Publication

Distress, problems, referral wish, and supportive health care use in breast cancer survivors beyond the first year after chemotherapy completion

Admiraal, J. M., Hoekstra-Weebers, J. E. H. M., Schröder, C. P., Tuinier, W., Hospers, G. A. P. & Reyners, A. K. L., Jul-2020, In : Supportive Care in Cancer. 28, 7, p. 3023-3032 10 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Admiraal, J. M., Hoekstra-Weebers, J. E. H. M., Schröder, C. P., Tuinier, W., Hospers, G. A. P., & Reyners, A. K. L. (2020). Distress, problems, referral wish, and supportive health care use in breast cancer survivors beyond the first year after chemotherapy completion. Supportive Care in Cancer, 28(7), 3023-3032. https://doi.org/10.1007/s00520-019-05030-6

Author

Admiraal, J. M. ; Hoekstra-Weebers, J. E. H. M. ; Schröder, C. P. ; Tuinier, W. ; Hospers, G. A. P. ; Reyners, Anna K. L. / Distress, problems, referral wish, and supportive health care use in breast cancer survivors beyond the first year after chemotherapy completion. In: Supportive Care in Cancer. 2020 ; Vol. 28, No. 7. pp. 3023-3032.

Harvard

Admiraal, JM, Hoekstra-Weebers, JEHM, Schröder, CP, Tuinier, W, Hospers, GAP & Reyners, AKL 2020, 'Distress, problems, referral wish, and supportive health care use in breast cancer survivors beyond the first year after chemotherapy completion', Supportive Care in Cancer, vol. 28, no. 7, pp. 3023-3032. https://doi.org/10.1007/s00520-019-05030-6

Standard

Distress, problems, referral wish, and supportive health care use in breast cancer survivors beyond the first year after chemotherapy completion. / Admiraal, J. M.; Hoekstra-Weebers, J. E. H. M.; Schröder, C. P.; Tuinier, W.; Hospers, G. A. P.; Reyners, Anna K. L.

In: Supportive Care in Cancer, Vol. 28, No. 7, 07.2020, p. 3023-3032.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Admiraal JM, Hoekstra-Weebers JEHM, Schröder CP, Tuinier W, Hospers GAP, Reyners AKL. Distress, problems, referral wish, and supportive health care use in breast cancer survivors beyond the first year after chemotherapy completion. Supportive Care in Cancer. 2020 Jul;28(7):3023-3032. https://doi.org/10.1007/s00520-019-05030-6


BibTeX

@article{ccf6fe311eb542e299437f572bcfd333,
title = "Distress, problems, referral wish, and supportive health care use in breast cancer survivors beyond the first year after chemotherapy completion",
abstract = "PURPOSE: We examined distress levels, problems, referral wish, and supportive health care use in a cross-sectional group of breast cancer survivors at two-time points with a 1-year time interval. Also, factors related to continuing elevated distress were explored.METHODS: Breast cancer survivors, 1-5 years after chemotherapy completion, filled in the Dutch Distress Thermometer/Problem List (DT/PL) and questions on background characteristics at study inclusion (T1). DT/PL responses and health care use were discussed during semi-structured interviews. One year later, re-assessment took place (T2). The data were analyzed by descriptive and univariate analyses. Continuing elevated distress was defined as a DT score ≥ 5 at T1 and T2.RESULTS: Seventy-three survivors completed all questionnaires (response = 84.6{\%}). Eighteen (25{\%}) experienced continuing elevated distress. Fatigue (T1 N = 48 (66{\%}); T2 N = 41 (56{\%})) and lack of physical fitness (T1 N = 44 (60{\%}); T2 N = 36 (49{\%})) were most often reported. Time since diagnosis, health care use, and practical, social, emotional and physical problems were significantly associated with continuing elevated distress. Between diagnosis and T1, N = 49(67{\%}) used supportive healthcare services, mostly a psychologist and/or a physical/lymphedema therapist, and between T1 and T2, 39 (53{\%}) did. At T1, 8 (11{\%}) expressed a referral wish and at T2, 11 (16{\%}) did.CONCLUSIONS: Screening and management of distress, problems, and referral wish are important, even years after chemotherapy completion as a substantial proportion of breast cancer survivors continue to report elevated distress and problems. Special attention should be paid to survivors reporting physical problems, especially fatigue and lack of physical fitness, since these problems are most strongly related to continuing elevated distress.",
keywords = "Breast cancer survivor, Distress, Distress Thermometer, Referral, Longitudinal, QUALITY-OF-LIFE, WOMEN, TRAJECTORIES, THERMOMETER, PREDICTORS, DEPRESSION, DIAGNOSIS, GERMAN, LUNG",
author = "Admiraal, {J. M.} and Hoekstra-Weebers, {J. E. H. M.} and Schr{\"o}der, {C. P.} and W. Tuinier and Hospers, {G. A. P.} and Reyners, {Anna K. L.}",
year = "2020",
month = "7",
doi = "10.1007/s00520-019-05030-6",
language = "English",
volume = "28",
pages = "3023--3032",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "SPRINGER",
number = "7",

}

RIS

TY - JOUR

T1 - Distress, problems, referral wish, and supportive health care use in breast cancer survivors beyond the first year after chemotherapy completion

AU - Admiraal, J. M.

