Supportive care needs in patients with lung cancer

Sanders, Sharon; Bantum, Erin O’Carroll; Owen, Jason E.; Thornton, Andrea A.; Stanton, Annette L.

doi:10.1002/pon.1577

Cited by 165 publications

(173 citation statements)

References 45 publications

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“…The findings of this study not only validate the ongoing challenges of survivorship reported by studies in other oncological groups [24][25][26][42][43][44], but also are an important step towards understanding the problems with which a growing number of cancer survivors require assistance in the community. This information will assist in evidence-based planning and management and can improve clinical service delivery in identified areas for improved patient outcomes [26,45].…”

Section: Discussionsupporting

confidence: 68%

Supportive Care Needs following Cancer Treatment: A Comparison of Breast and Brain Cancer in an Australian Cohort

Amatya

Khan

et al. 2014

ISRN Rehabilitation

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Objective. To assess and identify patient-reported supportive care needs following definitive treatment in persons with breast cancer (BC) and primary brain tumours (gliomas) (BT) in an Australian community cohort and to assess the commonalities and/or discrepancies of the reported needs in these oncological populations. Methods. A prospective cross-sectional survey of persons with BC ( = 85) and BT ( = 106) using questionnaires for supportive care needs, psychological morbidity, and quality of life. Results. BT participants were younger than BC patients (mean ages 51 and 57 years). The median time since diagnosis for both groups was over 2 years. The level of psychological morbidity, mainly depression, was high in both groups: BC (22%) and BT (20%). Participants in both groups reported at least one need ("met" or "unmet"). The BC patients reported higher numbers of "needs" and "unmet" needs compared with BT patients (mean 13.7 versus 11.6 needs; "unmet" needs mean 6.0 versus 4.1). The common "met" and "unmet" needs highlighted by both groups were comparable; the domain for most "met" needs included comprehensive cancer care, while "unmet" needs related to existential survivorship issues. Conclusion. Despite successful treatment many cancer survivors experience unmet supportive care needs in longer term. Understanding the impact of these beyond the acute phase is important as care shifts to community settings. More research in existential survivorship issues is needed.

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Section: Discussionsupporting

confidence: 68%

Supportive Care Needs following Cancer Treatment: A Comparison of Breast and Brain Cancer in an Australian Cohort

Amatya

Khan

et al. 2014

ISRN Rehabilitation

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“…33 A small literature suggests that lung cancer patients have significantly more unmet supportive care needs than any other cancer patients. [34][35][36] Results from a US study 36 demonstrates that a large majority of patients experience unmet supportive care needs across multiple domains and having unmet supportive care needs is associated with dissatisfaction with health care providers and mood disturbance. Sanders et al 36 suggest that efforts to improve the clinical assessment of supportive care needs could improve patient satisfaction with care and QoL outcomes in patients with lung cancer.…”

Section: Patient Symptomatologymentioning

confidence: 99%

The impact of lung cancer on patients and carers

Ellis¹

2012

Chron Respir Dis

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This article aims to provide a brief review of the literature with regard to the impact of lung cancer on patients and their informal carers. Compared to other types of cancer, the distress associated with lung cancer has been found to be the most intense. Rather than focusing on symptoms in isolation recent emphasis regarding the symptom experience has been on symptoms clusters, as understanding these clusters may improve the management of ongoing and unrelieved symptoms. However, the disparities in methodology are significant barriers to producing comparable results, although recent efforts have been made to address these. Whilst research into symptoms has enormous potential for the management of symptom clusters, it needs to move away from the essentially reductionist stance which currently dominates and broaden its scope to one that acknowledges the complexity of the experience of symptom clusters from the perspective of the patient and their informal carer. Poor management of symptoms complicates patient care and potentially contributes to the heavy burden which often falls on family caregivers, especially as the disease progresses. The majority of studies focus on the experiences of primary care providers, most often the partner/spouse. Such studies have shown that spouses of patients with lung cancer exhibit significant distress and lower levels of quality of life than the general population. Research also indicates that significant others go through a transition process due to changes brought about by the diagnosis of lung cancer and struggle to endure and overcome difficulties and distress. Significant others were seen to suffer during this process of transition and experienced altered relationships. Clinicians working with patients suffering from lung cancer and their carers should intervene to enhance their quality of life from diagnosis, during the disease trajectory and during bereavement. Interventions need to be developed to support both patients and carers.

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“…2 They report having a number of distinct supportive care needs, including tasks of daily living and psychological needs. [3][4][5] Patients may benefit from methods and measures specific to assessing QOL at the end of life rather than to lung cancer as such. 6 Even when palliative treatment does not prolong survival in these patients, it can significantly ameliorate symptoms leading to improvements in QOL.…”

Section: Introductionmentioning

confidence: 99%

Quality of life among lung cancer patients undergoing treatment at a tertiary cancer institute in North India

et al. 2016

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Supportive care needs in patients with lung cancer

Abstract: Our findings suggest that lung cancer survivors have many unmet needs. Patients who report higher physical distress and intrusive stress symptoms, or lower satisfaction with their health care, may experience the highest level of supportive care need and intervention.

Cited by 165 publications

References 45 publications

Supportive Care Needs following Cancer Treatment: A Comparison of Breast and Brain Cancer in an Australian Cohort

Supportive Care Needs following Cancer Treatment: A Comparison of Breast and Brain Cancer in an Australian Cohort

The impact of lung cancer on patients and carers

Quality of life among lung cancer patients undergoing treatment at a tertiary cancer institute in North India

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