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Unmet Needs of Breast Cancer Patients Relative to Survival Duration

 Byeong Woo Park  ;  Sook Yeon Hwang 
 YONSEI MEDICAL JOURNAL, Vol.53(1) : 118-125, 2012 
Journal Title
Issue Date
Adult ; Breast Neoplasms/mortality* ; Breast Neoplasms/psychology* ; Breast Neoplasms/surgery ; Cross-Sectional Studies ; Depression/diagnosis ; Depression/mortality ; Female ; Health Services Accessibility/statistics & numerical data* ; Humans ; Middle Aged ; Needs Assessment/statistics & numerical data* ; Prevalence ; Quality of Life* ; Republic of Korea/epidemiology ; Social Support*
Breast carcinoma ; unmet needs ; quality of life ; depression
Purpose The present study aims to evaluate the prevalence of unmet needs among breast cancer survivors, to assess the relationships between unmet needs and depression and quality of life, and to explore the extent to which unmet needs of breast cancer patients relate to the time elapsed since surgery. Materials and Methods Among 1,250 eligible patients who participated in the study, 1,084 cases (86.7%) were used for analysis. Clinicopathological and social parameters were reviewed and the Supportive Care Needs Survey, Functional Assessment of Cancer Therapy-Breast cancer instrument, and Beck Depression Inventory were administered. The frequency of unmet needs, the association between unmet needs and depression and/or quality of life (QOL) and the impact of the time elapsed since surgery on the patients' unmet needs were analyzed. Results The highest levels of unmet needs were found to be in the health system and information domain. Patients with a survival duration of less than 1 year since surgery showed significantly higher unmet needs in all need domains except the sexuality domain (p<0.001) than participants in the other groups. Patients with a survival duration of 1-3 years also experienced significantly higher psychological and information needs than long-term survivors (>5 years). In addition, unmet needs were significantly associated with depression (p<0.001) and QOL (p<0.001). Conclusion The present study demonstrated that long-term breast cancer survivors had a significantly lower level of unmet needs than patients with survival duration of less than 3 years after surgery and patients with survival duration of less than 1 year since surgery suffered the greatest unmet needs. QOL might be enhanced if interventions are made for specific unmet needs of each patient group. Keywords: Breast carcinoma, unmet needs, quality of life, depression.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Byeong Woo(박병우) ORCID logo https://orcid.org/0000-0003-1353-2607
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