Care needs after primary breast cancer treatment. Survivors' associated sociodemographic and medical characteristics (original) (raw)
Related papers
Unmet Care Needs in Breast Cancer Survivors: An Integrative Review
Journal of Holistic Nursing And Midwifery
Introduction: Understanding the unmet care needs of breast cancer survivors is one of the important aspects of healthcare service. Objective: This study aimed to identify the unmet needs of breast cancer survivors. Materials and Methods: This research is an integrative review of evidence-based studies from five electronic databases (Web of Science, PubMed, Science Direct, Scopus, and Google Scholar), which was conducted with no time limit until December 2020. Eligible articles were critically reviewed and scored using the mixed methods appraisal tool (MMAT). Results: A total of 28 articles were reviewed, including 7 qualitative, 19 quantitative, and 2 mixed methods studies. “Survival care needs” are referred to information needs, unmet communication needs, and management of disease symptoms and complications. The “unperceived support needs” are referred to six themes of self-change, hurting hope, uncertain faith, unmet occupational needs, impaired sexual function, and forgotten soci...
Journal of Pharmaceutical Research International
The unmet needs of breast cancer survivors are not being addressed as the number of survivors continues to climb. Aim and Objective: To determine the prevalence of post-treatment unmet needs and association between unmet needs of breast cancer survivors with selected demographic variables. A descriptive research study was conducted in a tertiary care hospital's oncology outpatient clinic and wards. Materials and Methods: Data was gathered in two sections: I – baseline data, and section II – Modified needs assessment questionnaire. 35 needs were categorized as physical, emotional, family, spiritual, practical routine, and sexual relationship needs, with ‘Yes’ scored as ‘1’ and ‘No’ scored as ‘0’. Data was collected for one month. Data tabulation and analysis was done. Results: The majority of BCS had a monthly income of Rs.3000- 10000/- (50.8%) and menopause had occurred in 54 (45%) of the women under the age of 45. Majority 65 (78%) did not have health insurance, whereas 42 (35%...
The prevalence of unmet needs in 625 women living beyond a diagnosis of early breast cancer
British Journal of Cancer, 2017
Background: There are over half a million women with a previous breast cancer diagnosis living in the UK. It is important to establish their level of unmet physical and psychosocial needs, as many are not routinely seen for follow-up under current models of care. Methods: We conducted a retrospective analysis of early breast cancer survivors entering an Open Access Follow-Up (OAFU) programme in 2015. Unmet needs were assessed using the Holistic Needs Assessment (HNA) or extracted directly from the electronic patient record (EPR), when the HNA had not been completed. Results: Six hundred and twenty-five patients were eligible. Sixty-one per cent of the survivors had at least one unmet need and 18% had X5 needs. Consistently higher levels of unmet needs were identified using the formal HNA checklist as opposed to extraction from EPR (Po0.001). Physical and emotional needs were the most frequently reported (55 and 24% respectively). Patients receiving endocrine therapy and those who had received chemotherapy were more likely to report unmet needs (both Po0.001). Conclusions: Unmet physical and emotional needs are common in breast cancer survivors. It is vital that the services are available for these patients as they transition from hospital-based follow-up to patient-led self-management models of care.
