Case Management Needs of Older and Elderly Cancer Survivors

Stanton, Marietta P.; Franco, Gina; Scoggins, Reggie

doi:10.1097/ncm.0b013e31823be04b

Cited by 7 publications

(12 citation statements)

References 7 publications

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“…In our study, FOR was the top emotional concern among the cancer survivors and also throughout the cancer trajectory. This finding has also been reported by other studies [14,25,[35][36][37][38][39][40].…”

Section: Discussionsupporting

confidence: 91%

“…We also found that those with lower economic status including those staying in public Housing Development Board (HDB) flats are at higher risk of poorer QOL. As demonstrated in other studies, financial burden of cancer treatment is high and respondents expressed a great deal of worry about financial matters [40,47,48]. Evidence [48] also indicates that increased financial burden as a result of cancer care costs is the strongest independent predictor of poor QOL and adverse psychological issues such as depression, anxiety, and distress [48,49] among cancer survivors.…”

Section: Discussionmentioning

confidence: 73%

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Concerns and Quality of Life of Cancer Survivors Across the Survivorship Trajectory

Chua

Tan

et al. 2019

Preprint

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Background Survivors of cancer deal with a myriad of acute, chronic, and late effects of cancer and its treatment which can linger on for decades and inadvertently affect their quality of life (QOL). The aim of this study is to determine the main concerns of survivors at various stages of the cancer survivorship and to assess whether these concerns have any effect on their QOL. Methods A cross-sectional survey was conducted on cancer survivors diagnosed with colorectal, breast, lung, gynaecological, prostate or liver cancers who were seen at the National Cancer Centre Singapore between 11 April and 12 July 2017. Eligible study participants self-completed a questionnaire adapted from the Mayo Clinic Cancer Centre’s Cancer Survivors Survey of Needs.QOL was rated by participants on a scale of 0 – 10, with higher ratings denoting higher level of QOL. Results A total of 1107 cancer survivors filled in the questionnaire. The top 5 concerns among all survivors were cancer treatment and recurrence risk (51%), followed by long-term treatment effects (49%), fear of recurrence (47%), financial concerns (37%) and fatigue (37%). Cancer treatment and recurrence risk, long-term treatment effects and fear of recurrence were amongst the top concerns across the survivorship trajectory. Mean QOL was 7.3 on a scale of 0 – 10. Completed treatment patients had higher QOL score than the newly diagnosed and on treatment patients and the patients dealing with recurrence or second cancer patients. Predictors for QOL included the economic status and housing type of patients and whether patients were concerned with pain and fatigue. Conclusion This study confirms that cancer survivors in Singapore face multiple challenges and had various concerns at various stages of cancer survivorship, some of which negatively affect their QOL. It is critical to design patient care delivery systems that appropriately addresstheir key concerns at different stages of their cancer trajectory so as to enhance their coping skills throughout their cancer journey.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 73%

Concerns and Quality of Life of Cancer Survivors Across the Survivorship Trajectory

Chua

Tan

et al. 2019

Preprint

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“…In our study, the fear of recurrence (FOR) was the top emotional concern among the cancer survivors and also throughout the cancer trajectory. This finding has also been reported by other studies [14,21,[32][33][34][35][36][37][38][39][40]. Evidence in literature reveals the negative impacts associated with FOR, including emotional distress [41], functional status [42] and quality of life [42][43][44][45].…”

Section: Discussionsupporting

confidence: 84%

“…This would also potentially address their concern about the integration of survivorship care between oncology and primary care settings Financial concerns were amongst the top concerns for patients who were either undergoing or about to undergo treatment in this study. As demonstrated in other studies, financial burden of cancer treatment is high and respondents expressed a great deal of worry about financial matters [38,45,50,51]. Cancer, its treatment, or the lasting effects of treatment can take a financial toll on the cancer survivors.…”

Section: Discussionmentioning

confidence: 85%

“…Fatigue was the most prevalent physical concern and one of the predictors for QOL of patients in this study. Cancer-related fatigue is a well-established concern for cancer survivors [8,32,34,[37][38][39]45,55,56]. Fatigue reduces QOL by affecting a patient's self-concept, appetite, activities of daily living, employment, social relationships and compliance with medical treatment [8,37,55,57], and may lead to treatment discontinuation and reduced survival [58].…”

Section: Discussionmentioning

confidence: 99%

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Concerns and Quality of Life of Cancer Survivors Across the Survivorship Trajectory: A Singapore Perspective

Chua¹,

Ng²,

Tan³

et al. 2019

Preprint

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Background The aim of this study is to determine the main concerns of survivors at various stages of the cancer survivorship of the cancer survivorship trajectory and to assess whether these concerns have any effect on their quality of life (QOL). The overall goal was to use the insights from the study to guide practice on patient care. Methods A cross-sectional survey of 1107 cancer survivors diagnosed with colorectal, breast, lung, gynaecological, prostate or liver cancers from a cancer centre in Singapore. Eligible patients self-completed a questionnaire adapted from the Mayo Clinic Cancer Centre’s Cancer Survivors Survey of Needs. Results The top 5 concerns among all survivors were cancer treatment and recurrence risk (51%), followed by long-term treatment effects (49%), fear of recurrence (47%), financial concerns (37%) and fatigue (37%). Cancer treatment and recurrence risk, long-term treatment effects and fear of recurrence were amongst the top concerns across the survivorship trajectory. Mean QOL was 7.3 on a scale of 0 – 10. Completed treatment patients had higher QOL score than the newly diagnosed and on treatment patients and the patients dealing with recurrence or second cancer patients. Predictors for QOL included the economic status and housing type of patients and whether patients were concerned with pain and fatigue Conclusion This study confirms that cancer survivors in Singapore face multiple challenges and had various concerns at various stages of cancer survivorship, some of which negatively affect their QOL It is critical to design patient care delivery that appropriately address the various concerns of cancer survivors in order for them to cope and improve their QOL.

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Cancer Survivors: What Are Their Information Seeking Behaviours?

Chua

Tan

et al. 2020

J Canc Educ

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Case Management Needs of Older and Elderly Cancer Survivors

Abstract: Case managers dealing with elderly cancer survivors can target these needs in terms of transitions from inpatient to outpatient care and beyond into the survivorship period.

Cited by 7 publications

References 7 publications

Concerns and Quality of Life of Cancer Survivors Across the Survivorship Trajectory

Concerns and Quality of Life of Cancer Survivors Across the Survivorship Trajectory

Concerns and Quality of Life of Cancer Survivors Across the Survivorship Trajectory: A Singapore Perspective

Cancer Survivors: What Are Their Information Seeking Behaviours?

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