The prevalence of unmet needs in 625 women living beyond a diagnosis of early breast cancer

Background: There are over half a million women with a previous breast cancer diagnosis living in the UK. It is important to establish their level of unmet physical and psychosocial needs, as many are not routinely seen for follow-up under current models of care. Methods: We conducted a retrospectiv...

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Bibliographic Details
Published in:British journal of cancer 2017-10, Vol.117 (8), p.1113-1120
Main Authors: Capelan, Marta, Battisti, Nicolò Matteo Luca, McLoughlin, Anne, Maidens, Vivienne, Snuggs, Nikki, Slyk, Patrycja, Peckitt, Clare, Ring, Alistair
Format: Article
Language:English
Subjects:
692/1807/2781
692/4028/67/1347
Adult
Aged
Aged, 80 and over
Antineoplastic Agents - therapeutic use
Antineoplastic Agents, Hormonal - therapeutic use
Anxiety - psychology
Biomedical and Life Sciences
Biomedicine
Breast cancer
Breast Neoplasms - pathology
Breast Neoplasms - physiopathology
Breast Neoplasms - psychology
Breast Neoplasms - therapy
Cancer Research
Chemotherapy
Clinical Study
Depression - psychology
Diagnosis
Drug Resistance
Electronic Health Records
Emotions
Endocrine therapy
Epidemiology
Fatigue - physiopathology
Female
Hot Flashes - physiopathology
Humans
Logistic Models
Medical diagnosis
Middle Aged
Molecular Medicine
Multivariate Analysis
Needs Assessment
Neoplasm Staging
Oncology
Pain - physiopathology
Patients
Retrospective Studies
Risk Factors
Sleep Wake Disorders - physiopathology
Social Support
Surveys and Questionnaires
Survivors
United Kingdom
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Summary:Background: There are over half a million women with a previous breast cancer diagnosis living in the UK. It is important to establish their level of unmet physical and psychosocial needs, as many are not routinely seen for follow-up under current models of care. Methods: We conducted a retrospective analysis of early breast cancer survivors entering an Open Access Follow-Up (OAFU) programme in 2015. Unmet needs were assessed using the Holistic Needs Assessment (HNA) or extracted directly from the electronic patient record (EPR), when the HNA had not been completed. Results: Six hundred and twenty-five patients were eligible. Sixty-one per cent of the survivors had at least one unmet need and 18% had ⩾5 needs. Consistently higher levels of unmet needs were identified using the formal HNA checklist as opposed to extraction from EPR ( P
ISSN:0007-0920
1532-1827
DOI:10.1038/bjc.2017.283