Risk factors of unmet needs among women with breast cancer in the post-treatment phase

Autor: Mirjam A. G. Sprangers, Hanneke C. J. M. de Haes, Marian B. E. Menke-Pluijmers, Deborah N. N. Lo-Fo-Wong, Marjan van Hezewijk, Mathilde G. E. Verdam, Manon Schriek, Doris van Abbema, Sieta Sijtsema, Neil K. Aaronson, Nicola S. Russell, Anna K.L. Reyners, Mathilda D. den Boer, Geertjan van Tienhoven, Ad A. Kaptein, Marcelle Immink
Přispěvatelé: Erasmus MC other, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Interne Geneeskunde, Radiotherapy, CCA - Cancer Treatment and Quality of Life, Medical Psychology, APH - Mental Health, APH - Personalized Medicine, APH - Methodology, APH - Aging & Later Life, Guided Treatment in Optimal Selected Cancer Patients (GUTS), Targeted Gynaecologic Oncology (TARGON)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Psychological intervention
0302 clinical medicine
Cancer Survivors
Risk Factors
Surveys and Questionnaires
Health care
Prospective Studies
030212 general & internal medicine
PREDICTORS
Mastectomy
PSYCHOLOGICAL DISTRESS
Response rate (survey)
SURVIVORS
Medical record
Middle Aged
PERCEIVED NEEDS
PREVALENCE
Psychiatry and Mental health
Distress
Patient Satisfaction
030220 oncology & carcinogenesis
Papers
Needs assessment
oncology
Female
Paper
Adult
medicine.medical_specialty
Breast Neoplasms
Experimental and Cognitive Psychology
03 medical and health sciences
Breast cancer
SDG 3 - Good Health and Well-being
needs assessment
medicine
Humans
cancer
Risk factor
Aged
Health Services Needs and Demand
SERVICE USE
business.industry
SUPPORTIVE CARE NEEDS
Social Support
distress
medicine.disease
women with breast cancer
Family medicine
HEALTH-CARE
business
Zdroj: Psycho-Oncology, 29, 539-549. John Wiley & Sons Ltd.
Psycho-Oncology, 29(3), 539-549. Wiley
Psycho-Oncology
Psycho-Oncology, 29(3), 539-549. WILEY
Psycho-oncology, 29(3), 539-549. John Wiley and Sons Ltd
Psycho-oncology, 29(3), 539-549. Wiley
ISSN: 1057-9249
Popis: Objective: Unmet health care needs require additional care resources to achieve optimal patient well-being. In this nationwide study we examined associations between a number of risk factors and unmet needs after treatment among women with breast cancer, while taking into account their health care practices. We expected that more care use would be associated with lower levels of unmet needs. Methods: A multicenter, prospective, observational design was employed. Women with primary breast cancer completed questionnaires 6 and 15 months post-diagnosis. Medical data were retrieved from medical records. Direct and indirect associations between sociodemographic and clinical risk factors, distress, care use, and unmet needs were investigated with structural equation modeling. Results: Seven hundred forty-six participants completed both questionnaires (response rate 73.7%). The care services received were not negatively associated with the reported levels of unmet needs after treatment. Comorbidity was associated with higher physical and daily living needs. Higher age was associated with higher health system-related and informational needs. Having had chemotherapy and a mastectomy were associated with higher sexuality needs and breast cancer-specific issues, respectively. A higher level of distress was associated with higher levels of unmet need in all domains. Conclusions: Clinicians may use these results to timely identify which women are at risk of developing specific unmet needs after treatment. Evidence-based, cost-effective (online) interventions that target distress, the most influential risk factor, should be further implemented and disseminated among patients and clinicians.
Databáze: OpenAIRE
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