https://nova.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Unmet needs of survivors of a haematological malignancy: prevalence, predictors and psychometrics https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:21618 Wed 11 Apr 2018 14:32:21 AEST ]]> Risk factors for current and future unmet supportive care needs of people with pancreatic cancer. A longitudinal study https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:29841 n = 116) then follow-up surveys 2 (n = 82) and 4 months (n = 50) later. The validated survey measured 34 needs across five domains. Weighted generalised estimating equations were used to identify factors associated with having ≥1 current or future moderate-to-high unmet need. Results: The overall proportion of patients reporting ≥1 moderate-or-high-level need did not significantly change over time (baseline = 70 % to 4 months = 75 %), although there was a non-significant reduction in needs for patients who had a complete resection (71 to 63 %) and an increase in patients with locally advanced (73 to 85 %) or metastatic (66 to 88 %) disease. Higher levels of pain (OR 6.1, CI 2.4–15.3), anxiety (OR 3.3, CI 1.5–7.3) and depression (OR 3.2, CI 1.7–6.0) were significantly associated with current needs. People with pain (OR 4.9, CI 1.5–15.4), metastatic disease (OR 2.7, CI 0.7–10.0) or anxiety (OR 2.5, CI 0.7–8.6) had substantially higher odds of reporting needs at their next survey. The prevalence of needs was highest in the physical/daily living and psychological domains (both 53 % at baseline). Pain and anxiety had respectively the strongest associations with these domains. Conclusions: Careful and continued attention to pain control and psychological morbidity is paramount in addressing significant unmet needs, particularly for people with metastatic disease. Research on how best to coordinate this is crucial.]]> Wed 11 Apr 2018 10:08:14 AEST ]]> Unmet supportive care needs among people with cancer: a cross-cultural comparison between Indigenous and Non-Indigenous Australians https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:42101 n = 125) and Non‐Indigenous (n = 125) Australian adults diagnosed with cancer. Descriptive statistics were used to compare type and prevalence of 24 need items measured by the SCNS‐SF34 and SCNAT‐IP. Results: A higher proportion of Non‐Indigenous participants compared to Indigenous participants reported having any moderate‐to‐high level of unmet needs (70% vs. 54%, p = 0.013) and the difference was consistently observed across non‐matched characteristics. While concerns for caregivers, fear of recurrence and pain were central needs for both Indigenous participants and Non‐Indigenous participants, there were some key differences in the specific unmet needs between groups. Physical issues including doing usual daily activities and dealing with fatigue were the top priorities for Non‐Indigenous people, while money worries, dealing with psychological issues such as how to keep their spirit strong or hope about their future appeared to be priorities for Indigenous people. Conclusions: Variations in the unmet supportive care needs between Indigenous and Non‐Indigenous people with cancer may guide health professionals to target specific needs when preparing care plans.]]> Fri 23 Jun 2023 08:45:29 AEST ]]>