Unmet supportive care needs in colorectal cancer: differences by age
- 581 Downloads
Cancer is primarily a disease of ageing, yet the unmet supportive care needs of older cancer patients are not well understood. This study aims to explore how unmet needs differ by age over the 3 months following colorectal cancer surgery.
Control groups from pilot phases of an ongoing randomised trial completed the Supportive Care Needs Survey-Short Form 34 (SCNS-SF34) at 1 and 3 months following hospital discharge (n = 57). Multiple regression was used to investigate whether age was an independent predictor of unmet needs in each of the five SCNS-SF34 domains. The proportion of patients with unmet needs and the pattern of item responses were compared between patients aged <65 and ≥65 years at both time points.
Older age independently predicted significantly lower levels of unmet need than younger age in nearly all SCNS-SF34 domains. However, more than half of all older patients had unmet needs at both time points (56% and 65%), and age differences in unmet needs were less apparent by 3 months. Older patients were less likely than younger patients to report ‘satisfied’ needs, as older patients were significantly more likely to report items were ‘not applicable’ at both 1 month (mean difference 29%, p < 0.001) and 3 months (mean difference 23%, p = 0.01).
While older patients reported lower levels of unmet need than younger patients, the high prevalence of unmet needs and age differences in item response patterns indicate that further research is needed to determine whether older patients' needs are being accurately captured.
KeywordsSupportive care needs Unmet need Cancer Age Older
- 2.AIHW (Australian Institute of Health and Welfare) (2010) ACIM (Australian Cancer Incidence and Mortality) Books. http://www.aihw.gov.au/cancer/data/acim_books/index.cfm. Accessed 21 Feb 2011
- 11.Extermann M, Aapro M, Bernabei R, Cohen HJ, Droz J-P, Lichtman S, Mor V, Monfardini S, Repetto L, Sorbye L, Topinkova E (2005) Use of comprehensive geriatric assessment in older cancer patients: recommendations from the task force on CGA of the International Society of Geriatric Oncology (SIOG). Crit Rev Oncol Hematol 55:241–252PubMedCrossRefGoogle Scholar
- 19.Johnson C, Fitzsimmons D, Gilbert J, Arrarras J-I, Hammerlid E, Bredart A, Ozmen M et al (2010) Development of the European Organisation for research and treatment of cancer quality of life questionnaire module for older people with cancer: the EORTC QLQ-ELD15. Eur J Cancer 46:2242–2252PubMedCrossRefGoogle Scholar
- 20.King M, Colagiuri B, Butow P, Luckett T, Price M, Birney DP (2010) Health-related quality of life versus needs assessment: do conceptual distinctions translate empirically? Paper presented at the Sydney Cancer Conference, University of Sydney, Australia, 15–17 JulyGoogle Scholar
- 23.McElduff P, Boyes A, Zucca A, Girgis A (2004) The supportive care needs survey: a guide to administration, scoring and analysis. Centre for Health Research and Psycho-Oncology, NewcastleGoogle Scholar
- 38.Young J, Harrison J, Solomon M, Butow P, Dennis R, Robson D, Auld S (2010) Development and feasibility assessment of telephone-delivered supportive care to improve outcomes for patients with colorectal cancer: pilot study of the connect intervention. Support Care Cancer 18:461–470PubMedCrossRefGoogle Scholar