Skip to main content
Top
Published in: BMC Cancer 1/2021

Open Access 01-12-2021 | Care | Research article

Unmet supportive care needs and associated factors among young adult cancer patients in Japan

Authors: Masako Okamura, Maiko Fujimori, Ayako Sato, Yosuke Uchitomi

Published in: BMC Cancer | Issue 1/2021

Login to get access

Abstract

Background

Young adult cancer patients often face unique challenges and have potential unmet needs. This study aimed (1) to describe unmet supportive care needs among young adults with cancer in Japan, and (2) to identify its associated factors.

Methods

In a cross-sectional web-based survey, 206 young adults with cancer were assessed for supportive care needs. Multiple regression analysis examined whether demographics, clinical variables and social support were associated with unmet supportive care needs.

Results

A total of 206 patients (180 female) with a mean age of 33.7 years (SD = 4.3, range: 22–39) participated. One hundred and fifty-eight participants (76.7%) reported at least one unmet supportive care needs. The top 20 unmet needs included 9 of the 10 psychological needs, 3 of the 5 physical and daily living needs, 8 of the 11 health system and information needs and 1 of the 5 sexuality needs. Multiple regression analysis revealed that perceived poorer PS, experience of change in work/school after a cancer diagnosis and poor social support were significantly associated with higher supportive care needs. The total score of supportive care needs was significantly associated with both psychological distress and QOL.

