Unmet supportive care needs in Hispanic/Latino cancer survivors: prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden

The aim of this study was to elucidate the prevalence of unmet supportive care needs in Hispanic/Latino cancer survivors and examine the association between unmet needs and patient-provider communication, satisfaction with cancer care, and cancer-specific symptom burden.

Hispanics/Latinos diagnosed with breast, prostate, or colorectal cancer within 15 months of treatment completion (n = 288) completed questionnaires as part of an NCI-funded project.

Hispanic/Latino cancer survivors reported greater unmet needs compared to previously published norms in primarily non-Hispanic/Latino white samples. Across the three cancer types, the two most common unmet needs were in the psychological domain: fear of metastasis (32.6%) and concern for close others (31.3%). However, unmet needs varied by cancer type. Factors associated with greater unmet needs included more recent cancer diagnosis (OR .98 [.96-.99]), younger age (OR .96-.97 [.93-.99]), female gender (OR 2.53-3.75 [1.53-7.36]), and being single (OR 1.82 [1.11-2.97]). Breast cancer survivors reported greater unmet needs than both prostate and colorectal cancer survivors (OR 2.33-5.86 [1.27-14.01]). Adjusting for sociodemographic and medical covariates, unmet needs were associated with lower patient-provider communication self-efficacy (B = - .18-- .22, p's < .01) and satisfaction with cancer care (B = - 3.57-- 3.81, p's < .05), and greater breast (B = - 4.18-- 8.30, p's < .01) and prostate (B = - 6.01-- 8.13, p's < .01) cancer-specific symptom burden.

Findings document unmet supportive care needs in Hispanic/Latino cancer survivors and suggest that reducing unmet needs in Hispanic/Latino cancer survivors may improve not only satisfaction with care, but also health-related quality of life.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2018 Aug 22 [Epub ahead of print]

Patricia I Moreno, Amelie G Ramirez, Sandra L San Miguel-Majors, Leopoldo Castillo, Rina S Fox, Kipling J Gallion, Edgar Munoz, Ryne Estabrook, Arely Perez, Thomas Lad, Courtney Hollowell, Frank J Penedo

Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Institute for Health Promotion Research, UT Health San Antonio, San Antonio, TX, USA., National Cancer Institute, Rockville, MD, USA., Department of Oncology, Cook County Health and Hospital Systems, Chicago, IL, USA., Department of Urologic Surgery, Cook County Health and Hospital Systems, Chicago, IL, USA., Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. .