TY - JOUR
T1 - Prevalence and correlates of fear of recurrence among oral and oropharyngeal cancer survivors
AU - Manne, Sharon L.
AU - Hudson, Shawna V.
AU - Preacher, Kristopher J.
AU - Imanguli, Matin
AU - Pesanelli, Morgan
AU - Frederick, Sara
AU - Singh, Neetu
AU - Schaefer, Alexis
AU - Van Cleave, Janet H.
N1 - Funding Information:
We would like to thank the following individuals for their valuable contributions to this project: Carolina Lozada, Lisa Paddock, Alexandria Kulik, Muhammad Farooq Ahmed (NJSCR), and Wendy Huggins (NJSCR). We would like to acknowledge the following for their assistance with recruitment: The Cancer Registry of Greater California (Public Health Institute) and the New Jersey State Cancer Registry ( supported by the Cancer Surveillance Research Program (CSRP) and the New Jersey State Cancer Registry (NJSCR), the US Centers for Disease Control and Prevention's National Program of Cancer Registries. Justin Solleder provided support in manuscript preparation.
Funding Information:
This project was supported by the National Cancer Institute under R01 CA240344-01A1 awarded to Sharon Manne, and data management was supported by the Cancer Prevention and Outcomes Data Support Shared Resource.
Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2023
Y1 - 2023
N2 - Purpose: Fear of recurrence (FoR) is a prevalent and difficult experience among cancer patients. Most research has focused on FoR among breast cancer patients, with less attention paid to characterizing levels and correlates of FoR among oral and oropharyngeal cancer survivors. The purpose was to characterize FoR with a measure assessing both global fears and the nature of specific worries as well as evaluate the role of sociodemographic and clinical factors, survivorship care transition practices, lifestyle factors, and depressive symptoms in FoR. Methods: Three hundred eighty-nine oral and oropharyngeal survivors recruited from two cancer registries completed a survey assessing demographics, cancer treatment, symptoms, alcohol and tobacco use, survivorship care practices, depression, and FoR. Results: Forty percent reported elevated global FoR, with similar percentages for death (46%) and health worries (40.3%). Younger, female survivors and survivors experiencing more physical and depressive symptoms reported more global fears and specific fears about the impact of recurrence on roles, health, and identity, and fears about death. Depression accounted for a large percent of the variance. Lower income was associated with more role and identity/sexuality worries, and financial hardship was associated with more role worries. Conclusions: FoR is a relatively common experience for oral and oropharyngeal cancer survivors. Many of its correlates are modifiable factors that could be addressed with multifocal, tailored survivorship care interventions. Implications for Cancer Survivors: Assessing and addressing depressive symptoms, financial concerns, expected physical symptoms in the first several years of survivorship may impact FoR among oral and oropharyngeal cancer survivors.
AB - Purpose: Fear of recurrence (FoR) is a prevalent and difficult experience among cancer patients. Most research has focused on FoR among breast cancer patients, with less attention paid to characterizing levels and correlates of FoR among oral and oropharyngeal cancer survivors. The purpose was to characterize FoR with a measure assessing both global fears and the nature of specific worries as well as evaluate the role of sociodemographic and clinical factors, survivorship care transition practices, lifestyle factors, and depressive symptoms in FoR. Methods: Three hundred eighty-nine oral and oropharyngeal survivors recruited from two cancer registries completed a survey assessing demographics, cancer treatment, symptoms, alcohol and tobacco use, survivorship care practices, depression, and FoR. Results: Forty percent reported elevated global FoR, with similar percentages for death (46%) and health worries (40.3%). Younger, female survivors and survivors experiencing more physical and depressive symptoms reported more global fears and specific fears about the impact of recurrence on roles, health, and identity, and fears about death. Depression accounted for a large percent of the variance. Lower income was associated with more role and identity/sexuality worries, and financial hardship was associated with more role worries. Conclusions: FoR is a relatively common experience for oral and oropharyngeal cancer survivors. Many of its correlates are modifiable factors that could be addressed with multifocal, tailored survivorship care interventions. Implications for Cancer Survivors: Assessing and addressing depressive symptoms, financial concerns, expected physical symptoms in the first several years of survivorship may impact FoR among oral and oropharyngeal cancer survivors.
KW - Fear of recurrence
KW - Oral and oropharyngeal cancer
KW - Survivorship care
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U2 - 10.1007/s11764-023-01449-3
DO - 10.1007/s11764-023-01449-3
M3 - Article
AN - SCOPUS:85168159418
SN - 1932-2259
JO - Journal of Cancer Survivorship
JF - Journal of Cancer Survivorship
ER -