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Assessment of needs, health-related quality of life, and satisfaction with care in breast cancer patients to better target supportive care

Brédart, A. ; Kop, J.-L ; Griesser, A.-C ; Fiszer, C. ; Zaman, K. ; Panes-Ruedin, B. ; Jeanneret, W. ; Delaloye, J.-F ; Zimmers, S. ; Berthet, V. ; Dolbeault, S.

In: Annals of Oncology, 2013, vol. 24, no. 8, p. 2151-2158

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    Titre
    • Assessment of needs, health-related quality of life, and satisfaction with care in breast cancer patients to better target supportive care
    Auteur
    • Brédart, A.. Psycho-Oncology Unit, Supportive Care Department, Institute Curie, Paris
    • Kop, J.-L. University of Lorraine, Inter-Psy, Nancy, France
    • Griesser, A.-C. Breast Centre, University Hospital CHUV, Lausanne, Switzerland
    • Fiszer, C.. Psycho-Oncology Unit, Supportive Care Department, Institute Curie, Paris
    • Zaman, K.. Breast Centre, University Hospital CHUV, Lausanne, Switzerland
    • Panes-Ruedin, B.. Breast Centre, University Hospital CHUV, Lausanne, Switzerland
    • Jeanneret, W.. Breast Centre, University Hospital CHUV, Lausanne, Switzerland
    • Delaloye, J.-F. Breast Centre, University Hospital CHUV, Lausanne, Switzerland
    • Zimmers, S.. Psycho-Oncology Unit, Supportive Care Department, Institute Curie, Paris
    • Berthet, V.. University of Lorraine, Inter-Psy, Nancy, France
    • Dolbeault, S.. Psycho-Oncology Unit, Supportive Care Department, Institute Curie, Paris
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Annals of Oncology, 2013, vol. 24, no. 8, p. 2151-2158. Oxford University Press
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:292779
    Summary
    Background This study assessed whether breast cancer (BC) patients express similar levels of needs for equivalent severity of symptoms, functioning difficulties, or degrees of satisfaction with care aspects. BC patients who did (or not) report needs in spite of similar difficulties were identified among their sociodemographic or clinical characteristics. Patients and methods Three hundred and eighty-four (73% response rate) BC patients recruited in ambulatory or surgery hospital services completed the European Organisation for Research and Treatment of Cancer Quality of Life questionnaire (EORTC QLQ)-C30 quality of life [health-related quality of life (HRQOL)], the EORTC IN-PATSAT32 (in-patient) or OUT-PATSAT35 (out-patient) satisfaction with care, and the supportive care needs survey short form 34-item (SCNS-SF34) measures. Results HRQOL or satisfaction with care scale scores explained 41%, 45%, 40% and 22% of variance in, respectively, psychological, physical/daily living needs, information/health system, and care/support needs (P < 0.001). BC patients' education level, having children, hospital service attendance, and anxiety/depression levels significantly predicted differences in psychological needs relative to corresponding difficulties (adjusted R2 = 0.11). Medical history and anxiety/depression levels significantly predicted differences in information/health system needs relative to degrees of satisfaction with doctors, nurses, or radiotherapy technicians and general satisfaction (adjusted R2 = 0.12). Unmet needs were most prevalent in the psychological domains across hospital services. Conclusions Assessment of needs, HRQOL, and satisfaction with care highlights the subgroups of BC patients requiring better supportive care targeting