Identifying associations between quality of life outcomes and healthcare-related variables among colorectal cancer survivors: A cross-sectional survey study

摘要: Abstract Background Follow-up care and surveillance are essential components of colorectal cancer survivorship. However, the relative contribution healthcare experiences to quality life in survivorship is poorly understood. Objectives This study explores associations between survivors’ life. Design Cross-sectional survey study. Settings Participants were recruited from medical oncology surgery departments three hospitals, twenty-one support centres providing psycho-social patients survivors Ireland. 304 6 60 months post-diagnosis. Methods completed a cross-sectional questionnaire, including Functional Assessment Therapy–Colorectal Cancer Survey Patient Continuity Care Questionnaire. Multivariate logistic regression analysis was undertaken identify outcomes healthcare-related variables continuity care, access information needs perceptions health advocacy services. Results Most participants (80%) had named professional more frequently satisfied with received hospital (95%) compared primary (76%) or community (61%) settings. More than two-thirds reported unmet (68%) social difficulties (66%). 40% some dissatisfaction care. Greater difficulty consistently associated poorer all domains (OR range: 2.9–9.7). Lower satisfaction predicted physical (OR=2.6), (OR=2.1), functional (OR=2.9) overall (OR=2.0). Unmet absence nurse (OR=3.8) lower levels emotional well-being. Survivors who living active malignant disease (OR=3.8), undergone reversal temporary ostomy (OR=4.0) accessed advocacy-led likely experience (OR=2.6). Conclusions Colorectal relied on professionals for cancer-related experienced issues needs, which not addressed by oncology, professionals. suggests there scope optimise services care; these often overlooked provided insufficient when survivors. The recurring suggest may be meaningful target development interventions improve context healthcare.