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

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Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.

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Funding

Research supported by a National Cancer Institute grant (U54CA153511) awarded to Ramirez and Penedo and funding for the Robert H. Lurie Comprehensive Cancer Center at Northwestern University (P30CA060553) and the Mays Cancer Center at UT Health San Antonio (P30CA054174). Moreno and Fox were supported through a National Cancer Institute training grant (T32CA193193).

Author information

Authors and Affiliations

  1. Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Patricia I. Moreno, Leopoldo Castillo, Rina S. Fox, Ryne Estabrook & Frank J. Penedo

  2. Institute for Health Promotion Research, UT Health San Antonio, San Antonio, TX, USA

    Amelie G. Ramirez, Kipling J. Gallion, Edgar Munoz & Arely Perez

  3. National Cancer Institute, Rockville, MD, USA

    Sandra L. San Miguel-Majors

  4. Department of Oncology, Cook County Health and Hospital Systems, Chicago, IL, USA

    Thomas Lad

  5. Department of Urologic Surgery, Cook County Health and Hospital Systems, Chicago, IL, USA

    Courtney Hollowell

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  1. Patricia I. Moreno
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  2. Amelie G. Ramirez
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  9. Arely Perez
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  10. Thomas Lad
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  12. Frank J. Penedo
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Correspondence to Frank J. Penedo.

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All procedures performed were approved by the Institutional Review Board (IRB) of each institution and were in accordance with the ethical standards of the 1964 Helsinki declaration and its later amendments.

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The authors declare that they have no conflict of interest.

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Moreno, P.I., Ramirez, A.G., San Miguel-Majors, S.L. et al. Unmet supportive care needs in Hispanic/Latino cancer survivors: prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden. Support Care Cancer 27, 1383–1394 (2019). https://doi.org/10.1007/s00520-018-4426-4

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