Evidence map›Paper›PMID 31785043›Full record

Observational studyPsycho-oncology2020

Risk factors of unmet needs among women with breast cancer in the post-treatment phase.

Deborah N N Lo-Fo-Wong, Hanneke C J M de Haes, Neil K Aaronson, Doris L van Abbema, Mathilda D den Boer, Marjan van Hezewijk, Marcelle Immink, Ad A Kaptein, Marian B E Menke-Pluijmers, Anna K L Reyners and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Psycho-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Observational
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Deborah N N Lo-Fo-WongAcademic Medical Center, Cancer Center Amsterdam, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Hanneke C J M de HaesAcademic Medical Center, Cancer Center Amsterdam, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Neil K AaronsonAntoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0003-2574-4850
Doris L van AbbemaGROW - School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands.
Mathilda D den BoerErasmus MC, Cancer Institute, Rotterdam, The Netherlands.
Marjan van HezewijkLeiden University Medical Center, Leiden, The Netherlands.
Marcelle ImminkReinier de Graaf Hospital, Delft, The Netherlands.
Ad A KapteinLeiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-1333-7679
Marian B E Menke-PluijmersAlbert Schweitzer Hospital, Dordrecht, The Netherlands.
Anna K L ReynersUniversity of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Nicola S RussellAntoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Manon SchriekSt. Elisabeth Hospital, Tilburg, The Netherlands.
Sieta SijtsemaUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Geertjan van TienhovenAcademic Medical Center, Cancer Center Amsterdam, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Mathilde G E VerdamAcademic Medical Center, Cancer Center Amsterdam, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Mirjam A G SprangersAcademic Medical Center, Cancer Center Amsterdam, Amsterdam University Medical Centers, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUnmet health care needs require additional care resources to achieve optimal patient well-being. In this nationwide study we examined associations between a number of risk factors and unmet needs after treatment among women with breast cancer, while taking into account their health care practices. We expected that more care use would be associated with lower levels of unmet needs.

methodsA multicenter, prospective, observational design was employed. Women with primary breast cancer completed questionnaires 6 and 15 months post-diagnosis. Medical data were retrieved from medical records. Direct and indirect associations between sociodemographic and clinical risk factors, distress, care use, and unmet needs were investigated with structural equation modeling.

resultsSeven hundred forty-six participants completed both questionnaires (response rate 73.7%). The care services received were not negatively associated with the reported levels of unmet needs after treatment. Comorbidity was associated with higher physical and daily living needs. Higher age was associated with higher health system-related and informational needs. Having had chemotherapy and a mastectomy were associated with higher sexuality needs and breast cancer-specific issues, respectively. A higher level of distress was associated with higher levels of unmet need in all domains.

conclusionsClinicians may use these results to timely identify which women are at risk of developing specific unmet needs after treatment. Evidence-based, cost-effective (online) interventions that target distress, the most influential risk factor, should be further implemented and disseminated among patients and clinicians.

Indexed as

AdultAgedBreast NeoplasmsCancer SurvivorsFemaleHealth Services Needs and DemandHumansMastectomyMiddle AgedNeeds AssessmentPatient SatisfactionProspective StudiesRisk FactorsSocial SupportSurveys and Questionnairescancerdistressneeds assessmentoncologywomen with breast cancer

Identifiers

PMID31785043
PMCPMC7065096

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.