{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:42:21Z","timestamp":1791499341531,"version":"4.3.4"},"reference-count":47,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T00:00:00Z","timestamp":1594857600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T00:00:00Z","timestamp":1594857600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2021,3]]},"DOI":"10.1007\/s00520-020-05631-6","type":"journal-article","created":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T10:03:22Z","timestamp":1594893802000},"page":"1433-1441","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Path analysis of survivorship care needs, symptom experience, and quality of life among multiethnic cancer survivors"],"prefix":"10.1007","volume":"29","author":[{"given":"Wei How Darryl","family":"Ang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8289-3441","authenticated-orcid":false,"given":"Ying","family":"Lau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lay Poh Ednajoy","family":"Ngo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"An Ling","family":"Siew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neo Kim Emily","family":"Ang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Violeta","family":"Lopez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,7,16]]},"reference":[{"key":"5631_CR1","volume-title":"ACS report: number of US cancer survivors expected to exceed 20 million by 2026","author":"S Simon","year":"2016","unstructured":"Simon S (2016) ACS report: number of US cancer survivors expected to exceed 20 million by 2026. American Cancer Society, Atlanta"},{"key":"5631_CR2","unstructured":"Office, N.R.o.D. (2017) Singapore Cancer Registry Annual Registry Report 2015, Health Promotion Board Singapore"},{"issue":"1","key":"5631_CR3","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s11764-006-0002-x","volume":"1","author":"M Feuerstein","year":"2007","unstructured":"Feuerstein M (2007) Defining cancer survivorship. J Cancer Surviv 1(1):5\u20137","journal-title":"J Cancer Surviv"},{"key":"5631_CR4","doi-asserted-by":"crossref","unstructured":"Mullan F (1985) Seasons of survival: reflections of a physician with cancer, Mass Med Soc","DOI":"10.1056\/NEJM198507253130421"},{"issue":"1","key":"5631_CR5","doi-asserted-by":"publisher","first-page":"1207","DOI":"10.1186\/s12885-018-5105-z","volume":"18","author":"C den Bakker","year":"2018","unstructured":"den Bakker C et al (2018) Cancer survivors\u2019 needs during various treatment phases after multimodal treatment for colon cancer-is there a role for eHealth? BMC Cancer 18(1):1207","journal-title":"BMC Cancer"},{"issue":"1","key":"5631_CR6","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.ejon.2014.08.002","volume":"19","author":"M-f Zhang","year":"2015","unstructured":"Zhang M-f et al (2015) The influence of demographics, psychological factors and self-efficacy on symptom distress in colorectal cancer patients undergoing post-surgical adjuvant chemotherapy. Eur J Oncol Nurs 19(1):89\u201396","journal-title":"Eur J Oncol Nurs"},{"issue":"3","key":"5631_CR7","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1111\/jnu.12376","volume":"50","author":"HY Hung","year":"2018","unstructured":"Hung HY, Wu LM, Chen KP (2018) Determinants of quality of life in lung cancer patients. J Nurs Scholarsh 50(3):257\u2013264","journal-title":"J Nurs Scholarsh"},{"issue":"7","key":"5631_CR8","doi-asserted-by":"publisher","first-page":"1097","DOI":"10.1002\/hed.24411","volume":"38","author":"M Giuliani","year":"2016","unstructured":"Giuliani M, McQuestion M, Jones J, Papadakos J, le LW, Alkazaz N, Cheng T, Waldron J, Catton P, Ringash J (2016) Prevalence and nature of survivorship needs in patients with