Advertisement

Supportive Care in Cancer

, Volume 27, Issue 11, pp 4229–4235 | Cite as

Comparison of perceptions of unmet supportive care needs between cancer patients and their oncologists

  • Satish Chandrasekhar NairEmail author
  • Waleed A. Hassen
  • Jayadevan Sreedharan
  • Khaled Qawasmeh
  • Halah Ibrahim
Original Article

Abstract

Purpose

The prevalence of cancer in the Middle East is increasing and predicted to nearly double by 2030. In the United Arab Emirates (UAE), cancer ranks as the third leading cause of death. Yet, there are limited data describing the needs of cancer patients in the region. The purpose of this study is to compare cancer patients’ reports of unmet supportive care needs with the perceptions of their oncologists.

Methods

A cross-sectional survey of cancer patients and their oncologists, using an Arabic translation of the short form of the Supportive Care Needs Survey (SCNS-SF34), was conducted at a major oncology center in the UAE between December 2014 and March 2017. Descriptive statistics and McNemar test were calculated to determine differences in unmet need responses between oncologists and patients.

Results

Nine physicians (100%) and 210 of 268 (78.3%) patients completed the questionnaire. Oncologists accurately assessed the level of unmet physical needs of their patients, but significantly underestimated unmet psychological supportive care needs of the patients. Male patients expressed significantly lower (p < 0.05) physical and psychological unmet needs, compared to female patients.

Conclusion

Our findings reveal a general concordance between physician and patient perspectives of unmet supportive care needs. This is reassuring as physician perceptions impact the care patients receive. We present multifaceted supportive care strategies for oncology patients in the region.

Keywords

Cancer supportive care needs Middle East Physician perceptions Oncology 

Notes

Acknowledgments

The authors wish to thank Ms. Kartyayani P Satish (Al Daar Al Ain International School, Al Ain) for literature collection support for the study.

Funding/support

The study was not supported by any funding sources.

Compliance with ethical standards

The study was approved by the regional research ethics committee (AAMDHREC 12/55).

Conflict of interest

The authors declare that they have no conflicts of interest.

Previous presentations

No previous presentations.

Other disclosures

None.

