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

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dc.contributor.authorSmith, A.
dc.contributor.authorKing, M.
dc.contributor.authorButow, P.
dc.contributor.authorLuckett, T.
dc.contributor.authorGrimison, P.
dc.contributor.authorToner, G.
dc.contributor.authorStockler, M.
dc.contributor.authorHovey, E.
dc.contributor.authorStubbs, J.
dc.contributor.authorHruby, G.
dc.contributor.authorGurney, H.
dc.contributor.authorTurner, S.
dc.contributor.authorAlam, M.
dc.contributor.authorCox, K.
dc.contributor.authorOlver, I.
dc.date.issued2013
dc.description.abstract<h4>Objective</h4>This cross-sectional study aimed to identify the prevalence and correlates of supportive care needs in testicular cancer (TC) survivors.<h4>Methods</h4>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).<h4>Results</h4>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.<h4>Conclusions</h4>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.
dc.description.statementofresponsibilityAllan ‘Ben’ Smith, Madeleine King, Phyllis Butow, Tim Luckett, Peter Grimison, Guy C. Toner, Martin Stockler, Elizabeth Hovey, John Stubbs, George Hruby, Howard Gurney, Sandra Turner, Mahmood Alam, Keith Cox and Ian Olver
dc.identifier.citationPsycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer, 2013; 22(11):2557-2564
dc.identifier.doi10.1002/pon.3323
dc.identifier.issn1057-9249
dc.identifier.issn1099-1611
dc.identifier.orcidOlver, I. [0000-0001-5478-1576]
dc.identifier.urihttp://hdl.handle.net/2440/82306
dc.language.isoen
dc.publisherJohn Wiley & Sons Ltd
dc.rightsCopyright © 2013 John Wiley & Sons, Ltd
dc.source.urihttps://doi.org/10.1002/pon.3323
dc.subjectHumans
dc.subjectTesticular Neoplasms
dc.subjectPrevalence
dc.subjectCross-Sectional Studies
dc.subjectStress, Psychological
dc.subjectAge Factors
dc.subjectComorbidity
dc.subjectQuality of Life
dc.subjectSocial Support
dc.subjectSocioeconomic Factors
dc.subjectAdolescent
dc.subjectAdult
dc.subjectMiddle Aged
dc.subjectSurvivors
dc.subjectHealth Services Needs and Demand
dc.subjectAustralia
dc.subjectFemale
dc.subjectMale
dc.subjectSurveys and Questionnaires
dc.titleThe prevalence and correlates of supportive care needs in testicular cancer survivors: a cross-sectional study
dc.typeJournal article
pubs.publication-statusPublished

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