Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region: Results from the International STEP Study

Alex Molassiotis, P. Yates, Q. Li, W. K.W. So, K. Pongthavornkamol, P. Pittayapan, H. Komatsu, M. Thandar, M. S. Li, S. Titus Chacko, V. Lopez, J. Butcon, D. Wyld, R. J. Chan, behalf of the STEP Study Collaborators on behalf of the STEP Study Collaborators, Melissa Doolan, Maria Estrella Litam, Rubiliza Onofre, Conchitina Lluch, Rosebe NacionMaria Luisa Ombao, Zaw Wai Soe, Theingi Myint, Emily Ang, Harue Arao, Kaori Yagasaki, Vinitha Ravindran, Roselin V. Rhenius, Amalorpavamari Lucas, Lillian Percy Kujur, Abijah Princy, Kai chow Choi, Yin Ping Choy, Yan Pui Lee, Chun Yip Shiu, Man Tong, Yinghua Xu, U. Hla Tun, Shwe Yaung Hnin Si

研究成果: Article

22 引用 (Scopus)

抄録

Background: To assess the supportive care needs, quality of life (QoL) and symptoms of patients with cancer after the end of first-line treatments and into survivorship in Asian countries using Australian data as benchmark. Patients and methods: A cross-sectional survey was carried out in Australia and eight high-income (HICs) and low-/middle-income (LMICs) Asian countries (China, Japan, Hong Kong SAR, South Korea, Myanmar, Thailand, India, Philippines) using validated scales (Cancer Survivors Unmet Needs scale), physical-symptom concerns (Cancer Survivors Survey of Needs subscale) and a single-item measure of global QoL perception. Results: Data were collected from 1748 patients from nine countries. QoL was highest in Australia and all other countries had significantly lower QoL than Australia (all P < 0.001). One-quarter of the patients reported low QoL (scores 1-3/10). The most frequently reported symptoms were fatigue (66.6%), loss of strength (61.8%), pain (61.6%), sleep disturbance (60.1%), and weight changes (57.7%), with no difference in symptom experience between Australian data and all other countries, or between HICs and LMICs. Unmet needs of moderate/strong level were particularly high in all aspects assessed, particularly in the area of existential survivorship (psychosocial care) and receiving comprehensive cancer care. Australia and HICs were similar in terms of unmet needs (all low), but LMICs had a significantly higher number of needs both compared with Australia and HICs (all P < 0.001). Conclusion: Health care systems in Asian countries need to re-think and prioritize survivorship cancer care and put action plans in place to overcome some of the challenges surrounding the delivery of optimal supportive cancer care, use available resource-stratified guidelines for supportive care and test efficient and cost-effective models of survivorship care.

元の言語English
ページ(範囲)2552-2558
ページ数7
ジャーナルAnnals of Oncology
28
発行部数10
DOI
出版物ステータスPublished - 2017

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Survivors
Quality of Life
Survival Rate
Neoplasms
Myanmar
Benchmarking
Republic of Korea
Philippines
Hong Kong
Thailand
Fatigue
India
China
Japan
Sleep
Cross-Sectional Studies
Guidelines
Delivery of Health Care
Weights and Measures
Costs and Cost Analysis

ASJC Scopus subject areas

  • Hematology
  • Oncology

これを引用

Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region : Results from the International STEP Study. / Molassiotis, Alex; Yates, P.; Li, Q.; So, W. K.W.; Pongthavornkamol, K.; Pittayapan, P.; Komatsu, H.; Thandar, M.; Li, M. S.; Titus Chacko, S.; Lopez, V.; Butcon, J.; Wyld, D.; Chan, R. J.; on behalf of the STEP Study Collaborators, behalf of the STEP Study Collaborators; Doolan, Melissa; Litam, Maria Estrella; Onofre, Rubiliza; Lluch, Conchitina; Nacion, Rosebe; Ombao, Maria Luisa; Soe, Zaw Wai; Myint, Theingi; Ang, Emily; Arao, Harue; Yagasaki, Kaori; Ravindran, Vinitha; Rhenius, Roselin V.; Lucas, Amalorpavamari; Kujur, Lillian Percy; Princy, Abijah; Choi, Kai chow; Choy, Yin Ping; Lee, Yan Pui; Shiu, Chun Yip; Tong, Man; Xu, Yinghua; Tun, U. Hla; Si, Shwe Yaung Hnin.

:: Annals of Oncology, 巻 28, 番号 10, 2017, p. 2552-2558.