head and neck cancer. Head Neck 38(7):1097\u20131103","journal-title":"Head Neck"},{"issue":"6","key":"5631_CR9","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1007\/s11764-018-0721-9","volume":"12","author":"NK Horick","year":"2018","unstructured":"Horick NK, Muzikansky A, Gutierrez HL, Boyd KL, Finkelstein DM (2018) Physical symptoms in long-term survivors of rare cancer. J Cancer Surviv 12(6):835\u2013842","journal-title":"J Cancer Surviv"},{"key":"5631_CR10","doi-asserted-by":"crossref","unstructured":"Ness S, et al. (2013) Concerns across the survivorship trajectory: results from a survey of cancer survivors. in Oncol Nurs Forum","DOI":"10.1188\/13.ONF.35-42"},{"issue":"1","key":"5631_CR11","doi-asserted-by":"publisher","first-page":"e11","DOI":"10.1016\/S1470-2045(16)30573-3","volume":"18","author":"DK Mayer","year":"2017","unstructured":"Mayer DK, Nasso SF, Earp JA (2017) Defining cancer survivors, their needs, and perspectives on survivorship health care in the USA. Lancet Oncol 18(1):e11\u2013e18","journal-title":"Lancet Oncol"},{"issue":"1","key":"5631_CR12","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1177\/1054773815600665","volume":"26","author":"S-F Wu","year":"2017","unstructured":"Wu S-F, Tong HY, kan YY, Su SH, Lee MC, Kao CC, Lin YH (2017) The exploration of health-related quality of life: factors influencing quality of life in gynecologic cancer patients. Clin Nurs Res 26(1):114\u2013131","journal-title":"Clin Nurs Res"},{"issue":"3","key":"5631_CR13","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1111\/bju.13329","volume":"118","author":"JK Bernat","year":"2016","unstructured":"Bernat JK, Wittman DA, Hawley ST, Hamstra DA, Helfand AM, Haggstrom DA, Darwish-Yassine M, Skolarus TA (2016) Symptom burden and information needs in prostate cancer survivors: a case for tailored long-term survivorship care. BJU Int 118(3):372\u2013378","journal-title":"BJU Int"},{"issue":"1","key":"5631_CR14","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1002\/pon.4444","volume":"27","author":"SC Reed","year":"2018","unstructured":"Reed SC, Bell JF, Whitney R, Lash R, Kim KK, Bold RJ, Joseph JG (2018) Psychosocial outcomes in active treatment through survivorship. Psycho-oncology 27(1):279\u2013285","journal-title":"Psycho-oncology"},{"key":"5631_CR15","doi-asserted-by":"crossref","unstructured":"Taylor K, DipOnc G, Monterosso L (2015) Survivorship care plans and treatment summaries in adult patients with hematologic cancer: an integrative literature review. in Oncol Nurs Forum","DOI":"10.1188\/15.ONF.283-291"},{"issue":"4","key":"5631_CR16","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1007\/s11764-019-00779-5","volume":"13","author":"T Wieldraaijer","year":"2019","unstructured":"Wieldraaijer T, Duineveld LAM, Bemelman WA, van Weert HCPM, Wind J (2019) Information needs and information seeking behaviour of patients during follow-up of colorectal cancer in the Netherlands. J Cancer Surviv 13(4):603\u2013610","journal-title":"J Cancer Surviv"},{"key":"5631_CR17","doi-asserted-by":"crossref","unstructured":"Armstrong TS (2003) Symptoms experience: a concept analysis. In Oncology Nursing Forum. Oncol Nurs Soc","DOI":"10.1188\/03.ONF.601-606"},{"key":"5631_CR18","first-page":"1155","volume":"112","author":"J Cohen","year":"1992","unstructured":"Cohen J (1992) Quantitative methods in psychology: a power primer. Psychol Bull 112:1155\u20131159","journal-title":"Psychol Bull"},{"issue":"9","key":"5631_CR19","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1002\/pon.1137","volume":"16","author":"K Hodgkinson","year":"2007","unstructured":"Hodgkinson K, Butow P, Hunt GE, Pendlebury S, Hobbs KM, Lo SK, Wain G (2007) The development and evaluation