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Pan-cancer analysis of fear of cancer recurrence among cancer survivors.
Adashek, J J; Jordan, A; Redwine, L S; Tyson, D Martinez; Thompson, Z; Pabbathi, S.
Afiliación
  • Adashek JJ; Department of Oncology, The Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins Hospital, Baltimore, Maryland, USA. Electronic address: jadashek@westernu.edu.
  • Jordan A; Department of Oncology, The Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins Hospital, Baltimore, Maryland, USA.
  • Redwine LS; Department of Family Medicine and Community Health, University of Miami, Miami, USA.
  • Tyson DM; College of Public Health, University of South Florida, Tampa, USA.
  • Thompson Z; Departments of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center & Research Institute, Tampa, USA.
  • Pabbathi S; Individualized Cancer Management, H. Lee Moffitt Cancer Center & Research Institute, Tampa, USA. Electronic address: smitha.pabbathi@moffitt.org.
ESMO Open ; 7(4): 100528, 2022 08.
Article en En | MEDLINE | ID: mdl-35780591
BACKGROUND: Fear of cancer recurrence (FCR) is a phenomenon estimated to affect a large portion of cancer survivors. This study sought to determine whether patients from a National Cancer Institute-designated institution had their clinical needs met relating to FCR. PATIENTS AND METHODS: Patients referred to the survivorship clinic completed The Clinical Needs Assessment Tool for Cancer Survivors (CNAT-CS). Correlations between responses were calculated and univariable and multivariable logistic regression was used to identify predictors of met or unmet needs related to FCR. RESULTS: Of 647 patients, 241 (37.2%) reported they did not have clinical needs related to FCR and 386 (59.7%) reported they had clinical needs related to FCR but that the needs had been met. Only 20 (3.09%) reported that clinical needs relating to FCR were unmet. According to univariate logistic regression, sex had no impact on FCR (P = 0.8427), nor did years since diagnosis (P = 0.1014). Results of multivariable regression indicate that the odds ratio of reported FCR as an unmet need (versus not a need) is 0.939; the odds decreased by 6% (P = 0.0023) for every year increase in age. For each unit increase in distress score, the odds of reporting FCR as an unmet need increased by 32% (P = 0.0007). CONCLUSIONS: This study is unique in not only examining the presence of FCR but also whether patients reported that their needs were met for FCR. The study found that most patients had clinical needs for FCR, but the needs were met at the time of the survey. Patients who report higher distress scores are more likely to report FCR as an unmet need. Therefore, cancer survivors reporting high distress scores in clinic visits should be evaluated for FCR.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Supervivientes de Cáncer Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: ESMO Open Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Supervivientes de Cáncer Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: ESMO Open Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido