TY - JOUR
T1 - Unmet supportive care needs in Hispanic/Latino cancer survivors
T2 - prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden
AU - Moreno, Patricia I.
AU - Ramirez, Amelie G.
AU - San Miguel-Majors, Sandra L.
AU - Castillo, Leopoldo
AU - Fox, Rina S.
AU - Gallion, Kipling J.
AU - Munoz, Edgar
AU - Estabrook, Ryne
AU - Perez, Arely
AU - Lad, Thomas
AU - Hollowell, Courtney
AU - Penedo, Frank J.
N1 - Funding Information:
Funding Research supported by a National Cancer Institute grant (U54CA153511) awarded to Ramirez and Penedo and funding for the Robert H. Lurie Comprehensive Cancer Center at Northwestern University (P30CA060553) and the Mays Cancer Center at UT Health San Antonio (P30CA054174). Moreno and Fox were supported through a National Cancer Institute training grant (T32CA193193).
Publisher Copyright:
© 2018, Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - 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 = − 3.57–− 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.
AB - 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 = − 3.57–− 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.
KW - Hispanic
KW - Latino
KW - Patient-provider communication
KW - Satisfaction with care
KW - Supportive care
KW - Survivorship
KW - Unmet needs
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U2 - 10.1007/s00520-018-4426-4
DO - 10.1007/s00520-018-4426-4
M3 - Article
C2 - 30136022
AN - SCOPUS:85052647823
VL - 27
SP - 1383
EP - 1394
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
SN - 0941-4355
IS - 4
ER -