研究成果: Article

Molassiotis, A, Yates, P, Li, Q, So, WKW, Pongthavornkamol, K, Pittayapan, P, Komatsu, H, Thandar, M, Li, MS, Titus Chacko, S, Lopez, V, Butcon, J, Wyld, D, Chan, RJ, on behalf of the STEP Study Collaborators, BOTSTEPSC, Doolan, M, Litam, ME, Onofre, R, Lluch, C, Nacion, R, Ombao, ML, Soe, ZW, Myint, T, Ang, E, Arao, H, Yagasaki, K, Ravindran, V, Rhenius, RV, Lucas, A, Kujur, LP, Princy, A, Choi, KC, Choy, YP, Lee, YP, Shiu, CY, Tong, M, Xu, Y, Tun, UH & Si, SYH 2017, 'Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region: Results from the International STEP Study', Annals of Oncology, 巻. 28, 番号 10, pp. 2552-2558. https://doi.org/10.1093/annonc/mdx350
Molassiotis, Alex ; Yates, P. ; Li, Q. ; So, W. K.W. ; Pongthavornkamol, K. ; Pittayapan, P. ; Komatsu, H. ; Thandar, M. ; Li, M. S. ; Titus Chacko, S. ; Lopez, V. ; Butcon, J. ; Wyld, D. ; Chan, R. J. ; on behalf of the STEP Study Collaborators, behalf of the STEP Study Collaborators ; Doolan, Melissa ; Litam, Maria Estrella ; Onofre, Rubiliza ; Lluch, Conchitina ; Nacion, Rosebe ; Ombao, Maria Luisa ; Soe, Zaw Wai ; Myint, Theingi ; Ang, Emily ; Arao, Harue ; Yagasaki, Kaori ; Ravindran, Vinitha ; Rhenius, Roselin V. ; Lucas, Amalorpavamari ; Kujur, Lillian Percy ; Princy, Abijah ; Choi, Kai chow ; Choy, Yin Ping ; Lee, Yan Pui ; Shiu, Chun Yip ; Tong, Man ; Xu, Yinghua ; Tun, U. Hla ; Si, Shwe Yaung Hnin. / Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region : Results from the International STEP Study. :: Annals of Oncology. 2017 ; 巻 28, 番号 10. pp. 2552-2558.
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abstract = "Background: To assess the supportive care needs, quality of life (QoL) and symptoms of patients with cancer after the end of first-line treatments and into survivorship in Asian countries using Australian data as benchmark. Patients and methods: A cross-sectional survey was carried out in Australia and eight high-income (HICs) and low-/middle-income (LMICs) Asian countries (China, Japan, Hong Kong SAR, South Korea, Myanmar, Thailand, India, Philippines) using validated scales (Cancer Survivors Unmet Needs scale), physical-symptom concerns (Cancer Survivors Survey of Needs subscale) and a single-item measure of global QoL perception. Results: Data were collected from 1748 patients from nine countries. QoL was highest in Australia and all other countries had significantly lower QoL than Australia (all P < 0.001). One-quarter of the patients reported low QoL (scores 1-3/10). The most frequently reported symptoms were fatigue (66.6{\%}), loss of strength (61.8{\%}), pain (61.6{\%}), sleep disturbance (60.1{\%}), and weight changes (57.7{\%}), with no difference in symptom experience between Australian data and all other countries, or between HICs and LMICs. Unmet needs of moderate/strong level were particularly high in all aspects assessed, particularly in the area of existential survivorship (psychosocial care) and receiving comprehensive cancer care. Australia and HICs were similar in terms of unmet needs (all low), but LMICs had a significantly higher number of needs both compared with Australia and HICs (all P < 0.001). Conclusion: Health care systems in Asian countries need to re-think and prioritize survivorship cancer care and put action plans in place to overcome some of the challenges surrounding the delivery of optimal supportive cancer care, use available resource-stratified guidelines for supportive care and test efficient and cost-effective models of survivorship care.",
keywords = "Asia-Pacific region, Cancer survivorship, Care provision, Quality of life, Supportive care needs, Symptoms",
author = "Alex Molassiotis and P. Yates and Q. Li and So, {W. K.W.} and K. Pongthavornkamol and P. Pittayapan and H. Komatsu and M. Thandar and Li, {M. S.} and {Titus Chacko}, S. and V. Lopez and J. Butcon and D. Wyld and Chan, {R. J.} and {on behalf of the STEP Study Collaborators}, {behalf of the STEP Study Collaborators} and Melissa Doolan and Litam, {Maria Estrella} and Rubiliza Onofre and Conchitina Lluch and Rosebe Nacion and Ombao, {Maria Luisa} and Soe, {Zaw Wai} and Theingi Myint and Emily Ang and Harue Arao and Kaori Yagasaki and Vinitha Ravindran and Rhenius, {Roselin V.} and Amalorpavamari Lucas and Kujur, {Lillian Percy} and Abijah Princy and Choi, {Kai chow} and Choy, {Yin Ping} and Lee, {Yan Pui} and Shiu, {Chun Yip} and Man Tong and Yinghua Xu and Tun, {U. Hla} and Si, {Shwe Yaung Hnin}",
year = "2017",
doi = "10.1093/annonc/mdx350",
language = "English",
volume = "28",
pages = "2552--2558",
journal = "Annals of Oncology",
issn = "0923-7534",
publisher = "Oxford University Press",
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}

TY - JOUR

T1 - Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region

T2 - Results from the International STEP Study

AU - Molassiotis, Alex

AU - Yates, P.

AU - Li, Q.

