Most prevalent unmet supportive care needs and quality of life of breast cancer patients in a tertiary hospital in Malaysia

Zobaida Edib, Verasingam Kumarasamy, Norlia Abdullah, Mohd Rizal Abdul Manaf, Sami Abdo Radman Al-Dubai

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: Addressing breast cancer patients' unmet supportive care needs in the early stage of their survivorship have become a prime concern because of its significant association with poor quality of life (QOL), which in turn increases healthcare utilization and costs. There is no study about unmet supportive care needs of breast cancer patients in Malaysia. This study aims to assess the most prevalent unmet supportive care needs of Malaysian breast cancer patients and the association between QOL and patients' characteristics, and their unmet supportive care needs. Methods: A cross-sectional study was conducted at the Surgery and Oncology Clinic between May 2014 and June 2014 in a tertiary hospital in Malaysia. A total of 117 patients out of 133 breast cancer patients recruited by universal sampling were interviewed using a structured questionnaire consisted of three parts: participants' socio-demographic and disease characteristics, Supportive Care Needs Survey-Short Form Questionnaire (SCNS-SF34) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQ-C30). Results: The highest unmet supportive care needs were observed in the psychological domain (Mean 53.31; SD ± 21.79), followed by physical domain (Mean 38.16; SD ± 27.15). Most prevalent unmet supportive care needs were uncertainty about the future (78.6 %), fears about the cancer spreading (76.1 %), feelings of sadness (69.2 %), feelings about death and dying (68.4 %), concerns about those close to the patient (65.0 %) and feeling down or depressed (65.0 %). Multivariate linear analysis showed that early breast cancer survivors diagnosed at an advanced stage and with greater physical and psychological needs were significantly (p <0.05) associated with poorer QOL. Conclusion: Most prevalent unmet needs among Malaysian breast cancer patients were found in the psychological domain. Early breast cancer survivors with late stage diagnosis who had more unmet needs in psychological and physical domains were more likely to have a poor QOL.

Original languageEnglish
JournalHealth and Quality of Life Outcomes
DOIs
Publication statusAccepted/In press - 22 Feb 2016

Fingerprint

Malaysia
Tertiary Care Centers
Quality of Life
Breast Neoplasms
Psychology
Emotions
Survivors
Delayed Diagnosis
Health Care Costs
Uncertainty
Fear
Neoplasms
Multivariate Analysis
Survival Rate
Cross-Sectional Studies
Demography
Organizations
Surveys and Questionnaires
Research

Keywords

  • Breast cancer
  • Quality of life
  • Supportive care
  • Unmet needs

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Most prevalent unmet supportive care needs and quality of life of breast cancer patients in a tertiary hospital in Malaysia. / Edib, Zobaida; Kumarasamy, Verasingam; Abdullah, Norlia; Abdul Manaf, Mohd Rizal; Al-Dubai, Sami Abdo Radman.

In: Health and Quality of Life Outcomes, 22.02.2016.

Research output: Contribution to journalArticle

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abstract = "Background: Addressing breast cancer patients' unmet supportive care needs in the early stage of their survivorship have become a prime concern because of its significant association with poor quality of life (QOL), which in turn increases healthcare utilization and costs. There is no study about unmet supportive care needs of breast cancer patients in Malaysia. This study aims to assess the most prevalent unmet supportive care needs of Malaysian breast cancer patients and the association between QOL and patients' characteristics, and their unmet supportive care needs. Methods: A cross-sectional study was conducted at the Surgery and Oncology Clinic between May 2014 and June 2014 in a tertiary hospital in Malaysia. A total of 117 patients out of 133 breast cancer patients recruited by universal sampling were interviewed using a structured questionnaire consisted of three parts: participants' socio-demographic and disease characteristics, Supportive Care Needs Survey-Short Form Questionnaire (SCNS-SF34) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQ-C30). Results: The highest unmet supportive care needs were observed in the psychological domain (Mean 53.31; SD ± 21.79), followed by physical domain (Mean 38.16; SD ± 27.15). Most prevalent unmet supportive care needs were uncertainty about the future (78.6 {\%}), fears about the cancer spreading (76.1 {\%}), feelings of sadness (69.2 {\%}), feelings about death and dying (68.4 {\%}), concerns about those close to the patient (65.0 {\%}) and feeling down or depressed (65.0 {\%}). Multivariate linear analysis showed that early breast cancer survivors diagnosed at an advanced stage and with greater physical and psychological needs were significantly (p <0.05) associated with poorer QOL. Conclusion: Most prevalent unmet needs among Malaysian breast cancer patients were found in the psychological domain. Early breast cancer survivors with late stage diagnosis who had more unmet needs in psychological and physical domains were more likely to have a poor QOL.",
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AU - Al-Dubai, Sami Abdo Radman

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