The prevalence and correlates of supportive care needs in testicular cancer survivors: A cross-sectional study

Allan Smith, Madeleine King, Phyllis Butow, Tim Luckett, Peter Grimison, Guy C. Toner, Martin Stockler, Elizabeth Hovey, John Stubbs, George Hruby, Howard Gurney, Sandra Turner, Mahmood Alam, Keith Cox, Ian Olver

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: This cross-sectional study aimed to identify the prevalence and correlates of supportive care needs in testicular cancer (TC) survivors. Methods: Men who had completed active anti-cancer treatment for TC between 6 months and 5 years previously showing no evidence of recurrence were recruited from 14 Australian cancer centers (September 2009-February 2011). Participants completed a self-report questionnaire measuring sociodemographics, disease, and treatment information, supportive care needs (CaSUN), psychological distress (DASS21) and health-related quality of life (HRQoL; SF36v2). Results: Of the 486 eligible TC survivors invited to participate, 244 completed the questionnaire. Sixty-six percent reported one or more unmet supportive care needs. The mean number of unmet needs was 4.73 (SD = 7.0, Range = 0-34). The most common unmet needs related primarily to existential survivorship issues (e.g., life stress) and relationships (e.g., sex life). Younger age and presence of chronic illness other than TC were significantly associated with higher number of unmet needs. The number of unmet needs was more highly correlated with psychological distress and HRQoL than unmet need strength. Conclusions: The majority of TC survivors reported one or more unmet needs. Unmet needs regarding existential survivorship issues were frequently reported by TC survivors despite their favorable prognosis. Relationships unmet needs were less prevalent but still more common than in breast and gynecological cancer survivors. These findings appear to be related to the young age of TC survivors. As a higher number of unmet needs is significantly associated with psychological morbidity and impaired HRQoL, interventions addressing this constellation of issues are needed.

LanguageEnglish
Pages2557-2564
Number of pages8
JournalPsycho-Oncology
Volume22
Issue number11
DOIs
Publication statusPublished - Nov 2013
Externally publishedYes

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Testicular Neoplasms
Survivors
Cross-Sectional Studies
Psychology
Survival Rate
Psychological Stress
Self Report
Neoplasms
Chronic Disease
Quality of Life
Breast Neoplasms
Morbidity
Recurrence
Therapeutics

Cite this

Smith, A., King, M., Butow, P., Luckett, T., Grimison, P., Toner, G. C., ... Olver, I. (2013). The prevalence and correlates of supportive care needs in testicular cancer survivors: A cross-sectional study. Psycho-Oncology, 22(11), 2557-2564. https://doi.org/10.1002/pon.3323
Smith, Allan ; King, Madeleine ; Butow, Phyllis ; Luckett, Tim ; Grimison, Peter ; Toner, Guy C. ; Stockler, Martin ; Hovey, Elizabeth ; Stubbs, John ; Hruby, George ; Gurney, Howard ; Turner, Sandra ; Alam, Mahmood ; Cox, Keith ; Olver, Ian. / The prevalence and correlates of supportive care needs in testicular cancer survivors : A cross-sectional study. In: Psycho-Oncology. 2013 ; Vol. 22, No. 11. pp. 2557-2564.
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title = "The prevalence and correlates of supportive care needs in testicular cancer survivors: A cross-sectional study",
abstract = "Objective: This cross-sectional study aimed to identify the prevalence and correlates of supportive care needs in testicular cancer (TC) survivors. Methods: Men who had completed active anti-cancer treatment for TC between 6 months and 5 years previously showing no evidence of recurrence were recruited from 14 Australian cancer centers (September 2009-February 2011). Participants completed a self-report questionnaire measuring sociodemographics, disease, and treatment information, supportive care needs (CaSUN), psychological distress (DASS21) and health-related quality of life (HRQoL; SF36v2). Results: Of the 486 eligible TC survivors invited to participate, 244 completed the questionnaire. Sixty-six percent reported one or more unmet supportive care needs. The mean number of unmet needs was 4.73 (SD = 7.0, Range = 0-34). The most common unmet needs related primarily to existential survivorship issues (e.g., life stress) and relationships (e.g., sex life). Younger age and presence of chronic illness other than TC were significantly associated with higher number of unmet needs. The number of unmet needs was more highly correlated with psychological distress and HRQoL than unmet need strength. Conclusions: The majority of TC survivors reported one or more unmet needs. Unmet needs regarding existential survivorship issues were frequently reported by TC survivors despite their favorable prognosis. Relationships unmet needs were less prevalent but still more common than in breast and gynecological cancer survivors. These findings appear to be related to the young age of TC survivors. As a higher number of unmet needs is significantly associated with psychological morbidity and impaired HRQoL, interventions addressing this constellation of issues are needed.",
author = "Allan Smith and Madeleine King and Phyllis Butow and Tim Luckett and Peter Grimison and Toner, {Guy C.} and Martin Stockler and Elizabeth Hovey and John Stubbs and George Hruby and Howard Gurney and Sandra Turner and Mahmood Alam and Keith Cox and Ian Olver",
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Smith, A, King, M, Butow, P, Luckett, T, Grimison, P, Toner, GC, Stockler, M, Hovey, E, Stubbs, J, Hruby, G, Gurney, H, Turner, S, Alam, M, Cox, K & Olver, I 2013, 'The prevalence and correlates of supportive care needs in testicular cancer survivors: A cross-sectional study', Psycho-Oncology, vol. 22, no. 11, pp. 2557-2564. https://doi.org/10.1002/pon.3323

