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Perceived Unmet Needs and Health-Related Quality of Life of Chinese Cancer Survivors at 1 Year After Treatment

So, Winnie K. W. PhD; Chan, Carmen W. H. PhD; Choi, K. C. PhD; Wan, Rayman W. M. MN; Mak, Suzanne S. S. MN; Chair, S. Y. PhD


In the article 1 that appeared on page E24 of the May/June 2013 issue, the number of cancer patients in China is incorrectly listed. The sentence should read: ”The incidence of cancer in China is steadily increasing, from 2.2 million in 2006 to a projected 5.5 million in 2020.”

Cancer Nursing. 37(5):E52, September/October 2014.

doi: 10.1097/NCC.0b013e318263f28e

Background: Although advanced cancer treatments prolong survivors’ lives, a significant proportion experienced poorer health-related quality of life (HRQoL) than general populations. Identifying their needs is essential to develop a health service delivery model to improve patient outcomes.

Objective: The objective of this study was to examine the perceived unmet needs and HRQoL of Chinese cancer survivors who completed treatment less than 1 year ago.

Methods: Three hundred seventy-six participants completed a self-report survey: the 34-item Supportive Care Needs Survey, the supplementary module of access to healthcare and ancillary support services, and the Functional Assessment of Cancer Therapy: General. Descriptive statistics were used to examine the prevalence of unmet needs. Multivariable logistic regressions were conducted to identify participants’ characteristics that were associated with unmet needs. Multiple linear regression was used to delineate which domains of unmet needs were significantly associated with HRQoL with adjustment for potential confounding factors.

Results: Healthcare information was the most common unmet needs among the survivors. Age, stage of cancer, and remission were significantly associated with 1 or more unmet need domains. Participants with unmet needs in physical, psychological, and patient care domains, on average, have poorer HRQoL.

Conclusions: Chinese cancer survivors have various unmet needs that might have adverse effects on their HRQoL. Younger age, more advanced stages of cancer, and remission were factors contributing to further unmet needs.

Implications for Practice: The results provided useful information on the special needs of survivors that may affect their HRQoL, enabling clinicians to plan better how to allocate existing limited resources to those who most require them.

Author Affiliations: Nethersole School of Nursing, Chinese University of Hong Kong (Drs So, Choi, Chan, and Chair); and Department of Clinical Oncology, Prince of Wales Hospital (Mr Wan and Ms Mak), Hong Kong SAR, People’s Republic of China.

The authors have no funding or conflicts of interest to disclose.

Correspondence: Winnie K. W. So, PhD, Nethersole School of Nursing, Chinese University of Hong Kong, 7/F, Esther Lee Bldg, New Territories, Hong Kong SAR, People’s Republic of China (

Accepted for publication June 9, 2012.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins