Cancer patients needs for rehabilitation services - a cross-sectional study

Transcription

1 Cancer patients needs for rehabilitation services - a cross-sectional study Lene Thorsen 1, Gunhild M. Gjerset 1, Jon Håvard Loge 1, Cecilie E. Kiserud 1, Eva Skovlund 2, Tone Fløtten 3 and Sophie D. Fosså 1 1 National Resource Center for Late Effects,, Oslo University Hospital and University of Oslo, Norway 2 School of Pharmacy, University of Oslo, Norway 3 Institute for Labour and Social Research, Fafo Research Foundation, Norway

2 Background cancer survivors alive Nordic countries health due to disease and treatment Impaired physical and psychosocial functioning Need for rehabilitation? What kind and how much? Unmet needs?

3 Aims 1. Assess the needs for rehabilitation services 2. Estimate the need for complex rehabilitation 3. Assess unmet needs for rehabilitation services

4 Patients FAFO research foundation 2848 eligible patients Indentified by the Cancer Registry of Norway 1297 participated (54%) 4 hospitals in different health regions 10 most frequent types of cancer Breast (40%), prostate, gynecological, colorectal cancer, lymphoma, lung etc

5 Patients 70% women Mean age: 52 years (27-64) Mean time since diagnosis: 30 months (3-89) 50% chemotherapy 70% after treatment 14% relapse

6 To what extent have you experienced need for the following rehabilitation services in relation to your cancer? Response: no need, some need or large need - physical therapy - physical training - psychological counseling - consultation with social worker - occupational therapy - supportive group sessions - admittance to a convalescent home

7 Number of needs Number of subjects (%) 0 need 482 (37) 1 need 304 (23) 2 needs 190 (15) 3 needs 126 (10) 4 needs 79 (6) 5 needs 51 (4) 6 needs 35 (3) 7 needs 30 (2) Total 1297 (100) 63% 40% Complex rehabilitation

8 Need for rehabilitation services 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% No need Some need Large need

9 Factors associated with seven rehabiliation services

10 Factors associated with seven rehabiliation services

11 Factors associated with seven rehabiliation services

12 Factors associated with seven rehabiliation services

13 Factors associated with seven rehabiliation services

14 Factors associated with seven rehabiliation services

15 Factors associated with seven rehabiliation services

16 Factors associated with seven rehabiliation services

17 Factors associated with complex rehabilitation (range 0-7) chemotherapy +/- radiotherapy/other treatment comorbidities changes in employment status due to cancer breast cancer young age not living as a couple high education not working

18 To what extent have you been offered the following rehabilitation services in relation to your cancer? Response: yes/no - physical therapy - physical training - psychological counseling - consultation with social worker - occupational therapy - supportive group sessions - admittance to a convalescent home

19 Needed and offered rehabilitation services 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% needed - not offered not needed - offered needed - offered not needed - not offered 0% Discrepancy between need and offer

20 Needed and offered rehabilitation 100% services 22% 9% 17% 9% 11% 10% 6% 90% 80% 70% 60% 50% 40% 30% 20% 10% needed - not offered not needed - offered needed - offered not needed - not offered 0% Discrepancy between need and offer

21 Needed and offered rehabilitation 100% 90% 80% 18% services 70% 60% 50% 40% 30% 20% 10% needed - not offered not needed - offered needed - offered not needed - not offered 0% Discrepancy between need and offer

22 Needed and offered rehabilitation 100% 90% 80% 35% services 70% 60% 50% 40% 30% 20% 10% needed - not offered not needed - offered needed - offered not needed - not offered 0% Discrepancy between need and offer

23 Needed and offered rehabilitation services 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% needed - not offered not needed - offered needed - offered not needed - not offered 0% Discrepancy between need and offer

24 Number of unmet needs

25 Conclusion Almost two third reported need for at least one rehabilitation service Physical therapy was most needed, followed by physical training Chemotherapy, comorbidities and changes in employment status were associated with need for all services

26 Conclusion 40% reported need for complex rehabilitation 40% reported unmet needs Physical training was the highest unmet need Physical therapy was the service most needed and also most offered

27 Future focus Interest for health authorities Organizing of the rehabilitation services Effects of rehabilitation services Prospective studies

28 Thanks for your attention!

29 Oslo universitetssykehus eies av Helse Sør-Øst og består av de tidligere helseforetakene Aker, Rikshospitalet og Ullevål. Oslo universitetssykehus leverer spesialisthelsetjenester og ivaretar både lands-, regions- og lokalfunksjoner. Sykehuset er landets største med cirka ansatte og har et budsjett på 18 milliarder kroner. Oslo universitetssykehus står for en betydelig andel av medisinsk forskning og utdanning av helsepersonell i Norge.