{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:10:00Z","timestamp":1783113000933,"version":"3.54.6"},"reference-count":27,"publisher":"Scientific Scholar","content-domain":{"domain":["jpalliativecare.com"],"crossmark-restriction":true},"short-container-title":["IJPC"],"abstract":"<jats:sec id=\"st1\"><jats:title>Objective:<\/jats:title><jats:p>Measure the satisfaction level of patients visiting a tertiary level cancer institute in Odisha, identify the factors associated with the satisfaction level and assess the health system challenges related to quality service provision for cancer survival.<\/jats:p><\/jats:sec><jats:sec id=\"st2\"><jats:title>Material and Methods:<\/jats:title><jats:p>Analytical cross-sectional study was carried out using a mixed-methods approach in a tertiary cancer care unit in Odisha among 538 cancer patients using the Patient Satisfaction 32 questionnaire and the Patient Health Questionnaire (PHQ)-9 questionnaire.<\/jats:p><\/jats:sec><jats:sec id=\"st3\"><jats:title>Results:<\/jats:title><jats:p>There were 41% and 43% of outdoor and indoor patients who were below poverty line. Hindu was the predominant religion (&gt;90%), 10% were illiterates and 90% were married in each category. Breast cancer (16%) was predominant among outdoor patients, whereas, it was stomach cancer (15%) among indoor patients. The PHQ median score for females was 1.5 and 1 each for indoor and outdoor patients, respectively. Nearly, 72% and 57% of males and females had mild depression to adjustment disorders statistically significant at<jats:italic>P<\/jats:italic>&lt; 0.05. 90% of outdoor and 68% of indoor patients with a greater frequency of visits were significantly more depressed than their counterparts. All those accompanied by people other than their family members also showed higher values of adjustment and mild depressive features (69%) at<jats:italic>P<\/jats:italic>&lt; 0.05. About 81% were satisfied with both general services and staff and nearly 40% with treatment and diagnosis.<\/jats:p><\/jats:sec><jats:sec id=\"st4\"><jats:title>Conclusion:<\/jats:title><jats:p>It gave us demographic details of cancer morbidity and its associates besides validating the survivorship framework in the Indian setting. Self-help anonymous and rehabilitation centres for a holistic integrative approach at the primary level of care need to be done.<\/jats:p><\/jats:sec>","DOI":"10.25259\/ijpc_74_2021","type":"journal-article","created":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T07:24:04Z","timestamp":1663745044000},"page":"398-405","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impediments of Cancer Survivorship and Palliative Care: A Mixed-Methods Study in a Tertiary Healthcare Facility in Odisha, India"],"prefix":"10.25259","volume":"28","author":[{"given":"Subrata Kumar","family":"Palo","sequence":"first","affiliation":[{"name":"Department of Health Research, DHR, RMRC, ICMR, Bhubaneswar, Odisha, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meely","family":"Panda","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, AIIMS, Bibinagar, Hyderabad, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krushna Chandra","family":"Sahoo","sequence":"additional","affiliation":[{"name":"Department of Health Research, DHR, RMRC, ICMR, Bhubaneswar, Odisha, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranab","family":"Mahapatra","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, KIMS, KIIT University, Bhubaneswar, Odisha, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanghamitra","family":"Pati","sequence":"additional","affiliation":[{"name":"Department of Health Research, DHR, RMRC, ICMR, Bhubaneswar, Odisha, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2022,9,21]]},"reference":[{"key":"10.25259\/IJPC_74_2021\/ref-1","article-title":"Global Health Observatory","author":"World Health Organization","year":"2020"},{"key":"10.25259\/IJPC_74_2021\/ref-2","doi-asserted-by":"publisher","first-page":"34","DOI":"10.6004\/jnccn.2014.0001","article-title":"Survivorship: Introduction and definition. Clinical practice guidelines in