Table_1_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.docx

ObjectiveTo 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 methodsIn 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.
ResultsA 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.
ConclusionA 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.

Objective 本研究旨在评估新冠疫情期间治疗后乳腺癌幸存者未被满足的需求患病率，并识别与报告的未被满足需求相关的社会人口学、临床及社会心理变量。
Materials and methods 材料与方法：本项横断面研究于2021年9月至2022年1月开展，共纳入430名术后1至5年的治疗后乳腺癌幸存者，所有受试者均完成了《癌症幸存者未被满足需求量表》（Cancer Survivors’ Unmet Needs，CaSUN）问卷。本研究采用多因素logistic回归分析，识别出总CaSUN量表及各特定维度中与至少一项未被满足需求相关的影响因素。
Results 结果：共计67%的幸存者报告存在至少一项未被满足的需求。其中报告频次最高的两项未被满足需求为医院停车不便（43%）与复发担忧（39.5%）。多数报告的未被满足需求涉及综合癌症照护领域（44%），其次为心理与情感支持维度（35.3%）。多因素回归模型结果显示，较年轻年龄（优势比[Odds Ratio, OR]=0.95，95%置信区间[Confidence Interval, CI]=0.92~0.99；P<0.001）、合并3种及以上共病（OR=0.27，95%CI=0.11~0.71，P<0.01）、较低生活质量（OR=0.06，95%CI=0.01~0.47，P<0.01）以及低心理韧性（OR=0.95，95%CI=0.93~0.99）与高水平未被满足需求显著相关。本研究同时呈现了综合癌症照护与心理情感支持维度中，与高水平未被满足需求相关的影响因素。
Conclusion 结论：本研究观测到的高未被满足需求患病率或可归因于新冠疫情期间患者可能错失了充足的随访照护，尽管与非疫情时期开展的同类研究进行比较存在一定难度。家庭医师应更加关注较年轻的癌症幸存者及合并多种共病的患者，这两类特征在全科诊疗场景中易于识别。