Symptoms, unmet need, and quality of life among recent breast cancer survivors
The Journal of Community and Supportive Oncology, 2016
Symptoms, unmet need, and quality of life among recent breast cancer survivors T here are currently more than 2.8 million breast cancer survivors in the United States 1 primarily as a result of advances in early detection, surgical and chemotherapeutic procedures, focused radiation, and effective adjuvant therapeutic options, including tamoxifen and aromatase inhibitors (AIs). That number will continue to increase, and about 89% of women diagnosed with breast cancer can now expect to survive 5 years or longer. These life-saving advances have come at a cost, however, and a significant number of these women will have lifelong medical and psychosocial concerns as a result of their cancer and the treatment they received. 2-4 Pain, fatigue, peripheral neuropathy, distress, hormonal symptoms, and other effects of interventional therapies have been noted to be prevalent among women in the years following treatment, 5, 6 with previous findings suggesting that in the 5-year period after initial treatment for breast cancer more than 80% women will experience at least 1 bothersome symptom. 7 The overall quality of life (QoL) of a woman with breast cancer can be influenced by numerous physical and psychosocial issues, which should be addressed by the health care team from the time of diagnosis through survivorship. However, providers often fail to recognize those issues, 8 particularly if they are subjective in nature (eg, fatigue) 9 even in highly controlled clinical trials. 10 Thus, patient reports remain the gold standard, 11, 12 and unless they are elicited by direct inquiry, they may go unreported by survivors 9 leading to unmet psychosocial and physical needs. Such unmet needs appear to be common among cancer patients. Houts and colleagues, 13 in the mid-1980s, found that 51% of cancer patients reported at least 1 unmet need in the year following active treatment, and a more recent replication of this research suggests that this problem has not
Current Oncology Reports
Purpose of Review The population of breast cancer (BC) survivors is growing due to earlier diagnosis and effective combined treatments. A scoping review was performed to explore the role of rehabilitation in BC survivorship and the major issues in BC survivors with International Classification of Functioning Disability and Health (ICF) perspective. Recent Findings The authors searched PubMed from January 1, 2018, up until November 9, 2021. The 65 selected publications were analyzed with the Comprehensive ICF BC Core Set (CCS) perspective and assigned to the categories of the CCS components along with the 3 areas of health (physical, mental, and social health). The multidimensional aspects of BC survivor disability are evident, whereas the topics of the articles concern several categories of the ICF BC CCS and all 3 areas of health. However, the current ICF BC CCS does not include certain categories related to emerging issues of BC survivorship recurring in the papers. Summary Rehabi...
Assessment of Supportive Care Needs, Satisfaction, and Quality of Life among Breast Cancer Survivors
The Egyptian Family Medicine Journal
Background: Supportive care needs are significantly associated with poor quality of life. Satisfaction with care theoretically implies fulfillment of expectations which may be affected by the nature, number, or seriousness of patient's health needs. Objectives:1) To assess the types and levels of unmet needs among breast cancer patients, QOL domains, and patient satisfaction with health care at Zagazig University hospitals. 2) To identify the impact of unmet needs on different QOL domains and patients satisfaction. Methods: This is a cross sectional study; 259 survivors of breast cancer attending the clinical oncology outpatient clinics in Zagazig University Hospital were interviewed (from June 2020 to end of the year). Validated edition of the Supportive Care Needs Short Form Survey (SCNS-SF34), EORTC QLQ-C30, cancer in-patient satisfaction questionnaire (The EORTC IN-PATSAT32), and EORTC QLQ-BR23 (the Arabic versions) were used to assess the quality of life of cancer patients. Results: 54.8% of participants reported that they have unmet needs. The highest unmet supportive care needs were observed in the psychological domain. The total satisfaction rate reached 56.4%. A significant difference was observed between patients having unmet and no needs and different QOL domains. High satisfaction scores were observed among patients with no needs. Conclusion: Psychological needs were the most common unmet needs. The level of perceived needs influences the level of QOL and degree of patients' satisfaction.
Medical and Psychosocial Challenges Associated with Breast Cancer Survivorship
Cureus, 2021
Objective To assess the association between common survivorship issues and characteristics of breast cancer survivors presenting at a tertiary care hospital in Karachi, Pakistan. Methodology This study was conducted in the medical oncology department of Jinnah Medical Postgraduate Center from March 27, 2019, to September 27, 2019. A number of 257 females of age group 18-90 years who had either completed their treatment or were undergoing treatment at the time were included using non-probability consecutive sampling techniques. Face-to-face interviews were personally conducted by the researcher, and data regarding the socio-demographics and common survivorship issues faced by breast cancer patients were obtained. The data acquired were entered and analyzed using SPSS version 23 (IBM Corp, Armonk, NY). Results The mean age of the breast cancer survivors were 42.58 ± 10.07 years. Of the main challenges, lack of energy received the highest mean score of 3.44 ± 1.26, followed by fatigue ...