oncology","volume":"12","author":"Denlinger","year":"2014","journal-title":"J Natl Compr Canc Netw"},{"key":"10.25259\/IJPC_74_2021\/ref-4","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1002\/pon.1208","article-title":"Multi-dimensional quality of life among long-term (5+ years) adult cancer survivors","volume":"16","author":"Bloom","year":"2007","journal-title":"Psychooncology"},{"key":"10.25259\/IJPC_74_2021\/ref-5","doi-asserted-by":"publisher","first-page":"2577","DOI":"10.1002\/cncr.23448","article-title":"Physical and psychological long-term and late effects of cancer","volume":"112","author":"Stein","year":"2008","journal-title":"Cancer"},{"key":"10.25259\/IJPC_74_2021\/ref-6","doi-asserted-by":"publisher","first-page":"2091","DOI":"10.1200\/JCO.2010.32.5167","article-title":"Primary health and supportive care needs of long-term cancer survivors: A questionnaire survey","volume":"29","author":"Harrison","year":"2011","journal-title":"J Clin Oncol"},{"key":"10.25259\/IJPC_74_2021\/ref-7","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1016\/j.jpainsymman.2011.04.023","article-title":"All's well that ends well? Quality of life and physical symptom clusters in long-term cancer survivors across cancer types","volume":"43","author":"Zucca","year":"2012","journal-title":"J Pain Symptom Manage"},{"key":"10.25259\/IJPC_74_2021\/ref-8","doi-asserted-by":"publisher","first-page":"2108","DOI":"10.1158\/1055-9965.EPI-12-0740","article-title":"Mental and physical health-related quality of life among U.S. cancer survivors: Population estimates from the 2010 national health interview survey","volume":"21","author":"Weaver","year":"2012","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"10.25259\/IJPC_74_2021\/ref-9","doi-asserted-by":"publisher","first-page":"163","DOI":"10.7150\/ijms.3827","article-title":"Cancer survivors in the United States: A review of the literature and a call to action","volume":"9","author":"Valdivieso","year":"2012","journal-title":"Int J Med Sci"},{"key":"10.25259\/IJPC_74_2021\/ref-10","doi-asserted-by":"publisher","first-page":"e19","DOI":"10.1200\/JOP.2014.001403","article-title":"Models of cancer survivorship care: Overview and summary of current evidence","volume":"11","author":"Halpern","year":"2014","journal-title":"J Oncol Pract"},{"key":"10.25259\/IJPC_74_2021\/ref-11","doi-asserted-by":"publisher","first-page":"2477","DOI":"10.1056\/NEJMp1011024","article-title":"What is value in health care?","volume":"363","author":"Porter","year":"2010","journal-title":"N Eng J Med"},{"key":"10.25259\/IJPC_74_2021\/ref-12","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1200\/EDBK_156039","article-title":"The cancer survivorship journey: Models of care, disparities, barriers, and future directions","volume":"35","author":"Halpern","year":"2016","journal-title":"Am Soc Clin Oncol Educ Book"},{"key":"10.25259\/IJPC_74_2021\/ref-13","author":"Kissick","year":"1994"},{"key":"10.25259\/IJPC_74_2021\/ref-14","doi-asserted-by":"publisher","first-page":"1743","DOI":"10.1001\/jama.1988.03410120089033","article-title":"The quality of care. How can it be assessed?","volume":"260","author":"Donabedian","year":"1988","journal-title":"JAMA"},{"key":"10.25259\/IJPC_74_2021\/ref-15","author":"Hewitt","year":"2005"},{"key":"10.25259\/IJPC_74_2021\/ref-16","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1016\/j.canep.2013.09.018","article-title":"Patient navigation pathway and barriers to treatment seeking in cancer in India: A qualitative inquiry","volume":"37","author":"Pati","year":"2013","journal-title":"Cancer Epidemiol"},{"key":"10.25259\/IJPC_74_2021\/ref-17","doi-asserted-by":"publisher","first-page":"4057","DOI":"10.7314\/APJCP.2012.13.8.4057","article-title":"Awareness regarding risk factors, symptoms and treatment facilities for cancer in selected states of India","volume":"13","author":"Raj","year":"2012","journal-title":"Asian Pac J Cancer Prev"},{"key":"10.25259\/IJPC_74_2021\/ref-18","doi-asserted-by":"publisher","first-page":"e51","DOI":"10.1016\/S1470-2045(16)30563-0","article-title":"Cancer survivorship in the USA 5 Evaluation of effectiveness