Conclusions

More than 70% of young adult cancer patients reported unmet supportive care needs and most of those were psychological needs. The findings suggest potential opportunities for intervention in addressing psychological needs rather than physical and information needs.
Literature
1.
go back to reference Kwak M, Zebrack BJ, Meeske KA, Embry L, Aguilar C, Block R, et al. Trajectories of psychological distress in adolescent and young adult patients with cancer: a 1-yrear longitudinal study. J Clin Oncol. 2013;31:2160–6.CrossRef Kwak M, Zebrack BJ, Meeske KA, Embry L, Aguilar C, Block R, et al. Trajectories of psychological distress in adolescent and young adult patients with cancer: a 1-yrear longitudinal study. J Clin Oncol. 2013;31:2160–6.CrossRef
2.
go back to reference Arnet JJ. A theory of development from late teens through the twenties. Am Psychol. 2000;55:469–80.CrossRef Arnet JJ. A theory of development from late teens through the twenties. Am Psychol. 2000;55:469–80.CrossRef
3.
go back to reference Zebrack B, Hamilton R, Smith AW. Psychosocial outcomes and service use among young adults with cancer. Semin Oncol. 2009;36:468–77.CrossRef Zebrack B, Hamilton R, Smith AW. Psychosocial outcomes and service use among young adults with cancer. Semin Oncol. 2009;36:468–77.CrossRef
4.
go back to reference Zebrack B. Information and service needs for young adult cancer survivors. Support Care Cancer. 2009;17:349–57.CrossRef Zebrack B. Information and service needs for young adult cancer survivors. Support Care Cancer. 2009;17:349–57.CrossRef
5.
go back to reference Geue K, Sender A, Schmidt R, Richter D, Hinz A, Schulte T, et al. Gender-specific quality of life after cancer in young adulthood: a comparison with the general population. Qual Life Res. 2014;23:1377–86.CrossRef Geue K, Sender A, Schmidt R, Richter D, Hinz A, Schulte T, et al. Gender-specific quality of life after cancer in young adulthood: a comparison with the general population. Qual Life Res. 2014;23:1377–86.CrossRef
6.
go back to reference Dyson GJ, Thompson K, Palmer S, Thomas DM, Scholfield P. The relationship between unmet needs and distress amongst young people with cancer. Support Care Cancer. 2012;20:75–85.CrossRef Dyson GJ, Thompson K, Palmer S, Thomas DM, Scholfield P. The relationship between unmet needs and distress amongst young people with cancer. Support Care Cancer. 2012;20:75–85.CrossRef
7.
go back to reference Keegan THM, Lichtensztajn DY, Kato I, Kent EE, Wu X, West MM, et al. Unmet adolescent and young adult cancer survivors information and service needs: a population-based cancer registry study. J Cancer Surviv. 2012;6:239–50.CrossRef Keegan THM, Lichtensztajn DY, Kato I, Kent EE, Wu X, West MM, et al. Unmet adolescent and young adult cancer survivors information and service needs: a population-based cancer registry study. J Cancer Surviv. 2012;6:239–50.CrossRef
8.
go back to reference Smith AW, Parsons HM, Kent EE, Bellizzi K, Zebrack BJ, Keel G, et al. Unmet support service needs and health-related quality of life among adolescents and young adults with cancer: the AYA HOPE study. Front Oncol. 2013;3:1–11.CrossRef Smith AW, Parsons HM, Kent EE, Bellizzi K, Zebrack BJ, Keel G, et al. Unmet support service needs and health-related quality of life among adolescents and young adults with cancer: the AYA HOPE study. Front Oncol. 2013;3:1–11.CrossRef
9.
go back to reference Zebrack BJ, Block R, Hayes-Lattin B, Embry L, Aguilar C, Meeske KA, et al. Psychosocial service use and unmet need among recently diagnosed adolescent and young adult cancer patients. Cancer. 2013;119:201–14.CrossRef Zebrack BJ, Block R, Hayes-Lattin B, Embry L, Aguilar C, Meeske KA, et al. Psychosocial service use and unmet need among recently diagnosed adolescent and young adult cancer patients. Cancer. 2013;119:201–14.CrossRef
10.
go back to reference DeRouen MC, Smith AW, Tap L, Bellizzi KM, Lynch CF, Parsons HM, et al. Cancer-related information needs and cancer’s impact on control over life influence health-related quality of life among adolescents and young adults with cancer. Psychooncology. 2015;24:1104–15.CrossRef DeRouen MC, Smith AW, Tap L, Bellizzi KM, Lynch CF, Parsons HM, et al. Cancer-related information needs and cancer’s impact on control over life influence health-related quality of life among adolescents and young adults with cancer. Psychooncology. 2015;24:1104–15.CrossRef
11.
go back to reference Perl G, Nordheimer S, Lando S, Benedict C, Brenner C, Perry S, et al. Young patients and gastrointestinal (GI) tract malignancies – are we addressing the unmet needs? BMC Cancer. 2016;16:630.CrossRef Perl G, Nordheimer S, Lando S, Benedict C, Brenner C, Perry S, et al. Young patients and gastrointestinal (GI) tract malignancies – are we addressing the unmet needs? BMC Cancer. 2016;16:630.CrossRef
12.
go back to reference Sawyer SM, McNeil R, McCarthy M, Orme L, Thompson K, Drew S, et al. Unmet need for healthcare services in adolescents and young adults with cancer and their parent carers. Support Care Cancer. 2017;25:2229–39.CrossRef Sawyer SM, McNeil R, McCarthy M, Orme L, Thompson K, Drew S, et al. Unmet need for healthcare services in adolescents and young adults with cancer and their parent carers. Support Care Cancer. 2017;25:2229–39.CrossRef