of a measure to assess cancer survivors\u2019 unmet supportive care needs: the CaSUN (Cancer Survivors\u2019 Unmet Needs measure). Psychooncology 16(9):796\u2013804","journal-title":"Psychooncology"},{"key":"5631_CR20","doi-asserted-by":"crossref","unstructured":"Schlairet MC, Heddon MA, Martha Griffis R (2010) Piloting a needs assessment to guide development of a survivorship program for a community cancer center. In Oncology Nursing Forum. Oncol Nurs Soc","DOI":"10.1188\/10.ONF.501-508"},{"issue":"7","key":"5631_CR21","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1002\/pon.1281","volume":"17","author":"NJ Pearce","year":"2008","unstructured":"Pearce NJ, Sanson-Fisher R, Campbell HS (2008) Measuring quality of life in cancer survivors: a methodological review of existing scales. Psychooncology 17(7):629\u2013640","journal-title":"Psychooncology"},{"key":"5631_CR22","unstructured":"Arbuckle JL (2017) IBM SPSS AMOS 25 User\u2019s guide, United States: IBM Development Corporation"},{"key":"5631_CR23","doi-asserted-by":"publisher","DOI":"10.4324\/9781315757421","volume-title":"Structural Equation Modeling With AMOS: Basic Concepts, Applications, and Programming (Third Edition)","author":"BM Byrne","year":"2016","unstructured":"Byrne BM (2016) Structural Equation Modeling With AMOS: Basic Concepts, Applications, and Programming (Third Edition). Routledge, New York"},{"key":"5631_CR24","volume-title":"Principles and practice of structural equation modeling (fourth edition)","author":"RB Kline","year":"2015","unstructured":"Kline RB (2015) Principles and practice of structural equation modeling (fourth edition). Guilford publication, New York"},{"issue":"2","key":"5631_CR25","first-page":"23","volume":"8","author":"K Schermelleh-Engel","year":"2003","unstructured":"Schermelleh-Engel K, Moosbrugger H, M\u00fcller H (2003) Evaluating the fit of structural equation models: tests of significance and descriptive goodness-of-fit measures. Methods Psychol Res Online 8(2):23\u201374","journal-title":"Methods Psychol Res Online"},{"issue":"1","key":"5631_CR26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/10705519909540118","volume":"6","author":"Lt Hu","year":"1999","unstructured":"Hu Lt, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model Multidiscip J 6(1):1\u201355","journal-title":"Struct Equ Model Multidiscip J"},{"issue":"10","key":"5631_CR27","doi-asserted-by":"publisher","first-page":"1996","DOI":"10.1158\/1055-9965.EPI-11-0729","volume":"20","author":"C Parry","year":"2011","unstructured":"Parry C, Kent EE, Mariotto AB, Alfano CM, Rowland JH (2011) Cancer survivors: a booming population. Cancer Epidemiol Prev Biomarkers 20(10):1996\u20132005","journal-title":"Cancer Epidemiol Prev Biomarkers"},{"key":"5631_CR28","doi-asserted-by":"crossref","unstructured":"Mangoni AA et al. (2016) Chronic conditions and cancer in older adults, in Cancer and chronic conditions, Springer. p. 421\u2013454","DOI":"10.1007\/978-981-10-1844-2_14"},{"issue":"1","key":"5631_CR29","doi-asserted-by":"publisher","first-page":"43","DOI":"10.3322\/caac.21319","volume":"66","author":"CD Runowicz","year":"2016","unstructured":"Runowicz CD, Leach CR, Henry NL, Henry KS, Mackey HT, Cowens-Alvarado RL, Cannady RS, Pratt-Chapman ML, Edge SB, Jacobs LA, Hurria A, Marks LB, LaMonte S, Warner E, Lyman GH, Ganz PA (2016) American Cancer Society\/American Society of Clinical Oncology breast cancer survivorship care guideline. CA Cancer J Clin 66(1):43\u201373","journal-title":"CA Cancer J Clin"},{"issue":"4","key":"5631_CR30","doi-asserted-by":"publisher","first-page":"524","DOI":"10.1001\/jamaoncol.2016.5688","volume":"3","author":"C Fitzmaurice","year":"2017","unstructured":"Fitzmaurice C