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

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

Abstract

Purpose

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.

Citation

Members of Study Advisory Committee, Sodergren, S. C., Wheelwright, S. J., Permyakova, N. V., Patel, M., Calman, L., …Foster, C. (2019). 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. Journal of Cancer Survivorship, 13, 899–909. https://doi.org/10.1007/s11764-019-00805-6

• Journal Article Type: Article
• Acceptance Date: Aug 29, 2019
• Online Publication Date: Sep 11, 2019
• Publication Date: 2019-12
• Deposit Date: Sep 13, 2019
• Publicly Available Date: Sep 13, 2019
• Journal: Journal of Cancer Survivorship
• Print ISSN: 1932-2259
• Electronic ISSN: 1932-2267
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 13
• Pages: 899–909
• DOI: https://doi.org/10.1007/s11764-019-00805-6
• Keywords: Oncology(nursing); Oncology
• Public URL: https://nottingham-repository.worktribe.com/output/2613589
• Publisher URL: https://link.springer.com/article/10.1007%2Fs11764-019-00805-6
• Additional Information: Received: 4 March 2019; Accepted: 30 August 2019; First Online: 11 September 2019; : ; : The authors declare that they have no conflict of interest.; : All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.; : Informed consent was obtained from all individual participants involved in the study.