A tsunami of unmet needs: pancreatic and ampullary cancer patients' supportive care needs and use of community and allied health services

Beesley, Vanessa L., Janda, Monika, Goldstein, David, Gooden, Helen, Merrett, Neil D., O'Connell, Dianne L., Rowlands, Ingrid J., Wyld, David and Neale, Rachel E. (2015) A tsunami of unmet needs: pancreatic and ampullary cancer patients' supportive care needs and use of community and allied health services. Psycho-Oncology, 25 2: 150-157. doi:10.1002/pon.3887


Author Beesley, Vanessa L.
Janda, Monika
Goldstein, David
Gooden, Helen
Merrett, Neil D.
O'Connell, Dianne L.
Rowlands, Ingrid J.
Wyld, David
Neale, Rachel E.
Title A tsunami of unmet needs: pancreatic and ampullary cancer patients' supportive care needs and use of community and allied health services
Journal name Psycho-Oncology   Check publisher's open access policy
ISSN 1099-1611
1057-9249
Publication date 2015-06-29
Sub-type Article (original research)
DOI 10.1002/pon.3887
Volume 25
Issue 2
Start page 150
End page 157
Total pages 8
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Collection year 2016
Language eng
Formatted abstract
Objective:  People diagnosed with pancreatic cancer have the worst survival prognosis of any cancer. No previous research has documented the supportive care needs of this population. Our objective was to describe people's needs and use of support services and to examine whether these differed according to whether or not patients had undergone surgical resection.

Methods:  Queensland pancreatic or ampullary cancer patients (n = 136, 54% of those eligible) completed a survey, which assessed 34 needs across five domains (Supportive Care Needs Survey-Short Form) and use of health services. Differences by resection were compared with Chi-squared tests.

Results:  Overall, 96% of participants reported having some needs. More than half reported moderate-to-high unmet physical (54%) or psychological (52%) needs, whereas health system/information (32%), patient care (21%) and sexuality needs (16%) were described less frequently. The three most frequently reported moderate-to-high needs included ‘not being able to do things they used to do’ (41%), ‘concerns about the worries of those close’ (37%) and ‘uncertainty about the future’ (30%). Patients with non-resectable disease reported greater individual information needs, but their needs were otherwise similar to patients with resectable disease. Self-reported use of support was low; only 35% accessed information, 28%, 18% and 15% consulted a dietician, complementary medicine practitioner or mental health practitioner, respectively. Palliative care access was greater (59% vs 27%) among those with non-resectable disease.

Conclusion:  Very high levels of needs were reported by people with pancreatic or ampullary cancer. Future work needs to elucidate why uptake of appropriate supportive care is low and which services are required. 
Keyword Pancreatic cancer
Supportive care
Needs
Survival prognosis
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Early view of article. Published online 29 June 2015.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
School of Medicine Publications
 
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