AU - Hoekstra-Weebers, J. E. H. M.

AU - Schröder, C. P.

AU - Tuinier, W.

AU - Hospers, G. A. P.

AU - Reyners, Anna K. L.

PY - 2020/7

Y1 - 2020/7

N2 - PURPOSE: We examined distress levels, problems, referral wish, and supportive health care use in a cross-sectional group of breast cancer survivors at two-time points with a 1-year time interval. Also, factors related to continuing elevated distress were explored.METHODS: Breast cancer survivors, 1-5 years after chemotherapy completion, filled in the Dutch Distress Thermometer/Problem List (DT/PL) and questions on background characteristics at study inclusion (T1). DT/PL responses and health care use were discussed during semi-structured interviews. One year later, re-assessment took place (T2). The data were analyzed by descriptive and univariate analyses. Continuing elevated distress was defined as a DT score ≥ 5 at T1 and T2.RESULTS: Seventy-three survivors completed all questionnaires (response = 84.6%). Eighteen (25%) experienced continuing elevated distress. Fatigue (T1 N = 48 (66%); T2 N = 41 (56%)) and lack of physical fitness (T1 N = 44 (60%); T2 N = 36 (49%)) were most often reported. Time since diagnosis, health care use, and practical, social, emotional and physical problems were significantly associated with continuing elevated distress. Between diagnosis and T1, N = 49(67%) used supportive healthcare services, mostly a psychologist and/or a physical/lymphedema therapist, and between T1 and T2, 39 (53%) did. At T1, 8 (11%) expressed a referral wish and at T2, 11 (16%) did.CONCLUSIONS: Screening and management of distress, problems, and referral wish are important, even years after chemotherapy completion as a substantial proportion of breast cancer survivors continue to report elevated distress and problems. Special attention should be paid to survivors reporting physical problems, especially fatigue and lack of physical fitness, since these problems are most strongly related to continuing elevated distress.

AB - PURPOSE: We examined distress levels, problems, referral wish, and supportive health care use in a cross-sectional group of breast cancer survivors at two-time points with a 1-year time interval. Also, factors related to continuing elevated distress were explored.METHODS: Breast cancer survivors, 1-5 years after chemotherapy completion, filled in the Dutch Distress Thermometer/Problem List (DT/PL) and questions on background characteristics at study inclusion (T1). DT/PL responses and health care use were discussed during semi-structured interviews. One year later, re-assessment took place (T2). The data were analyzed by descriptive and univariate analyses. Continuing elevated distress was defined as a DT score ≥ 5 at T1 and T2.RESULTS: Seventy-three survivors completed all questionnaires (response = 84.6%). Eighteen (25%) experienced continuing elevated distress. Fatigue (T1 N = 48 (66%); T2 N = 41 (56%)) and lack of physical fitness (T1 N = 44 (60%); T2 N = 36 (49%)) were most often reported. Time since diagnosis, health care use, and practical, social, emotional and physical problems were significantly associated with continuing elevated distress. Between diagnosis and T1, N = 49(67%) used supportive healthcare services, mostly a psychologist and/or a physical/lymphedema therapist, and between T1 and T2, 39 (53%) did. At T1, 8 (11%) expressed a referral wish and at T2, 11 (16%) did.CONCLUSIONS: Screening and management of distress, problems, and referral wish are important, even years after chemotherapy completion as a substantial proportion of breast cancer survivors continue to report elevated distress and problems. Special attention should be paid to survivors reporting physical problems, especially fatigue and lack of physical fitness, since these problems are most strongly related to continuing elevated distress.

KW - Breast cancer survivor

KW - Distress

KW - Distress Thermometer

KW - Referral

KW - Longitudinal

KW - QUALITY-OF-LIFE

KW - WOMEN

KW - TRAJECTORIES

KW - THERMOMETER

KW - PREDICTORS

KW - DEPRESSION

KW - DIAGNOSIS

KW - GERMAN

KW - LUNG

U2 - 10.1007/s00520-019-05030-6

DO - 10.1007/s00520-019-05030-6

M3 - Article

C2 - 31511981

VL - 28

SP - 3023

EP - 3032

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 7

ER -

ID: 96872601