Oancea S Cristina, Cheruvu Vinay K
Department of Population Health, School of Medicine and Health Sciences, University of North Dakota, Room 2370 R, 501 North Columbia Road, Grand Forks, ND, 58202-9037, USA.
Department of Biostatistics, Environmental Health Sciences, and Epidemiology, College of Public Health, Kent State University, Kent, OH, USA.
Support Care Cancer. 2016 Nov;24(11):4523-31. doi: 10.1007/s00520-016-3291-2. Epub 2016 Jun 4.
The goal of our study was to better understand the importance of adult cancer survivors (ACS) receiving Survivorship Care Plans (SCP) especially for their psychological well-being. We hypothesize that the receipt of SCP would decrease the likelihood of symptoms of current depression (SCD) in this population.
We tested our hypothesis by using a representative sample of ACS, more than 1 year from cancer diagnosis, who responded to the 2010 BRFSS survey. We used follow-up care instructions (FCI) and treatment summaries (TS) as a marker of SCP. Weighted multivariable logistic regression models were used to investigate the association between FCI and TS (individually and in combination) and SCD, among short-term (≤5 years from cancer diagnosis) and long-term (>5 years from cancer diagnosis) ACS.
Out of 3191 final study participants, 32.8 % were short-term, and 67.2 % were long-term ACS. Among short-term ACS, the adjusted odds of SCD were 3 times higher (adjusted odds ratio (AOR) 3.14 [95%CI 1.29-7.65]) for those who did not receive TS + FCI than for those who received them both. Among long-term ACS, the adjusted odds of SCD were more than twice higher (AOR 2.18 [95%CI 1.14-4.19]) for those who received FCI and no TS compared to those who received them both.
The present study results emphasize the importance of ACS receiving SCP. Adult cancer survivors may highly benefit from the receipt of SCP not only short-term but also long-term for their overall psychological well-being.
我们研究的目标是更好地理解成年癌症幸存者（ACS）接受生存护理计划（SCP）的重要性，特别是对其心理健康的重要性。我们假设接受SCP会降低该人群当前抑郁症状（SCD）的可能性。
我们通过使用ACS的代表性样本进行假设检验，这些样本来自癌症诊断后1年以上且对2010年美国国家健康访问调查做出回应的人群。我们将后续护理说明（FCI）和治疗总结（TS）用作SCP的标志。加权多变量逻辑回归模型用于研究FCI和TS（单独及联合使用）与短期（癌症诊断后≤5年）和长期（癌症诊断后>5年）ACS中SCD之间的关联。
在3191名最终研究参与者中，32.8%为短期ACS，67.2%为长期ACS。在短期ACS中，未接受TS+FCI的人群中SCD的调整后几率比接受两者的人群高3倍（调整后优势比（AOR）3.14[95%置信区间1.29 - 7.65]）。在长期ACS中，接受FCI但未接受TS的人群中SCD的调整后几率比接受两者的人群高出两倍多（AOR 2.18[95%置信区间1.14 - 4.19]）。
本研究结果强调了ACS接受SCP的重要性。成年癌症幸存者可能不仅在短期内而且在长期内都能从接受SCP中极大地受益于其整体心理健康。
