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    Most prevalent unmet supportive care needs and quality of life of breast cancer patients in a tertiary hospital in Malaysia

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    Author
    Edib, Z; Kumarasamy, V; Abdullah, NB; Rizal, AM; Al-Dubai, SAR
    Date
    2016-02-22
    Source Title
    Health and Quality of Life Outcomes
    Publisher
    BMC
    University of Melbourne Author/s
    Edib, Zobaida
    Affiliation
    Medicine Dentistry & Health Sciences
    Metadata
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    Document Type
    Journal Article
    Citations
    Edib, Z., Kumarasamy, V., Abdullah, N. B., Rizal, A. M. & Al-Dubai, S. A. R. (2016). Most prevalent unmet supportive care needs and quality of life of breast cancer patients in a tertiary hospital in Malaysia. HEALTH AND QUALITY OF LIFE OUTCOMES, 14 (1), https://doi.org/10.1186/s12955-016-0428-4.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/258132
    DOI
    10.1186/s12955-016-0428-4
    Abstract
    BACKGROUND: Addressing breast cancer patients' unmet supportive care needs in the early stage of their survivorship have become a prime concern because of its significant association with poor quality of life (QOL), which in turn increases healthcare utilization and costs. There is no study about unmet supportive care needs of breast cancer patients in Malaysia. This study aims to assess the most prevalent unmet supportive care needs of Malaysian breast cancer patients and the association between QOL and patients' characteristics, and their unmet supportive care needs. METHODS: A cross-sectional study was conducted at the Surgery and Oncology Clinic between May 2014 and June 2014 in a tertiary hospital in Malaysia. A total of 117 patients out of 133 breast cancer patients recruited by universal sampling were interviewed using a structured questionnaire consisted of three parts: participants' socio-demographic and disease characteristics, Supportive Care Needs Survey-Short Form Questionnaire (SCNS-SF34) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQ-C30). RESULTS: The highest unmet supportive care needs were observed in the psychological domain (Mean 53.31; SD ± 21.79), followed by physical domain (Mean 38.16; SD ± 27.15). Most prevalent unmet supportive care needs were uncertainty about the future (78.6 %), fears about the cancer spreading (76.1 %), feelings of sadness (69.2 %), feelings about death and dying (68.4 %), concerns about those close to the patient (65.0 %) and feeling down or depressed (65.0 %). Multivariate linear analysis showed that early breast cancer survivors diagnosed at an advanced stage and with greater physical and psychological needs were significantly (p < 0.05) associated with poorer QOL. CONCLUSION: Most prevalent unmet needs among Malaysian breast cancer patients were found in the psychological domain. Early breast cancer survivors with late stage diagnosis who had more unmet needs in psychological and physical domains were more likely to have a poor QOL.

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