Perceived cancer-related pain and fatigue, information needs, and fear of cancer recurrence among adult survivors of childhood cancer
•Pain and fatigue are prevalent among adult survivors of childhood cancer.•Survivors often have unmet needs for information about managing pain and fatigue.•Unmet needs are related to fear of cancer recurrence. Pain and fatigue are under-researched late effects of childhood cancer and its treatment,...
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| Veröffentlicht in: | Patient education and counseling 2019-12, Vol.102 (12), p.2270-2278 |
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| creator | Kelada, L. Wakefield, C.E. Heathcote, L.C. Jaaniste, T. Signorelli, C. Fardell, J.E. Donoghoe, M. McCarthy, M.C. Gabriel, M. Cohn, R.J. |
| description | •Pain and fatigue are prevalent among adult survivors of childhood cancer.•Survivors often have unmet needs for information about managing pain and fatigue.•Unmet needs are related to fear of cancer recurrence.
Pain and fatigue are under-researched late effects of childhood cancer and its treatment, and may be interpreted by survivors as indicating cancer recurrence. Moreover, unmet information needs for managing pain and fatigue may be related to fear of cancer recurrence. We investigated the complex relationships between perceived cancer-related pain and fatigue, unmet information needs for managing pain and fatigue, and fear of cancer recurrence.
We surveyed 404 adult survivors of any form of childhood cancer (M = 16.82 years since treatment completion).
Many survivors reported perceived cancer-related pain (28.7%) and fatigue (40.3%), and anticipated future pain (19.3%) and fatigue (26.2%). These symptomologies were all related to unmet information needs for managing pain (18.8%) and fatigue (32.2%; all p’s |
| doi_str_mv | 10.1016/j.pec.2019.06.022 |
| format | Article |
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Pain and fatigue are under-researched late effects of childhood cancer and its treatment, and may be interpreted by survivors as indicating cancer recurrence. Moreover, unmet information needs for managing pain and fatigue may be related to fear of cancer recurrence. We investigated the complex relationships between perceived cancer-related pain and fatigue, unmet information needs for managing pain and fatigue, and fear of cancer recurrence.
We surveyed 404 adult survivors of any form of childhood cancer (M = 16.82 years since treatment completion).
Many survivors reported perceived cancer-related pain (28.7%) and fatigue (40.3%), and anticipated future pain (19.3%) and fatigue (26.2%). These symptomologies were all related to unmet information needs for managing pain (18.8%) and fatigue (32.2%; all p’s<.001). Survivors reporting unmet information needs for managing pain (B = .48, 95% CI = 0.19-0.76, p = .001) and fatigue (B = .32, 95% CI = 0.06-0.52, p = .015) reported higher fear of cancer recurrence than survivors reporting no information needs.
Survivors often have unmet information needs for managing pain and fatigue, and these unmet needs are related to fear of cancer recurrence.
Long-term follow-up clinics should assess pain and fatigue. Information provision about pain and fatigue may be an important tool to help manage fear of cancer recurrence.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2019.06.022</identifier><identifier>PMID: 31257099</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Childhood cancer ; Fatigue ; Fear of cancer recurrence ; Information needs ; Nursing ; Pain</subject><ispartof>Patient education and counseling, 2019-12, Vol.102 (12), p.2270-2278</ispartof><rights>2019 Elsevier B.V.</rights><rights>Copyright © 2019 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-10b52ee41a640a02606b82b108007280e8aa5bc86596cb67f4edfd0424b4280c3</citedby><cites>FETCH-LOGICAL-c353t-10b52ee41a640a02606b82b108007280e8aa5bc86596cb67f4edfd0424b4280c3</cites><orcidid>0000-0001-9428-8807 ; 0000-0001-7704-7067</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0738399119302551$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31257099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kelada, L.</creatorcontrib><creatorcontrib>Wakefield, C.E.</creatorcontrib><creatorcontrib>Heathcote, L.C.</creatorcontrib><creatorcontrib>Jaaniste, T.</creatorcontrib><creatorcontrib>Signorelli, C.</creatorcontrib><creatorcontrib>Fardell, J.E.</creatorcontrib><creatorcontrib>Donoghoe, M.</creatorcontrib><creatorcontrib>McCarthy, M.C.</creatorcontrib><creatorcontrib>Gabriel, M.</creatorcontrib><creatorcontrib>Cohn, R.J.</creatorcontrib><creatorcontrib>on behalf of the ANZCHOG survivorship study group</creatorcontrib><creatorcontrib>ANZCHOG survivorship study group</creatorcontrib><title>Perceived cancer-related pain and fatigue, information needs, and fear of cancer recurrence among adult survivors of childhood cancer</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>•Pain and fatigue are prevalent among adult survivors of childhood cancer.•Survivors often have unmet needs for information about managing pain and fatigue.•Unmet needs are related to fear of cancer recurrence.
Pain and fatigue are under-researched late effects of childhood cancer and its treatment, and may be interpreted by survivors as indicating cancer recurrence. Moreover, unmet information needs for managing pain and fatigue may be related to fear of cancer recurrence. We investigated the complex relationships between perceived cancer-related pain and fatigue, unmet information needs for managing pain and fatigue, and fear of cancer recurrence.
We surveyed 404 adult survivors of any form of childhood cancer (M = 16.82 years since treatment completion).
Many survivors reported perceived cancer-related pain (28.7%) and fatigue (40.3%), and anticipated future pain (19.3%) and fatigue (26.2%). These symptomologies were all related to unmet information needs for managing pain (18.8%) and fatigue (32.2%; all p’s<.001). Survivors reporting unmet information needs for managing pain (B = .48, 95% CI = 0.19-0.76, p = .001) and fatigue (B = .32, 95% CI = 0.06-0.52, p = .015) reported higher fear of cancer recurrence than survivors reporting no information needs.
Survivors often have unmet information needs for managing pain and fatigue, and these unmet needs are related to fear of cancer recurrence.
Long-term follow-up clinics should assess pain and fatigue. Information provision about pain and fatigue may be an important tool to help manage fear of cancer recurrence.</description><subject>Childhood cancer</subject><subject>Fatigue</subject><subject>Fear of cancer recurrence</subject><subject>Information needs</subject><subject>Nursing</subject><subject>Pain</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kM1u3CAURlHVqJn8PEA2EcsuYueCMbbVVRUlaaVIyaJdIwzXGUa2mYJtKQ_Q9w6TmemyK7i65_sQh5ArBjkDJm83-RZNzoE1OcgcOP9EVqyuiqxkhfhMVlAVdVY0DTslZzFuAEBKwb6Q04LxsoKmWZG_LxgMugUtNXo0GLKAvZ7SuNVupHq0tNOTe53xhrqx82FIkx_piGjjzX6POlDfHfI0oJlDwHSnevDjK9V27ica57C4xYf4ga5db9feHx-9ICed7iNeHs5z8vvh_tfdj-zp-fHn3fenzBRlMWUM2pIjCqalAA1cgmxr3jKoASpeA9Zal62pZdlI08qqE2g7C4KLVqS1Kc7J133vNvg_M8ZJDS4a7Hs9op-j4rwEySsBTULZHjXBxxiwU9vgBh3eFAO1s682KtlXO_sKpEr2U-b6UD-3A9p_iaPuBHzbA5g-uTgMKhq3U2Vd0jYp691_6t8BtPSWRQ</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Kelada, L.</creator><creator>Wakefield, C.E.</creator><creator>Heathcote, L.C.</creator><creator>Jaaniste, T.</creator><creator>Signorelli, C.</creator><creator>Fardell, J.E.</creator><creator>Donoghoe, M.</creator><creator>McCarthy, M.C.</creator><creator>Gabriel, M.</creator><creator>Cohn, R.J.</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9428-8807</orcidid><orcidid>https://orcid.org/0000-0001-7704-7067</orcidid></search><sort><creationdate>201912</creationdate><title>Perceived cancer-related pain and fatigue, information needs, and fear of cancer recurrence among adult survivors of childhood cancer</title><author>Kelada, L. ; Wakefield, C.E. ; Heathcote, L.C. ; Jaaniste, T. ; Signorelli, C. ; Fardell, J.E. ; Donoghoe, M. ; McCarthy, M.C. ; Gabriel, M. ; Cohn, R.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-10b52ee41a640a02606b82b108007280e8aa5bc86596cb67f4edfd0424b4280c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Childhood cancer</topic><topic>Fatigue</topic><topic>Fear of cancer recurrence</topic><topic>Information needs</topic><topic>Nursing</topic><topic>Pain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kelada, L.</creatorcontrib><creatorcontrib>Wakefield, C.E.</creatorcontrib><creatorcontrib>Heathcote, L.C.</creatorcontrib><creatorcontrib>Jaaniste, T.</creatorcontrib><creatorcontrib>Signorelli, C.</creatorcontrib><creatorcontrib>Fardell, J.E.</creatorcontrib><creatorcontrib>Donoghoe, M.</creatorcontrib><creatorcontrib>McCarthy, M.C.</creatorcontrib><creatorcontrib>Gabriel, M.</creatorcontrib><creatorcontrib>Cohn, R.J.</creatorcontrib><creatorcontrib>on behalf of the ANZCHOG survivorship study group</creatorcontrib><creatorcontrib>ANZCHOG survivorship study group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kelada, L.</au><au>Wakefield, C.E.</au><au>Heathcote, L.C.</au><au>Jaaniste, T.</au><au>Signorelli, C.</au><au>Fardell, J.E.</au><au>Donoghoe, M.</au><au>McCarthy, M.C.</au><au>Gabriel, M.</au><au>Cohn, R.J.</au><aucorp>on behalf of the ANZCHOG survivorship study group</aucorp><aucorp>ANZCHOG survivorship study group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perceived cancer-related pain and fatigue, information needs, and fear of cancer recurrence among adult survivors of childhood cancer</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2019-12</date><risdate>2019</risdate><volume>102</volume><issue>12</issue><spage>2270</spage><epage>2278</epage><pages>2270-2278</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>•Pain and fatigue are prevalent among adult survivors of childhood cancer.•Survivors often have unmet needs for information about managing pain and fatigue.•Unmet needs are related to fear of cancer recurrence.
Pain and fatigue are under-researched late effects of childhood cancer and its treatment, and may be interpreted by survivors as indicating cancer recurrence. Moreover, unmet information needs for managing pain and fatigue may be related to fear of cancer recurrence. We investigated the complex relationships between perceived cancer-related pain and fatigue, unmet information needs for managing pain and fatigue, and fear of cancer recurrence.
We surveyed 404 adult survivors of any form of childhood cancer (M = 16.82 years since treatment completion).
Many survivors reported perceived cancer-related pain (28.7%) and fatigue (40.3%), and anticipated future pain (19.3%) and fatigue (26.2%). These symptomologies were all related to unmet information needs for managing pain (18.8%) and fatigue (32.2%; all p’s<.001). Survivors reporting unmet information needs for managing pain (B = .48, 95% CI = 0.19-0.76, p = .001) and fatigue (B = .32, 95% CI = 0.06-0.52, p = .015) reported higher fear of cancer recurrence than survivors reporting no information needs.
Survivors often have unmet information needs for managing pain and fatigue, and these unmet needs are related to fear of cancer recurrence.
Long-term follow-up clinics should assess pain and fatigue. Information provision about pain and fatigue may be an important tool to help manage fear of cancer recurrence.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>31257099</pmid><doi>10.1016/j.pec.2019.06.022</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9428-8807</orcidid><orcidid>https://orcid.org/0000-0001-7704-7067</orcidid></addata></record> |
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| subjects | Childhood cancer Fatigue Fear of cancer recurrence Information needs Nursing Pain |
| title | Perceived cancer-related pain and fatigue, information needs, and fear of cancer recurrence among adult survivors of childhood cancer |
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