13.
go back to reference McCarthy MC, McNeil R, Drew S, Orme L, Sawyer SM. Information needs of adolescent and young adult cancer patients and their parent-carers. Support Care Cancer. 2018;26:1655–64.PubMed McCarthy MC, McNeil R, Drew S, Orme L, Sawyer SM. Information needs of adolescent and young adult cancer patients and their parent-carers. Support Care Cancer. 2018;26:1655–64.PubMed
14.
go back to reference Galán S, de la Vega R, Miró J. Needs of adolescents and young adults after cancer treatment: a systematic review. Eur J Cancer Care. 2016;27:e12558 1–14.CrossRef Galán S, de la Vega R, Miró J. Needs of adolescents and young adults after cancer treatment: a systematic review. Eur J Cancer Care. 2016;27:e12558 1–14.CrossRef
15.
go back to reference Hoekstra RA, Heins MJ, Korevaar JC. Health care needs of cancer survivors in general practice: a systematic review. BMC Fam Pract. 2014;15:94.CrossRef Hoekstra RA, Heins MJ, Korevaar JC. Health care needs of cancer survivors in general practice: a systematic review. BMC Fam Pract. 2014;15:94.CrossRef
16.
go back to reference Walsh C, Currin-McCulloch J, Simon P, Zebrack B, Jones B. Shifting needs and preferences: supporting young adult cancer patients during the transition from active treatment to survivorship care. J Adolesc Young Adult Oncol. 2019;8:114–21.CrossRef Walsh C, Currin-McCulloch J, Simon P, Zebrack B, Jones B. Shifting needs and preferences: supporting young adult cancer patients during the transition from active treatment to survivorship care. J Adolesc Young Adult Oncol. 2019;8:114–21.CrossRef
17.
go back to reference Hori M, Matsuda T, Shibata A, Katanoda K, Sobue T, Nishimoto H. Cancer incidence and incidence rates in Japan in 2009: a study of 32 population-based cancer registries for the monitoring of cancer incidence in Japan (MCIJ) project. JJCO. 2015;45:884–91.PubMed Hori M, Matsuda T, Shibata A, Katanoda K, Sobue T, Nishimoto H. Cancer incidence and incidence rates in Japan in 2009: a study of 32 population-based cancer registries for the monitoring of cancer incidence in Japan (MCIJ) project. JJCO. 2015;45:884–91.PubMed
18.
go back to reference Okuyama T, Akechi T, Yamashita H, Toyama T, Endo C, Sagawa R, et al. Reliability and validity of the Japanese version of the short-form supportive care needs survey questionnaire (SCNS-SF34-J). Psychooncology. 2009;18:1003–10.CrossRef Okuyama T, Akechi T, Yamashita H, Toyama T, Endo C, Sagawa R, et al. Reliability and validity of the Japanese version of the short-form supportive care needs survey questionnaire (SCNS-SF34-J). Psychooncology. 2009;18:1003–10.CrossRef
19.
go back to reference Iwasa H, Gondo Y, Masui Y, Inagaki H, Kawai C, Otsuka R, et al. Reliability and validity of the Japanese version of the multidimensional scale of perceived social support. Kouseinoshihyo. 2007;6:26–33. Iwasa H, Gondo Y, Masui Y, Inagaki H, Kawai C, Otsuka R, et al. Reliability and validity of the Japanese version of the multidimensional scale of perceived social support. Kouseinoshihyo. 2007;6:26–33.
20.
go back to reference Furukawa TA, Kawakami N, Saitoh M, Ono Y, Nakane Y, Nakamura Y, et al. The performance of the Japanese version of the K6 and K10 in the world mental health survey Japan. Int J Methods Psychiatr Res. 2008;17:152–8.CrossRef Furukawa TA, Kawakami N, Saitoh M, Ono Y, Nakane Y, Nakamura Y, et al. The performance of the Japanese version of the K6 and K10 in the world mental health survey Japan. Int J Methods Psychiatr Res. 2008;17:152–8.CrossRef
21.
go back to reference Ikeda S, Shiroiwa T, Igarashi A, Noto S, Fukuda T, Saito S, et al. Developing a Japanese version of the EQ-5D-5L value set. Hokeniryokagaku. 2015;64:47–55. Ikeda S, Shiroiwa T, Igarashi A, Noto S, Fukuda T, Saito S, et al. Developing a Japanese version of the EQ-5D-5L value set. Hokeniryokagaku. 2015;64:47–55.
22.
go back to reference Miyashita M, Ohno S, Katanoda A, Tokunaga E, Masuda N, Shien T, et al. Unmet information needs and quality of life in young breast cancer survivors in Japan. Cancer Nurs. 2015;38:E1–11.CrossRef Miyashita M, Ohno S, Katanoda A, Tokunaga E, Masuda N, Shien T, et al. Unmet information needs and quality of life in young breast cancer survivors in Japan. Cancer Nurs. 2015;38:E1–11.CrossRef
23.
go back to reference Sender A, Friedrich M, Schmidt R, Geue K. Cancer-specific distress, supportive care needs and satisfaction with psychosocial care in young adult cancer survivors. Eur J Oncol Nurs. 2020;44:101708.CrossRef Sender A, Friedrich M, Schmidt R, Geue K. Cancer-specific distress, supportive care needs and satisfaction with psychosocial care in young adult cancer survivors. Eur J Oncol Nurs. 2020;44:101708.CrossRef
24.
go back to reference Sender A, Friedrich M, Leuteritz K, Nowe E, Stöbel-Richter Y, Mehnert A, et al. Unmet supportive care needs in young adult cancer patients: associations and changes over time. Results from the AYA-Leipzig study. J Cancer Surviv. 2019;13:611–9.CrossRef Sender A, Friedrich M, Leuteritz K, Nowe E, Stöbel-Richter Y, Mehnert A, et al. Unmet supportive care needs in young adult cancer patients: associations and changes over time. Results from the AYA-Leipzig study. J Cancer Surviv. 2019;13:611–9.CrossRef