et al (2017) Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA Oncol 3(4):524\u2013548","journal-title":"JAMA Oncol"},{"issue":"1","key":"5631_CR31","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1111\/tbj.12221","volume":"20","author":"CA Thompson","year":"2014","unstructured":"Thompson CA, Stan DL, Solberg Nes L, Jenkins SM, Lackore KA, Pruthi S (2014) Breast cancer survivors\u2019 self-reported needs and preferences of survivorship care. Breast J 20(1):107\u2013109","journal-title":"Breast J"},{"issue":"9","key":"5631_CR32","doi-asserted-by":"publisher","first-page":"3783","DOI":"10.1007\/s00520-016-3200-8","volume":"24","author":"RA Campo","year":"2016","unstructured":"Campo RA, Leniek KL, Gaylord-Scott N, Faurot KR, Smith S, Asher G, Porterfield D, Gaylord SA (2016) Weathering the seasons of cancer survivorship: mind-body therapy use and reported reasons and outcomes by stages of cancer survivorship. Support Care Cancer 24(9):3783\u20133791","journal-title":"Support Care Cancer"},{"issue":"2","key":"5631_CR33","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1016\/j.ejon.2011.04.004","volume":"16","author":"V Morrison","year":"2012","unstructured":"Morrison V, Henderson BJ, Zinovieff F, Davies G, Cartmell R, Hall A, Gollins S (2012) Common, important, and unmet needs of cancer outpatients. Eur J Oncol Nurs 16(2):115\u2013123","journal-title":"Eur J Oncol Nurs"},{"issue":"10","key":"5631_CR34","doi-asserted-by":"publisher","first-page":"4319","DOI":"10.1007\/s00520-016-3269-0","volume":"24","author":"WHD Ang","year":"2016","unstructured":"Ang WHD, Lang SP, Ang E, Lopez V (2016) Transition journey from hospital to home in patients with cancer and their caregivers: a qualitative study. Support Care Cancer 24(10):4319\u20134326","journal-title":"Support Care Cancer"},{"key":"5631_CR35","unstructured":"Gates P, Krishnasamy M (2009) Nurse-led survivorship care. In Cancer Forum. The Cancer Council Australia"},{"issue":"5","key":"5631_CR36","doi-asserted-by":"publisher","first-page":"278","DOI":"10.3322\/CA.57.5.278","volume":"57","author":"J Lipscomb","year":"2007","unstructured":"Lipscomb J, Gotay CC, Snyder CF (2007) Patient-reported outcomes in cancer: a review of recent research and policy initiatives. CA Cancer J Clin 57(5):278\u2013300","journal-title":"CA Cancer J Clin"},{"issue":"5","key":"5631_CR37","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1007\/s00520-006-0170-2","volume":"15","author":"K Hodgkinson","year":"2007","unstructured":"Hodgkinson K, Butow P, Hunt GE, Pendlebury S, Hobbs KM, Wain G (2007) Breast cancer survivors\u2019 supportive care needs 2\u201310 years after diagnosis. Support Care Cancer 15(5):515\u2013523","journal-title":"Support Care Cancer"},{"issue":"1","key":"5631_CR38","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/s12955-017-0595-y","volume":"15","author":"R Mahendran","year":"2017","unstructured":"Mahendran R, Lim HA, Tan JYS, Ng HY, Chua J, Lim SE, Kua EH, Griva K (2017) Evaluation of a brief pilot psychoeducational support group intervention for family caregivers of cancer patients: a quasi-experimental mixed-methods study. Health Qual Life Outcomes 15(1):17","journal-title":"Health Qual Life Outcomes"},{"key":"5631_CR39","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1111\/1758-5899.12247","volume":"8","author":"J Lim","year":"2017","unstructured":"Lim J (2017) Sustainable health care financing: the Singapore experience. Glob Policy 8:103\u2013109","journal-title":"Glob Policy"},{"issue":"3","key":"5631_CR40","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1007\/s11764-014-0422-y","volume":"9","author":"L Russell","year":"2015","unstructured":"Russell L, Gough K, Drosdowsky A, Schofield