{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T19:54:20Z","timestamp":1783367660606,"version":"3.54.6"},"reference-count":19,"publisher":"Harborside Press, LLC","issue":"1D","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Newer therapies prolong survival for patients with lung cancer. Beyond extending survival, the needs of lung cancer (LC) survivors are poorly described. <jats:bold>Methods:<\/jats:bold> We conducted a single-institution needs assessment survey of LC survivors alive \u22651 year from diagnosis. Needs were rated on a 5-point Likert scale for 4 domains (physical, social, emotional, and medical). Multiple regression models identified demographic or treatment characteristics associated with more needs in each category. A subset analysis of survivors with metastatic LC was performed. <jats:bold>Results:<\/jats:bold> Of 360 patients approached, 235 surveys were completed. Among completed survey respondents, the median age was 69 years; most were female (62%), married (71%), and White (74%); and 41% had stage IV cancer. Finding support resources (34%) was the most common medical need. Fatigue (70%), sleep disturbance (60%), memory and concentration (57.5%), weakness (54%), and trouble breathing (51%) were physical needs affecting more than half of respondents. The most common social need was managing daily activities (42%). Emotional needs were highly prevalent, with 79% of respondents reporting a fear of recurrence and 74.5% reporting living with uncertainty. Multiple regression analysis identified that receipt of multiple lines of systemic therapy and lower household income were associated with higher physical and social needs. Younger age was associated with having a greater number of social and emotional needs. Similar results were found in the subset of survivors with metastatic disease at diagnosis. <jats:bold>Conclusions:<\/jats:bold> The needs of LC survivors are diverse across multiple domains. Several clinical and demographic factors are independently associated with higher numbers of patient-reported needs. Our study identifies critical gaps in survivorship care for LC survivors with all stages of disease and highlights areas of future intervention.<\/jats:p>","DOI":"10.6004\/jnccn.2023.7072","type":"journal-article","created":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T20:08:35Z","timestamp":1704398915000},"page":"1-9.e13","source":"Crossref","is-referenced-by-count":14,"title":["Lung Cancer Survivorship: Physical, Social, Emotional, and Medical Needs of NSCLC Survivors"],"prefix":"10.6004","volume":"22","author":[{"given":"Melinda L.","family":"Hsu","sequence":"first","affiliation":[{"name":"Department of Oncology, Johns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland"},{"name":"University Hospitals Seidman Cancer Center, Cleveland, Ohio"},{"name":"Case Western Reserve University, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew Z.","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Oncology, Johns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Olson","sequence":"additional","affiliation":[{"name":"Biostatistics, Epidemiology, and Data Management (BEAD), Johns Hopkins Bayview Medical Center, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyd","family":"Eaton","sequence":"additional","affiliation":[{"name":"Biostatistics, Epidemiology, and Data Management (BEAD), Johns Hopkins Bayview Medical Center, Baltimore, Maryland"},{"name":"Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Boulanger","sequence":"additional","affiliation":[{"name":"Department of Oncology, Johns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland"},{"name":"Dana-Farber Cancer Institute\/Mass General Brigham, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Oncology, Johns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattea E.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Oncology, Johns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Nguyen","sequence":"additional","affiliation":[{"name":"AstraZeneca, Gaithersburg, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karol","family":"Szczepanek","sequence":"additional","affiliation":[{"name":"AstraZeneca, Gaithersburg, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Shenolikar","sequence":"additional","affiliation":[{"name":"AstraZeneca, Gaithersburg, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine L.","family":"Feliciano","sequence":"additional","affiliation":[{"name":"Department of Oncology, Johns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4047","reference":[{"key":"B1","series-title":"N Engl J Med","first-page":"2438","article-title":"Cancer survivorship","volume":"379","author":"Shapiro CL","year":"2018","unstructured":"Shapiro CL. Cancer survivorship. N Engl J Med 2018;379:2438\u20132450."