J Clin Med Res

Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc

Journal website http://www.jocmr.org

Original Article

Volume 9, Number 10, October 2017, pages 864-871

Lack of Needs Assessment in Cancer Survivorship Care and Rehabilitation in Hospitals and Primary Care Settings

**Table 1.** Baseline Characteristics of the Study Population (n = 188)
	Hospitals (n = 89), n (%)	Primary care (n = 99), n (%)
Other: endometrial; gastric; malignant melanoma; neuroendocrine tumor; and soft tissue sarcoma.
Sex
Women	39 (44)	68 (69)
Men	50 (56)	31 (31)
Age (years)
18 - 39	8 (9)	4 (4)
40 - 49	7 (8)	8 (8)
50 - 59	22 (25)	36 (36)
60 - 69	19 (21)	36 (36)
70+	33 (37)	15 (15)
Cancer type
Leukemia	24 (27)	0
Lymphoma	33 (37)	4 (4)
Myelomatosis	11 (12)	3 (3)
Breast	0	32 (32)
Colorectal	0	13 (13)
Lung	0	9 (9)
Head and neck	0	6 (6)
Ovarian	0	6 (6)
Prostate	0	6 (6)
Renal	0	4 (4)
Other	0	8 (8)
No type defined	21 (24)	8 (8)

Table 1. Baseline Characteristics of the Study Population (n = 188)

Hospitals (n = 89), n (%)

Primary care (n = 99), n (%)

Other: endometrial; gastric; malignant melanoma; neuroendocrine tumor; and soft tissue sarcoma.

Sex

Women

39 (44)

68 (69)

Men

50 (56)

31 (31)

Age (years)

18 - 39

8 (9)

4 (4)

40 - 49

7 (8)

8 (8)

50 - 59

22 (25)

36 (36)

60 - 69

19 (21)

36 (36)

70+

33 (37)

15 (15)

Cancer type

Leukemia

24 (27)

Lymphoma

33 (37)

4 (4)

Myelomatosis

11 (12)

3 (3)

Breast

32 (32)

Colorectal

13 (13)

Lung

9 (9)

Head and neck

6 (6)

Ovarian

6 (6)

Prostate

6 (6)

Renal

4 (4)

Other

8 (8)

No type defined

21 (24)

8 (8)

**Table 2.** Stated Rehabilitation Needs and Plans
	Hospitals (n = 89)	Primary care (n = 99)
Mean number of stated needs (range)	7.5 (0 - 22)	8.0 (1 - 27)
Total number of stated needs	666	836
Patients completed rehabilitation plan	42 (47%)	53 (54%)
Mean number of rehabilitation plans (range)	2.8 (1 - 7)	3.3 (1 - 12)
Total number of rehabilitation plans	116	185

Table 2. Stated Rehabilitation Needs and Plans

Hospitals (n = 89)

Primary care (n = 99)

Mean number of stated needs (range)

7.5 (0 - 22)

8.0 (1 - 27)

Total number of stated needs

666

836

Patients completed rehabilitation plan

42 (47%)

53 (54%)

Mean number of rehabilitation plans (range)

2.8 (1 - 7)

3.3 (1 - 12)

Total number of rehabilitation plans

116

185

**Table 3.** Stated Needs and Rehabilitation Plans Categorized in ICF Components
	Stated needs	Rehabilitation plans
^aOf these, nine (8%) were physical activity. ^bOf these, 22 (12%) were physical activity.
Body functions and structures	521 (78%)	680 (81%)	68 (59%)	130 (70%)
Activity and participation	85 (13%)	93 (11%)	25 (21%)	23 (12%)
Environmental factors	39 (6%)	35 (4%)	8 (7%)	5 (3%)
Personal factors	0	0	0	0
Not definable	21 (3%)	28 (3%)	15 (13%)^a	27 (16%)^b

Table 3. Stated Needs and Rehabilitation Plans Categorized in ICF Components

Stated needs

Rehabilitation plans

Hospitals (666 needs)

Primary care (836 needs)

Hospitals (116 plans)

Primary care (185 plans)

^aOf these, nine (8%) were physical activity. ^bOf these, 22 (12%) were physical activity.

Body functions and structures

521 (78%)

680 (81%)

68 (59%)

130 (70%)

Activity and participation

85 (13%)

93 (11%)

25 (21%)

23 (12%)

Environmental factors

39 (6%)

35 (4%)

8 (7%)

5 (3%)

Personal factors

Not definable

21 (3%)

28 (3%)

15 (13%)^a

27 (16%)^b

**Table 4.** Tabel 4. Most Frequently Stated Needs
ICF component	Stated needs	Hospitals (n = 89), n (%)	Primary care (n = 99), n (%)
BF: body functions and structures; AP: activity and participation.
BF	Fatigue	51 (57)	66 (67)
BF	Reduced muscle strength	49 (55)	66 (67)
BF	Worried	33 (37)	36 (36)
BF	Weight loss or weight gain	29 (33)	34 (34)
BF	Dizziness/balance	28 (31)	27 (27)
BF	Sleep	26 (29)	29 (29)
BF	Reduced mobility	23 (26)	31 (31)
AP	Transport	23 (26)	6 (6)
BF	Nausea	22 (22)	18 (18)
BF	Constipation/diarrhea	22 (25)	10 (10)
BF	Memory/concentration	20 (22)	33 (33)
BF	Pins and needles in fingers and toes	20 (22)	32 (32)
BF	Dry mucous membranes	19 (21)	22 (22)
BF	Pain	17 (19)	36 (36)
BF	Diet	10 (11)	20 (20)
BF	Hot flushes	9 (10)	28 (28)

Table 4. Tabel 4. Most Frequently Stated Needs

ICF component

Stated needs

Hospitals (n = 89), n (%)

Primary care (n = 99), n (%)

BF: body functions and structures; AP: activity and participation.

Fatigue

51 (57)

66 (67)

Reduced muscle strength

49 (55)

66 (67)

Worried

33 (37)

36 (36)

Weight loss or weight gain

29 (33)

34 (34)

Dizziness/balance

28 (31)

27 (27)

Sleep

26 (29)

29 (29)

Reduced mobility

23 (26)

31 (31)

Transport

23 (26)

6 (6)

Nausea

22 (22)

18 (18)

Constipation/diarrhea

22 (25)

10 (10)

Memory/concentration

20 (22)

33 (33)

Pins and needles in fingers and toes

20 (22)

32 (32)

Dry mucous membranes

19 (21)

22 (22)

Pain

17 (19)

36 (36)

Diet

10 (11)

20 (20)

Hot flushes

9 (10)

28 (28)