title: Primary health and supportive care needs of long-term cancer survivors: a questionnaire survey.
abstract: OBJECTIVE
  There are 1.2 million long-term cancer survivors in the United Kingdom. Existing research on the health and supportive care needs of these survivors is sparse and inconclusive. This study investigated health status, psychological morbidity, and supportive care needs in long-term cancer survivors in the United Kingdom.
  
  
  METHODS
  Five to 16 years after diagnosis, 1,275 eligible survivors of breast, colorectal, and prostate cancers were approached to participate in a questionnaire survey. The questionnaire explored health status (European Quality of Life-5 Dimensions), psychological morbidity (Hospital Anxiety and Depression Scale), and supportive care needs (Cancer Survivors' Unmet Needs Measure). Data were analyzed by type of cancer and time since diagnosis. Logistic regression was used to identify predictors of unmet supportive care needs.
  
  
  RESULTS
  The response rate was 51.7% (659 survivors). Overall health status and levels of psychological morbidity were consistent with population norms. At least one unmet supportive care need was reported by 47.4% of survivors, but overall numbers of unmet needs were low (mean, 2.8; standard deviation, 4.8). The most frequently endorsed unmet need was for help to manage concerns about cancer recurrence. Trait anxiety (P < .001), nondischarged status (P < .01), dissatisfaction with discharge (P < .01), and receipt of hormonal therapy (P < .01) were predictive of unmet supportive care needs.
  
  
  CONCLUSIONS
  The findings suggest a majority of long-term breast, colorectal, and prostate cancer survivors who have no signs of recurrence report good health and do not have psychological morbidity or large numbers of unmet supportive care needs. A minority of long-term survivors may benefit from ongoing support. The identification and support of those long-term survivors with ongoing needs is a key challenge for health care professionals.
authors.affiliation: Department of Primary Health Care, Oxford University, Headington, Oxford, United Kingdom. sian.harrison@phc.ox.ac.uk
authors.forename: Siân E
authors.initials: SE
authors.lastname: Harrison
authors.forename: Eila K
authors.initials: EK
authors.lastname: Watson
authors.forename: Alison M
authors.initials: AM
authors.lastname: Ward
authors.forename: Nada F
authors.initials: NF
authors.lastname: Khan
authors.forename: Daniel
authors.initials: D
authors.lastname: Turner
authors.forename: Eike
authors.initials: E
authors.lastname: Adams
authors.forename: David
authors.initials: D
authors.lastname: Forman
authors.forename: Monica F
authors.initials: MF
authors.lastname: Roche
authors.forename: Peter W
authors.initials: PW
authors.lastname: Rose
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety; D005260:Female; D019538:Health Care Surveys; D006301:Health Services Needs and Demand; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D011320:Primary Health Care; D011788:Quality of Life; D012944:Social Support; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*