Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.

<h4>Background</h4>Studies using the Supportive Care Needs Survey (SCNS) report high levels of unmet supportive care needs (SCNs) in psychological and less-so physical & daily living domains, interpreted as reflecting disease/treatment-coping deficits. However, service and culture di...

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Autores principales:	Richard Fielding, Wendy Wing Tak Lam, Shiow Ching Shun, Toru Okuyama, Yeur Hur Lai, Makoto Wada, Tatsuo Akechi, Wylie Wai Yee Li, for Asia-Pacific Psycho-Oncology Network (APPON)
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/160ac8371c2f4265aca6e60ffaf0978a
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spelling	oai:doaj.org-article:160ac8371c2f4265aca6e60ffaf0978a2021-11-18T07:43:26ZAttributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.1932-620310.1371/journal.pone.0065099https://doaj.org/article/160ac8371c2f4265aca6e60ffaf0978a2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23741467/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Studies using the Supportive Care Needs Survey (SCNS) report high levels of unmet supportive care needs (SCNs) in psychological and less-so physical & daily living domains, interpreted as reflecting disease/treatment-coping deficits. However, service and culture differences may account for unmet SCNs variability. We explored if service and culture differences better account for observed SCNs patterns.<h4>Methods</h4>Hong Kong (n = 180), Taiwanese (n = 263) and Japanese (n = 109) CRC patients' top 10 ranked SCNS-34 items were contrasted. Mean SCNS-34 domain scores were compared by sample and treatment status, then adjusted for sample composition, disease stage and treatment status using multivariate hierarchical regression.<h4>Results</h4>All samples were assessed at comparable time-points. SCNs were most prevalent among Japanese and least among Taiwanese patients. Japanese patients emphasized Psychological (domain mean = 40.73) and Health systems and information (HSI) (38.61) SCN domains, whereas Taiwanese and Hong Kong patients emphasized HSI (27.41; 32.92) and Patient care & support (PCS) (19.70; 18.38) SCN domains. Mean Psychological domain scores differed: Hong Kong = 9.72, Taiwan = 17.84 and Japan = 40.73 (p<0.03-0.001, Bonferroni). Other SCN domains differed only between Chinese and Japanese samples (all p<0.001). Treatment status differentiated Taiwanese more starkly than Hong Kong patients. After adjustment, sample origin accounted for most variance in SCN domain scores (p<0.001), followed by age (p = 0.01-0.001) and employment status (p = 0.01-0.001). Treatment status and Disease stage, though retained, accounted for least variance. Overall accounted variance remained low.<h4>Conclusions</h4>Health service and/or cultural influences, age and occupation differences, and less so clinical factors, differentially account for significant variation in published studies of SCNs.Richard FieldingWendy Wing Tak LamShiow Ching ShunToru OkuyamaYeur Hur LaiMakoto WadaTatsuo AkechiWylie Wai Yee Lifor Asia-Pacific Psycho-Oncology Network (APPON)Public Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 5, p e65099 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Richard Fielding Wendy Wing Tak Lam Shiow Ching Shun Toru Okuyama Yeur Hur Lai Makoto Wada Tatsuo Akechi Wylie Wai Yee Li for Asia-Pacific Psycho-Oncology Network (APPON) Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.
description	<h4>Background</h4>Studies using the Supportive Care Needs Survey (SCNS) report high levels of unmet supportive care needs (SCNs) in psychological and less-so physical & daily living domains, interpreted as reflecting disease/treatment-coping deficits. However, service and culture differences may account for unmet SCNs variability. We explored if service and culture differences better account for observed SCNs patterns.<h4>Methods</h4>Hong Kong (n = 180), Taiwanese (n = 263) and Japanese (n = 109) CRC patients' top 10 ranked SCNS-34 items were contrasted. Mean SCNS-34 domain scores were compared by sample and treatment status, then adjusted for sample composition, disease stage and treatment status using multivariate hierarchical regression.<h4>Results</h4>All samples were assessed at comparable time-points. SCNs were most prevalent among Japanese and least among Taiwanese patients. Japanese patients emphasized Psychological (domain mean = 40.73) and Health systems and information (HSI) (38.61) SCN domains, whereas Taiwanese and Hong Kong patients emphasized HSI (27.41; 32.92) and Patient care & support (PCS) (19.70; 18.38) SCN domains. Mean Psychological domain scores differed: Hong Kong = 9.72, Taiwan = 17.84 and Japan = 40.73 (p<0.03-0.001, Bonferroni). Other SCN domains differed only between Chinese and Japanese samples (all p<0.001). Treatment status differentiated Taiwanese more starkly than Hong Kong patients. After adjustment, sample origin accounted for most variance in SCN domain scores (p<0.001), followed by age (p = 0.01-0.001) and employment status (p = 0.01-0.001). Treatment status and Disease stage, though retained, accounted for least variance. Overall accounted variance remained low.<h4>Conclusions</h4>Health service and/or cultural influences, age and occupation differences, and less so clinical factors, differentially account for significant variation in published studies of SCNs.
format	article
author	Richard Fielding Wendy Wing Tak Lam Shiow Ching Shun Toru Okuyama Yeur Hur Lai Makoto Wada Tatsuo Akechi Wylie Wai Yee Li for Asia-Pacific Psycho-Oncology Network (APPON)
author_facet	Richard Fielding Wendy Wing Tak Lam Shiow Ching Shun Toru Okuyama Yeur Hur Lai Makoto Wada Tatsuo Akechi Wylie Wai Yee Li for Asia-Pacific Psycho-Oncology Network (APPON)
author_sort	Richard Fielding
title	Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.
title_short	Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.
title_full	Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.
title_fullStr	Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.
title_full_unstemmed	Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.
title_sort	attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/160ac8371c2f4265aca6e60ffaf0978a
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Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.

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