Supportive care needs and psychosocial outcomes of rural versus urban women with breast cancer.
breast cancer
cancer
cluster analysis
oncology
psycho-oncology
psychosocial
rural
supportive care needs
Journal
Psycho-oncology
ISSN: 1099-1611
Titre abrégé: Psychooncology
Pays: England
ID NLM: 9214524
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
revised:
17
05
2022
received:
10
01
2022
accepted:
19
05
2022
pubmed:
22
6
2022
medline:
10
11
2022
entrez:
21
6
2022
Statut:
ppublish
Résumé
To identify whether supportive care needs vary according to remoteness and area-level socio-economic status and to identify the combinations of socio-demographic, area-level and health factors that are associated with poorer quality of life, psychological distress and severity of unmet supportive care needs. Cross sectional data was collected from women with a breast cancer diagnosis (n = 2635) in Queensland, Australia, through a telephone survey including socio-demographic, health, psychosocial and supportive care needs measures. Hierarchical regression and cluster analyses were applied to assess the predictors of unmet need and psychosocial outcomes and to identify socio-demographic and health status profiles of women, comparing their level of unmet needs and psychosocial outcomes. Women living in outer regional areas reported the highest severity of unmet need in the patient care domain. Greater unmet need for health systems and information and patient care was also evident for those in moderately and most disadvantaged areas. Three clusters were identified reflecting (1) older women with poorer health and lower education (19%); (2) younger educated women with better health and private insurance (61%); and (3) physically active women with localised cancer who had completed treatment (20%). Poorer outcomes were evident in the first two of these clusters. This better understanding of the combinations of characteristics associated with poorer psychosocial outcomes and higher unmet need can be used to identify women with higher supportive care needs early and to target interventions.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1951-1957Informations de copyright
© 2022 John Wiley & Sons Ltd.
Références
Fallowfield L, Jenkins V. Psychosocial/survivorship issues in breast cancer: are we doing better? JNCI. J Natl Cancer Inst. 2015;107(1).
Youl PH, Dasgupta P, Youlden D, et al. A systematic review of inequalities in psychosocial outcomes for women with breast cancer according to residential location and Indigenous status in Australia. Psycho Oncol. 2016;25(10):1157-1167.
Butow PN, Phillips F, Schweder J, White K, Underhill C, Goldstein D. Psychosocial well-being and supportive care needs of cancer patients living in urban and rural/regional areas: a systematic review. Support Care Cancer. 2012;20(1):1-22.
Home - Australian Cancer Atlas [Internet]. [cited 2021 Jul 27].https://atlas.cancer.org.au/
Watts KJ, Good LH, McKiernan S, et al. “Undressing” distress among cancer patients living in urban, regional, and remote locations in Western Australia. Support Care Cancer. 2016;24(5):1963-1973.
Pisu M, Azuero A, Benz R, McNees P, Meneses K. Out-of-pocket costs and burden among rural breast cancer survivors. Cancer Med. 2017;6(3):572-581.
Gunn K, Turnbull D, McWha JL, Davies M, Olver I. Psychosocial service use: a qualitative exploration from the perspective of rural Australian cancer patients. Support Care Cancer. 2013;21(9):2547-2555.
Rowe A, Crawford-Williams F, Goodwin BC, et al. Survivorship care plans and information for rural cancer survivors. J Cancer Surviv. 2022;25. https://doi.org/10.1007/s11764-022-01204-0
Crawford-Williams F, Goodwin BC, Chambers SK, Aitken JF, Ford M, Dunn J. Information Needs and Preferences Among Rural Cancer Survivors in Queensland, Australia: A Qualitative Examination. Australian and New Zealand Journal of Public Health; 2021.
Boyes A, Girgis A, Lecathelinais C. Brief assessment of adult cancer patients’ perceived needs: development and validation of the 34-item Supportive Care Needs Survey (SCNS-SF34). J Eval Clin Pract. 2009;15(4):602-606.
