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Assessing preferences for receiving supportive care resources among patients seen at a Breast Care Center

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Abstract

Background

Patients with breast cancer or at high risk for breast cancer have supportive care needs. Although cancer centers offer social, psychological, and other support to these patients, these services are not always utilized, and patients continue to report unmet supportive care needs. Reasons for non-utilization of these services have not been well documented. In this analysis, we examine patient reasons for service non-utilization and evaluate patients’ interest in receiving information about and paying for other supportive care services.

Methods

Study participants were contacted by email 7–14 months following appointments at the University of California, San Francisco (UCSF) Breast Care Center (BCC) and were invited to complete a 26-question survey about supportive care utilization at UCSF.

Results

In total, 195 patients (45%) completed surveys. Of these, 68% had breast cancer. Among patients with breast cancer, fewer than half completed appointments with psychological services. Lack of self-perceived need was the primary reason patients did not pursue psychological services. Overall, 61% of participants were interested in learning more about psychological services, 27% in nutrition counseling, and 20% in exercise counseling. Participants were more interested in individual counseling than in group counseling but were less interested in paying for services.

Conclusion

Patients often feel that they do not need supportive services. Breast cancer patients are interested in learning more about psychological services, exercise counseling, and nutrition counseling. Although many cancer centers offer group coaching and counseling sessions on these topics, patients may be more willing to engage in individual counseling.

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Data availability

The survey data for this study were collected using Qualtrics software of Qualtrics, Provo, UT, USA, hosted at the University of California, San Francisco.

References

  1. “Cancer of the Breast (Female)—SEER Stat Fact Sheets.” https://seer.cancer.gov/statfacts/html/breast.html. Accessed 21, Sept 2016.

  2. Ganz PA, Desmond KA, Leedham B, Rowland JH, Meyerowitz BE, Belin TR (2002) Quality of life in long-term, disease-free survivors of breast cancer: a follow-up study. JNCI J Natl Cancer Inst 94(1):39–49. https://doi.org/10.1093/jnci/94.1.39

    Article  PubMed  Google Scholar 

  3. Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A (2005) Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ 330(7493):702. https://doi.org/10.1136/bmj.38343.670868.D3

    Article  PubMed  PubMed Central  Google Scholar 

  4. Ganz PA et al (2004) Quality of life at the end of primary treatment of breast cancer: first results from the moving beyond cancer randomized trial. JNCI J Natl Cancer Inst 96(5):376–387. https://doi.org/10.1093/jnci/djh060

    Article  PubMed  Google Scholar 

  5. Mols F, Vingerhoets AJJM, Coebergh JW, van de Poll-Franse LV (2005) Quality of life among long-term breast cancer survivors: a systematic review. Eur J Cancer 41(17):2613–2619. https://doi.org/10.1016/j.ejca.2005.05.017

    Article  PubMed  Google Scholar 

  6. Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P (2000) The unmet supportive care needs of patients with cancer. Cancer 88(1):226–237

    Article  CAS  Google Scholar 

  7. Boyes AW, Girgis A, D’Este C, Zucca AC (2012) Prevalence and correlates of cancer survivors’ supportive care needs 6 months after diagnosis: a population-based cross-sectional study. BMC Cancer 12(1):150. https://doi.org/10.1186/1471-2407-12-150

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kash KM, Holland JC, Osborne MP, Miller DG (1995) Psychological counseling strategies for women at risk of breast cancer. J Natl Cancer Inst Monogr 17:73–79

    Google Scholar 

  9. Pruthi S, Stange KJ, Malagrino GD, Chawla KS, LaRusso NF, Kaur JS (2013) Successful implementation of a telemedicine-based counseling program for high-risk patients with breast cancer. Mayo Clin Proc 88(1):68–73. https://doi.org/10.1016/j.mayocp.2012.10.015

    Article  PubMed  Google Scholar 

  10. Rosenbaum E et al (2004) Cancer supportive care, improving the quality of life for cancer patients. A program evaluation report. Support Care Cancer 12(5):293–301. https://doi.org/10.1007/s00520-004-0599-0

    Article  PubMed  Google Scholar 

  11. Coluzzi PH, Grant M, Doroshow JH, Rhiner M, Ferrell B, Rivera L (1995) Survey of the provision of supportive care services at National Cancer Institute-designated cancer centers. J Clin Oncol 13(3):756–764. https://doi.org/10.1200/JCO.1995.13.3.756

    Article  CAS  PubMed  Google Scholar 

  12. Walsh J et al (2011) What is important in cancer care coordination? A qualitative investigation. Eur J Cancer Care (Engl) 20(2):220–227. https://doi.org/10.1111/j.1365-2354.2010.01187.x

    Article  CAS  Google Scholar 

  13. Steginga SK et al (2008) Socio-demographic, psychosocial and attitudinal predictors of help seeking after cancer diagnosis. Psychooncology 17(10):997–1005. https://doi.org/10.1002/pon.1317

    Article  PubMed  Google Scholar 

  14. Lubberding S, van Uden-Kraan CF, Velde EAT, Cuijpers P, Leemans CR, Leeuw IMV (2015) Improving access to supportive cancer care through an eHealth application: a qualitative needs assessment among cancer survivors. J Clin Nurs 24(9–10):1367–1379. https://doi.org/10.1111/jocn.12753

    Article  PubMed  Google Scholar 

  15. Maunsell E, Brisson J, Deschênes L, Frasure-Smith N (1996) Randomized trial of a psychologic distress screening program after breast cancer: effects on quality of life. J Clin Oncol Off J Am Soc Clin Oncol 14(10):2747–2755

