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      Prevalence and factors associated with supportive care needs among newly diagnosed Mexican breast cancer patients

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          Abstract

          Purpose

          Mexican breast cancer patients are generally diagnosed in advanced stages of the disease and often experience delays in cancer treatment delivery. Currently, little is known about these patients’ psychological care needs. This study assessed levels and correlates of supportive care needs of Mexican breast cancer patients around the time of cancer diagnosis.

          Methods

          One hundred seventy-three newly diagnosed Mexican breast cancer patients participated in the study. Supportive care needs, anxiety, depression, and patients’ sociodemographic and clinical characteristics were assessed. Multiple regression analyses were used to examine factors associated with care needs.

          Results

          Up to 44% of patients showed unmet care needs. Health system/information needs were the most prevalent (68%), while physical/daily living needs the least (19%). Level of depressive symptoms was most consistently related to care needs. Patients with higher levels of depressive symptoms had higher psychological ( β = 0.38), physical/daily living ( β = 0.43), patient care/support ( β = 0.17), and additional unmet care needs ( β = 0.30), than patients with lower levels of depressive symptoms.

          Conclusions

          This study suggests that mainly health system/information needs arise at the time of cancer diagnosis among Mexican breast cancer patients. Patients suffering high levels of depressive symptoms reported the highest levels of unmet needs. Future studies should be conducted to elucidate the care needs throughout the disease trajectory, as such information can inform health care professionals and policy makers and lead to improvements in the organization and provision of health care services for Mexican breast cancer patients.

          Electronic supplementary material

          The online version of this article (doi:10.1007/s00520-017-3741-5) contains supplementary material, which is available to authorized users.

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          Most cited references29

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            What are the unmet supportive care needs of people with cancer? A systematic review.

            The identification and management of unmet supportive care needs is an essential component of health care for people with cancer. Information about the prevalence of unmet need can inform service planning/redesign. A systematic review of electronic databases was conducted to determine the prevalence of unmet supportive care needs at difference time points of the cancer experience. Of 94 articles or reports identified, 57 quantified the prevalence of unmet need. Prevalence of unmet need, their trends and predictors were highly variable in all domains at all time points. The most frequently reported unmet needs were those in the activities of daily living domain (1-73%), followed by psychological (12-85%), information (6-93%), psychosocial (1-89%) and physical (7-89%). Needs within the spiritual (14-51%), communication (2-57%) and sexuality (33-63%) domains were least frequently investigated. Unmet needs appear to be highest and most varied during treatment, however a greater number of individuals were likely to express unmet need post-treatment compared to any other time. Tumour-specific unmet needs were difficult to distinguish. Variations in the classification of unmet need, differences in reporting methods and the diverse samples from which patients were drawn inhibit comparisons of studies. The diversity of methods used in studies hinders analysis of patterns and predictors of unmet need among people with cancer and precludes generalisation. Well-designed, context-specific, prospective studies, using validated instruments and standard methods of analysis and reporting, are needed to benefit future interventional research to identify how best to address the unmet supportive care needs of people with cancer.
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              The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI).

              Two studies are reported describing the development of a short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI) for use in circumstances where the full-form is inappropriate. Using item-remainder correlations, the most highly correlated anxiety-present and anxiety-absent items were combined, and correlated with scores obtained using the full-form of the STAI. Correlation coefficients greater than .90 were obtained using four and six items from the STAI. Acceptable reliability and validity were obtained using six items. The use of this six-item short-form produced scores similar to those obtained using the full-form. This was so for several groups of subjects manifesting a range of anxiety levels. This short-form of the STAI is therefore sensitive to fluctuations in state anxiety. When compared with the full-form of the STAI, the six-item version offers a briefer and just as acceptable scale for subjects while maintaining results that are comparable to those obtained using the full-form of the STAI.
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                Author and article information

                Contributors
                +31503616663 , a.perez.fortis@umcg.nl
                Journal
                Support Care Cancer
                Support Care Cancer
                Supportive Care in Cancer
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0941-4355
                1433-7339
                17 May 2017
                17 May 2017
                2017
                : 25
                : 10
                : 3273-3280
                Affiliations
                [1 ]Department of Health Sciences, Health Psychology Section, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
                [2 ]ISNI 0000 0001 2159 0001, GRID grid.9486.3, Faculty of Psychology, , National University of Mexico (UNAM), ; Mexico City, Mexico
                [3 ]ISNI 0000 0001 1091 9430, GRID grid.419157.f, Hospital of Gynecology and Obstetrics, , National Medical Center “La Raza,” Mexican Institute of Social Security (IMSS), ; Mexico City, Mexico
                Author information
                http://orcid.org/0000-0003-2990-8517
                Article
                3741
                10.1007/s00520-017-3741-5
                5577048
                28516220
                a163b7f1-8612-4426-a7aa-720bf21a3093
                © The Author(s) 2017

                Open Access This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 14 September 2016
                : 4 May 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100003141, Consejo Nacional de Ciencia y Tecnología;
                Award ID: 248477
                Categories
                Original Article
                Custom metadata
                © Springer-Verlag GmbH Germany 2017

                Oncology & Radiotherapy
                breast cancer,oncology,care needs,psychosocial,latinas
                Oncology & Radiotherapy
                breast cancer, oncology, care needs, psychosocial, latinas

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