The prevalence and correlates of supportive care needs in testicular cancer survivors: A cross-sectional study

Smith, A; King, M; Butow, P; Luckett, T; Grimison, P; Toner, GC; Stockler, M; Hovey, E; Stubbs, J; Hruby, G; Gurney, H; Turner, S; Alam, M; Cox, K; Olver, I

The prevalence and correlates of supportive care needs in testicular cancer survivors: A cross-sectional study

Smith, A King, M Butow, P Luckett, T

Grimison, P Toner, GC Stockler, M Hovey, E Stubbs, J Hruby, G Gurney, H Turner, S Alam, M Cox, K Olver, I

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Publication Type:: Journal Article
Citation:: Psycho-Oncology, 2013, 22 (11), pp. 2557 - 2564
Issue Date:: 2013-11-01

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Field	Value	Language
dc.contributor.author	Smith, A	en_US
dc.contributor.author	King, M	en_US
dc.contributor.author	Butow, P	en_US
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409	en_US
dc.contributor.author	Grimison, P	en_US
dc.contributor.author	Toner, GC	en_US
dc.contributor.author	Stockler, M	en_US
dc.contributor.author	Hovey, E	en_US
dc.contributor.author	Stubbs, J	en_US
dc.contributor.author	Hruby, G	en_US
dc.contributor.author	Gurney, H	en_US
dc.contributor.author	Turner, S	en_US
dc.contributor.author	Alam, M	en_US
dc.contributor.author	Cox, K	en_US
dc.contributor.author	Olver, I	en_US
dc.date.available	2013-05-06	en_US
dc.date.issued	2013-11-01	en_US
dc.identifier.citation	Psycho-Oncology, 2013, 22 (11), pp. 2557 - 2564	en_US
dc.identifier.issn	1057-9249	en_US
dc.identifier.uri	http://hdl.handle.net/10453/26775
dc.description.abstract	Objective: This cross-sectional study aimed to identify the prevalence and correlates of supportive care needs in testicular cancer (TC) survivors. Methods: Men who had completed active anti-cancer treatment for TC between 6 months and 5 years previously showing no evidence of recurrence were recruited from 14 Australian cancer centers (September 2009-February 2011). Participants completed a self-report questionnaire measuring sociodemographics, disease, and treatment information, supportive care needs (CaSUN), psychological distress (DASS21) and health-related quality of life (HRQoL; SF36v2). Results: Of the 486 eligible TC survivors invited to participate, 244 completed the questionnaire. Sixty-six percent reported one or more unmet supportive care needs. The mean number of unmet needs was 4.73 (SD = 7.0, Range = 0-34). The most common unmet needs related primarily to existential survivorship issues (e.g., life stress) and relationships (e.g., sex life). Younger age and presence of chronic illness other than TC were significantly associated with higher number of unmet needs. The number of unmet needs was more highly correlated with psychological distress and HRQoL than unmet need strength. Conclusions: The majority of TC survivors reported one or more unmet needs. Unmet needs regarding existential survivorship issues were frequently reported by TC survivors despite their favorable prognosis. Relationships unmet needs were less prevalent but still more common than in breast and gynecological cancer survivors. These findings appear to be related to the young age of TC survivors. As a higher number of unmet needs is significantly associated with psychological morbidity and impaired HRQoL, interventions addressing this constellation of issues are needed. Copyright © 2013 John Wiley & Sons, Ltd.	en_US
dc.relation.ispartof	Psycho-Oncology	en_US
dc.relation.isbasedon	10.1002/pon.3323	en_US
dc.subject.classification	Oncology & Carcinogenesis	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Testicular Neoplasms	en_US
dc.subject.mesh	Questionnaires	en_US
dc.subject.mesh	Prevalence	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Stress, Psychological	en_US
dc.subject.mesh	Age Factors	en_US
dc.subject.mesh	Comorbidity	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Social Support	en_US
dc.subject.mesh	Socioeconomic Factors	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Survivors	en_US
dc.subject.mesh	Health Services Needs and Demand	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	The prevalence and correlates of supportive care needs in testicular cancer survivors: A cross-sectional study	en_US
dc.type	Journal Article
utslib.citation.volume	11	en_US
utslib.citation.volume	22	en_US
utslib.for	111204 Cancer Therapy (excl. Chemotherapy and Radiation Therapy)	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1112 Oncology and Carcinogenesis	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access
pubs.issue	11	en_US
pubs.publication-status	Published	en_US
pubs.volume	22	en_US

Abstract:

Objective: This cross-sectional study aimed to identify the prevalence and correlates of supportive care needs in testicular cancer (TC) survivors. Methods: Men who had completed active anti-cancer treatment for TC between 6 months and 5 years previously showing no evidence of recurrence were recruited from 14 Australian cancer centers (September 2009-February 2011). Participants completed a self-report questionnaire measuring sociodemographics, disease, and treatment information, supportive care needs (CaSUN), psychological distress (DASS21) and health-related quality of life (HRQoL; SF36v2). Results: Of the 486 eligible TC survivors invited to participate, 244 completed the questionnaire. Sixty-six percent reported one or more unmet supportive care needs. The mean number of unmet needs was 4.73 (SD = 7.0, Range = 0-34). The most common unmet needs related primarily to existential survivorship issues (e.g., life stress) and relationships (e.g., sex life). Younger age and presence of chronic illness other than TC were significantly associated with higher number of unmet needs. The number of unmet needs was more highly correlated with psychological distress and HRQoL than unmet need strength. Conclusions: The majority of TC survivors reported one or more unmet needs. Unmet needs regarding existential survivorship issues were frequently reported by TC survivors despite their favorable prognosis. Relationships unmet needs were less prevalent but still more common than in breast and gynecological cancer survivors. These findings appear to be related to the young age of TC survivors. As a higher number of unmet needs is significantly associated with psychological morbidity and impaired HRQoL, interventions addressing this constellation of issues are needed. Copyright © 2013 John Wiley & Sons, Ltd.

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http://hdl.handle.net/10453/26775