Unmet supportive care needs in Hispanic/Latino cancer survivors: prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden
| العنوان: | Unmet supportive care needs in Hispanic/Latino cancer survivors: prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden |
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| المؤلفون: | Arely Perez, Kipling J. Gallion, Thomas E. Lad, Courtney M.P. Hollowell, Frank J. Penedo, Amelie G. Ramirez, Sandra L. San Miguel-Majors, Ryne Estabrook, Edgar Munoz, Patricia I. Moreno, Rina S. Fox, Leopoldo Castillo |
| المصدر: | Supportive Care in Cancer. 27:1383-1394 |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Colorectal cancer, Article, Metastasis, 03 medical and health sciences, 0302 clinical medicine, Quality of life (healthcare), Breast cancer, Cancer Survivors, Surveys and Questionnaires, Survivorship curve, Prevalence, medicine, Humans, 030212 general & internal medicine, Healthcare Disparities, Aged, business.industry, Nursing research, Symptom burden, Cancer, Hispanic or Latino, Professional-Patient Relations, Continuity of Patient Care, Middle Aged, medicine.disease, United States, Oncology, Patient Satisfaction, Health Care Surveys, 030220 oncology & carcinogenesis, Family medicine, Quality of Life, Female, business |
| الوصف: | PURPOSE: The aim of this study was to elucidate the prevalence of unmet supportive care needs in Hispanic/Latino cancer survivors and examine the association between unmet needs and patient-provider communication, satisfaction with cancer care, and cancer-specific symptom burden. METHODS: Hispanics/Latinos diagnosed with breast, prostate, or colorectal cancer within 15 months of treatment completion (N=288) completed questionnaires as part of an NCI-funded project. RESULTS: Hispanic/Latino cancer survivors reported greater unmet needs compared to previously published norms in primarily non-Hispanic/Latino white samples. Across the three cancer types, the two most common unmet needs were in the psychological domain: fear of metastasis (32.6%) and concern for close others (31.3%). However, unmet needs varied by cancer type. Factors associated with greater unmet needs included more recent cancer diagnosis (OR .98 [.96-.99]), younger age (OR .96-.97 [.93-.99]), female gender (OR 2.53–3.75 [1.53–7.36]), and being single (OR 1.82 [1.11–2.97]). Breast cancer survivors reported greater unmet needs than both prostate and colorectal cancer survivors (OR 2.33–5.86 [1.27–14.01]). Adjusting for sociodemographic and medical covariates, unmet needs were associated with lower patient-provider communication self-efficacy (B= −.18– −.22, p’s < .01) and satisfaction with cancer care (B= −2.05– −3.81, p’s < .05), and greater breast (B= −4.18– −8.30, p’s < .01) and prostate (B= −6.01– −8.13, p’s < .01) cancer-specific symptom burden. CONCLUSIONS: Findings document unmet supportive care needs in Hispanic/Latino cancer survivors and suggest that reducing unmet needs in Hispanic/Latino cancer survivors may improve not only satisfaction with care, but also health-related quality of life. |
| تدمد: | 1433-7339 0941-4355 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2f4cff5de5ae8baf81c8c750fe225666Test https://doi.org/10.1007/s00520-018-4426-4Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2f4cff5de5ae8baf81c8c750fe225666 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14337339 09414355 |
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