},{"key":"B2","series-title":"J Natl Cancer Inst","first-page":"1300","article-title":"Long-term survivorship care after cancer treatment \u2013 summary of a 2017 National Cancer Policy Forum workshop","volume":"110","author":"Kline RM","year":"2018","unstructured":"Kline RM, Arora NK, Bradley CJ,  Long-term survivorship care after cancer treatment \u2013 summary of a 2017 National Cancer Policy Forum workshop. J Natl Cancer Inst 2018;110:1300\u20131310."},{"key":"B3","series-title":"J Natl Cancer Inst","first-page":"1120","article-title":"Developing a quality of cancer survivorship care framework: implications for clinical care, research, and policy","volume":"111","author":"Nekhlyudov L","year":"2019","unstructured":"Nekhlyudov L, Mollica MA, Jacobsen PB,  Developing a quality of cancer survivorship care framework: implications for clinical care, research, and policy. J Natl Cancer Inst 2019;111:1120\u20131130."},{"key":"B4","series-title":"J Oncol Pract","first-page":"e19","article-title":"Models of cancer survivorship care: overview and summary of current evidence","volume":"11","author":"Halpern MT","year":"2015","unstructured":"Halpern MT, Viswanathan M, Evans TS,  Models of cancer survivorship care: overview and summary of current evidence. J Oncol Pract 2015;11:e19\u201327."},{"key":"B5","series-title":"Lancet Oncol","first-page":"e30","article-title":"Integrating primary care providers in the care of cancer survivors: gaps in evidence and future opportunities","volume":"18","author":"Nekhlyudov L","year":"2017","unstructured":"Nekhlyudov L, O\u2019malley DM, Hudson SV. Integrating primary care providers in the care of cancer survivors: gaps in evidence and future opportunities. Lancet Oncol 2017;18:e30\u201338."},{"key":"B6","series-title":"JAMA Intern Med","first-page":"1726","article-title":"Cancer survivorship care in advanced primary care practices: a qualitative study of challenges and opportunities","volume":"177","author":"Rubinstein EB","year":"2017","unstructured":"Rubinstein EB, Miller WL, Hudson SV,  Cancer survivorship care in advanced primary care practices: a qualitative study of challenges and opportunities. JAMA Intern Med 2017;177:1726\u20131732."},{"key":"B7","series-title":"J Cancer Surviv","first-page":"19","article-title":"The Johns Hopkins Primary Care for Cancer Survivor Clinic: lessons learned in our first 4 years","volume":"14","author":"Choi Y","year":"2020","unstructured":"Choi Y, Radhakrishnan A, Mahabare D,  The Johns Hopkins Primary Care for Cancer Survivor Clinic: lessons learned in our first 4 years. J Cancer Surviv 2020;14:19\u201325."},{"key":"B8","series-title":"Cancer Manag Res","first-page":"943","article-title":"Trends in the incidence, treatment, and survival of patients with lung cancer in the last four decades","volume":"11","author":"Lu T","year":"2019","unstructured":"Lu T, Yang X, Huang Y,  Trends in the incidence, treatment, and survival of patients with lung cancer in the last four decades. Cancer Manag Res 2019;11:943\u2013953."},{"key":"B9","article-title":"Cancer stat facts: lung and bronchus cancer","unstructured":"National Cancer Institute. Cancer stat facts: lung and bronchus cancer. Accessed June 1, 2023. Available at: https:\/\/seer.cancer.gov\/statfacts\/html\/lungb.html"},{"key":"B10","series-title":"Ann Oncol","first-page":"1552","article-title":"Needs regarding care and factors associated with unmet needs in disease-free survivors of surgically treated lung cancer","volume":"24","author":"Yun YH","year":"2013","unstructured":"Yun YH, Shon EJ, Yang AJ,  Needs regarding care and factors associated with unmet needs in disease-free survivors of surgically treated lung cancer. Ann Oncol 2013;24:1552\u20131559."},{"key":"B11","series-title":"Psychooncology","first-page":"465","article-title":"Comparison of fatigue, depression, and anxiety as factors affecting posttreatment health-related quality of life in lung cancer survivors","volume":"27","author":"Jung JY","year":"2018","unstructured":"Jung JY, Lee JM, Kim MS,  Comparison of fatigue, depression, and anxiety as factors affecting posttreatment health-related quality of life in lung cancer survivors. Psychooncology 2018;27:465\u2013470."