Staff View: Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study

Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study

Background The state of Sarawak on the island of Borneo in East Malaysia, in working towards developing and strengthening cancer services through a holistic patient-centred approach, must focus on the comprehensive needs of cancer patients by taking into account the psychosocial, cultural and spi...

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Main Authors:	Melissa Lim, Siaw Han, Voon, Pei Jye, Adibah, Ali, Fitri Suraya, Mohamad, Lin, Jong, Chew, Lee Ping, Mohamad Adam, Bujang, Yolanda, Augustin, Cheng, Yuong Kang
Format:	Article
Language:	English
Published:	PLOS 2024
Subjects:	R Medicine (General) RS Pharmacy and materia medica
Online Access:	http://ir.unimas.my/id/eprint/45428/1/Gaps%20in%20cancer%20care.pdf http://ir.unimas.my/id/eprint/45428/ https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0296954 https://doi.org/10.1371/journal. pone.0296954
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id	my.unimas.ir.45428
record_format	eprints
spelling	my.unimas.ir.454282024-07-30T02:54:56Z http://ir.unimas.my/id/eprint/45428/ Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study Melissa Lim, Siaw Han Voon, Pei Jye Adibah, Ali Fitri Suraya, Mohamad Lin, Jong Chew, Lee Ping Mohamad Adam, Bujang Yolanda, Augustin Cheng, Yuong Kang R Medicine (General) RS Pharmacy and materia medica Background The state of Sarawak on the island of Borneo in East Malaysia, in working towards developing and strengthening cancer services through a holistic patient-centred approach, must focus on the comprehensive needs of cancer patients by taking into account the psychosocial, cultural and spiritual aspects of Sarawak’s multi-ethnic, multi-cultural population. Methods A 42-item survey questionnaire was developed and validated with a total of 443 patients. The perceived importance of information provided and level of patient satisfaction were assessed with a 5-point Likert scale in 10 domains (Diagnosis, Surgery, Radiotherapy, Systemic therapy, Clinical trials, Pain management, Treatment monitoring, Psychosocial support, Sexual care and fertility issues, and Financial support). A Spearman’s rank correlation test was applied to determine the correlation between response in both item and domain categories for perceived importance and satisfaction. Results Overall, patients were more satisfied with information related to cancer diagnosis, treatment and surgery but less satisfied with information pertaining to sexual aspects of care and family planning, psycho-social support and financial support. The majority of patients were satisfied with the level of treatment-related information received but preferred the information to be delivered in more easily comprehendible formats. Sexual aspects of care and family planning, psychosocial support and treatment monitoring post-discharge were perceived as important but seldom addressed by health care professionals due to lack of professional counsellors, social workers and clinical nurse specialists. Many patients face financial toxicity following a cancer diagnosis, particularly when diagnosed with advanced cancer requiring complex multi-modality treatment. PLOS 2024 Article PeerReviewed text en http://ir.unimas.my/id/eprint/45428/1/Gaps%20in%20cancer%20care.pdf Melissa Lim, Siaw Han and Voon, Pei Jye and Adibah, Ali and Fitri Suraya, Mohamad and Lin, Jong and Chew, Lee Ping and Mohamad Adam, Bujang and Yolanda, Augustin and Cheng, Yuong Kang (2024) Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study. PLoS ONE, 19 (7). pp. 1-17. ISSN 1932-6203 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0296954 https://doi.org/10.1371/journal. pone.0296954
institution	Universiti Malaysia Sarawak
building	Centre for Academic Information Services (CAIS)
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaysia Sarawak
content_source	UNIMAS Institutional Repository
url_provider	http://ir.unimas.my/
language	English
topic	R Medicine (General) RS Pharmacy and materia medica
spellingShingle	R Medicine (General) RS Pharmacy and materia medica Melissa Lim, Siaw Han Voon, Pei Jye Adibah, Ali Fitri Suraya, Mohamad Lin, Jong Chew, Lee Ping Mohamad Adam, Bujang Yolanda, Augustin Cheng, Yuong Kang Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study
description	Background The state of Sarawak on the island of Borneo in East Malaysia, in working towards developing and strengthening cancer services through a holistic patient-centred approach, must focus on the comprehensive needs of cancer patients by taking into account the psychosocial, cultural and spiritual aspects of Sarawak’s multi-ethnic, multi-cultural population. Methods A 42-item survey questionnaire was developed and validated with a total of 443 patients. The perceived importance of information provided and level of patient satisfaction were assessed with a 5-point Likert scale in 10 domains (Diagnosis, Surgery, Radiotherapy, Systemic therapy, Clinical trials, Pain management, Treatment monitoring, Psychosocial support, Sexual care and fertility issues, and Financial support). A Spearman’s rank correlation test was applied to determine the correlation between response in both item and domain categories for perceived importance and satisfaction. Results Overall, patients were more satisfied with information related to cancer diagnosis, treatment and surgery but less satisfied with information pertaining to sexual aspects of care and family planning, psycho-social support and financial support. The majority of patients were satisfied with the level of treatment-related information received but preferred the information to be delivered in more easily comprehendible formats. Sexual aspects of care and family planning, psychosocial support and treatment monitoring post-discharge were perceived as important but seldom addressed by health care professionals due to lack of professional counsellors, social workers and clinical nurse specialists. Many patients face financial toxicity following a cancer diagnosis, particularly when diagnosed with advanced cancer requiring complex multi-modality treatment.
format	Article
author	Melissa Lim, Siaw Han Voon, Pei Jye Adibah, Ali Fitri Suraya, Mohamad Lin, Jong Chew, Lee Ping Mohamad Adam, Bujang Yolanda, Augustin Cheng, Yuong Kang
author_facet	Melissa Lim, Siaw Han Voon, Pei Jye Adibah, Ali Fitri Suraya, Mohamad Lin, Jong Chew, Lee Ping Mohamad Adam, Bujang Yolanda, Augustin Cheng, Yuong Kang
author_sort	Melissa Lim, Siaw Han
title	Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study
title_short	Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study
title_full	Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study
title_fullStr	Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study
title_full_unstemmed	Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study
title_sort	gaps in cancer care in a multi-ethnic population in sarawak, borneo : a central referral centre study
publisher	PLOS
publishDate	2024
url	http://ir.unimas.my/id/eprint/45428/1/Gaps%20in%20cancer%20care.pdf http://ir.unimas.my/id/eprint/45428/ https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0296954 https://doi.org/10.1371/journal. pone.0296954
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score	13.211869

Gaps in cancer care in a multi-ethnic population in Sarawak, Borneo : A central referral centre study

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