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Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) stud...

S. C. Sodergren, (Members of Study Advisory Committee), S. J. Wheelwright, N. V. Permyakova, M. Patel, L. Calman, P. W. F. Smith, A. Din, A. Richardson, Deborah Fenlon, J. Winter, J. Corner, C. Foster

Journal of Cancer Survivorship

Swansea University Author: Deborah Fenlon

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Abstract

AbstractPURPOSE:To investigate unmet needs of patients with colorectal cancer (CRC) at the end of treatment and whether unmet needs improve over time. Identify predictors of need following treatment and whether unmet need is associated with worse health-related quality of life (HRQoL).METHODS:As par...

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Published in: Journal of Cancer Survivorship
ISSN: 1932-2259 1932-2267
Published: Springer Science and Business Media LLC 2019
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URI: https://cronfa.swan.ac.uk/Record/cronfa51914
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Identify predictors of need following treatment and whether unmet need is associated with worse health-related quality of life (HRQoL).METHODS:As part of the UK ColoREctal Wellbeing (CREW) cohort study, patients treated for CRC completed the Supportive Care Needs Survey Short Form-34 (SCNS SF-34) 15 and 24 months following surgery, along with questionnaires measuring HRQoL, wellbeing, life events, social support, and confidence to manage their cancer before surgery, 3, 9, 15, and 24 months post-surgery.RESULTS:The SCNS SF-34 was completed by 526 patients at 15 months and 510 patients at 24 months. About one-quarter of patients had at least one moderate or severe unmet need at both time points. Psychological and physical unmet needs were the most common and did not improve over time. Over 60% of patients who reported 5 or more moderate or severe unmet needs at 15 months experienced the same level of unmet need at 24 months. HRQoL at the beginning of treatment predicted unmet needs at the end of treatment. Unmet needs, specifically physical, psychological, and health system and information needs, were associated with poorer health and HRQoL at the end of treatment.CONCLUSIONS:Unmet needs persist over time and are associated with HRQoL. Evaluation of HRQoL at the start of treatment would help inform the identification of vulnerable patients. Assessment and care planning in response to unmet needs should be integrated into person-centred care.IMPLICATIONS FOR CANCER SURVIVORS:Early identification of CRC patients at risk of unmet needs will help infrom personalised survivorship care plans. 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spelling 2020-12-17T07:55:08.3564608 v2 51914 2019-09-16 Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study efa6c181fe0a6e5c923b1126ce469186 Deborah Fenlon Deborah Fenlon true false 2019-09-16 FGMHL AbstractPURPOSE:To investigate unmet needs of patients with colorectal cancer (CRC) at the end of treatment and whether unmet needs improve over time. Identify predictors of need following treatment and whether unmet need is associated with worse health-related quality of life (HRQoL).METHODS:As part of the UK ColoREctal Wellbeing (CREW) cohort study, patients treated for CRC completed the Supportive Care Needs Survey Short Form-34 (SCNS SF-34) 15 and 24 months following surgery, along with questionnaires measuring HRQoL, wellbeing, life events, social support, and confidence to manage their cancer before surgery, 3, 9, 15, and 24 months post-surgery.RESULTS:The SCNS SF-34 was completed by 526 patients at 15 months and 510 patients at 24 months. About one-quarter of patients had at least one moderate or severe unmet need at both time points. Psychological and physical unmet needs were the most common and did not improve over time. Over 60% of patients who reported 5 or more moderate or severe unmet needs at 15 months experienced the same level of unmet need at 24 months. HRQoL at the beginning of treatment predicted unmet needs at the end of treatment. Unmet needs, specifically physical, psychological, and health system and information needs, were associated with poorer health and HRQoL at the end of treatment.CONCLUSIONS:Unmet needs persist over time and are associated with HRQoL. Evaluation of HRQoL at the start