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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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| Published in: | British journal of cancer 2017-10, Vol.117 (8), p.1113-1120 |
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| container_end_page | 1120 |
| container_issue | 8 |
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| container_title | British journal of cancer |
| container_volume | 117 |
| creator | Capelan, Marta Battisti, Nicolò Matteo Luca McLoughlin, Anne Maidens, Vivienne Snuggs, Nikki Slyk, Patrycja Peckitt, Clare Ring, Alistair |
| description | 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 |
| doi_str_mv | 10.1038/bjc.2017.283 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5674103</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1949581808</sourcerecordid><originalsourceid>FETCH-LOGICAL-c450t-47cd7082accc579cdd07b0a2e05d6ab566b3b159634750c3585ea8975ddeba423</originalsourceid><addsrcrecordid>eNptkU2LFDEQhoMo7rh68ywBLx7ssZLudNIXQRa_YMHLevIQ8lEzm6E7GZPukfn3Zph1WcVTKOqpN6k8hLxksGbQqnd259YcmFxz1T4iKyZa3jDF5WOyAgDZwMDhgjwrZVfLAZR8Si64UmIAIVfkx80t0n3GgxkxOqRpQ5c44Uwjoi80RNpzQX-lCSMdwyHELbV4TNFTQ30w25hKKKcpNHk8UpvRlJk6U7Pyc_JkY8aCL-7OS_L908ebqy_N9bfPX68-XDeuEzA3nXReguLGOSfk4LwHacFwBOF7Y0Xf29YyMfRtJwW4ViiBRg1SeI_WdLy9JO_PufvFTugdxjmbUe9zmEw-6mSC_rsTw63epoMWvezqH9aAN3cBOf1csMx6CsXhOJqIaSmaDQJY2_ddV9HX_6C7tORY16tUNwjFFKhKvT1TLqdSMm7uH8NAn6zpak2frOlqreKvHi5wD__RVIHmDJTailvMD279X-BveRKhqg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1949581808</pqid></control><display><type>article</type><title>The prevalence of unmet needs in 625 women living beyond a diagnosis of early breast cancer</title><source>PubMed Central</source><creator>Capelan, Marta ; Battisti, Nicolò Matteo Luca ; McLoughlin, Anne ; Maidens, Vivienne ; Snuggs, Nikki ; Slyk, Patrycja ; Peckitt, Clare ; Ring, Alistair</creator><creatorcontrib>Capelan, Marta ; Battisti, Nicolò Matteo Luca ; McLoughlin, Anne ; Maidens, Vivienne ; Snuggs, Nikki ; Slyk, Patrycja ; Peckitt, Clare ; Ring, Alistair</creatorcontrib><description>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
<0.001). Physical and emotional needs were the most frequently reported (55 and 24% respectively). Patients receiving endocrine therapy and those who had received chemotherapy were more likely to report unmet needs (both
P
<0.001).
Conclusions:
Unmet physical and emotional needs are common in breast cancer survivors. It is vital that the services are available for these patients as they transition from hospital-based follow-up to patient-led self-management models of care.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/bjc.2017.283</identifier><identifier>PMID: 28859057</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>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</subject><ispartof>British journal of cancer, 2017-10, Vol.117 (8), p.1113-1120</ispartof><rights>The Author(s) 2017</rights><rights>Copyright Nature Publishing Group Oct 10, 2017</rights><rights>Copyright © 2017 Cancer Research UK 2017 Cancer Research UK</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-47cd7082accc579cdd07b0a2e05d6ab566b3b159634750c3585ea8975ddeba423</citedby><cites>FETCH-LOGICAL-c450t-47cd7082accc579cdd07b0a2e05d6ab566b3b159634750c3585ea8975ddeba423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5674103/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5674103/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28859057$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Capelan, Marta</creatorcontrib><creatorcontrib>Battisti, Nicolò Matteo Luca</creatorcontrib><creatorcontrib>McLoughlin, Anne</creatorcontrib><creatorcontrib>Maidens, Vivienne</creatorcontrib><creatorcontrib>Snuggs, Nikki</creatorcontrib><creatorcontrib>Slyk, Patrycja</creatorcontrib><creatorcontrib>Peckitt, Clare</creatorcontrib><creatorcontrib>Ring, Alistair</creatorcontrib><title>The prevalence of unmet needs in 625 women living beyond a diagnosis of early breast cancer</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>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
<0.001). Physical and emotional needs were the most frequently reported (55 and 24% respectively). Patients receiving endocrine therapy and those who had received chemotherapy were more likely to report unmet needs (both
P
<0.001).
