{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T17:10:16Z","timestamp":1780420216825,"version":"3.54.1"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006356","name":"University of Southern Denmark","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006356","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cancer Surviv"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of this study was to investigate interactions in the cancer trajectory of patients with colorectal cancer and their healthcare professionals, with a focus on needs assessment prior to cancer survivorship care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative ethnographic design guided by interpretive description was employed. Data were generated through 110\u00a0h of field observations at a surgical department and two semistructured focus group interviews with ten patients. Symbolic interactionism provided the theoretical lens. Data were analyzed inductively through coding, patterns, and thematic development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The analysis generated three interrelated themes:\n                      <jats:italic>Perceptions on cure over care<\/jats:italic>\n                      highlighted that the healthcare system\u2019s prioritization of biomedical outcomes often overshadowed emotional and psychosocial support.\n                      <jats:italic>Perceptions of communication shaped by efficiency<\/jats:italic>\n                      described the ways in which time constraints and fragmented care disrupted the relational continuity.\n                      <jats:italic>Perceptions of limited emotional support<\/jats:italic>\n                      illustrated the profound sense of abandonment that many patients experienced, particularly in the transition from active treatment to life after cancer.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study demonstrated that interactions around needs assessment are often shaped by structural and efficiency-driven priorities, leaving patients with limited emotional support. This highlights the critical need for further research aimed at embedding compassionate, patient-centered communication into needs assessment and survivorship care to ensure that patients\u2019 psychosocial as well as biomedical needs are systematically addressed across the cancer trajectory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Cancer Survivors<\/jats:title>\n                    <jats:p>A future holistic approach toward cancer survivorship care, where emotional and psychosocial well-being of cancer survivors is taken care of, to prevent feelings of abandonment and fear of recurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11764-026-02049-7","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T16:35:00Z","timestamp":1780418100000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Navigating the cancer trajectory in colorectal cancer: perceptions of cure over care, efficiency, and limited emotional support"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0357-7510","authenticated-orcid":false,"given":"Henriette","family":"Witte","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8449-863X","authenticated-orcid":false,"given":"Frede","family":"Donskov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1378-2449","authenticated-orcid":false,"given":"Charlotte","family":"Handberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4358-7916","authenticated-orcid":false,"given":"Rasmus","family":"Kr\u00f8ijer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5754-8235","authenticated-orcid":false,"given":"Lea Ladegaard","family":"Gr\u00f8nkj\u00e6r","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"issue":"3","key":"2049_CR1","first-page":"209","volume":"71","author":"H Sung","year":"2021","unstructured":"Sung H, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209\u201349.","journal-title":"CA Cancer J Clin"},{"issue":"6","key":"2049_CR2","first-page":"394","volume":"68","author":"F Bray","year":"2018","unstructured":"Bray F, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394\u2013424.","journal-title":"CA Cancer J Clin"},{"key":"2049_CR3","unstructured":"Danish Health Authorities and The Danish Government. Cancer plan V - a better life with- and after cancer treatment. The Ministry of the Interior and Health; 2025. (In Danish)."