The prevalence and correlates of supportive care needs in testicular cancer survivors : A cross-sectional study. / Smith, Allan; King, Madeleine; Butow, Phyllis; Luckett, Tim; Grimison, Peter; Toner, Guy C.; Stockler, Martin; Hovey, Elizabeth; Stubbs, John; Hruby, George; Gurney, Howard; Turner, Sandra; Alam, Mahmood; Cox, Keith; Olver, Ian.

In: Psycho-Oncology, Vol. 22, No. 11, 11.2013, p. 2557-2564.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - The prevalence and correlates of supportive care needs in testicular cancer survivors

T2 - Psycho‐Oncology

AU - Smith, Allan

AU - King, Madeleine

AU - Butow, Phyllis

AU - Luckett, Tim

AU - Grimison, Peter

AU - Toner, Guy C.

AU - Stockler, Martin

AU - Hovey, Elizabeth

AU - Stubbs, John

AU - Hruby, George

AU - Gurney, Howard

AU - Turner, Sandra

AU - Alam, Mahmood

AU - Cox, Keith

AU - Olver, Ian

PY - 2013/11

Y1 - 2013/11

N2 - Objective: This cross-sectional study aimed to identify the prevalence and correlates of supportive care needs in testicular cancer (TC) survivors. Methods: Men who had completed active anti-cancer treatment for TC between 6 months and 5 years previously showing no evidence of recurrence were recruited from 14 Australian cancer centers (September 2009-February 2011). Participants completed a self-report questionnaire measuring sociodemographics, disease, and treatment information, supportive care needs (CaSUN), psychological distress (DASS21) and health-related quality of life (HRQoL; SF36v2). Results: Of the 486 eligible TC survivors invited to participate, 244 completed the questionnaire. Sixty-six percent reported one or more unmet supportive care needs. The mean number of unmet needs was 4.73 (SD = 7.0, Range = 0-34). The most common unmet needs related primarily to existential survivorship issues (e.g., life stress) and relationships (e.g., sex life). Younger age and presence of chronic illness other than TC were significantly associated with higher number of unmet needs. The number of unmet needs was more highly correlated with psychological distress and HRQoL than unmet need strength. Conclusions: The majority of TC survivors reported one or more unmet needs. Unmet needs regarding existential survivorship issues were frequently reported by TC survivors despite their favorable prognosis. Relationships unmet needs were less prevalent but still more common than in breast and gynecological cancer survivors. These findings appear to be related to the young age of TC survivors. As a higher number of unmet needs is significantly associated with psychological morbidity and impaired HRQoL, interventions addressing this constellation of issues are needed.

AB - Objective: This cross-sectional study aimed to identify the prevalence and correlates of supportive care needs in testicular cancer (TC) survivors. Methods: Men who had completed active anti-cancer treatment for TC between 6 months and 5 years previously showing no evidence of recurrence were recruited from 14 Australian cancer centers (September 2009-February 2011). Participants completed a self-report questionnaire measuring sociodemographics, disease, and treatment information, supportive care needs (CaSUN), psychological distress (DASS21) and health-related quality of life (HRQoL; SF36v2). Results: Of the 486 eligible TC survivors invited to participate, 244 completed the questionnaire. Sixty-six percent reported one or more unmet supportive care needs. The mean number of unmet needs was 4.73 (SD = 7.0, Range = 0-34). The most common unmet needs related primarily to existential survivorship issues (e.g., life stress) and relationships (e.g., sex life). Younger age and presence of chronic illness other than TC were significantly associated with higher number of unmet needs. The number of unmet needs was more highly correlated with psychological distress and HRQoL than unmet need strength. Conclusions: The majority of TC survivors reported one or more unmet needs. Unmet needs regarding existential survivorship issues were frequently reported by TC survivors despite their favorable prognosis. Relationships unmet needs were less prevalent but still more common than in breast and gynecological cancer survivors. These findings appear to be related to the young age of TC survivors. As a higher number of unmet needs is significantly associated with psychological morbidity and impaired HRQoL, interventions addressing this constellation of issues are needed.

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