive Intervention Model (CIMmH) for Improving the Quality of Life of Patients With Esophageal Cancer After Esophagectomy: Prospective, Single-Arm, Nonrandomized Pilot Study

Patient-Family Caregiver Concordance of Symptom Assessment for Esophageal Cancer Patients Undergoing Esophagectomy

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