},{"issue":"23\u201324","key":"2049_CR4","doi-asserted-by":"publisher","first-page":"4310","DOI":"10.1111\/jocn.14995","volume":"28","author":"H Witte","year":"2019","unstructured":"Witte H, Handberg C. An assessment of survivorship care needs of patients with colorectal cancer: the experiences and perspectives of hospital nurses. J Clin Nurs. 2019;28(23\u201324):4310\u201320.","journal-title":"J Clin Nurs"},{"issue":"23\u201324","key":"2049_CR5","doi-asserted-by":"publisher","first-page":"3291","DOI":"10.1111\/j.1365-2702.2010.03407.x","volume":"19","author":"K Beaver","year":"2010","unstructured":"Beaver K, et al. An exploratory study of the follow-up care needs of patients treated for colorectal cancer. J Clin Nurs. 2010;19(23\u201324):3291\u2013300.","journal-title":"J Clin Nurs"},{"key":"2049_CR6","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1016\/j.ejon.2017.05.004","volume":"29","author":"G Kotronoulas","year":"2017","unstructured":"Kotronoulas G, et al. A systematic review of the supportive care needs of people living with and beyond cancer of the colon and\/or rectum. Eur J Oncol Nurs. 2017;29:60\u201370.","journal-title":"Eur J Oncol Nurs"},{"key":"2049_CR7","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/j.ejon.2018.01.010","volume":"33","author":"C Handberg","year":"2018","unstructured":"Handberg C, Thorne S, Maribo T. When a policy decision meets practice realities: the case of cancer survivorship care and rehabilitation needs assessment. Eur J Oncol Nurs. 2018;33:70\u20137.","journal-title":"Eur J Oncol Nurs"},{"key":"2049_CR8","unstructured":"Danish Health Authorities and The Danish Government. Workingsheet for Professionals - The fifth National Cancer Plan; 2025. (In Danish; 2025)."},{"key":"2049_CR9","unstructured":"Danish Health Authorities and The Danish Government. Disease management program for rehabilitation and palliation in cancer: part of the overall disease management program for cancer.  The Ministry of the Interior and Health; 2018. (In Danish)."},{"issue":"1","key":"2049_CR10","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s11764-006-0002-x","volume":"1","author":"M Feuerstein","year":"2007","unstructured":"Feuerstein M. Defining cancer survivorship. J Cancer Surviv. 2007;1(1):5\u20137.","journal-title":"J Cancer Surviv"},{"issue":"5","key":"2049_CR11","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1007\/s11764-020-00958-9","volume":"15","author":"KB Dieperink","year":"2021","unstructured":"Dieperink KB, et al. Long-term follow-up 3 years after a randomized rehabilitation study among radiated prostate cancer survivors. J Cancer Surviv. 2021;15(5):668\u201376.","journal-title":"J Cancer Surviv"},{"issue":"10","key":"2049_CR12","doi-asserted-by":"publisher","first-page":"864","DOI":"10.14740\/jocmr3160w","volume":"9","author":"C Handberg","year":"2017","unstructured":"Handberg C, Jensen CM, Maribo T. Lack of needs assessment in cancer survivorship care and rehabilitation in hospitals and primary care settings. J Clin Med Res. 2017;9(10):864\u201371.","journal-title":"J Clin Med Res"},{"key":"2049_CR13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2020.101824","volume":"48","author":"C Handberg","year":"2020","unstructured":"Handberg C, Maribo T. Why cancer survivorship care needs assessment may lead to no clear patient pathway - based on patients\u2019 experiences and perspectives. Eur J Oncol Nurs. 2020;48:101824.","journal-title":"Eur J Oncol Nurs"},{"issue":"4","key":"2049_CR14","doi-asserted-by":"publisher","first-page":"880","DOI":"10.1111\/scs.12794","volume":"34","author":"MML Netsey-Afedo","year":"2020","unstructured":"Netsey-Afedo MML, et al. No time for reflection: patient experiences with treatment-related decision-making in advanced prostate cancer. Scand J Caring Sci. 2020;34(4):880\u20138.","journal-title":"Scand J Caring Sci"},{"issue":"1","key":"2049_CR15","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1186\/s12904-021-00774-7","volume":"20","author":"T Wang","year":"2021","unstructured":"Wang T, et al. A qualitative exploration of the unmet information needs of Chinese advanced cancer patients and their informal caregivers. BMC Palliat Care. 2021;20(1):83.","journal-title":"BMC Palliat Care"},{"key":"2049_CR16","doi-asserted-by":"publisher","DOI":"10.4324\/9781315545196","volume-title":"Interpretive description: qualitative research for applied practice","author":"S Thorne","year":"2016","unstructured":"Thorne S. Interpretive description: qualitative research for applied practice. New York: Routledge; 2016."},{"key":"2049_CR17","unstructured":"Blumer H.\u00a0Symbolic interactionism: perspective and method, ed. B. University of California Press. 1969."