Colorectal cancer survival: prevalence of psychosocial distress and unmet supportive care needs

Yolanda Andreu, Paula Martinez, Ana Soto-Rubio, Silvia Fernández, Carles Bosch, Andrés Cervantes, Yolanda Andreu, Paula Martinez, Ana Soto-Rubio, Silvia Fernández, Carles Bosch, Andrés Cervantes

Abstract

Purpose: The aim of this study was to determine the prevalence of distress and unmet supportive care needs in post-treatment colorectal cancer (CRC) survivors. Also, to explore the association between both variables and to identify potential associated sociodemographic and cancer-related risk factors.

Methods: A cross-sectional study of 200 CRC survivors who at least 1 month before had completed the primary treatment for CRC was conducted. The Brief Symptom Inventory-18 (BSI-18) and the Spanish version of Cancer Survivors' Unmet Needs (S-CaSUN) were used.

Results: One in five CRC survivors showed clinical distress and 86% expressed at least one unmet need. Distress was positively associated with the prevalence of needs in all domains. All comprehensive care and information needs were expressed by at least 20% of survivors and some by more than 50%. Other needs also mentioned by 20% of survivors were financial support, ongoing case manager, and concerns about cancer recurrence. The risk factors associated were lower socioeconomic status, younger age, and a primary treatment that includes more than surgery.

Conclusions: The findings highlight the relevance of extending psychosocial care beyond the CRC primary medical treatment. A person-centered approach that addresses informational, emotional, social, and physical needs can increase satisfaction with care and also prevent psychological morbidity in CRC survivors.

Keywords: CRC survivorship; Cancer Survivors Unmet Needs measure; Emotional distress; Psycho-oncology; Supportive care needs.

Conflict of interest statement

The authors declare no competing interests.

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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