    Article  CAS  Google Scholar 

  16. Basch E et al (2017) Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. JAMA. https://doi.org/10.1001/jama.2017.7156

    Article  PubMed  PubMed Central  Google Scholar 

  17. Wagner LI et al (2015) Bringing PROMIS to practice: brief and precise symptom screening in ambulatory cancer care. Cancer 121(6):927–934. https://doi.org/10.1002/cncr.29104

    Article  PubMed  Google Scholar 

  18. Bennett AV, Jensen RE, Basch E (2012) Electronic patient-reported outcome systems in oncology clinical practice. CA Cancer J Clin 62(5):337–347. https://doi.org/10.3322/caac.21150

    Article  PubMed  Google Scholar 

  19. Jensen RE et al (2014) Review of electronic patient-reported outcomes systems used in cancer clinical care. J Oncol Pract Am Soc Clin Oncol 10(4):e215–222. https://doi.org/10.1200/JOP.2013.001067

    Article  Google Scholar 

  20. Wong EC, Kaplan CP, Dreher N, Hwang J, Van’t Veer L, Melisko ME (2018) Integration of health questionnaire systems to facilitate supportive care services for patients at an academic breast care center. JCO Clin. Cancer Inform. 2:1–13. https://doi.org/10.1200/CCI.18.00018

    Article  CAS  PubMed  Google Scholar 

  21. Brennan ME, Butow P, Marven M, Spillane AJ, Boyle FM (2011) Survivorship care after breast cancer treatment—Experiences and preferences of Australian women. The Breast 20(3):271–277. https://doi.org/10.1016/j.breast.2010.12.006

    Article  PubMed  Google Scholar 

  22. Thompson J et al (2014) Preparing breast cancer patients for survivorship (PREP)—A pilot study of a patient-centred supportive group visit intervention. Eur J Oncol Nurs 18(1):10–16. https://doi.org/10.1016/j.ejon.2013.10.004

    Article  PubMed  Google Scholar 

  23. Christensen S et al (2009) Prevalence and risk of depressive symptoms 3–4 months post-surgery in a nationwide cohort study of Danish women treated for early stage breast-cancer. Breast Cancer Res Treat 113(2):339–355. https://doi.org/10.1007/s10549-008-9920-9

    Article  PubMed  Google Scholar 

  24. Rutten LJF, Arora NK, Bakos AD, Aziz N, Rowland J (2005) Information needs and sources of information among cancer patients: a systematic review of research (1980–2003). Patient Educ Couns 57(3):250–261. https://doi.org/10.1016/j.pec.2004.06.006

    Article  PubMed  Google Scholar 

  25. Kollberg KS, Wilderäng U, Möller A, Steineck G (2014) Worrying about one’s children after breast cancer diagnosis: desired timing of psychosocial intervention support. Care Cancer 22(11):2987–2995. https://doi.org/10.1007/s00520-014-2307-z

    Article  Google Scholar 

  26. Wonderlick AL, Fine BA (1997) Knowledge of breast cancer genetics among breast cancer patients and first-degree relatives of affected individuals. J Genet Couns 6(2):111–130. https://doi.org/10.1023/A:1025651816768

    Article  CAS  PubMed  Google Scholar 

  27. Jones LW, Courneya KS (2002) Exercise counseling and programming preferences of cancer survivors. Cancer Pract 10(4):208–215. https://doi.org/10.1046/j.1523-5394.2002.104003.x

    Article  PubMed  Google Scholar 

  28. Martin E, Bulsara C, Battaglini C, Hands B, Naumann FL (2015) Breast and prostate cancer survivor responses to group exercise and supportive group psychotherapy. J Psychosoc Oncol 33(6):620–634. https://doi.org/10.1080/07347332.2015.1082166

    Article  PubMed  Google Scholar 

  29. Chino F et al (2018) Going for broke: a longitudinal study of patient-reported financial sacrifice in cancer care. J Oncol Pract 14(9):e533–e546. https://doi.org/10.1200/JOP.18.00112

    Article  PubMed  PubMed Central  Google Scholar 

  30. Dubey C, De Maria J, Hoeppli C, Betticher DC, Eicher M (2015) Resilience and unmet supportive care needs in patients with cancer during early treatment: a descriptive study. Eur J Oncol Nurs 19(5):582–588. https://doi.org/10.1016/j.ejon.2015.03.004

    Article  CAS  PubMed  Google Scholar 

  31. Thewes B, Meiser B, Tucker M, Tucker K (2003) The unmet information and support needs of women with a family history of breast cancer: a descriptive survey. J Genet Couns 12(1):61–76. https://doi.org/10.1023/A:1021447201809

    Article  PubMed  Google Scholar 

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Funding

Partial funding for this project was provided by Genentech, Inc. under Grant Number P0501762.

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Authors and Affiliations

Authors

Contributions

ECW, CPK, and MM contributed to the study conception and design. Material preparation, data collection, and analysis were performed by ECW and MB. The first draft of the manuscript was written by ECW and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Emily C. Wong.

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Conflict of interest

Michelle Melisko has received honoraria from Agendia and has received research funding from Novartis, Astra Zeneca, Nektar, Puma, KCRN Research, and Seattle Genetics. The remaining authors declare that they have no conflicts of interest.

Ethical approval

Approval was obtained from the committee on human research at the University of California San Francisco.

Informed consent

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

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Wong, E.C., Kaplan, C.P., Barulich, M. et al. Assessing preferences for receiving supportive care resources among patients seen at a Breast Care Center. Breast Cancer Res Treat 183, 381–389 (2020). https://doi.org/10.1007/s10549-020-05786-0

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  • DOI: https://doi.org/10.1007/s10549-020-05786-0

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