Participation in cancer rehabilitation and unmet needs: a population-based cohort study
Identifieur interne : 004046 ( Main/Exploration ); précédent : 004045; suivant : 004047Participation in cancer rehabilitation and unmet needs: a population-based cohort study
Auteurs : Lise Vilstrup Holm [Danemark] ; Dorte Gils Hansen [Danemark] ; Christoffer Johansen [Danemark] ; Peter Vedsted [Danemark] ; Pia Veldt Larsen [Danemark] ; Jakob Kragstrup [Danemark] ; Jens S Ndergaard [Danemark]Source :
- Supportive Care in Cancer [ 0941-4355 ] ; 2012.
Abstract
To investigate associations between cancer survivors’ sex, age, and diagnosis in relation to their (1) need for rehabilitation, (2) participation in rehabilitation activities, and (3) unmet needs for rehabilitation in a 14-month period following date of diagnosis.
A population-based cohort study was performed on incident cancer patients diagnosed from 1 October 2007 to 30 September 2008. Fourteen months after diagnosis, participants completed a questionnaire developed to measure the aspects of rehabilitation. Logistic regression analyses were used to explore the association between sex, age, and diagnosis, and the outcome variables for rehabilitation.
A total of 3,439 patients participated, yielding an overall response rate of 70%. One third of the cancer patients reported a need for physical rehabilitation and one third for psychological rehabilitation. Half of the patients participated in at least one activity. Unmet needs were most often reported in psychological, sexual, and financial areas. Women expressed more needs, participated more often in rehabilitation activities, and had, to a higher extent, their emotional needs fulfilled. Breast cancer patients participated more often in physical rehabilitation. Elderly who expressed rehabilitation needs more often had them unresolved.
A substantial variation in rehabilitation needs, participation in activities, and unmet needs in relation to sex, age, and cancer type was observed. Cancer care ought to systematically address the wide range of needs in all groups through integration of systematic needs assessment and targeted supply of offers.
Url:
DOI: 10.1007/s00520-012-1420-0
PubMed: 22415608
PubMed Central: 3461205
Affiliations:
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Ndergaard, Jens" sort="S Ndergaard, Jens" uniqKey="S Ndergaard J" first="Jens" last="S Ndergaard">Jens S Ndergaard</name><affiliation wicri:level="1"><nlm:aff id="Aff1">National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22415608</idno><idno type="pmc">3461205</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461205</idno><idno type="RBID">PMC:3461205</idno><idno type="doi">10.1007/s00520-012-1420-0</idno><date when="2012">2012</date><idno 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study</title><author><name sortKey="Holm, Lise Vilstrup" sort="Holm, Lise Vilstrup" uniqKey="Holm L" first="Lise Vilstrup" last="Holm">Lise Vilstrup Holm</name><affiliation wicri:level="1"><nlm:aff id="Aff1">National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author><author><name sortKey="Hansen, Dorte Gils" sort="Hansen, Dorte Gils" uniqKey="Hansen D" first="Dorte Gils" last="Hansen">Dorte Gils Hansen</name><affiliation wicri:level="1"><nlm:aff id="Aff1">National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author><author><name sortKey="Johansen, Christoffer" sort="Johansen, Christoffer" uniqKey="Johansen C" first="Christoffer" last="Johansen">Christoffer Johansen</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Danish Cancer Society Research Center, Strandboulevarden 49, 2100 Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Danish Cancer Society Research Center, Strandboulevarden 49, 2100 Copenhagen</wicri:regionArea><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Vedsted, Peter" sort="Vedsted, Peter" uniqKey="Vedsted P" first="Peter" last="Vedsted">Peter Vedsted</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Research Unit for General Practice, University of Aarhus, Vennelyst Boulevard 6, 8000 Aarhus C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Research Unit for General Practice, University of Aarhus, Vennelyst Boulevard 6, 8000 Aarhus C</wicri:regionArea><wicri:noRegion>8000 Aarhus C</wicri:noRegion></affiliation></author><author><name sortKey="Larsen, Pia Veldt" sort="Larsen, Pia Veldt" uniqKey="Larsen P" first="Pia Veldt" last="Larsen">Pia Veldt Larsen</name><affiliation wicri:level="1"><nlm:aff id="Aff1">National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author><author><name