title: Needs regarding care and factors associated with unmet needs in disease-free survivors of surgically treated lung cancer.
abstract: BACKGROUND
  To evaluate the long-term needs of lung cancer survivors and to explore factors associated with unmet need.
  
  
  METHODS
  We recruited lung patients treated with curative surgery from 2001 through 2006 at two centers in Korea. Needs in the domains of information, supportive care, education and counseling, and socioeconomic support were measured. We selected the four most frequently reported items of unmet need among 19 items in four domains.
  
  
  RESULTS
  The most frequently reported unmet needs were Complementary and alternative medicine (CAM) and folk remedies (59.8%) in the Information domain, Counseling and treatment of depression and anxiety (63.5%) in the Supportive care domain, diet, exercise and weight control (55.1%) in the Education and counseling domain and Financial support (90.4%) in the socioeconomic support domain. Unmet needs for psychological treatment was significantly greater in participants who were employed (adjusted odds ratio [aOR], 2.25; 95% confidential interval [CI], 1.12 to 4.53). Unmet needs for diet, exercise and weight control were significantly greater in participants who had not received chemotherapy (aOR, 1.76; 95% CI, 1.09 to 2.85). Unmet need for financial support was greater in participants who were married (aOR, 4.14, 95%CI, 1.12 to 15.22) and those who had not received chemotherapy (aOR, 5.91, 95%CI, 1.91 to 18.31).
  
  
  CONCLUSIONS
  There were substantial unmet needs for information regarding psychological support, education for diet and exercise, and financial support among lung cancer survivors.
authors.affiliation: Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Y H
authors.initials: YH
authors.lastname: Yun
authors.forename: E-J
authors.initials: EJ
authors.lastname: Shon
authors.forename: A-J
authors.initials: AJ
authors.lastname: Yang
authors.forename: S H
authors.initials: SH
authors.lastname: Kim
authors.forename: Y A
authors.initials: YA
authors.lastname: Kim
authors.forename: Y J
authors.initials: YJ
authors.lastname: Chang
authors.forename: J
authors.initials: J
authors.lastname: Lee
authors.forename: M S
authors.initials: MS
authors.lastname: Kim
authors.forename: H-S
authors.initials: HS
authors.lastname: Lee
authors.forename: J I
authors.initials: JI
authors.lastname: Zo
authors.forename: J
authors.initials: J
authors.lastname: Kim
authors.forename: Y S
authors.initials: YS
authors.lastname: Choi
authors.forename: Y M
authors.initials: YM
authors.lastname: Shim
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003625:Data Collection / Q000379:methods; D018572:Disease-Free Survival; D005260:Female; D006301:Health Services Needs and Demand / Q000639:trends*; D006801:Humans; D008175:Lung Neoplasms / Q000453:epidemiology / Q000523:psychology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D005791:Patient Care / Q000379:methods / Q000639:trends*; D010353:Patient Education as Topic / Q000379:methods / Q000639:trends*
keywords: lung cancer; survivors; unmet need