AU - So, W. K.W.

AU - Pongthavornkamol, K.

AU - Pittayapan, P.

AU - Komatsu, H.

AU - Thandar, M.

AU - Li, M. S.

AU - Titus Chacko, S.

AU - Lopez, V.

AU - Butcon, J.

AU - Wyld, D.

AU - Chan, R. J.

AU - on behalf of the STEP Study Collaborators, behalf of the STEP Study Collaborators

AU - Doolan, Melissa

AU - Litam, Maria Estrella

AU - Onofre, Rubiliza

AU - Lluch, Conchitina

AU - Nacion, Rosebe

AU - Ombao, Maria Luisa

AU - Soe, Zaw Wai

AU - Myint, Theingi

AU - Ang, Emily

AU - Arao, Harue

AU - Yagasaki, Kaori

AU - Ravindran, Vinitha

AU - Rhenius, Roselin V.

AU - Lucas, Amalorpavamari

AU - Kujur, Lillian Percy

AU - Princy, Abijah

AU - Choi, Kai chow

AU - Choy, Yin Ping

AU - Lee, Yan Pui

AU - Shiu, Chun Yip

AU - Tong, Man

AU - Xu, Yinghua

AU - Tun, U. Hla

AU - Si, Shwe Yaung Hnin

PY - 2017

Y1 - 2017

N2 - Background: To assess the supportive care needs, quality of life (QoL) and symptoms of patients with cancer after the end of first-line treatments and into survivorship in Asian countries using Australian data as benchmark. Patients and methods: A cross-sectional survey was carried out in Australia and eight high-income (HICs) and low-/middle-income (LMICs) Asian countries (China, Japan, Hong Kong SAR, South Korea, Myanmar, Thailand, India, Philippines) using validated scales (Cancer Survivors Unmet Needs scale), physical-symptom concerns (Cancer Survivors Survey of Needs subscale) and a single-item measure of global QoL perception. Results: Data were collected from 1748 patients from nine countries. QoL was highest in Australia and all other countries had significantly lower QoL than Australia (all P < 0.001). One-quarter of the patients reported low QoL (scores 1-3/10). The most frequently reported symptoms were fatigue (66.6%), loss of strength (61.8%), pain (61.6%), sleep disturbance (60.1%), and weight changes (57.7%), with no difference in symptom experience between Australian data and all other countries, or between HICs and LMICs. Unmet needs of moderate/strong level were particularly high in all aspects assessed, particularly in the area of existential survivorship (psychosocial care) and receiving comprehensive cancer care. Australia and HICs were similar in terms of unmet needs (all low), but LMICs had a significantly higher number of needs both compared with Australia and HICs (all P < 0.001). Conclusion: Health care systems in Asian countries need to re-think and prioritize survivorship cancer care and put action plans in place to overcome some of the challenges surrounding the delivery of optimal supportive cancer care, use available resource-stratified guidelines for supportive care and test efficient and cost-effective models of survivorship care.

AB - Background: To assess the supportive care needs, quality of life (QoL) and symptoms of patients with cancer after the end of first-line treatments and into survivorship in Asian countries using Australian data as benchmark. Patients and methods: A cross-sectional survey was carried out in Australia and eight high-income (HICs) and low-/middle-income (LMICs) Asian countries (China, Japan, Hong Kong SAR, South Korea, Myanmar, Thailand, India, Philippines) using validated scales (Cancer Survivors Unmet Needs scale), physical-symptom concerns (Cancer Survivors Survey of Needs subscale) and a single-item measure of global QoL perception. Results: Data were collected from 1748 patients from nine countries. QoL was highest in Australia and all other countries had significantly lower QoL than Australia (all P < 0.001). One-quarter of the patients reported low QoL (scores 1-3/10). The most frequently reported symptoms were fatigue (66.6%), loss of strength (61.8%), pain (61.6%), sleep disturbance (60.1%), and weight changes (57.7%), with no difference in symptom experience between Australian data and all other countries, or between HICs and LMICs. Unmet needs of moderate/strong level were particularly high in all aspects assessed, particularly in the area of existential survivorship (psychosocial care) and receiving comprehensive cancer care. Australia and HICs were similar in terms of unmet needs (all low), but LMICs had a significantly higher number of needs both compared with Australia and HICs (all P < 0.001). Conclusion: Health care systems in Asian countries need to re-think and prioritize survivorship cancer care and put action plans in place to overcome some of the challenges surrounding the delivery of optimal supportive cancer care, use available resource-stratified guidelines for supportive care and test efficient and cost-effective models of survivorship care.

KW - Asia-Pacific region

KW - Cancer survivorship

KW - Care provision

KW - Quality of life

KW - Supportive care needs

KW - Symptoms

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U2 - 10.1093/annonc/mdx350

DO - 10.1093/annonc/mdx350

M3 - Article

C2 - 28961835

AN - SCOPUS:85030556590

VL - 28

SP - 2552

EP - 2558

JO - Annals of Oncology

JF - Annals of Oncology

SN - 0923-7534

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