Cluster analysis demonstrates the need to individualize care for cancer survivors

B.H. de Rooij, E.R. Park, G.K. Perez, J. Rabin, K.M. Quain, D.S. Dizon, K.E. Post, G.M. Chinn, A.L. McDonough, R.B Jimenez, L.V. van der Poll-Franse, J. Peppercorn

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background.
In efforts to inform clinical screening and development of survivorship care services, we sought to characterize patterns of health care needs among cancer survivors by (a) identifying and characterizing subgroups based on self-reportedhealth care needs and (b) assessing sociodemographic, clinical, and psychosocial factors associated with these subgroups.
Methods. 
We conducted a cross-sectional self-administered survey among patients presenting for routine follow-up care for early-stage cancer at our academic medical center. Latent class cluster analysis was used to identify clusters of survivors based on survivorship care needs within seven domains. Multiplelogistic regression analyses were used to assess factors associatedwith these clusters.
Results. 
Among 292 respondents, the highest unmet needs were related to the domains of side effects (53%), self-care (51%), and emotional coping (43%). Our analysis identified four clusters of survivors: (a) low needs (n5123, 42%), (b) mainly physical needs (n546, 16%), (c) mainly psychological needs (n557, 20%), and (d) both physical and psychological needs (n566, 23%). Compared with cluster 1, those in clusters 2, 3, and 4 were younger (p < .03), those in clusters3 and 4 had higher levels of psychological distress (p < .05), and those in clusters 2 and 4 reported higher levels of fatigue (p < .05).
Conclusion. 
Unmet needs among cancer survivors are prevalent; however, a substantial group of survivors report low or no health care needs. The wide variation in health care needs among cancer survivors suggests a need to screen all patients,followed by tailored interventions in clinical care delivery and research.
Original languageEnglish
Pages (from-to)1474-1481
JournalThe Oncologist
Volume23
Issue number12
DOIs
Publication statusPublished - 2018

Fingerprint

Cluster Analysis
Survivors
Neoplasms
Delivery of Health Care
Survival Rate
Surveys and Questionnaires

Cite this

de Rooij, B. H., Park, E. R., Perez, G. K., Rabin, J., Quain, K. M., Dizon, D. S., ... Peppercorn, J. (2018). Cluster analysis demonstrates the need to individualize care for cancer survivors. The Oncologist, 23(12), 1474-1481. https://doi.org/10.1634/theoncologist.2017-0558
de Rooij, B.H. ; Park, E.R. ; Perez, G.K. ; Rabin, J. ; Quain, K.M. ; Dizon, D.S. ; Post, K.E. ; Chinn, G.M. ; McDonough, A.L. ; Jimenez, R.B ; van der Poll-Franse, L.V. ; Peppercorn, J. / Cluster analysis demonstrates the need to individualize care for cancer survivors. In: The Oncologist. 2018 ; Vol. 23, No. 12. pp. 1474-1481.
@article{8e9b04c272244e28ad56d16729069564,
title = "Cluster analysis demonstrates the need to individualize care for cancer survivors",
abstract = "Background.In efforts to inform clinical screening and development of survivorship care services, we sought to characterize patterns of health care needs among cancer survivors by (a) identifying and characterizing subgroups based on self-reportedhealth care needs and (b) assessing sociodemographic, clinical, and psychosocial factors associated with these subgroups.Methods. We conducted a cross-sectional self-administered survey among patients presenting for routine follow-up care for early-stage cancer at our academic medical center. Latent class cluster analysis was used to identify clusters of survivors based on survivorship care needs within seven domains. Multiplelogistic regression analyses were used to assess factors associatedwith these clusters.Results. Among 292 respondents, the highest unmet needs were related to the domains of side effects (53{\%}), self-care (51{\%}), and emotional coping (43{\%}). Our analysis identified four clusters of survivors: (a) low needs (n5123, 42{\%}), (b) mainly physical needs (n546, 16{\%}), (c) mainly psychological needs (n557, 20{\%}), and (d) both physical and psychological needs (n566, 23{\%}). Compared with cluster 1, those in clusters 2, 3, and 4 were younger (p < .03), those in clusters3 and 4 had higher levels of psychological distress (p < .05), and those in clusters 2 and 4 reported higher levels of fatigue (p < .05).Conclusion. Unmet needs among cancer survivors are prevalent; however, a substantial group of survivors report low or no health care needs. The wide variation in health care needs among cancer survivors suggests a need to screen all patients,followed by tailored interventions in clinical care delivery and research.",
author = "{de Rooij}, B.H. and E.R. Park and G.K. Perez and J. Rabin and K.M. Quain and D.S. Dizon and K.E. Post and G.M. Chinn and A.L. McDonough and R.B Jimenez and {van der Poll-Franse}, L.V. and J. Peppercorn",
year = "2018",
doi = "10.1634/theoncologist.2017-0558",
language = "English",
volume = "23",
pages = "1474--1481",
journal = "The Oncologist",
issn = "1083-7159",
publisher = "AlphaMed Press",
number = "12",

