title: Time since diagnosis as a predictor of symptoms, depression, cognition, social concerns, perceived benefits, and overall health in cancer survivors.
abstract: OBJECTIVE
  To assess whether health and other factors are different in short-term cancer survivors (less than five years since diagnosis), long-term survivors (5-10 years), and very long-term survivors (more than 10 years).
  
  
  METHODS
  A cross-sectional survey.
  
  
  METHODS
  New Zealand.
  
  
  METHODS
  836 survivors of adult-onset cancers (6 months to 43 years since diagnosis).
  
  
  METHODS
  Survivors were recruited using community-based methods and answered a mailed questionnaire.
  
  
  METHODS
  Physical and emotional health, depression, symptoms, cognitive difficulty, social concerns, and perceived benefits of cancer.
  
  
  RESULTS
  Physical and emotional health, depression, physical symptoms, and perceived benefits of cancer were not associated with time since diagnosis, but longer time since diagnosis was associated with decreases in cognitive difficulties and social concerns. The survivors in this study reported a mean of 8.4 physical symptoms, regardless of time since diagnosis, with the most frequent being fatigue (76%), aches and pain (75%), and trouble sleeping (68%).
  
  
  CONCLUSIONS
  Most survivors enjoyed a moderately good level of health. However, some adverse effects, such as symptoms, were similar in short-, long-, and very long-term survivors, suggesting that interventions may be needed to prevent persistent issues as time progresses.
  
  
  CONCLUSIONS
  The findings suggest a need to reconsider the common attitude that survivors who finish treatment should be able to return to normal life. Assessment of symptoms, particularly fatigue, pain, and sleep issues, is important even in very long-term survivors.
authors.affiliation: School of Nursing, University of Auckland, New Zealand. bennett@ohsu.edu
authors.forename: Jill A
authors.initials: JA
authors.lastname: Bennett
authors.forename: Linda D
authors.initials: LD
authors.lastname: Cameron
authors.forename: Paul M
authors.initials: PM
authors.lastname: Brown
authors.forename: Lisa C
authors.initials: LC
authors.lastname: Whitehead
authors.forename: David
authors.initials: D
authors.lastname: Porter
authors.forename: Tanja
authors.initials: T
authors.lastname: Ottaway-Parkes
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Robinson
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D001294:Attitude to Health; D003072:Cognition Disorders / Q000453:epidemiology / Q000209:etiology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009369:Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D009520:New Zealand / Q000453:epidemiology; D009730:Nursing Assessment; D015404:Nursing Methodology Research; D009859:Oncology Nursing; D011237:Predictive Value of Tests; D012044:Regression Analysis; D012919:Social Behavior; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data; D013997:Time Factors