sortKey="Kragstrup, Jakob" sort="Kragstrup, Jakob" uniqKey="Kragstrup J" first="Jakob" last="Kragstrup">Jakob Kragstrup</name><affiliation wicri:level="1"><nlm:aff id="Aff1">National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author><author><name sortKey="S Ndergaard, Jens" sort="S Ndergaard, Jens" uniqKey="S Ndergaard J" first="Jens" last="S Ndergaard">Jens S Ndergaard</name><affiliation wicri:level="1"><nlm:aff id="Aff1">National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, University of Southern Denmark, JB Winsløws vej 9A, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author></analytic><series><title level="j">Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>To investigate associations between cancer survivors’ sex, age, and diagnosis in relation to their (1) need for rehabilitation, (2) participation in rehabilitation activities, and (3) unmet needs for rehabilitation in a 14-month period following date of diagnosis.</p></sec><sec><title>Methods</title><p>A population-based cohort study was performed on incident cancer patients diagnosed from 1 October 2007 to 30 September 2008. Fourteen months after diagnosis, participants completed a questionnaire developed to measure the aspects of rehabilitation. Logistic regression analyses were used to explore the association between sex, age, and diagnosis, and the outcome variables for rehabilitation.</p></sec><sec><title>Results</title><p>A total of 3,439 patients participated, yielding an overall response rate of 70%. One third of the cancer patients reported a need for physical rehabilitation and one third for psychological rehabilitation. Half of the patients participated in at least one activity. Unmet needs were most often reported in psychological, sexual, and financial areas. Women expressed more needs, participated more often in rehabilitation activities, and had, to a higher extent, their emotional needs fulfilled. Breast cancer patients participated more often in physical rehabilitation. Elderly who expressed rehabilitation needs more often had them unresolved.</p></sec><sec><title>Conclusions</title><p>A substantial variation in rehabilitation needs, participation in activities, and unmet needs in relation to sex, age, and cancer type was observed. Cancer care ought to systematically address the wide range of needs in all groups through integration of systematic needs assessment and targeted supply of offers.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mikkelsen, Th" uniqKey="Mikkelsen T">TH Mikkelsen</name></author><author><name sortKey="Sondergaard, J" uniqKey="Sondergaard J">J Sondergaard</name></author><author><name sortKey="Jensen, Ab" uniqKey="Jensen A">AB Jensen</name></author><author><name sortKey="Olesen, F" uniqKey="Olesen F">F Olesen</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Harten, Wh" uniqKey="Harten W">WH Harten</name></author><author><name sortKey="Noort, O" uniqKey="Noort O">O Noort</name></author><author><name sortKey="Warmerdam, R" uniqKey="Warmerdam R">R Warmerdam</name></author><author><name sortKey="Henricks, H" uniqKey="Henricks H">H 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Halfens</name></author><author><name sortKey="Dassen, T" uniqKey="Dassen T">T Dassen</name></author><author><name sortKey="Borne, B" uniqKey="Borne B">B Borne</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Danemark</li></country><region><li>Hovedstaden</li></region><settlement><li>Copenhague</li></settlement></list><tree><country name="Danemark"><noRegion><name sortKey="Holm, Lise Vilstrup" sort="Holm, Lise Vilstrup" uniqKey="Holm L" first="Lise Vilstrup" last="Holm">Lise Vilstrup Holm</name></noRegion><name sortKey="Hansen, Dorte Gils" sort="Hansen, Dorte Gils" uniqKey="Hansen D" first="Dorte Gils" last="Hansen">Dorte Gils Hansen</name><name sortKey="Johansen, Christoffer" sort="Johansen, Christoffer" uniqKey="Johansen C" first="Christoffer" last="Johansen">Christoffer Johansen</name><name sortKey="Kragstrup, Jakob" sort="Kragstrup, Jakob" uniqKey="Kragstrup J" first="Jakob" last="Kragstrup">Jakob Kragstrup</name><name sortKey="Larsen, Pia Veldt" sort="Larsen, Pia Veldt" uniqKey="Larsen P" first="Pia Veldt" last="Larsen">Pia Veldt Larsen</name><name sortKey="S Ndergaard, Jens" sort="S Ndergaard, Jens" uniqKey="S Ndergaard J" first="Jens" last="S Ndergaard">Jens S Ndergaard</name><name sortKey="Vedsted, Peter" sort="Vedsted, Peter" uniqKey="Vedsted P" first="Peter" last="Vedsted">Peter Vedsted</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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