}

de Rooij, BH, Park, ER, Perez, GK, Rabin, J, Quain, KM, Dizon, DS, Post, KE, Chinn, GM, McDonough, AL, Jimenez, RB, van der Poll-Franse, LV & Peppercorn, J 2018, 'Cluster analysis demonstrates the need to individualize care for cancer survivors', The Oncologist, vol. 23, no. 12, pp. 1474-1481. https://doi.org/10.1634/theoncologist.2017-0558

Cluster analysis demonstrates the need to individualize care for cancer survivors. / de Rooij, B.H.; Park, E.R.; Perez, G.K.; Rabin, J.; Quain, K.M.; Dizon, D.S.; Post, K.E.; Chinn, G.M.; McDonough, A.L.; Jimenez, R.B; van der Poll-Franse, L.V.; Peppercorn, J.

In: The Oncologist, Vol. 23, No. 12, 2018, p. 1474-1481.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Cluster analysis demonstrates the need to individualize care for cancer survivors

AU - de Rooij, B.H.

AU - Park, E.R.

AU - Perez, G.K.

AU - Rabin, J.

AU - Quain, K.M.

AU - Dizon, D.S.

AU - Post, K.E.

AU - Chinn, G.M.

AU - McDonough, A.L.

AU - Jimenez, R.B

AU - van der Poll-Franse, L.V.

AU - Peppercorn, J.

PY - 2018

Y1 - 2018

N2 - Background.In efforts to inform clinical screening and development of survivorship care services, we sought to characterize patterns of health care needs among cancer survivors by (a) identifying and characterizing subgroups based on self-reportedhealth care needs and (b) assessing sociodemographic, clinical, and psychosocial factors associated with these subgroups.Methods. We conducted a cross-sectional self-administered survey among patients presenting for routine follow-up care for early-stage cancer at our academic medical center. Latent class cluster analysis was used to identify clusters of survivors based on survivorship care needs within seven domains. Multiplelogistic regression analyses were used to assess factors associatedwith these clusters.Results. Among 292 respondents, the highest unmet needs were related to the domains of side effects (53%), self-care (51%), and emotional coping (43%). Our analysis identified four clusters of survivors: (a) low needs (n5123, 42%), (b) mainly physical needs (n546, 16%), (c) mainly psychological needs (n557, 20%), and (d) both physical and psychological needs (n566, 23%). Compared with cluster 1, those in clusters 2, 3, and 4 were younger (p < .03), those in clusters3 and 4 had higher levels of psychological distress (p < .05), and those in clusters 2 and 4 reported higher levels of fatigue (p < .05).Conclusion. Unmet needs among cancer survivors are prevalent; however, a substantial group of survivors report low or no health care needs. The wide variation in health care needs among cancer survivors suggests a need to screen all patients,followed by tailored interventions in clinical care delivery and research.

AB - Background.In efforts to inform clinical screening and development of survivorship care services, we sought to characterize patterns of health care needs among cancer survivors by (a) identifying and characterizing subgroups based on self-reportedhealth care needs and (b) assessing sociodemographic, clinical, and psychosocial factors associated with these subgroups.Methods. We conducted a cross-sectional self-administered survey among patients presenting for routine follow-up care for early-stage cancer at our academic medical center. Latent class cluster analysis was used to identify clusters of survivors based on survivorship care needs within seven domains. Multiplelogistic regression analyses were used to assess factors associatedwith these clusters.Results. Among 292 respondents, the highest unmet needs were related to the domains of side effects (53%), self-care (51%), and emotional coping (43%). Our analysis identified four clusters of survivors: (a) low needs (n5123, 42%), (b) mainly physical needs (n546, 16%), (c) mainly psychological needs (n557, 20%), and (d) both physical and psychological needs (n566, 23%). Compared with cluster 1, those in clusters 2, 3, and 4 were younger (p < .03), those in clusters3 and 4 had higher levels of psychological distress (p < .05), and those in clusters 2 and 4 reported higher levels of fatigue (p < .05).Conclusion. Unmet needs among cancer survivors are prevalent; however, a substantial group of survivors report low or no health care needs. The wide variation in health care needs among cancer survivors suggests a need to screen all patients,followed by tailored interventions in clinical care delivery and research.

U2 - 10.1634/theoncologist.2017-0558

DO - 10.1634/theoncologist.2017-0558

M3 - Article

VL - 23

SP - 1474

EP - 1481

JO - The Oncologist

JF - The Oncologist

SN - 1083-7159

IS - 12

ER -