20.500.12556/DKUM-89227 Factors associated with a high level of unmet needs and their prevalence in the breast cancer survivors 1–5 years after post local treatment and (neo)adjuvant chemotherapy during the COVID-19 a cross-sectional study Objective: To assess the prevalence of unmet needs in post-treatment breast cancer survivors and identify sociodemographic, clinical, and psychosocial variables associated with reported unmet needs during the COVID-19 pandemic. Materials and methods: In this cross-sectional study, 430 post-treatment breast cancer survivors, ranging between 1 and 5 years after the procedure, completed the Cancer Survivors’ Unmet Needs (CaSUN) questionnaire from September 2021 and January 2022. The multivariate logistic analysis identified factors associated with at least one reported unmet need in the total CaSUN scale and specific domains. Results: A total of 67% of survivors reported at least one unmet need. The most frequently reported unmet needs were the lack of accessible hospital parking (43%) and recurrence concerns (39.5%). The majority of reported unmet needs relate to comprehensive care (44%), followed by the psychological and emotional support domain (35.3%). Younger age (OR = 0.95, 95% CI = 0.92–0.99; p < 0.001), three or more comorbidities (OR = 0.27, 95% CI = 0.11–0.71, p < 0.01), a lower quality of life (OR = 0.06, 95% CI = 0.01–0.47, p < 0.01) and low resilience (OR = 0.95, 95% CI = 0.93–0.99) were associated with a high level of unmet needs in the multivariate regression model. Results are presented for factors associated with a high level of unmet needs for comprehensive cancer care and psychological and emotional support domain. Conclusion: A high prevalence found in our study could be attributed to the COVID-19 pandemic, where patients may have missed adequate follow-up care, although comparing to studies done in non-pandemic time is difficult. Family physicians should be more attentive toward younger cancer survivors and those with more comorbidities as both characteristics can be easily recognized in the family practice. breast cancer cancer survivors (MeSH term) needs assessment [MeSH] fear of cancer recurrence quality of life psycho-oncology COVID-19 chemotherapy unmet needs rak dojke preživetje raka strah pred ponovitvijo kakovost življenja psihoonkologija COVID-19 kemoterapija neizpolnjene potrebe true false true Frontiers Research Foundation Angleški jezik Slovenski jezik Neznano 2024-06-27 10:01:52 2024-06-27 10:22:41 2024-06-28 03:54:52 0000-00-00 00:00:00 2022 0 0 Str. 1-12 Letn. 13 Sep. 2022 0000-00-00 Zaloznikova Objavljeno NiDoloceno 2022-01-15 2022-09-06 2022-10-03 618.1 126047235 10.3389/fpsyg.2022.969918 1664-1078 Mirosevic-2022-Factors_associated_with_a_high.pdf Mirosevic-2022-Factors_associated_with_a_high.pdf 1 5F1DE95BFB0B00995E7C7F8C4E2474FE 1c73ade3f8ff5d9bd88a5cd184ec2c1adf580c34685777bed9d0495d9430d0a2 299238af-345e-11ef-901a-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=180841 https://doi.org/10.3389/fpsyg.2022.969918 0 8f464892-345b-11ef-901a-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=180840 Medicinska fakulteta 0 0 0