Health status and health resource use among long-term survivors of breast, colorectal and prostate cancer.
BACKGROUND
The growing number of long-term cancer survivors poses a new challenge to health care systems. In Spain, follow-up is usually carried out in oncology services, but knowledge of cancer survivors' health care needs in this context is limited. The purpose of this study was to ascertain the health status of long-term survivors of breast, prostate, and colorectal cancer and to characterize their use of health care services.


METHODS
Retrospective multicenter cohort study. We collected data from patients' clinical histories and through telephone interviews, using a specially designed questionnaire that included the SF-36v2 Quality of Life and Nottingham Health Profile scales.


RESULTS
The questionnaire was completed by 51.2% (n= 583) of the potential sample. No significant differences were observed between 5-year and 10-year survivors. Overall, more than 80% of respondents were undergoing drug treatment for morbidity related to advanced age. Quality of life was good in most patients, and cancer-related morbidity was low and of little complexity. For the most part, participants reported using primary care services for care of chronic diseases and opportunistic treatment of sequelae related to the cancer treatment. Oncological follow-up was centralized at the hospital.


CONCLUSIONS
Survivors of breast, prostate and colorectal cancer with tumoral detection at an early stage and without recurrences or second neoplasms experienced little morbidity and enjoyed good quality of life. This study proposes exploration of a follow-up model in the Spanish health system in which primary care plays a more important role than is customary in cancer survivors in Spain.
Catalonian Institute of Oncology (Instituto Catalán de Oncología), Department of Clinical Sciences, IDIBELL, Fundamental Nursing Department, University of Barcelona, Barcelona, Spain. Electronic address: tferro@iconcologia.net.
Tàrsila
T
Ferro
Catalonian Cancer Strategy, Department of Health, Barcelona, Spain.
Luisa
L
Aliste
Clinic Hospital of Barcelona, Barcelona, Spain.
Montserrat
M
Valverde
Catalonian Institute of Oncology (Instituto Catalán de Oncología), Barcelona, Spain.
M Paz
MP
Fernández
Parc Sanitari Mar Hospital, Barcelona, Spain.
Concepción
C
Ballano
Catalonian Cancer Strategy, Department of Health, Department of Clinical Sciences, IDIBELL, University of Barcelona, Barcelona, Spain.
Josep M
JM
Borràs
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms; D015331:Cohort Studies; D015179:Colorectal Neoplasms; D005260:Female; D006295:Health Resources / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms; D011788:Quality of Life; D012189:Retrospective Studies; D013030:Spain; D011795:Surveys and Questionnaires; D017741:Survivors
Breast cancer; Calidad de vida; Colorectal cancer; Cáncer colorrectal; Cáncer de mama; Cáncer de próstata; Follow-up; Healthcare delivery; Larga evolución; Long-term; Prostate cancer; Provisión servicios sanitarios; Quality of life; Seguimiento; Supervivencia; Survivorship