title: Prevalence, predictors, and correlates of supportive care needs among women 3-5 years after a diagnosis of endometrial cancer.
abstract: OBJECTIVE
  The purpose of this study is to examine the prevalence, sociodemographic and clinical predictors, and physical and psychosocial correlates of unmet needs among women 3-5 years following treatment for endometrial cancer.
  
  
  METHODS
  Women with endometrial cancer completed a survey around the time of diagnosis and again 3-5 years later. The follow-up survey asked women about their physical and psychosocial functioning and supportive care needs (CaSUN). Multivariable-adjusted logistic regression identified the predictors and correlates of women's unmet needs 3-5 years after diagnosis.
  
  
  RESULTS
  Of the 629 women who completed the cancer survivors' unmet needs measure (CaSUN), 24 % (n = 153) women reported one or more unmet supportive care needs in the last month. Unmet needs at 3-5 years post-diagnosis were predicted by younger age (OR = 4.47; 95 % CI: 2.09-9.56) and advanced disease stage at diagnosis (OR = 2.47; 95 % CI: 1.38-4.45) and correlated with greater cancer symptoms (OR = 1.78; 95 % CI: 1.05-3.02), lower limb swelling (OR = 2.50; 95 % CI: 1.51-4.15), symptoms of anxiety (OR = 2.21; 95 % CI: 1.31-3.72), and less availability of social support (OR = 3.42; 95 % CI: 1.92-6.11). Women with a history of comorbidities (OR = 0.47; 95 % CI: 0.27-0.82) and those living in a rural area at the time of diagnosis (OR = 0.56; 95 % CI: 0.34-0.92) were less likely to report unmet needs.
  
  
  CONCLUSIONS
  Sociodemographic, health, and psychosocial factors seem important for identifying women who will or will not have unmet needs several years following endometrial cancer. Longitudinal assessments of people's needs over the course of their cancer trajectory may be an effective way to identify areas that should receive further attention by health providers.
authors.affiliation: Gynaecological Cancers Group, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia, i.rowlands@uq.edu.au.
authors.forename: Ingrid J
authors.initials: IJ
authors.lastname: Rowlands
authors.forename: Monika
authors.initials: M
authors.lastname: Janda
authors.forename: Loretta
authors.initials: L
authors.lastname: McKinnon
authors.forename: Penelope M
authors.initials: PM
authors.lastname: Webb
authors.forename: Vanessa L
authors.initials: VL
authors.lastname: Beesley
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology; D001315:Australia; D016022:Case-Control Studies; D015897:Comorbidity; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D004717:Endometrium / Q000473:pathology; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D016015:Logistic Models; D008209:Lymphedema / Q000150:complications; D008875:Middle Aged; D015995:Prevalence; D012944:Social Support; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*