Evidence map›Paper›PMID 40454963›Full record

ArticlePsycho-oncology2025

Supportive Care Needs of Individuals With Colorectal Cancer in a Low- and Middle-Income Setting: Implications for Advancing Patient-Centered Cancer Care.

Nur-Nadiatul-Asyikin Bujang, Mahmoud Danaee, Yek-Ching Kong, Muthukkumaran Thiagarajan, Harenthri Devy Alagir Rajah, William E Rosa, Muhd Ash-Shafawi Adznan, Hazzeeq-Safin Hashim, Nur Akmalrudin Nur Dzainuddin, Muhammad Radzi Abu Hassan and 4 more

Abstract read
In one paragraph

Article in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

14 authors.

Nur-Nadiatul-Asyikin BujangDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Mahmoud DanaeeDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Yek-Ching KongDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Muthukkumaran ThiagarajanDepartment of Radiotherapy and Oncology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Harenthri Devy Alagir RajahDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
William E RosaDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0002-0680-8911
Muhd Ash-Shafawi AdznanDepartment of Surgery, Hospital Selayang, Batu Caves, Malaysia.
Hazzeeq-Safin HashimDepartment of Surgery, Hospital Selayang, Batu Caves, Malaysia.
Nur Akmalrudin Nur DzainuddinDepartment of Surgery, Hospital Melaka, Melaka, Malaysia.
Muhammad Radzi Abu HassanClinical Research Centre, Hospital Sultanah Bahiyah, Alor Setar, Malaysia.
April Camilla RoslaniDepartment of Surgery, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Meheshinder SinghColorectal Cancer Survivorship Society Malaysia (CORUM), Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Wan Zamaniah Wan IshakDepartment of Clinical Oncology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Nirmala Bhoo-PathyDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Long-Term Research Grant-Malaysian Research University Network LR001C-2019NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundIncreasing prevalence of colorectal cancer (CRC) demands comprehensive understanding of the corresponding supportive care needs (SCN), especially in low and middle-income settings.

aimsWe measured SCN following CRC in a multiethnic, upper middle-income setting, and the associated factors.

methodsSix-hundred-thirty individuals with CRC were recruited from seven oncology centres and a non-governmental organization in Malaysia. A locally developed, and validated 48-item bilingual Needs Assessment Tool for Colorectal Cancer with a 6-point Likert scale was used to assess six domains: diagnosis, psychosocial and information, healthcare, practical, financial, and employment. Vulnerable subgroups were identified using multivariable generalized linear models.

resultsHigh healthcare needs (78.6%) namely shorter hospital waiting times (79.7%) and conveniently located hospital facilities (79.5%), as well as, psychosocial and information needs (70.0%) including easily understood information (87.9%) and compassion from healthcare teams (73.0%) were highly prevalent. High diagnosis (59.4%), financial (36.8%), employment (31.7%), and practical needs (26.7%) also prevailed. Multivariable analyses identified several vulnerable subgroups with high SCN across multiple domains: Younger age (< 60 years) was significantly associated with heightened SCN, especially in psychosocial and information, financial, employment and practical domains. Receiving care in public hospitals was significantly associated with increased psychosocial and information needs, and healthcare needs. Those living with CRC over longer terms (> 3 years vs. 1 year) reported higher practical needs.

conclusionAs the SCN of patients with CRC extend beyond the traditional scope of disease-directed oncology care, addressing high levels of needs in resource-limited settings will require collective action across diverse disciplines and sectors.

Indexed as

Colorectal NeoplasmsHealth Services Needs and DemandNeeds AssessmentPatient-Centered CareSocial SupportAdultAgedFemaleHumansMalaysiaMaleMiddle AgedPovertycolorectal cancerneeds assessmentsupportive care needs

Identifiers

PMID40454963
PMCPMC12326549

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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.