Brédart A, Merdy O, Sigal-Zafrani B, Fiszer C, Dolbeault S, Hardouin J-B. Identifying trajectory clusters in breast cancer survivors’ supportive care needs, psychosocial difficulties, and resources from the completion of primary treatment to 8 months later. Support Care Cancer. 2016;24(1):357-366.
Girgis A, Boyes A, Sanson-Fisher RW, Burrows S. Perceived needs of women diagnosed with breast cancer: rural versus urban location. Aust N Z J Publ Health. 2000;24(2):166-173.
Youl PH, Baade PD, Aitken JF, et al. A multilevel investigation of inequalities in clinical and psychosocial outcomes for women after breast cancer. BMC Cancer. 2011;11(1):1-8.
Australian Bureau of Statistics. Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA), [Internet]. Report No.: 2033.0.55.001. https://www.abs.gov.au/ausstats/abs@.nsf/DetailsPage/2033.0.55.0012011
Australian Bureau of Statistics. Australian Statistical Geography Standard (ASGS): Volume 1 - Main Structure and Greater Capital City Statistical Areas, July 2011 [Internet]. Canberra; 2011. Report No.: 1270.0.55.001. https://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/1270.0.55.001Main+Features1July%202011?OpenDocument=
Vaglio J, Conard M, Poston WS, et al. Testing the performance of the ENRICHD social support instrument in cardiac patients. Health Qual Life Outcome. 2004;2(1):1-5.
Zhou ES, Penedo FJ, Bustillo NE, et al. Longitudinal effects of social support and adaptive coping on the emotional well-being of survivors of localized prostate cancer. J Support Oncol. 2010;8(5):196. https://doi.org/10.1016/j.suponc.2010.09.004
McElduff P, Boyes A, Zucca A, Girgis A. Supportive Care Needs Survey: A Guide to Administration, Scoring and Analysis. Centre for Health Research & Psycho-oncology; 2004.
Derogatis L. Brief Symptoms Inventory 18: Administration, Scoring and Procedures Manual. NCS Pearsons; 2001.
Brady MJ, Cella DF, Mo F, et al. Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. J Clin Oncol. 1997;15(3):974-986.
Goodwin BC, Rowe AK, Crawford-Williams F, et al. Geographical disparities in screening and cancer-related health behaviour. Int J Environ Res Publ Health. 2020;17(4):1246. https://doi.org/10.3390/ijerph17041246
Davis C, Girgis A, Williams P, Beeney L. Needs assessment of rural and remote women travelling to the city for breast cancer treatment. Aust N Z J Publ Health. 1998;22(5):525-527.
Schoemaker MJ, Jones ME, Wright LB, et al. Psychological stress, adverse life events and breast cancer incidence: a cohort investigation in 106, 000 women in the United Kingdom. Breast Cancer Res. 2016;18(1):72. https://doi.org/10.1186/s13058-016-0733-1
Brandão T, Schulz MS, Matos PM. Psychological adjustment after breast cancer: a systematic review of longitudinal studies. Psycho Oncol. 2017;26(7):917-926.
Avis NE, Levine BJ, Case LD, Naftalis EZ, Van Zee KJ. Trajectories of depressive symptoms following breast cancer diagnosis. Cancer Epidemiol & Prevention Biomarkers. 2015;24(11):1789-1795.
Lindviksmoen G, Hofsø K, Paul SM, Miaskowski C, Rustøen T. Predictors of initial levels and trajectories of depressive symptoms in women with breast cancer undergoing radiation therapy. Cancer Nurs. 2013;36(6):E34-E43.
Jim HS, Small BJ, Minton S, Andrykowski M, Jacobsen PB. History of major depressive disorder prospectively predicts worse quality of life in women with breast cancer. Ann Behav Med. 2012;43(3):402-408.
Pérez-Alfonso KE, Sánchez-Martínez V. Electronic patient-reported outcome measures evaluating cancer symptoms: a systematic review. Seminars Oncol Nurs. 2021;37(2):151145. https://doi.org/10.1016/j.soncn.2021.151145