Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/75797
Title: Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region : results from the International STEP Study
Authors: Molassiotis, A
Yates, P
Li, Q
So, WKW
Pongthavornkamol, K
Pittayapan, P
Komatsu, H
Thandar, M
Li, MS
Chacko, ST
Lopez, V
Butcon, J
Wyld, D
Chan, RJ
Keywords: Cancer survivorship
Asia-Pacific region
Supportive care needs
Symptoms
Quality of life
Care provision
Issue Date: 2017
Publisher: Oxford University Press
Source: Annals of oncology, 2017, v. 28, no. 10, p. 2552-2558 How to cite?
Journal: Annals of oncology 
Abstract: Background: To assess the supportive care needs, quality of life (QoL) and symptoms of patients with cancer after the end of first-line treatments and into survivorship in Asian countries using Australian data as benchmark. Patients and methods: A cross-sectional survey was carried out in Australia and eight high-income (HICs) and low-/middle-income (LMICs) Asian countries (China, Japan, Hong Kong SAR, South Korea, Myanmar, Thailand, India, Philippines) using validated scales (Cancer Survivors Unmet Needs scale), physical-symptom concerns (Cancer Survivors Survey of Needs subscale) and a single-item measure of global QoL perception. Results: Data were collected from 1748 patients from nine countries. QoL was highest in Australia and all other countries had significantly lower QoL than Australia (all P<0.001). One-quarter of the patients reported low QoL (scores 1-3/10). The most frequently reported symptoms were fatigue (66.6%), loss of strength (61.8%), pain (61.6%), sleep disturbance (60.1%), and weight changes (57.7%), with no difference in symptom experience between Australian data and all other countries, or between HICs and LMICs. Unmet needs of moderate/strong level were particularly high in all aspects assessed, particularly in the area of existential survivorship (psychosocial care) and receiving comprehensive cancer care. Australia and HICs were similar in terms of unmet needs (all low), but LMICs had a significantly higher number of needs both compared with Australia and HICs (all P<0.001). Conclusion: Health care systems in Asian countries need to re-think and prioritize survivorship cancer care and put action plans in place to overcome some of the challenges surrounding the delivery of optimal supportive cancer care, use available resource-stratified guidelines for supportive care and test efficient and cost-effective models of survivorship care.
URI: http://hdl.handle.net/10397/75797
ISSN: 0923-7534
EISSN: 1569-8041
DOI: 10.1093/annonc/mdx350
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