Factors associated with unmet supportive care needs among adult cancer survivors in South Korea: a cross-sectional survey.

IF 3.1 2区医学 Q2 ONCOLOGY

Journal of Cancer Survivorship Pub Date : 2025-04-05 DOI:10.1007/s11764-025-01792-7

Dal-Lae Jin, Young Ae Kim, Su Jung Lee, Hyun-Ju Seo, Seok-Jun Yoon

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引用次数: 0

Abstract

Purpose: This cross-sectional study assessed the prevalence of unmet supportive care needs and financial burdens among South Korean adult cancer survivors.

Methods: A total of 1038 adult cancer survivors were recruited through convenience sampling from the 2022 Korean Population Census. Data were collected online from November 17 to December 15, 2022. Unmet supportive care needs were assessed across three domains: access and continuity of care, coping and emotional needs, and information needs. Ordinal logistic regression analyses were conducted, adjusting for relevant demographic and clinical characteristics.

Results: Among study participants, 65.7% of those with severe financial toxicity reported high unmet supportive care needs. The most frequently reported unmet need was related to coping and emotional support (44.7%). Cancer survivors diagnosed 6-10 years ago had significantly lower unmet supportive care needs compared with those diagnosed within the past three years (AOR = 0.69, 95% CI: 0.49-0.98). Survivors with stage III/IV cancer (AOR = 1.62, 95% CI: 1.13-2.32) were more likely to report high unmet needs. Additionally, those with severe financial toxicity were at significantly higher risk of reporting unmet needs (AOR = 3.26, 95% CI: 2.13-5.02).

Conclusions: Unmet supportive care needs were significantly associated with severe financial toxicity, time since diagnosis, and cancer stage. Survivors with severe financial toxicity or advanced-stage cancer are at an increased risk of experiencing unmet needs.

Implications for cancer survivors: These findings highlight the need for targeted interventions to address the unmet supportive care needs of cancer survivors, particularly those experiencing severe financial burdens or diagnosed with advanced-stage cancer. Interventions should be tailored to different survivorship stages to improve long-term health outcomes and quality of life for cancer survivors in South Korea.

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韩国成年癌症幸存者未满足支持性护理需求的相关因素：一项横断面调查。

目的：本横断面研究评估了韩国成年癌症幸存者中未满足的支持性护理需求和经济负担的患病率。方法：通过便利抽样，从2022年韩国人口普查中招募1038名成年癌症幸存者。数据于2022年11月17日至12月15日在线收集。未满足的支持性护理需求在三个领域进行评估：护理的获取和连续性、应对和情感需求以及信息需求。进行有序逻辑回归分析，调整相关人口统计学和临床特征。结果：在研究参与者中，65.7%的严重财务毒性患者报告了高未满足的支持性护理需求。最常见的未满足需求与应对和情感支持有关（44.7%）。6-10年前诊断的癌症幸存者与过去3年内诊断的癌症幸存者相比，未满足的支持性护理需求显著降低（AOR = 0.69, 95% CI: 0.49-0.98）。III/IV期癌症幸存者（AOR = 1.62, 95% CI: 1.13-2.32）更有可能报告高未满足需求。此外，那些有严重财务毒性的人报告未满足需求的风险明显更高（AOR = 3.26, 95% CI: 2.13-5.02）。结论：未满足的支持性护理需求与严重的财务毒性、诊断后的时间和癌症分期显著相关。患有严重经济毒性或晚期癌症的幸存者面临需求未得到满足的风险增加。对癌症幸存者的影响：这些发现强调了有针对性的干预措施的必要性，以解决癌症幸存者未满足的支持性护理需求，特别是那些经历严重经济负担或被诊断为晚期癌症的人。干预措施应针对不同的生存阶段进行调整，以改善韩国癌症幸存者的长期健康结果和生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cancer Survivorship ONCOLOGY-

CiteScore

7.00

自引率

10.80%

发文量

149

审稿时长

>12 weeks

期刊介绍： Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.