1381P - Identifying the social support needs of young cancer patients in Japan

Date 28 September 2014
Event ESMO 2014
Session Poster Display session
Topics Cancer in Adolescents
Cancer in Young Adults
Psychosocial Aspects of Cancer
Presenter Eriko Nara
Citation Annals of Oncology (2014) 25 (suppl_4): iv481-iv485. 10.1093/annonc/mdu352
Authors E. Nara1, M. Yunokawa1, K. Yonemori1, C. Doutani2, K. Shimizu2, Y. Mimaki3, N. Oomatsu4, M. Komatsu5, A. Hirakawa6, C. Shimizu1, Y. Fujiwara1, K. Tamura1
  • 1Department Of Breast And Medical Oncology, National Cancer Center Hospital, 1040045 - Tokyo/JP
  • 2Department Of Psyco-oncoloy, National Cancer Center Hospital, 1040045 - Tokyo/JP
  • 3Cancer Counseling And Support Center, Saitama Medical University International Medical Center, 350-1298 - Saitama/JP
  • 4Cancer Counseling And Support Center, Osaka City University Hospital, 545-8586 - Osaka/JP
  • 5Department Of Human Science, Musashino University, 2028585  - Tokyo/JP
  • 6Center For Advanced Medicine And Clinical Research, Nagoya University Hospital, 466-8550 - Aichi/JP

Abstract

Aim

Young patients under the age of 40 years are relatively rare, accounting for approximately 3% of all cancer patients. These patients have different problems and needs from older patients. The purpose of this study was to investigate young patients' experiences and difficulties as well as their social support needs.

Methods

In this prospective study of young patients, a questionnaire and interview were used to assess the social and psychological reality and problems facing cancer patients under the age of 40 years. Besides, we evaluated common mental disorder by the patient health questionnaire (PHQ)-9. The study was conducted between January and September, 2013, in 3 cancer hubs and institutes in Japan.

Results

Of the 59 young cancer patients who were surveyed, 59% had breast cancer, 10% had gynecologic cancer, and 31% had sarcoma. Patients with recurrent cancer accounted for 31% of study participants. Additionally, 56% were married, 32% had children of preschool age or younger, 61% were employed, and 78% had a family history of cancer. The proportion of patients who were disemployed because of their incidence of cancer or experienced decreased sales at work was 61%. Meanwhile, 32% felt job insecurity and 49% were concerned about their family, although a higher trend was observed among patients with children (p = 0.054, p = 0.08 respectively). Of the 38 patients who were evaluated by PHQ-9, about 40% felt worthlessness and excessive guilt in more than several days in a past two weeks and about 10% had nearly every day. Most patients felt desolate because they could not find coeval patients with the same conditions. On the other hand, their awareness of the services offered by the social support center was low (29%); 75% of the patients had not used the center. Patients with a family history of cancer used the center significantly more (p = 0.025). Most patients obtained information from medical staff and the Internet.

Conclusions

Young cancer patients had a variety of social backgrounds and experienced different problems. However, their awareness and use of social support centers was very low. We plan to create an information to young cancer patients and peer support site on the Internet in the future.

Disclosure

Y. Fujiwara: CHUGAI OHARMACEUTICAL CO., LTD. AstraZeneca KK. sanofi-aventis K.K. DAIICHI SANKYO COMPANY, LIMITED Takeda Bio Development Center Limited Nippon Kayaku Co., Ltd. NEC Corporation TAIHO PHARMACEUTICAL CO., LTD. Novartis Pharma K.K. All other authors have declared no conflicts of interest.