of survivorship programmes: How to measure success?","volume":"18","author":"Halpern","year":"2017","journal-title":"Lancet Oncol"},{"key":"10.25259\/IJPC_74_2021\/ref-19","doi-asserted-by":"publisher","first-page":"338","DOI":"10.4103\/2249-4863.192349","article-title":"Quality of care in cancer: An exploration of patient perspectives","volume":"5","author":"Mahapatra","year":"2016","journal-title":"J Family Med Prim Care"},{"key":"10.25259\/IJPC_74_2021\/ref-20","first-page":"1019","article-title":"Treatment experiences of women with reproductive cancers in Odisha, India: A qualitative exploration of enablers and barriers","volume":"18","author":"Pati","year":"2017","journal-title":"Asian Pac J Cancer Prev"},{"key":"10.25259\/IJPC_74_2021\/ref-21","doi-asserted-by":"publisher","first-page":"6333","DOI":"10.7314\/APJCP.2012.13.12.6333","article-title":"Pattern and trends of cancer in odisha, India: A retrospective study","volume":"13","author":"Hussain","year":"2012","journal-title":"Asian Pac J Cancer Prev"},{"key":"10.25259\/IJPC_74_2021\/ref-22","doi-asserted-by":"publisher","first-page":"1289","DOI":"10.1016\/S1470-2045(18)30447-9","article-title":"The burden of cancers and their variations across the states of India: The global Burden of Disease Study 1990-2016","volume":"19","author":"Dhillon","year":"2018","journal-title":"Lancet Oncol"},{"key":"10.25259\/IJPC_74_2021\/ref-23","doi-asserted-by":"publisher","first-page":"9","DOI":"10.15212\/FMCH.2015.0137","article-title":"Disconnect between primary care and cancer follow-up care: An exploratory study from Odisha, India","volume":"3","author":"Pati","year":"2015","journal-title":"Fam Med Community Health"},{"key":"10.25259\/IJPC_74_2021\/ref-24","doi-asserted-by":"crossref","first-page":"432","DOI":"10.4103\/0019-509X.200651","article-title":"Prevalence of depression and anxiety disorder in cancer patients: An institutional experience","volume":"53","author":"Shankar","year":"2016","journal-title":"Indian J Cancer"},{"key":"10.25259\/IJPC_74_2021\/ref-25","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.4103\/0973-1482.191059","article-title":"Assessment of spectrum of mental disorders in cancer patients","volume":"14","author":"Saxena","year":"2018","journal-title":"J Cancer Res Ther"},{"key":"10.25259\/IJPC_74_2021\/ref-26","doi-asserted-by":"publisher","first-page":"275","DOI":"10.4103\/0019-5545.191995","article-title":"Prevalence of psychiatric morbidity among cancer patients hospital-based, cross-sectional survey","volume":"58","author":"Gopalan","year":"2016","journal-title":"Indian J Psychiatry"},{"key":"10.25259\/IJPC_74_2021\/ref-27","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1002\/9781118715598.ch21","article-title":"COREQ (Consolidated Criteria for Reporting Qualitative Studies)","author":"Booth","year":"2014","journal-title":"Guidelines for Reporting Health Research: A User's Manual;"},{"key":"10.25259\/IJPC_74_2021\/ref-28","volume-title":"A Methods Sourcebook","author":"Miles","year":"2014"}],"container-title":["Indian Journal of Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jpalliativecare.com\/impediments-of-cancer-survivorship-and-palliative-care-a-mixed-methods-study-in-a-tertiary-healthcare-facility-in-odisha-india\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpalliativecare.com\/impediments-of-cancer-survivorship-and-palliative-care-a-mixed-methods-study-in-a-tertiary-healthcare-facility-in-odisha-india\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T08:44:42Z","timestamp":1701074682000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpalliativecare.com\/impediments-of-cancer-survivorship-and-palliative-care-a-mixed-methods-study-in-a-tertiary-healthcare-facility-in-odisha-india\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,21]]},"references-count":27,"alternative-id":["10.25259\/IJPC_74_2021"],"URL":"https:\/\/doi.org\/10.25259\/ijpc_74_2021","relation":{},"ISSN":["1998-3735","0973-1075"],"issn-type":[{"value":"1998-3735","type":"electronic"},{"value":"0973-1075","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9,21]]},"article-number":"398"}}