Supportive Care in Cancer

, Volume 27, Issue 4, pp 1383–1394 | Cite as

Unmet supportive care needs in Hispanic/Latino cancer survivors: prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden

  • Patricia I. Moreno
  • Amelie G. Ramirez
  • Sandra L. San Miguel-Majors
  • Leopoldo Castillo
  • Rina S. Fox
  • Kipling J. Gallion
  • Edgar Munoz
  • Ryne Estabrook
  • Arely Perez
  • Thomas Lad
  • Courtney Hollowell
  • Frank J. PenedoEmail author
Original Article



The aim of this study was to elucidate the prevalence of unmet supportive care needs in Hispanic/Latino cancer survivors and examine the association between unmet needs and patient-provider communication, satisfaction with cancer care, and cancer-specific symptom burden.


Hispanics/Latinos diagnosed with breast, prostate, or colorectal cancer within 15 months of treatment completion (n = 288) completed questionnaires as part of an NCI-funded project.


Hispanic/Latino cancer survivors reported greater unmet needs compared to previously published norms in primarily non-Hispanic/Latino white samples. Across the three cancer types, the two most common unmet needs were in the psychological domain: fear of metastasis (32.6%) and concern for close others (31.3%). However, unmet needs varied by cancer type. Factors associated with greater unmet needs included more recent cancer diagnosis (OR .98 [.96–.99]), younger age (OR .96–.97 [.93–.99]), female gender (OR 2.53–3.75 [1.53–7.36]), and being single (OR 1.82 [1.11–2.97]). Breast cancer survivors reported greater unmet needs than both prostate and colorectal cancer survivors (OR 2.33–5.86 [1.27–14.01]). Adjusting for sociodemographic and medical covariates, unmet needs were associated with lower patient-provider communication self-efficacy (B = − .18–− .22, p’s < .01) and satisfaction with cancer care (B = − 3.57–− 3.81, p’s < .05), and greater breast (B = − 4.18–− 8.30, p’s < .01) and prostate (B = − 6.01–− 8.13, p’s < .01) cancer-specific symptom burden.


Findings document unmet supportive care needs in Hispanic/Latino cancer survivors and suggest that reducing unmet needs in Hispanic/Latino cancer survivors may improve not only satisfaction with care, but also health-related quality of life.


Hispanic Latino Survivorship Supportive care Unmet needs Patient-provider communication Satisfaction with care 



Research supported by a National Cancer Institute grant (U54CA153511) awarded to Ramirez and Penedo and funding for the Robert H. Lurie Comprehensive Cancer Center at Northwestern University (P30CA060553) and the Mays Cancer Center at UT Health San Antonio (P30CA054174). Moreno and Fox were supported through a National Cancer Institute training grant (T32CA193193).

Compliance with ethical standards

All procedures performed were approved by the Institutional Review Board (IRB) of each institution and were in accordance with the ethical standards of the 1964 Helsinki declaration and its later amendments.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Patricia I. Moreno
    • 1
  • Amelie G. Ramirez
    • 2
  • Sandra L. San Miguel-Majors
    • 3
  • Leopoldo Castillo
    • 1
  • Rina S. Fox
    • 1
  • Kipling J. Gallion
    • 2
  • Edgar Munoz
    • 2
  • Ryne Estabrook
    • 1
  • Arely Perez
    • 2
  • Thomas Lad
    • 4
  • Courtney Hollowell
    • 5
  • Frank J. Penedo
    • 1
    Email author
  1. 1.Department of Medical Social SciencesNorthwestern University Feinberg School of MedicineChicagoUSA
  2. 2.Institute for Health Promotion Research, UT Health San AntonioSan AntonioUSA
  3. 3.National Cancer InstituteRockvilleUSA
  4. 4.Department of OncologyCook County Health and Hospital SystemsChicagoUSA
  5. 5.Department of Urologic SurgeryCook County Health and Hospital SystemsChicagoUSA

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