title: Difference of patient's perceived need in breast cancer patients after diagnosis.
abstract: OBJECTIVE
  The purpose of this study was to investigate the difference of patients' perceived needs after cancer diagnosis. Differences in quality of life and psychological distress were also examined.
  
  
  METHODS
  Ambulatory breast cancer patients who were randomly selected participated in this study. The patients were asked to complete the Short-form Supportive Care Needs Survey, which covers five domains of need (health system and information, psychological, physical, care and support and sexuality needs), the European Organization for Research and Treatment of Cancer QLQ-C 30 and the Hospital Anxiety and Depression Scale.
  
  
  RESULTS
  A total of 408 patients were enrolled and distributed into four groups [Group 1 (N = 115)], within 1 year of diagnosis; Group 2 [N = 105], 1-3 years since diagnosis; Group 3 [N = 94], >3 years since diagnosis; and Group 4 [N = 94], recurrence). Significant differences were observed in total, psychological, physical and daily living, and patient care and support needs, as well as in quality of life, whereas there were no significant differences in health system and information, sexuality needs and psychological distress. In general, Groups 1 and 4 had a higher need level and lower quality of life.
  
  
  CONCLUSIONS
  Patients' perceived needs and quality of life may vary according to time since cancer diagnosis and the presence of cancer recurrence. The findings suggest that different care for supporting breast cancer survivors after diagnosis should be recommended, and that the time since diagnosis and/or the presence of recurrence may be relevant indicators for providing optimal and individualized care.
authors.affiliation: Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi Division of Palliative Care and Psycho-oncology, Nagoya City University Hospital, Nagoya, Aichi takechi@med.nagoya-cu.ac.jp.
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Akechi
authors.affiliation: Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi Division of Palliative Care and Psycho-oncology, Nagoya City University Hospital, Nagoya, Aichi.
authors.forename: Megumi
authors.initials: M
authors.lastname: Uchida
authors.affiliation: Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi Division of Palliative Care and Psycho-oncology, Nagoya City University Hospital, Nagoya, Aichi.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Nakaguchi
authors.affiliation: Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi Division of Palliative Care and Psycho-oncology, Nagoya City University Hospital, Nagoya, Aichi.
authors.forename: Toru
authors.initials: T
authors.lastname: Okuyama
authors.affiliation: Division of Palliative Care and Psycho-oncology, Nagoya City University Hospital, Nagoya, Aichi Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi.
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Sakamoto
authors.affiliation: Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Toyama
authors.affiliation: Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi Breast Surgery, Hokkaido University Hospital, Sapporo, Japan.
authors.forename: Hiroko
authors.initials: H
authors.lastname: Yamashita
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology; D001943:Breast Neoplasms / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000523:psychology*; D010045:Outpatients; D011788:Quality of Life; D012494:Sampling Studies; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*
keywords: need; oncology; supportive care; survivorship