of treatment would help inform the identification of vulnerable patients. Assessment and care planning in response to unmet needs should be integrated into person-centred care.IMPLICATIONS FOR CANCER SURVIVORS:Early identification of CRC patients at risk of unmet needs will help infrom personalised survivorship care plans. The implementation of personalised and tailored services are likely to confer HRQoL gains. Journal Article Journal of Cancer Survivorship Springer Science and Business Media LLC 1932-2259 1932-2267 Colorectal cancer; Health-related quality of life; Supportive care needs; Survivorship 11 9 2019 2019-09-11 10.1007/s11764-019-00805-6 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2020-12-17T07:55:08.3564608 2019-09-16T13:28:36.5078333 S. C. Sodergren 1 (Members of Study Advisory Committee) 2 S. J. Wheelwright 3 N. V. Permyakova 4 M. Patel 5 L. Calman 6 P. W. F. Smith 7 A. Din 8 A. Richardson 9 Deborah Fenlon 10 J. Winter 11 J. Corner 12 C. Foster 13 0051914-16092019133501.pdf Sodergren2019_Article_SupportiveCareNeedsOfPatientsF.pdf 2019-09-16T13:35:01.7070000 Output 391522 application/pdf Version of Record true 2019-09-15T00:00:00.0000000 Released under the terms of a Creative Commons Attribution 4.0 International License (CC-BY). true eng http:// creativecommons.org/licenses/by/4.0/
title Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study
spellingShingle Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study
Deborah Fenlon
title_short Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study
title_full Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study
title_fullStr Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study
title_full_unstemmed Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study
title_sort Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study
author_id_str_mv efa6c181fe0a6e5c923b1126ce469186
author_id_fullname_str_mv efa6c181fe0a6e5c923b1126ce469186_***_Deborah Fenlon
author Deborah Fenlon
author2 S. C. Sodergren
(Members of Study Advisory Committee)
S. J. Wheelwright
N. V. Permyakova
M. Patel
L. Calman
P. W. F. Smith
A. Din
A. Richardson
Deborah Fenlon
J. Winter
J. Corner
C. Foster
format Journal article
container_title Journal of Cancer Survivorship
publishDate 2019
institution Swansea University
issn 1932-2259
1932-2267
doi_str_mv 10.1007/s11764-019-00805-6
publisher Springer Science and Business Media LLC
document_store_str 1
active_str 0
description AbstractPURPOSE:To investigate unmet needs of patients with colorectal cancer (CRC) at the end of treatment and whether unmet needs improve over time. Identify predictors of need following treatment and whether unmet need is associated with worse health-related quality of life (HRQoL).METHODS:As part of the UK ColoREctal Wellbeing (CREW) cohort study, patients treated for CRC completed the Supportive Care Needs Survey Short Form-34 (SCNS SF-34) 15 and 24 months following surgery, along with questionnaires measuring HRQoL, wellbeing, life events, social support, and confidence to manage their cancer before surgery, 3, 9, 15, and 24 months post-surgery.RESULTS:The SCNS SF-34 was completed by 526 patients at 15 months and 510 patients at 24 months. About one-quarter of patients had at least one moderate or severe unmet need at both time points. Psychological and physical unmet needs were the most common and did not improve over time. Over 60% of patients who reported 5 or more moderate or severe unmet needs at 15 months experienced the same level of unmet need at 24 months. HRQoL at the beginning of treatment predicted unmet needs at the end of treatment. Unmet needs, specifically physical, psychological, and health system and information needs, were associated with poorer health and HRQoL at the end of treatment.CONCLUSIONS:Unmet needs persist over time and are associated with HRQoL. Evaluation of HRQoL at the start of treatment would help inform the identification of vulnerable patients. Assessment and care planning in response to unmet needs should be integrated into person-centred care.IMPLICATIONS FOR CANCER SURVIVORS:Early identification of CRC patients at risk of unmet needs will help infrom personalised survivorship care plans. The implementation of personalised and tailored services are likely to confer HRQoL gains.
published_date 2019-09-11T04:04:47Z
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