P, Aranda S, Butow PN, Westwood JA, Krishnasamy M, Young JM, Phipps-Nelson J, King D, Jefford M (2015) Psychological distress, quality of life, symptoms and unmet needs of colorectal cancer survivors near the end of treatment. J Cancer Surviv 9(3):462\u2013470","journal-title":"J Cancer Surviv"},{"issue":"2","key":"5631_CR41","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1080\/08964289.2014.889068","volume":"41","author":"JL Burris","year":"2015","unstructured":"Burris JL, Armeson K, Sterba KR (2015) A closer look at unmet needs at the end of primary treatment for breast cancer: a longitudinal pilot study. Behav Med 41(2):69\u201376","journal-title":"Behav Med"},{"issue":"2","key":"5631_CR42","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1007\/s11764-007-0015-0","volume":"1","author":"BJ Zebrack","year":"2007","unstructured":"Zebrack BJ, Mills J, Weitzman TS (2007) Health and supportive care needs of young adult cancer patients and survivors. J Cancer Surviv 1(2):137\u2013145","journal-title":"J Cancer Surviv"},{"key":"5631_CR43","doi-asserted-by":"crossref","unstructured":"Bober SL, Fine E, Recklitis C (2019) Sexual health and rehabilitation after ovarian suppression treatment (SHARE-OS): a clinical intervention for young breast cancer survivors. J Cancer Surviv: p. 1\u20135","DOI":"10.1007\/s11764-019-00800-x"},{"issue":"5","key":"5631_CR44","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1097\/NCC.0b013e3181a52533","volume":"32","author":"SL Beck","year":"2009","unstructured":"Beck SL, Towsley GL, Caserta MS, Lindau K, Dudley WN (2009) Symptom experiences and quality of life of rural and urban older adult cancer survivors. Cancer Nurs 32(5):359\u2013369","journal-title":"Cancer Nurs"},{"issue":"1","key":"5631_CR45","doi-asserted-by":"publisher","first-page":"1","DOI":"10.11648\/j.ajtas.20160501.11","volume":"5","author":"I Etikan","year":"2016","unstructured":"Etikan I, Musa SA, Alkassim RS (2016) Comparison of convenience sampling and purposive sampling. Am J Theor Appl Stat 5(1):1\u20134","journal-title":"Am J Theor Appl Stat"},{"issue":"4","key":"5631_CR46","first-page":"40","volume":"25","author":"TF Van de Mortel","year":"2008","unstructured":"Van de Mortel TF (2008) Faking it: social desirability response bias in self-report research. Aust J Adv Nurs 25(4):40","journal-title":"Aust J Adv Nurs"},{"issue":"3","key":"5631_CR47","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1093\/jjco\/hys230","volume":"43","author":"MC Teo","year":"2013","unstructured":"Teo MC, Soo KC (2013) Cancer trends and incidences in Singapore. Jpn J Clin Oncol 43(3):219\u2013224","journal-title":"Jpn J Clin Oncol"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-020-05631-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-020-05631-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-020-05631-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T23:12:13Z","timestamp":1667430733000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-020-05631-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,16]]},"references-count":47,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["5631"],"URL":"https:\/\/doi.org\/10.1007\/s00520-020-05631-6","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,16]]},"assertion":[{"value":"16 January 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 July 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 July 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Ethical approval was obtained from the Singapore National Healthcare Group-Domain Specific Review Board (2016-01023). All participants received study information and provided verbal and written consent.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}