Perceived symptoms and the supportive care needs of breast cancer survivors six months to five years post-treatment period |
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| Affiliation: | 1. Psycho-Oncology Unit, Supportive Care Department, Institute Curie, Paris;2. Institute of Psychology, LPPS EA 4057, University Paris Descartes, Boulogne Billancourt;3. University of Lorraine, Inter-Psy, Nancy, France;4. Breast Centre, University Hospital CHUV, Lausanne, Switzerland;5. INSERM U 669, Paris;6. University Paris-Sud and UMR-S0669, University Paris Descartes, Paris, France;1. School of Nursing, The Hong Kong Polytechnic University, Hong Kong;2. School of Nursing, Midwifery and Social Work, University of Manchester, Manchester;3. Christie NHS Foundation Trust, Manchester;4. Institute of Inflammation and Repair, University of Manchester, Manchester, UK;5. Cancer and Population Studies Group, QIMR Berghofer Medical Research Institute, Brisbane;6. Gynaecological Cancers Group, QIMR Berghofer Medical Research Institute, Brisbane, Australia;7. St James''s Institute of Oncology, Leeds;8. Institute of Cancer Studies and Pathology, University of Leeds, Leeds, UK |
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| Abstract: | PurposeThis study characterized the range and levels of perceived symptoms and unmet needs reported by breast cancer survivors in the half-year to five year post-treatment period, and determined whether the symptoms can be a predictor of unmet needs.MethodsIn a cross-sectional study, 150 breast cancer survivors (mean age: 55.1 ± 8 years) at the half-year to five year post-treatment period were enrolled for analysis. The measuring scales used included the Memorial Symptom Assessment Scale (MSAS), and the Supportive Care Needs Survey Short Form (SCNS-SF34).Results88% of the survivors reported having at least one symptom, while 51% reported at least one unmet need. Lack of energy was the most prevalent symptom (47%), followed by numbness/tingling in hands/feet (41%). Most of the survivors had unmet needs in the Health care system/Information domain (37% reported at least one unmet need for help), followed by Psychological needs (29%). The mean scores for the SCNS-SF34 domains, except for sexuality, were significantly higher in the high-symptom group (mean 17.6–32.2) compared with the low-symptom group (mean 3.5–22.3) (p < 0.01). Regression of the SCNS-SF34 domain scores against the MSAS scores revealed an increase in the explained variance of from 14% to 54%.ConclusionOur results suggest that breast cancer survivors continue to experience a multitude of symptoms, and the burden of symptoms may be associated with unmet needs across a range of domains. |
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| Keywords: | Symptoms Unmet needs Supportive care needs Breast cancer survivors |
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