Unmet supportive care needs in colorectal cancer: differences by age

Jorgensen, Mikaela; Young, Jane; Harrison, James D.; Solomon, Michael J.

doi:10.1007/s00520-011-1214-9

Cited by 58 publications

(60 citation statements)

References 36 publications

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“…The median age of patients in the latter study was 74. The authors reported that younger patients had significantly greater unmet needs; however, the unmet needs of older patients appeared to be more persistent over time 32 . The increased unmet needs in the younger patients could be related to their own higher expectations to continue performing various tasks, including employment.…”

Section: Discussionmentioning

confidence: 96%

The Prevalence and Nature of Supportive Care Needs in Lung Cancer Patients

et al. 2016

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PurposeIn the present work, we set out to comprehensively describe the unmet supportive care and information needs of lung cancer patients. MethodsThis cross-sectional study used the Supportive Care Needs Survey Short Form 34 (34 items) and an informational needs survey (8 items). Patients with primary lung cancer in any phase of survivorship were included. Demographic data and treatment details were collected from the medical charts of participants. The unmet needs were determined overall and by domain. Univariable and multivariable regression analyses were performed to determine factors associated with greater unmet needs. were recruited. The mean number of unmet needs was 8 (range: 0-34), and 69 patients (78%) reported at least 1 unmet need. The need proportions by domain were 52% health system and information, 66% psychological, 58% physical, 24% patient care, and 20% sexuality. The top 2 unmet needs were "fears of the cancer spreading" [n = 44 of 84 (52%)] and "lack of energy/tiredness" [n = 42 of 88 (48%)]. On multivariable analysis, more advanced disease and higher MD Anderson Symptom Inventory scores were associated with increased unmet needs. Patients reported that the most desired information needs were those for information on managing symptoms such as fatigue (78%), shortness of breath (77%), and cough (63%). ResultsConclusions Unmet supportive care needs are common in lung cancer patients, with some patients experiencing a very high number of unmet needs. Further work is needed to develop resources to address those needs.

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Section: Discussionmentioning

confidence: 96%

The Prevalence and Nature of Supportive Care Needs in Lung Cancer Patients

et al. 2016

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“…In an extensive review of the literature, few studies reported that cancer patients have low needs;[1019] and most studies highlight that cancer patients in both non-Western[1718192021] and Western countries[91428] have many supportive care needs. No studies identified reported such high levels of needs as reported by the participants of our study.…”

Section: Discussionmentioning

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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“…This means that an increasing number 6 of people may now live beyond CRC, but still experience the impact of illness and treatment on several 7 aspects of their lives (Alacacioglu et al, 2010;Arndt et al, 2004;Wu and Snyder, 2011). The need to 8 provide on-going and comprehensive supportive care to these individuals is therefore prominent 9 (Jorgensen et al, 2012). 10…”

Section: Abstract 40mentioning

confidence: 99%

Feasibility and acceptability of the use of patient-reported outcome measures (PROMs) in the delivery of nurse-led supportive care to people with colorectal cancer

Kotronoulas

Papadopoulou

MacNicol

et al. 2017

European Journal of Oncology Nursing

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Purpose Logistical issues pertinent to the use of patient-reported outcome measures (PROMs) by colorectal cancer nurse specialists (CNS) to identify the needs of people with colorectal cancer (CRC) in acute care remain unknown. We explored the feasibility and acceptability of PROMs-driven, CNS-led consultations to enhance delivery of supportive care to people with CRC completing adjuvant chemotherapy. Methods A systematic literature review and focus groups with patients and CNS (Phase 1) were followed by a repeated-measures, exploratory study (Phase 2), whereby pre-consultation PROM data were collected during three consecutive, monthly consultations, and used by the CNS to enable delivery of personalised supportive care. Results Based on Phase 1 data, the Supportive Care Needs Survey was selected for use in Phase 2. Fourteen patients were recruited (recruitment rate: 56%); thirteen (93%) completed all study assessments. Forty in-clinic patient-clinician consultations took place. At baseline, 219 unmet needs were reported in total, with a notable 21% (T2) and 32% (T3) over-time reduction. Physical/daily living and psychological domain scores declined from T1 to T3, yet not statistically significantly. In exit interviews, patients described how using the PROM helped them shortlist and prioritise their needs. CNS stressed how the PROM helped them tease out more issues with patients than they would normally. Conclusions Nurse-led, PROMs-driven needs assessments with patients with CRC appear to be feasible and acceptable in clinical practice, possibly associated with a sizeable reduction in the frequency of unmet needs, and smaller decreases in physical/daily living and psychosocial needs in the immediate post-chemotherapy period

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Unmet supportive care needs in colorectal cancer: differences by age

Abstract: While older patients reported lower levels of unmet need than younger patients, the high prevalence of unmet needs and age differences in item response patterns indicate that further research is needed to determine whether older patients' needs are being accurately captured.

Cited by 58 publications

References 36 publications

The Prevalence and Nature of Supportive Care Needs in Lung Cancer Patients

The Prevalence and Nature of Supportive Care Needs in Lung Cancer Patients

Supportive care needs of Iranian cancer patients

Feasibility and acceptability of the use of patient-reported outcome measures (PROMs) in the delivery of nurse-led supportive care to people with colorectal cancer

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