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Investigating Physical, Social, Emotional, and Health Frailties of Cancer Survivors after Cancer Treatment: The Urgent Call for Tailored Multidisciplinary Survivorship Plans in Italy.
- Source :
- Cancers; Sep2024, Vol. 16 Issue 17, p3080, 20p
- Publication Year :
- 2024
-
Abstract
- Simple Summary: This pilot study aims to identify the physical, mental, social, psychological, and health needs encountered by cancer survivors in order to propose and facilitate appropriate and tailored responses. To the best of our knowledge, this is one of the first multidimensional studies investigating this topic in Italy. Data show that the quality of life of cancer survivors is affected by cancer and its treatment, reporting more frailties than the general population, especially those over 65 years old. These findings could help develop multidisciplinary planning of survivorship care for the transition of patients from oncological management to primary healthcare. Background: Understanding the specific needs of cancer survivors is essential for healthcare policy. In Italy, dedicated studies are lacking, so we aimed to investigate the physical, mental, social, and health difficulties encountered by these patients. Methods: We conducted a cross-sectional study on breast or colorectal cancer survivors (people 5+ years free from it and its treatments) using an ad hoc survey including validated questionnaires (Grauer–Palombi, SF-36, PREDIMED). Participants were recruited within the Oncology Unit of the "Policlinico Tor Vergata", Italy. Results: A total of 62 patients (80.6% females; years range: 37–87) agreed to be interviewed. A profile of cancer survivors was drafted: an overaged person with multiple co-morbidities, not well-nourished, adhering to the Mediterranean diet, reporting critical conditions as for physical and functional status. The mean number of co-morbidities was 3.6 ± 2.4 SD, with a statistically significant difference between age groups (under and over 65). Compared to the general population, the sample showed more frailties, especially when >65. The risk of having multimorbidity (four or more co-morbidities) significantly increased in those over 65 (OR: 4.72; CI: 1.43–15.59). Conclusion: There is an urgent need for survivorship care planning for the patient-centered continuum of care. Assessing and monitoring their specific needs will help propose appropriate and tailored responses. [ABSTRACT FROM AUTHOR]
- Subjects :
- TUMOR treatment
COMPETENCY assessment (Law)
MEDICAL protocols
CROSS-sectional method
PEARSON correlation (Statistics)
HEALTH status indicators
RESEARCH funding
DATA analysis
MEDITERRANEAN diet
SOCIAL factors
FRAIL elderly
PRESUMPTIONS (Law)
QUESTIONNAIRES
INTERVIEWING
PILOT projects
EMOTIONS
ONCOLOGY
FUNCTIONAL status
CONTINUUM of care
CHI-squared test
MANN Whitney U Test
DESCRIPTIVE statistics
PATIENT-centered care
ITALIANS
ODDS ratio
STATISTICS
CANCER patient psychology
NEEDS assessment
DATA analysis software
CONFIDENCE intervals
HEALTH care teams
HOSPITAL wards
COMORBIDITY
NONPARAMETRIC statistics
Subjects
Details
- Language :
- English
- ISSN :
- 20726694
- Volume :
- 16
- Issue :
- 17
- Database :
- Complementary Index
- Journal :
- Cancers
- Publication Type :
- Academic Journal
- Accession number :
- 179645653
- Full Text :
- https://doi.org/10.3390/cancers16173080