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This cross-sectional study assessed symptom burden, supportive care needs, and distress among 158 patients with advanced lung, head and neck, or gastrointestinal cancers within one month of treatment initiation. Measures included MDASI for symptoms and SCNS-34 for unmet needs. Distress correlated with multiple unmet-care domains, and caregiver living status related to lower needs in most domains.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/unmet-supportive-care-needs-in-patients-with-advanced-cancer-and-its-impact-on-distress/371433/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/unmet-supportive-care-needs-in-patients-with-advanced-cancer-and-its-impact-on-distress/371433.png","ImageObject",300,407,{"name":92,"@type":93},"\tJames","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What was the purpose of the study on advanced cancer?","Question",{"text":113,"@type":114},"To examine how cancer-related symptoms, unmet supportive care needs, and distress levels are associated in patients with advanced lung, head and neck, or gastrointestinal cancers.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were supportive care needs and distress measured?",{"text":118,"@type":114},"Symptom burden and distress were measured using the M. 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Anderson Symptom Inventory (MDASI), and unmet needs were measured using the Supportive Care Needs Survey (SCNS-34) within one month of treatment initiation.",{"name":120,"@type":111,"acceptedAnswer":121},"What did the results show about caregiver support and unmet needs?",{"text":122,"@type":114},"Patients who lived with caregivers reported significantly lower needs in four out of five domains, while distress showed positive correlations with several supportive care need domains.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},371433,1790240267,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Miranda et al. BMC Palliative Care (2025) 24:110 BMC Palliative Care  \n[https://doi.org/10.1186/s12904-025-01746-x](https://doi.org/10.1186/s12904-025-01746-x)  \nRESEARCH Open Access  \nUnmet supportive care needs in patients with advanced cancer and its impact on distress  \nKayla W. Miranda 1*, Benjamin L. Musher 1 and Hoda J. Badr 1,2  \nAbstract  \nPurpose Patients with advanced cancer endure considerable physical and emotional distress without sufficient supportive care. This cross-sectional study examined the relationship between cancer-related symptoms, supportive care needs, and distress levels in patients with advanced lung, head and neck, or gastrointestinal cancers.  \nMethods 158 patients were assessed for symptom burden and distress levels using the M. D. Anderson Symptom Inventory (MDASI) and unmet needs using the Supportive Care Needs Survey (SCNS-34) within one month of treatment initiation. Pearson correlations and multiple regression analyses were used to explore associations between supportive care needs and distress.  \nResults Distress levels were moderate across the study population, with fatigue, pain, and disturbed sleep being the most reported symptoms. Patients who lived with their caregivers reported significantly lower needs in four out of five domains. Positive correlations were found between distress levels and supportive care needs in the psychological (r = 0 . 342, p \u003C 0. 001), health system (r = 0 . 253, p = 0 . 001), patient care and support (r = 0 . 237, p = 0 . 003), and physical and daily living domains (r = 0 . 378, p \u003C 0. 001) . Multiple regression analysis showed that these domains collectively explained a significant portion of the variance in distress levels (R2 = 0 . 169, p \u003C 0. 001) .  \nConclusion Independent of demographic or clinic characteristics, patients with advanced cancer experience moderate distress and unmet supportive care needs, particularly in psychological and health system domains. The association between living with caregivers and lower reported needs suggests that caregiver support may playa crucial role in meeting these needs. Therefore, integrating strategies that involve and support caregivers could potentially reduce distress and improve the quality of life for patients with advanced cancer.  \nKeywords Advanced cancer, Caregiver, Distress, Supportive care  \n*Correspondence:  \nKayla W. Miranda  \n[kayla.miranda@bcm.edu](kayla.miranda@bcm.edu)  \n1Dan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX, USA  \n2Epidemiology & Population Sciences, Baylor College of Medicine, Houston, TX, USA  \n© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit [http://creati](http://creati)[vecommons.org/l](vecommons.org/l)icenses/by-nc-nd/4.0/.  \nMiranda et al. BMC Palliative Care (2025) 24:110  \nIntroduction  \nWhile cancer mortality rates have steadily improved over the past four decades, the global burden of cancer is expected to increase to 29.9 million new cases per year by 2040 (NCI). Despite advances in cancer therapy, patients still","cbCaivnYfWmNfXbL","https://ap.wps.com/l/cbCaivnYfWmNfXbL","pdf",1153146,"English","# Abstract\n## Purpose\n## Methods\n## Results\n## Conclusion\n# Introduction\n## Background and rationale","[{\"question\":\"What was the purpose of the study on advanced cancer?\",\"answer\":\"To examine how cancer-related symptoms, unmet supportive care needs, and distress levels are associated in patients with advanced lung, head and neck, or gastrointestinal cancers.\"},{\"question\":\"How were supportive care needs and distress measured?\",\"answer\":\"Symptom burden and distress were measured using the M. D. Anderson Symptom Inventory (MDASI), and unmet needs were measured using the Supportive Care Needs Survey (SCNS-34) within one month of treatment initiation.\"},{\"question\":\"What did the results show about caregiver support and unmet needs?\",\"answer\":\"Patients who lived with caregivers reported significantly lower needs in four out of five domains, while distress showed positive correlations with several supportive care need domains.\"}]","Unmet supportive care needs in patients with advanced cancer and its impact on distress | PDF",1790192063,23]