Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 9, Number 10, October 2017, pages 864-871


Lack of Needs Assessment in Cancer Survivorship Care and Rehabilitation in Hospitals and Primary Care Settings

Figures

Figure 1.
Figure 1. Needs assessment form.
Figure 2.
Figure 2. Flow diagram.

Tables

Table 1. Baseline Characteristics of the Study Population (n = 188)
 
Hospitals (n = 89), n (%)Primary care (n = 99), n (%)
Other: endometrial; gastric; malignant melanoma; neuroendocrine tumor; and soft tissue sarcoma.
Sex
  Women39 (44)68 (69)
  Men50 (56)31 (31)
Age (years)
  18 - 398 (9)4 (4)
  40 - 497 (8)8 (8)
  50 - 5922 (25)36 (36)
  60 - 6919 (21)36 (36)
  70+33 (37)15 (15)
Cancer type
  Leukemia24 (27)0
  Lymphoma33 (37)4 (4)
  Myelomatosis11 (12)3 (3)
  Breast032 (32)
  Colorectal013 (13)
  Lung09 (9)
  Head and neck06 (6)
  Ovarian06 (6)
  Prostate06 (6)
  Renal04 (4)
  Other08 (8)
  No type defined21 (24)8 (8)

 

Table 2. Stated Rehabilitation Needs and Plans
 
Hospitals (n = 89)Primary care (n = 99)
Mean number of stated needs (range)7.5 (0 - 22)8.0 (1 - 27)
Total number of stated needs666836
Patients completed rehabilitation plan42 (47%)53 (54%)
Mean number of rehabilitation plans (range)2.8 (1 - 7)3.3 (1 - 12)
Total number of rehabilitation plans116185

 

Table 3. Stated Needs and Rehabilitation Plans Categorized in ICF Components
 
Stated needsRehabilitation plans
Hospitals (666 needs)Primary care (836 needs)Hospitals (116 plans)Primary care (185 plans)
aOf these, nine (8%) were physical activity. bOf these, 22 (12%) were physical activity.
Body functions and structures521 (78%)680 (81%)68 (59%)130 (70%)
Activity and participation85 (13%)93 (11%)25 (21%)23 (12%)
Environmental factors39 (6%)35 (4%)8 (7%)5 (3%)
Personal factors0000
Not definable21 (3%)28 (3%)15 (13%)a27 (16%)b

 

Table 4. Tabel 4. Most Frequently Stated Needs
 
ICF componentStated needsHospitals (n = 89), n (%)Primary care (n = 99), n (%)
BF: body functions and structures; AP: activity and participation.
BFFatigue51 (57)66 (67)
BFReduced muscle strength49 (55)66 (67)
BFWorried33 (37)36 (36)
BFWeight loss or weight gain29 (33)34 (34)
BFDizziness/balance28 (31)27 (27)
BFSleep26 (29)29 (29)
BFReduced mobility23 (26)31 (31)
APTransport23 (26)6 (6)
BFNausea22 (22)18 (18)
BFConstipation/diarrhea22 (25)10 (10)
BFMemory/concentration20 (22)33 (33)
BFPins and needles in fingers and toes20 (22)32 (32)
BFDry mucous membranes19 (21)22 (22)
BFPain17 (19)36 (36)
BFDiet10 (11)20 (20)
BFHot flushes9 (10)28 (28)