References

  1. 1.
    World Health Organization, Regional Office for the Eastern Mediterranean (2010) Strategy for cancer prevention and control in the Eastern Mediterranean Region 2009—2013. http://applications.emro.who.int/dsaf/EMRPUB_2010_1278.pdf. Accessed 19 March 2018
  2. 2.
    Folley TJ, Nylander-French LA, Joubert DM, Gibson JM (2012) Estimated burden of disease attributable to selected occupational exposures in the United Arab Emirates. Am J Ind Med 55:940–952CrossRefGoogle Scholar
  3. 3.
    Brédart A, Kop JL, Griesser AC et al (2013) Assessment of needs, health-related quality of life, and satisfaction with care in breast cancer patients to better target supportive care. Ann Oncol 24:2151–2158CrossRefGoogle Scholar
  4. 4.
    Ristevski E, Regan M, Jones R, Breen S, Batson A, McGrail MR (2015) Cancer patient and clinician acceptability and feasibility of a supportive care screening and referral process. Health Expect 18(3):406–418CrossRefGoogle Scholar
  5. 5.
    Okediji PT, Salako O, Fatiregun OO (2017) Pattern and predictors of unmet supportive care needs in Cancer patients. Cureus 9(5):e1234PubMedPubMedCentralGoogle Scholar
  6. 6.
    Mosadeghrad AM (2014) Factors influencing healthcare service quality. Int J Health Policy Manag 3(2):77–89CrossRefGoogle Scholar
  7. 7.
    Detmar SB, Aaronson NK, Wever LDV, Muller M, Schornagel JH (2000) How are you feeling? Who wants to know? Patients’ and oncologists’ preferences for discussing health-related quality-of-life issues. J Clin Onc 18:3295–3301CrossRefGoogle Scholar
  8. 8.
    Mitchell AJ, Kaar S, Coggan C, Herdman J (2008) Acceptability of common screening methods used to detect distress and related mood disorders-preferences of cancer specialists and non-specialists. Psychooncology 17(3):226–236CrossRefGoogle Scholar
  9. 9.
    Daher M (2012) Cultural beliefs and values in cancer patients. Ann Oncol 23(suppl 3):66–69CrossRefGoogle Scholar
  10. 10.
    Boyes A, Girgis A, Lecathelinais C (2009) Brief assessment of adult cancer patients' perceived needs: development and validation of the 34-item supportive care needs survey (SCNS-SF34). J Eval Clin Pract 15(4):602–606CrossRefGoogle Scholar
  11. 11.
    Nair SC, Jaafar H, Jaloudi M, Qawasmeh K, AlMarar A, Ibrahim H (2018) Supportive care needs of multicultural patients with cancer in the United Arab Emirates. Ecancermedicalscience 29(12):838Google Scholar
  12. 12.
    Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP (1982) Toxicity and response criteria of the eastern cooperative oncology group. Am J Clin Oncol 5:649–655CrossRefGoogle Scholar
  13. 13.
    Jones R, Regan M, Ristevski E, Breen S (2011) Patients’ perception of communication with clinicians during screening and discussion of cancer supportive care needs. Patient Educ Couns 85:e209–e215CrossRefGoogle Scholar
  14. 14.
    Richardson A, Medina J, Brown V, Sitzia J (2007) Patients’ needs assessment in cancer care: a review of assessment tools. Support Care Cancer 15:1125–1144CrossRefGoogle Scholar
  15. 15.
    Alhurishi S, Lim JN, Potrata B, West R (2011) Factors influencing late presentation for breast cancer in the Middle East: a systematic review. Asian Pac J Cancer Prev 12:1597–1600PubMedGoogle Scholar
  16. 16.
    Silbermann M, Epner DE, Charalambous H et al (2013) Promoting new approaches for cancer care in the Middle East. Ann Oncol 24(Suppl 7):vii5–vi10PubMedPubMedCentralGoogle Scholar
  17. 17.
    Salonen P, Tarkka MT, Kellokumpu-Lehtinen PL, Koivisto AM, Aalto P, Kaunonen M (2013) Effect of social support on changes in quality of life in early breast cancer patients: a longitudinal study. Scand J Caring Sci 27:396–405CrossRefGoogle Scholar
  18. 18.
    Seely D, Weeks L (2012) A systematic review of integrative oncology programs. Current Onc 19:436–461Google Scholar
  19. 19.
    Ben-Arye E, Schiff E, Mutafoglu K, Omran S, Hajjar R, Charalambous H, Dweikat T, Ghrayeb I, Sela GB, Turker I, Hassan A, Hassan E, Popper-Giveon A, Saad B, Nimri O, Kebudi R, Dagash J, Silbermann M (2015) Integration of complementary medicine in supportive cancer care: survey of health-care providers’ perspectives from 16 countries in the Middle East. Support Care Cancer 23:2605–2612CrossRefGoogle Scholar
  20. 20.
    Kearney N, McCann L, Norrie J, Taylor L, Gray P, McGee-Lennon M, Sage M, Miller M, Maguire R (2009) Evaluation of a mobile phone-based, advanced symptom management system (ASyMS©) in the management of chemotherapy-related toxicity. Support Care Cancer 17(4):437–444CrossRefGoogle Scholar
  21. 21.
    Bjoernes CD, Laursen BS, Delmar C, Cummings E, Nøhr C (2012) A dialogue-based web application enhances personalized access to healthcare professionals—an intervention study. BMC Med Inform Decis Mak 12:96CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Satish Chandrasekhar Nair
    • 1
    Email author
  • Waleed A. Hassen
    • 2
  • Jayadevan Sreedharan
    • 3
  • Khaled Qawasmeh
    • 4
  • Halah Ibrahim
    • 5
  1. 1.Department of Academic AffairsJohns Hopkins Medicine Affiliate-Tawam Hospital and UAE University College of MedicineAl AinUnited Arab Emirates
  2. 2.Cleveland Clinic Lerner College of MedicineClevelandUSA
  3. 3.College of MedicineGulf Medical UniversityAjmanUnited Arab Emirates
  4. 4.Department of Nursing, OncologyTawam HospitalAl AinUnited Arab Emirates
  5. 5.Johns Hopkins Graduate School of EducationBaltimoreUSA

Personalised recommendations