Examining survivorship needs in female cancer patients: A pilot study.

380 Background: Women constitute 54% of cancer survivors but report lower satisfaction with survivorship care. This study aims to assess survivorship needs of breast, colorectal and gynecologic cancer patients at a single institution. Methods: Women with breast, colorectal, or gynecologic malignancies were recruited in person or via email. Participants completed a survey comprised of the Functional Assessment of Cancer Therapy – General (FACT-G) questionnaire, Fear of Cancer Recurrence Inventory Short Form (FCRI-SF), Health Leads Social Needs Screening Toolkit (HL-SNST) and a referral checklist. Clinical and demographic data were obtained via chart review. Descriptive statistics and comparative analyses were performed with non-parametric Kruskal-Wallis and Wilcox two sample tests. Results: Of 64 participants, 65% were diagnosed with gynecologic, 20% breast, and 8% colorectal cancer. Most were Non-Hispanic White (NHW, 38%) or Hispanic (38%); 17% were Asian. Unemployed patients (38%) had lower FACT-G scores (M = 97 ± 13.8) versus employed/retired patients (58%, M = 113 ± 13.5, p = 0.008). Hispanic patients reported lower FACT-G scores (M = 96 ±15.3) than NHW patients (M = 110 ± 14.4, p = 0.03). Although Hispanic patients reported lower scores, no associations based on insurance, language or marital status were identified. No differences were found in FACT-G scores based on primary site, stage or treatment history. Mean FCRI-SF score was 12/20 ± 3.2, indicating high fear of recurrence (FCR). Patients < 50 years old reported higher FCR (M = 13± 4.2 vs 9 ± 1.3, p = 0.004). Thirty-six percent of patients reported ≥1 basic social need and unemployed patients endorsed more needs than employed/retired patients ( p = 0.04). Each patient requested two referrals on average. The most requested referrals were for a nurse navigator (41%), complementary medicine (31%) and support group (29%). Conclusions: Despite high quality of life (QOL) scores, employment emerged as a key factor associated with lower QOL. High FCR and unmet needs highlight gaps in psychosocial support. Patients sought support in informational, mental health and complementary care services. Kruskal-Wallis/Wilcoxon two-sample tests evaluating differences in survey responses based on age, employment, race/ethnicity. Variable FACT-G FCRI-SF HL-SNST Referral Requests Mean ± SD p value Mean ± SD p value Mean ± SD p value Mean ± SD p value Age < 50 105.1 ± 14.7 0.16 13.4 ± 4.2 0.004** 0.6 ± 1.2 0.76 2.3 ± 2.2 0.26 Age 50-69 101.6 ± 17.8 12.3 ± 2.4 0.9 ± 1.8 2.2 ± 2.6 Age 70+ 115.1 ± 9.5 9.4 ± 1.3 0.3 ± 0.5 1.2 ± 2.1 Employed/ Retired 112.7 ± 13.5 0.008** 11.3 ± 2.9 0.43 0.2 ± 0.5 0.04* 1.4 ± 2.0 0.05 Unemployed 97.4 ± 13.8 12.4 ± 3.5 1.1 ± 1.9 2.8 ± 2.7 NHW 109.9 ± 14.4 0.03* 12.0 ± 3.2 0.88 0.3 ± 0.7 0.06 1.6 ± 2.1 0.38 Hispanic 96.2 ± 15.3 11.8 ± 2.7 1.1 ± 1.9 2.4 ± 2.7 Asian/P.I.† 115.4 ± 12.5 11.8 ± 4.7 0.3 ± 0.5 1.3 ± 2.1 NHB‡ Excluded from analysis given small sample size (n=2) *p < 0.05; **p < 0.01; †Pacific Islander; ‡Non-Hispanic Black.