25.
go back to reference Hall AE, Boyes AW, Bowman J, Walsh RA, James EL, Girgis A. Young adult cancer survivors’ psychosocial well-being: a cross-sectional study assessing quality of life, unmet needs, and health behaviors. Support Care Cancer. 2012;20:1333–41.CrossRef Hall AE, Boyes AW, Bowman J, Walsh RA, James EL, Girgis A. Young adult cancer survivors’ psychosocial well-being: a cross-sectional study assessing quality of life, unmet needs, and health behaviors. Support Care Cancer. 2012;20:1333–41.CrossRef
26.
go back to reference Akechi T, Okuyama T, Endo C, Sagawa R, Uchida M, Nakaguchi T, et al. Patient’s perceived need and psychological distress and/or quality of life in ambulatory breast cancer patients in Japan. Psychooncology. 2011;20:497–505.CrossRef Akechi T, Okuyama T, Endo C, Sagawa R, Uchida M, Nakaguchi T, et al. Patient’s perceived need and psychological distress and/or quality of life in ambulatory breast cancer patients in Japan. Psychooncology. 2011;20:497–505.CrossRef
27.
go back to reference Sakamoto N, Takiguchi S, Komatsu H, Okuyama T, Nakaguchi T, Kubota Y, et al. Supportive care needs and psychological distress and/or quality of life in ambulatory advanced colorectal cancer patients receiving chemotherapy: a cross-sectional study. JJCO. 2017;47:1157–61.PubMed Sakamoto N, Takiguchi S, Komatsu H, Okuyama T, Nakaguchi T, Kubota Y, et al. Supportive care needs and psychological distress and/or quality of life in ambulatory advanced colorectal cancer patients receiving chemotherapy: a cross-sectional study. JJCO. 2017;47:1157–61.PubMed
28.
go back to reference Evan EE, Zeltzer LK. Psychosocial dimensions of cancer in adolescents and young adults. Cancer. 2006;107(Suppl 7):1663–71.CrossRef Evan EE, Zeltzer LK. Psychosocial dimensions of cancer in adolescents and young adults. Cancer. 2006;107(Suppl 7):1663–71.CrossRef
29.
go back to reference Zebrack BJ, Chesler MA, Kaplan S. To foster healing among adolescents and young adults with cancer: what helps? What hurts? Support Care Cancer. 2010;18:131–5.CrossRef Zebrack BJ, Chesler MA, Kaplan S. To foster healing among adolescents and young adults with cancer: what helps? What hurts? Support Care Cancer. 2010;18:131–5.CrossRef
30.
go back to reference Husson O, Zebrack BJ, Aguilar C, Hayes-Lattin B, Cole S. Cancer in adolescents and young adults: who remains at risk of poor social functioning over time? Cancer. 2017;123:2743–51.CrossRef Husson O, Zebrack BJ, Aguilar C, Hayes-Lattin B, Cole S. Cancer in adolescents and young adults: who remains at risk of poor social functioning over time? Cancer. 2017;123:2743–51.CrossRef
31.
go back to reference Stone DS, Ganz PA, Pavlish C, Robbins WA. Young adult cancer survivors and work: a systematic review. J Cancer Surviv. 2017;11:765–81.CrossRef Stone DS, Ganz PA, Pavlish C, Robbins WA. Young adult cancer survivors and work: a systematic review. J Cancer Surviv. 2017;11:765–81.CrossRef
32.
go back to reference Spelten ER, Sprangers MA, Verbeek JH. Factors reported to influence the return to work of cancer survivors: a literature review. Psychooncology. 2002;11:124–31.CrossRef Spelten ER, Sprangers MA, Verbeek JH. Factors reported to influence the return to work of cancer survivors: a literature review. Psychooncology. 2002;11:124–31.CrossRef
33.
go back to reference Peteet JR. Cancer and meaning of work. Gen Hosp Psychiatry. 2000;22:200–5.CrossRef Peteet JR. Cancer and meaning of work. Gen Hosp Psychiatry. 2000;22:200–5.CrossRef
34.
go back to reference Araki Y, Takahashi M. Work-related issues of adolescent and young adult cancer survivors – tips for supporting them in and out hospitals. Jpn J Cancer Chemother. 2017;44:19–23. Araki Y, Takahashi M. Work-related issues of adolescent and young adult cancer survivors – tips for supporting them in and out hospitals. Jpn J Cancer Chemother. 2017;44:19–23.
35.
go back to reference Gupta AA, Edelstein K, Albert-Green A, D’Agostino N. Assessing information and service needs of young adults with cancer at a single institution: the importance of information on cancer diagnosis, fertility preservation, diet, and exercise. Support Care Cancer. 2013;21:2477–84.CrossRef Gupta AA, Edelstein K, Albert-Green A, D’Agostino N. Assessing information and service needs of young adults with cancer at a single institution: the importance of information on cancer diagnosis, fertility preservation, diet, and exercise. Support Care Cancer. 2013;21:2477–84.CrossRef
Metadata
Title
Unmet supportive care needs and associated factors among young adult cancer patients in Japan
Authors
Masako Okamura
Maiko Fujimori
Ayako Sato
Yosuke Uchitomi
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Care
Published in
BMC Cancer / Issue 1/2021
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/s12885-020-07721-4

Other articles of this Issue 1/2021

BMC Cancer 1/2021 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine