TY - JOUR
T1 - International Survey of Psychosocial Care for Cancer Survivors in Low-/Middle- and High-Income Countries
T2 - Current Practices, Barriers, and Facilitators to Care
AU - Signorelli, Christina
AU - Høeg, Beverley Lim
AU - Asuzu, Chioma
AU - Centeno, Isabel
AU - Estapé, Tania
AU - Fisher, Peter
AU - Lam, Wendy
AU - Levkovich, Inbar
AU - Manne, Sharon
AU - Miles, Anne
AU - Mullen, Louise
AU - Nekhlyudov, Larissa
AU - Sade, Cristina
AU - Shaw, Joanne
AU - Singleton, Anna
AU - Travado, Luzia
AU - Tsuchiya, Miyako
AU - Lemmen, Jesse
AU - Li, Jie
AU - Jefford, Michael
AU - International Psycho-Oncology Society Survivorship Special Interest Group
AU - Altman, Shiri
AU - Anang, Reginald
AU - Barrera, Maru
AU - Basen-Engquist, Karen
AU - Bidstrup, Pernille
AU - Bilodeau, Karine
AU - Christodoulidou, Stephanie
AU - Cirila, Andreja
AU - Cohee, Andrea
AU - Dégi, László Csaba
AU - Dhillon, Haryana
AU - Duijts, Saskia
AU - Foster, Claire
AU - Fournier, Valentyn
AU - Gitonga, Isaiah
AU - Goswami, Savita
AU - Ha, Lauren
AU - Hack, Tom
AU - Heathcote, Lauren
AU - Howard, Fuchsia
AU - Hulbert-Williams, Nicholas
AU - Jacobsen, Paul
AU - Jefford, Michael
AU - Kassianos, Angelos
AU - Koczwara, Bogda
AU - Lasebikan, Victor
AU - Lebel, Sophie
AU - Leslie, Monica
AU - Liu, Xiaohong
AU - Luigjes, Yvonne
AU - Martinez Tyson, Dinorah
AU - Mazariego, Carolyn
AU - Mirov, Yurii
AU - Nandakumar, Devi
AU - Larissa Nekhlyudo, Ray Nascimento
AU - Odiyo, Philip
AU - Ortolan, Paula
AU - Reshetova, Maria
AU - Ruble, Kathy
AU - Smith, Ben
AU - Smrdel, Škufca
AU - Taylor, Carolyn
AU - Turner, Jane
AU - Veeraiah, Surendran
AU - Wells, Elizabeth
AU - Xu, Lei
AU - Zhang, Anao
PY - 2024/11
Y1 - 2024/11
N2 - PURPOSE The number of cancer survivors living with and beyond cancer treatment is rising globally. It is fundamental to understand the extent and type of psychosocial care services offered worldwide. We evaluated models of cancer survivorship care, psychosocial care practices in the post-treatment survivorship phase, and barriers/facilitators to delivery of psychosocial care services, including in low- and middle-income countries (LMICs). METHODS The International Psycho-Oncology Society (IPOS) Survivorship Special Interest Group led a cross-sectional online survey between March and November 2022. Health care professionals and researchers in psycho-oncology were invited through the IPOS global membership, social media, and snowballing. The survey was administered to individuals but included questions related to practices in their country at a national level. RESULTS Two hundred eighty-three respondents from 37 countries participated (40% from LMICs), with a median of 12 years of experience (IQR, 6-20) in the psycho-oncology field. Participants reported that the most common elements of routine survivorship care were related to the prevention/ management of recurrences/new cancers (74%), physical late effects (59%), and chronic medical conditions (53%), whereas surveillance/ management of psychosocial late effects (27%) and psychosocial/ supportive care (25%) were least common. Service availability was more commonly reported in high-income countries (HICs) than LMICs related to reproductive health (29% v 17%), genetic counseling/support (40% v 20%), and identifying/managing distress (39% v 26%) and pain (66% v 48%). Key barriers included providers focusing on treatment not survivorship (57%), medical not psychosocial care (60%), and a lack of allied health providers to deliver psychosocial care (59%). CONCLUSION The psychosocial needs of people living with cancer are not adequately available and/or provided in post-treatment survivorship even in HICs, because of barriers at patient, provider, and system levels.
AB - PURPOSE The number of cancer survivors living with and beyond cancer treatment is rising globally. It is fundamental to understand the extent and type of psychosocial care services offered worldwide. We evaluated models of cancer survivorship care, psychosocial care practices in the post-treatment survivorship phase, and barriers/facilitators to delivery of psychosocial care services, including in low- and middle-income countries (LMICs). METHODS The International Psycho-Oncology Society (IPOS) Survivorship Special Interest Group led a cross-sectional online survey between March and November 2022. Health care professionals and researchers in psycho-oncology were invited through the IPOS global membership, social media, and snowballing. The survey was administered to individuals but included questions related to practices in their country at a national level. RESULTS Two hundred eighty-three respondents from 37 countries participated (40% from LMICs), with a median of 12 years of experience (IQR, 6-20) in the psycho-oncology field. Participants reported that the most common elements of routine survivorship care were related to the prevention/ management of recurrences/new cancers (74%), physical late effects (59%), and chronic medical conditions (53%), whereas surveillance/ management of psychosocial late effects (27%) and psychosocial/ supportive care (25%) were least common. Service availability was more commonly reported in high-income countries (HICs) than LMICs related to reproductive health (29% v 17%), genetic counseling/support (40% v 20%), and identifying/managing distress (39% v 26%) and pain (66% v 48%). Key barriers included providers focusing on treatment not survivorship (57%), medical not psychosocial care (60%), and a lack of allied health providers to deliver psychosocial care (59%). CONCLUSION The psychosocial needs of people living with cancer are not adequately available and/or provided in post-treatment survivorship even in HICs, because of barriers at patient, provider, and system levels.
KW - Cancer
KW - Survivorship
KW - psychosocial care services
UR - http://www.scopus.com/inward/record.url?scp=85194128550&partnerID=8YFLogxK
U2 - 10.1200/GO.23.00418
DO - 10.1200/GO.23.00418
M3 - Article
C2 - 38781550
AN - SCOPUS:85194128550
SN - 2687-8941
VL - 10
JO - JCO global oncology
JF - JCO global oncology
ER -
