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Prevalence of unmet needs and correlated factors in advanced-stage cancer patients receiving rehabilitation

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Abstract

Purpose

Although rehabilitation for patients with cancer is currently being provided throughout all phases of the disease, including the advanced stage, much remains unknown about the needs of such patients. The aims of this study were to identify the supportive care and unmet needs of cancer patients receiving rehabilitation interventions and to investigate the factors associated with those unmet needs.

Methods

A total of 45 patients with cancer receiving rehabilitation interventions participated in this study between June 2013 and December 2015. Measures included the Japanese version of the Short-Form Supportive Care Needs Survey Questionnaire (SCNS-SF34), the Functional Independence Measure (FIM), the Hospital Anxiety and Depression Scale (HADS), and various other medico-social factors.

Results

The mean age of the cancer patients was 66.6 years, the mean (±standard deviation) FIM score was 111.8 (±16.1), and the mean HADS score was 13.9 (±8.2). The patients had a mean of 17.4 (±10.3) unmet needs. The top ten unmet needs related to rehabilitation intervention included seven psychological needs, two health system and information needs, and one physical and daily living need. Multiple regression analysis revealed that psychological distress (HADS ≥11), marital status, and sex were significantly associated with physical and daily living needs.

Conclusions

These results suggest that psychosocial factors are important in understanding the supportive care and unmet needs of cancer patients receiving rehabilitation interventions.

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Acknowledgments

We would like to thank all of patients who participated in this study. We are also grateful to P.T. Yamane, O.T. Anbe, P.T. Kobayashi, P.T. Obata, and P.T. Hayashi for their assistance with recruitment of participants.

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Authors and Affiliations

  1. Department of Respiratory Medicine and Medical Oncology, Gifu Municipal Hospital, 7-1 Kashima-cho, Gifu City, Gifu, 500-8513, Japan

    Takaaki Hasegawa & Takashi Ishiguro

  2. Palliative Care Center, Gifu Municipal Hospital, 7-1 Kashima-cho, Gifu City, Gifu, 500-8513, Japan

    Takaaki Hasegawa, Takashi Ishiguro, Nanori Kuzuya & Yasuyuki Sugiyama

  3. Department of Rehabilitation, Gifu Municipal Hospital, 7-1 Kashima-cho, Gifu City, Gifu, 500-8513, Japan

    Naoya Goto, Naoto Matsumoto & Yusuke Sasaki

Authors
  1. Takaaki Hasegawa
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  2. Naoya Goto
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  3. Naoto Matsumoto
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  4. Yusuke Sasaki
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  5. Takashi Ishiguro
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  6. Nanori Kuzuya
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  7. Yasuyuki Sugiyama
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Corresponding author

Correspondence to Takaaki Hasegawa.

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Funding

No financial support was received for this study.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Hasegawa, T., Goto, N., Matsumoto, N. et al. Prevalence of unmet needs and correlated factors in advanced-stage cancer patients receiving rehabilitation. Support Care Cancer 24, 4761–4767 (2016). https://doi.org/10.1007/s00520-016-3327-7

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  • DOI: https://doi.org/10.1007/s00520-016-3327-7

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