XXXX recurrence and its association with supportive care needs and health-care service utilization in @entity5 @entity1 .

@entity5 @entity1 @entity148 @entity458
PURPOSE AND METHODS: We investigated the relationship between fear of @entity5 recurrence (FCR), @entity148 , supportive care needs, and utilization of health-care services in a mixed sample of 335 @entity5 @entity1 . We used validated questionnaires including the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the General @entity148 Scale (GAD-7) and the Supportive Care Needs Survey (SCNS-SF34). Health-care services utilization was measured by a self-constructed questionnaire recording the use of 22 health and supportive care offers. RESULTS: In our sample, 3.9  % of @entity1 were classified as having high @entity148 and 5.1  % had high FCR. @entity1 reported the highest unmet supportive care needs in the domain health system and information followed by @entity458 . Integrated care and complementary support services were the most frequently used (32  %) followed by medical (31  %), psychological (23  %), spiritual and religious (8  %) and other support services (9  %). Whereas @entity148 was related to both unmet psychological and physical/daily living needs (p   <   0.01), FCR was associated  with unmet supportive care needs in all five domains further including needs with regard to health system and information, @entity1 care, and sexuality (p   <   0.01). However, higher levels of @entity148 and FCR were not related to higher utilization of health-care services. CONCLUSION: Our findings show that FCR plays a significant role in unmet supportive care needs in @entity5 @entity1 but not for health-care service utilization. IMPLICATIONS FOR CANCER SURVIVORS: We recommend that clinicians monitor supportive care needs in @entity1 struggling with FCR and @entity148 .