},{"key":"B12","series-title":"Clin Lung Cancer","first-page":"40","article-title":"Long-term lung cancer survivors have permanently decreased quality of life after surgery","volume":"16","author":"Rauma V","year":"2015","unstructured":"Rauma V, Sintonen H, R\u00e4s\u00e4nen JV,  Long-term lung cancer survivors have permanently decreased quality of life after surgery. Clin Lung Cancer 2015;16:40\u201345."},{"key":"B13","series-title":"Psychooncology","first-page":"2002","article-title":"Psychological distress in lung cancer survivors at least 1 year after diagnosis\u2014results of a German multicenter cross-sectional study","volume":"27","author":"Eichler M","year":"2018","unstructured":"Eichler M, Hechtner M, Wehler B,  Psychological distress in lung cancer survivors at least 1 year after diagnosis\u2014results of a German multicenter cross-sectional study. Psychooncology 2018;27:2002\u20132008."},{"key":"B14","series-title":"J Thorac Oncol","first-page":"420","article-title":"Quality of life in NSCLC survivors\u2014 a multicenter cross-sectional study","volume":"14","author":"Hechtner M","year":"2019","unstructured":"Hechtner M, Eichler M, Wehler B,  Quality of life in NSCLC survivors\u2014 a multicenter cross-sectional study. J Thorac Oncol 2019;14:420\u2013435."},{"key":"B15","series-title":"Oncol Nurs Forum","first-page":"35","article-title":"Concerns across the survivorship trajectory: results from a survey of cancer survivors","volume":"40","author":"Ness S","year":"2013","unstructured":"Ness S, Kokal J, Fee-Schroeder K,  Concerns across the survivorship trajectory: results from a survey of cancer survivors. Oncol Nurs Forum 2013;40:35\u201342."},{"key":"B16","series-title":"J Thorac Oncol","first-page":"1243","article-title":"The 2015 World Health Organization classification of lung tumors: impact of genetic, clinical and radiologic advances since the 2004 classification","volume":"10","author":"Travis WD","year":"2015","unstructured":"Travis WD, Brambilla E, Nicholson AG,  The 2015 World Health Organization classification of lung tumors: impact of genetic, clinical and radiologic advances since the 2004 classification. J Thorac Oncol 2015;10:1243\u20131260."},{"key":"B17","series-title":"Chest","first-page":"193","article-title":"The eighth edition lung cancer stage classification","volume":"151","author":"Detterbeck FC","year":"2017","unstructured":"Detterbeck FC, Boffa DJ, Kim AW,  The eighth edition lung cancer stage classification. Chest 2017;151:193\u2013203."},{"key":"B18","series-title":"Clin J Oncol Nurs","first-page":"E99","article-title":"Survivorship model of care: development and implementation of a nurse practitioner-led intervention for patients with breast cancer","volume":"21","author":"Post KE","year":"2017","unstructured":"Post KE, Moy B, Furlani C,  Survivorship model of care: development and implementation of a nurse practitioner-led intervention for patients with breast cancer. Clin J Oncol Nurs 2017;21:E99\u2013105."},{"key":"B19","series-title":"J Thorac Cardiovasc Surg","first-page":"1645","article-title":"Long-term assessment of efficacy with a novel thoracic survivorship program for patients with lung cancer","volume":"163","author":"Keshava HB","year":"2022","unstructured":"Keshava HB, Tan KS, Dycoco J,  Long-term assessment of efficacy with a novel thoracic survivorship program for patients with lung cancer. J Thorac Cardiovasc Surg 2022;163:1645\u20131653.e4."}],"container-title":["Journal of the National Comprehensive Cancer Network"],"original-title":[],"link":[{"URL":"https:\/\/jnccn.org\/view\/journals\/jnccn\/22\/1D\/article-p1_10.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jnccn.org\/downloadpdf\/journals\/jnccn\/22\/1D\/article-p1_10.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/jnccn.org\/downloadpdf\/journals\/jnccn\/22\/1D\/article-p1_10.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T20:34:44Z","timestamp":1705696484000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnccn.org\/view\/journals\/jnccn\/22\/1D\/article-p1_10.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":19,"journal-issue":{"issue":"1D"},"URL":"https:\/\/doi.org\/10.6004\/jnccn.2023.7072","relation":{},"ISSN":["1540-1405","1540-1413"],"issn-type":[{"value":"1540-1405","type":"print"},{"value":"1540-1413","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}