Patient Reported Outcomes/Quality of Life
PV QA 4 - Poster Viewing Q&A 4
TU_44_3744 - The Prevalence and Nature of Unmet Survivorship Needs of Prostate Cancer Patients
Tuesday, October 23
2:45 PM - 4:15 PM
Location: Innovation Hub, Exhibit Hall 3
Meredith Giuliani, MB, BS
Princess Margaret Cancer Centre: Radiation Oncologist: Employee
AstraZeneca: Advisory Board; Elekta Inc: Honoraria, Travel Expenses
Canadian Association of Radiation Oncology: Chair, Education Committee
The Prevalence and Nature of Unmet Survivorship Needs of Prostate Cancer Patients
J. Papadakos1, N. K. Quartey1, C. N. Catton2, A. D’souza1, E. Kucharski3, M. Maganti4, A. Matthew5, and M. E. Giuliani6,7; 12. Health Literacy Research Centre, Cancer Education Program, Princess Margaret Cancer Centre, Toronto, ON, Canada, 2Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada, 3Primary Care, Cancer Care Ontario, Toronto, ON, Canada, 4Biostatistics, Princess Margaret Cancer Centre, Toronto, ON, Canada, 5Department of Supportive Care, Princess Margaret Cancer Centre, Toronto, ON, Canada, 6Department of Radiation Oncology, Princess Margaret Cancer Centre-University of Toronto, Toronto, ON, Canada, 7University of Toronto, Toronto, ON, Canada
Purpose/Objective(s): The purpose of this prospective study is to explore the prevalence and nature of unmet survivorship needs in prostate cancer patients.
Materials/Methods: This prospective cross-sectional study recruited patients who completed treatment >2 years ago for prostate cancer at Princess Margaret Cancer Centre. Participants completed a one-time questionnaire including demographics (7-items), cancer health literacy (CHL) (6-items with >4 indicating adequate CHL), self-efficacy (6-items; 1-10 Likert scale), symptom severity (27-items; arithmetic mean of items rated 1-not severe to 10- very severe), and cancer survivor unmet needs measure (CaSUN) (35-items; max unmet needs score 70). Univariable (UVA) and multivariable (MVA) logistic regression analyses were conducted with unmet needs score as the outcome.
Results: 206 patients were recruited from May-November 2017. Median age 72 (range: 47-89), 33% were working, 61% were college/university educated, 78% were Caucasian, 82% were married, and 78% has adequate CHL. High self-efficacy mean scores were observed (M=8.3, range 1.6-10) while symptom severity scores were low (M=1.8; range: 0- 6.5). The median unmet needs score was 9 (range: 0-49). The most common unmet supportive care needs were “more accessible hospital parking” (n=34, 18.5%), “help addressing problems with my sex life” (n=28, 15.6%), and “ongoing case management” (n=21, 11.6%). On UVA only age and symptom severity score were significantly associated with unmet needs. On MVA, age was not a significant predictor of having unmet needs (age 0.96 (0.92,1) p=.077; symptom severity 1.81 (1.35,2.41) p<0.001). For a one-unit increase in symptom severity score, there is likely an 81% increase in the odds of having unmet needs, when adjusted for age.
Conclusion: Prostate cancer survivors have multiple unmet needs and those with greater symptom severity have a greater chance of having unmet needs.
Author Disclosure: J. Papadakos: None. N. Quartey: None. C.N. Catton: Research Grant; AbbVie Corporation. Advisory Board; AbbVie Corporation, Bayer Corporation, Estellas Corporation. Chair of Sarcoma Services Committe; CancerCare Ontario. M.E. Giuliani: Honoraria; Elekta Inc. Travel Expenses; Elekta Inc. Chair, Education Committee; Canadian Association of Radiation Oncology.