},{"issue":"3","key":"2049_CR18","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1177\/1049732311421177","volume":"22","author":"C Oliver","year":"2012","unstructured":"Oliver C. The relationship between symbolic interactionism and interpretive description. Qual Health Res. 2012;22(3):409\u201315.","journal-title":"Qual Health Res"},{"issue":"8","key":"2049_CR19","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1177\/1049732314554231","volume":"25","author":"C Handberg","year":"2015","unstructured":"Handberg C, et al. Revisiting symbolic interactionism as a theoretical framework beyond the grounded theory tradition. Qual Health Res. 2015;25(8):1023\u201332.","journal-title":"Qual Health Res"},{"key":"2049_CR20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2025.102808","volume":"75","author":"H Witte","year":"2025","unstructured":"Witte H, et al. Compassion training for healthcare professionals in oncology: a mixed-methods pilot study. Eur J Oncol Nurs. 2025;75:102808.","journal-title":"Eur J Oncol Nurs"},{"issue":"10","key":"2049_CR21","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1002\/pon.945","volume":"14","author":"SE Thorne","year":"2005","unstructured":"Thorne SE, et al. \u2018Being known\u2019: patients\u2019 perspectives of the dynamics of human connection in cancer care. Psychooncology. 2005;14(10):887\u201398.","journal-title":"Psychooncology"},{"issue":"1","key":"2049_CR22","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1186\/s12912-024-01718-1","volume":"23","author":"XC Lyu","year":"2024","unstructured":"Lyu XC, et al. Oncology nurses\u2019 experiences of providing emotional support for cancer patients: a qualitative study. BMC Nurs. 2024;23(1):58.","journal-title":"BMC Nurs"},{"key":"2049_CR23","volume":"13","author":"LK Olesen","year":"2024","unstructured":"Olesen LK, et al. Experiences of an online palliative rehabilitation programme for spousal caregivers of people with amyotrophic lateral sclerosis and cognitive and\/or behavioural impairments: a qualitative interpretive study. Adv Rehabil Sci Pract. 2024;13:27536351241227860.","journal-title":"Adv Rehabil Sci Pract"},{"issue":"13\u201314","key":"2049_CR24","doi-asserted-by":"publisher","first-page":"4070","DOI":"10.1111\/jocn.16562","volume":"32","author":"\u00c5 Petersson","year":"2023","unstructured":"Petersson \u00c5, et al. Following a standardised pathway: healthcare professionals\u2019 perspectives on person-centred care within ERAS for patients with colorectal cancer. J Clin Nurs. 2023;32(13\u201314):4070\u201380.","journal-title":"J Clin Nurs"},{"issue":"5","key":"2049_CR25","doi-asserted-by":"publisher","first-page":"1780","DOI":"10.1111\/hex.13317","volume":"24","author":"T Andersen-Hollekim","year":"2021","unstructured":"Andersen-Hollekim T, et al. Shared decision-making in standardized cancer patient pathways in Norway-narratives of patient experiences. Health Expect. 2021;24(5):1780\u20139.","journal-title":"Health Expect"},{"issue":"3","key":"2049_CR26","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1136\/bmjspcare-2012-000226","volume":"2","author":"SD Lambert","year":"2012","unstructured":"Lambert SD, et al. The unmet needs of partners and caregivers of adults diagnosed with cancer: a systematic review. BMJ Support Palliat Care. 2012;2(3):224\u201330.","journal-title":"BMJ Support Palliat Care"},{"key":"2049_CR27","doi-asserted-by":"publisher","DOI":"10.4324\/9780203851197","volume-title":"Compassion focused therapy","author":"P Gilbert","year":"2010","unstructured":"Gilbert P. Compassion focused therapy. Great Britain: Routledge; 2010."},{"key":"2049_CR28","unstructured":"Gilbert PA, Choden. Mindfull compassion; how the science of compassion can help you understand your emotions, live in the present, and connect deeply with others. Oakland, USA, New Harbinger Publications Inc;\u00a02014."},{"key":"2049_CR29","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104705","volume":"154","author":"K Skivington","year":"2024","unstructured":"Skivington K, et al. A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. Int J Nurs Stud. 2024;154:104705.","journal-title":"Int J Nurs Stud"},{"issue":"5","key":"2049_CR30","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1016\/j.ijnurstu.2012.09.010","volume":"50","author":"P Craig","year":"2013","unstructured":"Craig P, et al. Developing and evaluating complex interventions: the new Medical Research Council guidance. Int J Nurs Stud. 2013;50(5):587\u201392.","journal-title":"Int J Nurs Stud"}],"container-title":["Journal of Cancer Survivorship"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-026-02049-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11764-026-02049-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-026-02049-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T16:35:06Z","timestamp":1780418106000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11764-026-02049-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,2]]},"references-count":30,"alternative-id":["2049"],"URL":"https:\/\/doi.org\/10.1007\/s11764-026-02049-7","relation":{},"ISSN":["1932-2259","1932-2267"],"issn-type":[{"value":"1932-2259","type":"print"},{"value":"1932-2267","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,2]]},"assertion":[{"value":"18 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}