Describing Unmet Supportive Care Needs among Young Adults with Cancer (25–39 Years) and the Relationship with Health-Related Quality of Life, Psychological Distress, and Illness Cognitions

Lidington, Emma; Darlington, Anne‐Sophie; Din, Amy; Stanway, Susannah; Banerjee, Susana; Szűcs, Zoltán; Gonzalez, Michael; Sharma, Anand; Sirohi, Bhawna; Graaf, Winette T.A. van der; Husson, Olga

doi:10.3390/jcm10194449

Cited by 3 publications

(2 citation statements)

References 39 publications

(43 reference statements)

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“…Sex and age are confounded to a certain degree (e.g., older males with prostate cancer), but the ANOVA results show that the interactions between sex and age were small, and that both sex and age effects are statistically significant for emotional stability and cognitive functioning. The presence of these age and sex differences implies that supportive cancer care should consider the needs of female patients in particular to narrow the gender disparity in cancer burden, and that younger patients should be given special attention [46,47]. For males, the area of autonomy should be given particular consideration.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Supportive Care Needs and Health-Related Quality of Life in Cancer Patients

Hinz,

Lehmann-Laue,

Richter

et al. 2023

Healthcare

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The aim of this study was to analyze the relationship between quality of life (QoL) and supportive care needs (SCNs) in cancer patients. It is difficult to relate SCNs to detriments in QoL since SCNs and QoL assessment tools generally comprise different dimensions that cannot be directly related to each other. Therefore, we developed a short questionnaire with eight dimensions for uniformly measuring SCNs, QoL, and the subjective importance of these dimensions. A total of 1108 cancer patients with mixed diagnoses assessed eight dimensions of health-related QoL concerning SCNs, satisfaction, and importance. Among the eight dimensions of QoL, physical functioning received the highest SCN assessments (M = 3.4), while autonomy (M = 20.7) and social relationships (M = 1.88) were the dimensions with the lowest SCN mean scores on the 1–5 scale. For each of the eight dimensions, high levels of SCNs were reported by those patients who had low levels of satisfaction with that dimension (r between −0.32 and −0.66). The subjective importance of the dimensions was not consistently correlated with SCNs (r between −0.19 and 0.20). Females reported higher SCNs than males in six of the eight specific dimensions. Patients with prostate and male genital cancers reported the lowest SCNs. These results suggest gender-specific SCN patterns that warrant further exploration. This study highlights the value of a unified assessment instrument for SCNs and QoL, providing a robust basis for future cancer care strategies.

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Section: Discussionmentioning

confidence: 99%

The Relationship between Supportive Care Needs and Health-Related Quality of Life in Cancer Patients

Hinz,

Lehmann-Laue,

Richter

et al. 2023

Healthcare

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“…A multicenter cross-sectional survey across six hospitals in England found that the most common psychological issues were uncertainty about the future and fear of cancer recurrence; this study also highlighted the unmet need for support with changes in sexual function and relationships. 99 It importantly found that patients who self-identified with these needs had lower health-related quality of life, more helplessness, and more unmet service needs. A challenge identified in this study and in others is the low response rate of young patients to these interventions, 100 highlighting the need to identify more efficient and effective ways to engage young patients in available support services.…”

Section: Specialized Support Servicesmentioning

confidence: 98%

Practical Considerations in Diagnosing and Managing Early-Onset GI Cancers

Lumish

Cercek

2022

JCO

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The incidence of early-onset (EO) GI cancers occurring in individuals younger than age 50 years has been rising at an alarming rate over the past two decades. Although this rise in incidence among young patients correlates with increased rates of obesity, changes in diet, and alterations in the environment, the effects of these environmental factors on carcinogenesis, metastasis, and treatment response are unknown. Although several unique clinical trends exist among EO-GI cancers and their average-onset GI cancer counterparts, GI cancers are molecularly indistinct between younger and older patients, and no data support distinct treatment paradigms for patients with EO disease. The majority of EO-GI cancers are not explained by germline changes. There remains a critical need for further research to understand the pathogenesis and optimal management of EO-GI cancers. In addition, current screening strategies are not adequate to identify EO-GI cancers, and early biomarkers are needed. Specialized centers, with a focus on psychosocial aspects of cancer management, can address the unique care needs of patients with EO-GI cancers.

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Fear of Recurrence in Young Adult Cancer Patients—A Network Analysis

Richter¹,

Clever²,

Mehnert‐Theuerkauf³

et al. 2022

Cancers

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Due to the high survival rates of many young cancer patients and a high risk of second tumors, fear of cancer recurrence (FCR) can cause serious impairment for adolescent and young adult (AYA) cancer patients. The aim of this study is to analyze the structure of the Fear of Disease Progression Questionnaire (FoP-Q-12) to better understand the construct of FCR. We performed a cross-sectional survey on a sample of AYA patients aged 15–39 years with different tumor entities. FCR was measured using the FoP-Q-12, and a network analysis was conducted to examine the relationship of FCR symptoms. The importance of individual items in the network was determined using centrality analyses. A total of 247 AYA patients (81.8% female, median age 31.0 years) participated in the study. The mean FCR score in the sample was 35.9 (SD = 9.9). The majority of patients reported having high FCR (59.5%), according to the established cut-off. The two questionnaire items with the strongest association related to fears about work, and the most central symptom was the fear of serious medical interventions. The centrality of emotional issues in the sample indicates that these symptoms should be prioritized in the development of interventions targeting FCR. Further research should address this topic with larger samples of patients in other age groups and in longitudinal studies.

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Describing Unmet Supportive Care Needs among Young Adults with Cancer (25–39 Years) and the Relationship with Health-Related Quality of Life, Psychological Distress, and Illness Cognitions

Cited by 3 publications

References 39 publications

The Relationship between Supportive Care Needs and Health-Related Quality of Life in Cancer Patients

The Relationship between Supportive Care Needs and Health-Related Quality of Life in Cancer Patients

Practical Considerations in Diagnosing and Managing Early-Onset GI Cancers

Fear of Recurrence in Young Adult Cancer Patients—A Network Analysis

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