Conclusions:
Unmet physical and emotional needs are common in breast cancer survivors. It is vital that the services are available for these patients as they transition from hospital-based follow-up to patient-led self-management models of care.</description><subject>692/1807/2781</subject><subject>692/4028/67/1347</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Antineoplastic Agents, Hormonal - therapeutic use</subject><subject>Anxiety - psychology</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - physiopathology</subject><subject>Breast Neoplasms - psychology</subject><subject>Breast Neoplasms - therapy</subject><subject>Cancer Research</subject><subject>Chemotherapy</subject><subject>Clinical Study</subject><subject>Depression - psychology</subject><subject>Diagnosis</subject><subject>Drug Resistance</subject><subject>Electronic Health Records</subject><subject>Emotions</subject><subject>Endocrine therapy</subject><subject>Epidemiology</subject><subject>Fatigue - physiopathology</subject><subject>Female</subject><subject>Hot Flashes - physiopathology</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Molecular Medicine</subject><subject>Multivariate Analysis</subject><subject>Needs Assessment</subject><subject>Neoplasm Staging</subject><subject>Oncology</subject><subject>Pain - physiopathology</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sleep Wake Disorders - physiopathology</subject><subject>Social Support</subject><subject>Surveys and Questionnaires</subject><subject>Survivors</subject><subject>United Kingdom</subject><issn>0007-0920</issn><issn>1532-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNptkU2LFDEQhoMo7rh68ywBLx7ssZLudNIXQRa_YMHLevIQ8lEzm6E7GZPukfn3Zph1WcVTKOqpN6k8hLxksGbQqnd259YcmFxz1T4iKyZa3jDF5WOyAgDZwMDhgjwrZVfLAZR8Si64UmIAIVfkx80t0n3GgxkxOqRpQ5c44Uwjoi80RNpzQX-lCSMdwyHELbV4TNFTQ30w25hKKKcpNHk8UpvRlJk6U7Pyc_JkY8aCL-7OS_L908ebqy_N9bfPX68-XDeuEzA3nXReguLGOSfk4LwHacFwBOF7Y0Xf29YyMfRtJwW4ViiBRg1SeI_WdLy9JO_PufvFTugdxjmbUe9zmEw-6mSC_rsTw63epoMWvezqH9aAN3cBOf1csMx6CsXhOJqIaSmaDQJY2_ddV9HX_6C7tORY16tUNwjFFKhKvT1TLqdSMm7uH8NAn6zpak2frOlqreKvHi5wD__RVIHmDJTailvMD279X-BveRKhqg</recordid><startdate>20171010</startdate><enddate>20171010</enddate><creator>Capelan, Marta</creator><creator>Battisti, Nicolò Matteo Luca</creator><creator>McLoughlin, Anne</creator><creator>Maidens, Vivienne</creator><creator>Snuggs, Nikki</creator><creator>Slyk, Patrycja</creator><creator>Peckitt, Clare</creator><creator>Ring, Alistair</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171010</creationdate><title>The prevalence of unmet needs in 625 women living beyond a diagnosis of early breast cancer</title><author>Capelan, Marta ; Battisti, Nicolò Matteo Luca ; McLoughlin, Anne ; Maidens, Vivienne ; Snuggs, Nikki ; Slyk, Patrycja ; Peckitt, Clare ; Ring, Alistair</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-47cd7082accc579cdd07b0a2e05d6ab566b3b159634750c3585ea8975ddeba423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>692/1807/2781</topic><topic>692/4028/67/1347</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic Agents - therapeutic use</topic><topic>Antineoplastic Agents, Hormonal - therapeutic use</topic><topic>Anxiety - psychology</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - pathology</topic><topic>Breast Neoplasms - physiopathology</topic><topic>Breast Neoplasms - psychology</topic><topic>Breast Neoplasms - therapy</topic><topic>Cancer Research</topic><topic>Chemotherapy</topic><topic>Clinical Study</topic><topic>Depression - psychology</topic><topic>Diagnosis</topic><topic>Drug Resistance</topic><topic>Electronic Health Records</topic><topic>Emotions</topic><topic>Endocrine therapy</topic><topic>Epidemiology</topic><topic>Fatigue - physiopathology</topic><topic>Female</topic><topic>Hot Flashes - physiopathology</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Molecular Medicine</topic><topic>Multivariate Analysis</topic><topic>Needs Assessment</topic><topic>Neoplasm Staging</topic><topic>Oncology</topic><topic>Pain - physiopathology</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sleep Wake Disorders - physiopathology</topic><topic>Social Support</topic><topic>Surveys and Questionnaires</topic><topic>Survivors</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Capelan, Marta</creatorcontrib><creatorcontrib>Battisti, Nicolò Matteo Luca</creatorcontrib><creatorcontrib>McLoughlin, Anne</creatorcontrib><creatorcontrib>Maidens, Vivienne</creatorcontrib><creatorcontrib>Snuggs, Nikki</creatorcontrib><creatorcontrib>Slyk, Patrycja</creatorcontrib><creatorcontrib>Peckitt, Clare</creatorcontrib><creatorcontrib>Ring, Alistair</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Capelan, Marta</au><au>Battisti, Nicolò Matteo Luca</au><au>McLoughlin, Anne</au><au>Maidens, Vivienne</au><au>Snuggs, Nikki</au><au>Slyk, Patrycja</au><au>Peckitt, Clare</au><au>Ring, Alistair</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The prevalence of unmet needs in 625 women living beyond a diagnosis of early breast cancer</atitle><jtitle>British journal of cancer</jtitle><stitle>Br J Cancer</stitle><addtitle>Br J Cancer</addtitle><date>2017-10-10</date><risdate>2017</risdate><volume>117</volume><issue>8</issue><spage>1113</spage><epage>1120</epage><pages>1113-1120</pages><issn>0007-0920</issn><eissn>1532-1827</eissn><abstract>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
<0.001). Physical and emotional needs were the most frequently reported (55 and 24% respectively). Patients receiving endocrine therapy and those who had received chemotherapy were more likely to report unmet needs (both
P
<0.001).
Conclusions:
Unmet physical and emotional needs are common in breast cancer survivors. It is vital that the services are available for these patients as they transition from hospital-based follow-up to patient-led self-management models of care.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>28859057</pmid><doi>10.1038/bjc.2017.283</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of cancer, 2017-10, Vol.117 (8), p.1113-1120 |
| issn | 0007-0920 1532-1827 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5674103 |
| source | PubMed Central |
| 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 |
| title | The prevalence of unmet needs in 625 women living beyond a diagnosis of early breast cancer |
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