TY - JOUR
T1 - Cancer survivorship needs in Brazil
T2 - Patient and family perspective
AU - Santos, Antonio Tadeu Cheriff dos
AU - Silva, Rildo Pereira da
AU - Almeida, Liz Maria de
AU - Bosi, Maria Lúcia Magalhães
AU - Menezes, Maria de Fátima Batalha de
AU - Skaba, Marcia Marília Vargas Fróes
AU - Nigenda, Gustavo
AU - Arruda, Carlos André Moura
AU - Pinheiro, Cleoneide Paulo Oliveira
AU - González-Robledo, María Cecilia
AU - Knaul, Felícia Marie
N1 - Funding Information:
Funding: This study was funded by the Mexican Health Foundation (FUNSALUD), which had received financial support from Sanofi. The cited institutions had no role in the study design, data collection and analysis, decision to publish or preparation of this manuscript.
Publisher Copyright:
Copyright: © 2020 Santos et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2020/10
Y1 - 2020/10
N2 - Introduction Cancer Survivorship is a growing public health challenge. Effective responses from health care and social services depend on appropriate identification of survivors and their families´ specific needs. There are few studies on survivorship in low and middle-income countries, therefore, more evidence-based studies are necessary to develop a comprehensive approach to cancer survivorship. Objectives Identify the needs of cancer survivors and their relatives, specifically those of individuals with breast, cervical or prostate cancer, and with acute lymphocytic leukemia (ALL). Methods A qualitative, exploratory study conducted in two referral institutions in Brazil, located in Rio de Janeiro (Southeast region) and Fortaleza (Northeast region). The study included 47 patients of public and private health services and 12 family members. We used script-based semi-structured interviews. The discursive material obtained was categorized and analyzed using the Thematic Analysis approach. Results The analysis identified three central themes: 1) consequences of cancer treatment; 2) Changes in daily life associated with cancer survivorship; and 3) Unmet structural needs in cancer survivorship. Conclusion Social and cancer control policies in Brazil should provide resources, specific care standards and clinical, psychological and social support. Cancer survivors should also receive rehabilitation and work reintegration guidelines. This matter requires broader access to qualified cancer information, development of an integrated patient-centered care and care model, and more research resources for the country’s post-treatment cancer period.
AB - Introduction Cancer Survivorship is a growing public health challenge. Effective responses from health care and social services depend on appropriate identification of survivors and their families´ specific needs. There are few studies on survivorship in low and middle-income countries, therefore, more evidence-based studies are necessary to develop a comprehensive approach to cancer survivorship. Objectives Identify the needs of cancer survivors and their relatives, specifically those of individuals with breast, cervical or prostate cancer, and with acute lymphocytic leukemia (ALL). Methods A qualitative, exploratory study conducted in two referral institutions in Brazil, located in Rio de Janeiro (Southeast region) and Fortaleza (Northeast region). The study included 47 patients of public and private health services and 12 family members. We used script-based semi-structured interviews. The discursive material obtained was categorized and analyzed using the Thematic Analysis approach. Results The analysis identified three central themes: 1) consequences of cancer treatment; 2) Changes in daily life associated with cancer survivorship; and 3) Unmet structural needs in cancer survivorship. Conclusion Social and cancer control policies in Brazil should provide resources, specific care standards and clinical, psychological and social support. Cancer survivors should also receive rehabilitation and work reintegration guidelines. This matter requires broader access to qualified cancer information, development of an integrated patient-centered care and care model, and more research resources for the country’s post-treatment cancer period.
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U2 - 10.1371/journal.pone.0239811
DO - 10.1371/journal.pone.0239811
M3 - Review article
C2 - 33031426
AN - SCOPUS:85092638409
VL - 15
JO - PLoS One
JF - PLoS One
SN - 1932-6203
IS - 10 October
M1 - e0239811
ER -