ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016
Risk factors for current and future unmet supportive care needs of people with pancreatic cancer. A longitudinal study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- A review, evaluation and content mapping study of Australian patient-facing online pancreatobiliary cancer resources.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Review
- Supportive Care Needs and Related Interventions in Patients with Pancreatic Cancer and Their Informal Caregivers: A Scoping Review.Journal of gastrointestinal cancer · 2025Article
- Article
- Observational
- Unmet needs in people with high-grade glioma: defining criteria for stepped care intervention.JNCI cancer spectrum · 2024Article
- Celiac plexus radiosurgery - an introduction to the method and a practical manual.Contemporary oncology (Poznan, Poland) · 2024Article
- Pre-Diagnosis Pain in Patients With Pancreatic Cancer Signals the Need for Aggressive Symptom Management.The oncologist · 2023Article
- The Unmet Needs of Pancreatic Cancer Carers Are Associated with Anxiety and Depression in Patients and Carers.Cancers · 2023Article
- Retrospective study of testosterone deficiency and symptom burden in patients with pancreatic cancer.Translational andrology and urology · 2023Article
- Article
- Update on Prevalence of Pain in Patients with Cancer 2022: A Systematic Literature Review and Meta-Analysis.Cancers · 2023Review
- Emerging kinase inhibitors for the treatment of pancreatic ductal adenocarcinoma.Expert opinion on emerging drugs · 2022Review
- Caring experiences of family caregivers of patients with pancreatic cancer: an integrative literature review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Review
- Coeliac plexus radiosurgery for pain management in patients with advanced cancer : study protocol for a phase II clinical trial.BMJ open · 2022Article
- Unmet supportive care needs and its relation to quality of life among adult acute leukaemia patients in China: a cross-sectional study.Health and quality of life outcomes · 2020Article
- Using photography to explore psychological distress in patients with pancreatic cancer and their caregivers: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
- An Australasian perspective on the curative treatment of patients with pancreatic cancer, supportive care, and future directions for management.Ecancermedicalscience · 2016Review
- Patient-reported recovery in upper abdominal cancer surgery care: A prospective study.Science progressArticle
Corrections and comments
- Erratum issued
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aims to determine if the supportive care needs of people with pancreatic cancer change over time and identify the factors associated with current and future unmet needs.
methodsAustralian pancreatic cancer patients completed a self-administered survey at 0-6 months post-diagnosis (n = 116) then follow-up surveys 2 (n = 82) and 4 months (n = 50) later. The validated survey measured 34 needs across five domains. Weighted generalised estimating equations were used to identify factors associated with having ≥1 current or future moderate-to-high unmet need.
resultsThe overall proportion of patients reporting ≥1 moderate-or-high-level need did not significantly change over time (baseline = 70 % to 4 months = 75 %), although there was a non-significant reduction in needs for patients who had a complete resection (71 to 63 %) and an increase in patients with locally advanced (73 to 85 %) or metastatic (66 to 88 %) disease. Higher levels of pain (OR 6.1, CI 2.4-15.3), anxiety (OR 3.3, CI 1.5-7.3) and depression (OR 3.2, CI 1.7-6.0) were significantly associated with current needs. People with pain (OR 4.9, CI 1.5-15.4), metastatic disease (OR 2.7, CI 0.7-10.0) or anxiety (OR 2.5, CI 0.7-8.6) had substantially higher odds of reporting needs at their next survey. The prevalence of needs was highest in the physical/daily living and psychological domains (both 53 % at baseline). Pain and anxiety had respectively the strongest associations with these domains.
conclusionsCareful and continued attention to pain control and psychological morbidity is paramount in addressing significant unmet needs, particularly for people with metastatic disease. Research on how best to coordinate this is crucial.
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