Associations between neighbourhood support and financial burden with unmet needs of head and neck cancer survivors

O’Brien, Katie M.; Timmons, Aileen; Butow, Phyllis; Gooberman-Hill, Rachael; O’Sullivan, Eleanor; Balfe, Myles; Sharp, Linda

doi:10.1016/j.oraloncology.2016.12.019

Cited by 31 publications

(59 citation statements)

References 29 publications

(27 reference statements)

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“…Similarly, studies which reported that unmet needs most commonly relate to the information domain also concerned survivors who had more recently ended their treatment (Cheng et al, ; Faghani et al, ; Park & Hwang, ; Santin et al, ; So et al, ), and on the contrary, with the exception of a study carried out with colorectal survivors (Santin et al, ), were conducted in countries with less‐developed health care (Singapore, China and Iran). In the studies of haematological and head and neck cancer, the most common unmet needs related to the items “dealing with feeling tired” (Hall et al, ), “not being able to do things you used to do” (Oberoi, White, Seymour, Miles Prince, et al, ; Oberoi, White, Seymour, Prince, et al, ) or “lack of energy/tiredness” (O'Brien et al, ).…”

Section: Resultsmentioning

confidence: 99%

Prevalence and factors associated with unmet needs in post‐treatment cancer survivors: A systematic review

et al. 2019

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Cancer survivors may experience unmet needs beyond the end of their treatment. This paper aimed to explore the prevalence and most frequently found unmet needs and to identify factors associated with higher levels of total unmet needs and with each domain separately. Five databases were searched using the keywords neoplasms, survivors, needs assessment, health services’ needs and demands. The results were presented based on the strength of the evidence (strong, moderate and weak association) and the categorisation of the pooled prevalence of at least one unmet need (high, moderate, low). Twenty‐six studies were included in the review. A higher prevalence of at least one reported unmet need was observed in survivors with less time since treatment and in women with breast cancer. The most frequently reported unmet needs were fear of cancer recurrence and requesting up to date information. Strong evidence was found for an association between a higher number of unmet needs and younger age, higher anxiety and poorer quality of life. Future studies on unmet needs should report how unmet needs are associated with each domain separately. This might solve the inconclusive evidence found for the stage of the disease at diagnosis and depression.

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Section: Resultsmentioning

confidence: 99%

Prevalence and factors associated with unmet needs in post‐treatment cancer survivors: A systematic review

et al. 2019

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“…Patients with a worse HR-QOL reported significantly more often unmet needs on all supportive care domains compared with patients with a better HR-QOL. 1,3,12,13 Previous studies investigated factors associated with moderate or high unmet needs, 1 factors associated with the number of low, moderate, or high unmet needs, 13 or factors associated with continuous outcomes of the SCNS-SF34. [1][2][3][4] Clear comparison of our findings with previous studies on unmet supportive care needs in patients with head and neck cancer is, however, limited.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] This is higher than the 25% found among Dutch mixed patients with cancer. [2][3][4][6][7][8][9][10][11][12][13] In addition, head and neck cancer-specific supportive care needs are often reported, for instance, dry mouth, dental health, eating, and speech problems. [2][3][4][6][7][8][9][10][11][12][13] In addition, head and neck cancer-specific supportive care needs are often reported, for instance, dry mouth, dental health, eating, and speech problems.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4][6][7][8][9][10][11][12][13] In addition, head and neck cancer-specific supportive care needs are often reported, for instance, dry mouth, dental health, eating, and speech problems. 3,4,9,11,13 Patients with head and neck cancer who specifically may have a high need for supportive care are patients treated with total laryngectomy. 3,4,9,11,13 Patients with head and neck cancer who specifically may have a high need for supportive care are patients treated with total laryngectomy.…”

Section: Introductionmentioning

confidence: 99%

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Unmet supportive care needs in patients treated with total laryngectomy and its associated factors

et al. 2018

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Background The purpose of this study was to investigate unmet supportive care needs in patients treated with total laryngectomy and its associated factors. Methods In this cross‐sectional study, 283 patients who underwent total laryngectomy completed questions on supportive care needs (Supportive Care Needs Survey [SCNS]). Median time since total laryngectomy surgery was 7 years (range 0‐37 years). The prevalence of unmet supportive care needs and its associated factors were investigated using logistic regression analyses. Results Unmet supportive care needs were highest for the head and neck cancer‐specific functioning domain (53%), followed by the psychological (39%), physical and daily living (37%), health system, information, and patient support (35%), sexuality (23%), and lifestyle (5%) domains. Seventy‐one percent reported at least one low, moderate, or high unmet need. Female sex, living alone, and having a voice prosthesis were positively associated with unmet needs on 1 domain (P < .05). A worse health‐related quality of life was associated with unmet needs on all domains. Conclusion The majority of patients who underwent total laryngectomy report at least one low, moderate, or high unmet supportive care need.

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“…In a national Irish lifestyle survey, those living in rural areas reported a greater ability to get both practical help and personal support from neighbours than those living in urban areas [51]. A study of head and neck cancer survivors in Ireland also found that having problems getting support from neighbours was associated with having unmet needs [52]. …”

Section: Discussionmentioning

confidence: 99%

Urban–Rural Variations in Quality-of-Life in Breast Cancer Survivors Prescribed Endocrine Therapy

Cahir

Thomas

Dombrowski

et al. 2017

IJERPH

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The number of breast cancer survivors has increased as a result of rising incidence and increased survival. Research has revealed significant urban–rural variation in clinical aspects of breast cancer but evidence in the area of survivorship is limited. We aimed to investigate whether quality of life (QoL) and treatment-related symptoms vary between urban and rural breast cancer survivors prescribed endocrine therapy. Women with a diagnosis of stages I–III breast cancer prescribed endocrine therapy were identified from the National Cancer Registry Ireland and invited to complete a postal survey (N = 1606; response rate = 66%). A composite measure of urban–rural classification was created using settlement size, population density and proximity to treatment hospital. QoL was measured using the Functional Assessment of Cancer Therapy (FACT-G) and an endocrine subscale. The association between urban–rural residence/status and QoL and endocrine symptoms was assessed using linear regression with adjustment for socio-demographic and clinical covariates. In multivariable analysis, rural survivors had a statistically significant higher overall QoL (β = 3.81, standard error (SE) 1.30, p < 0.01), emotional QoL (β = 0.70, SE 0.21, p < 0.01) and experienced a lower symptom burden (β = 1.76, SE 0.65, p < 0.01) than urban survivors. QoL in breast cancer survivors is not simply about proximity and access to healthcare services but may include individual and community level psychosocial factors.

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Associations between neighbourhood support and financial burden with unmet needs of head and neck cancer survivors

Cited by 31 publications

References 29 publications

Prevalence and factors associated with unmet needs in post‐treatment cancer survivors: A systematic review

Prevalence and factors associated with unmet needs in post‐treatment cancer survivors: A systematic review

Unmet supportive care needs in patients treated with total laryngectomy and its associated factors

Urban–Rural Variations in Quality-of-Life in Breast Cancer Survivors Prescribed Endocrine Therapy

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