Age-related differences in unmet needs and their predictors among adults with bladder cancer

Danielle Scharp; Tung Ming Leung; Bente Thoft Jensen; Susanne Vahr Lauridsen; Dhruti Patel; Randy A. Jones; Natasha Kyprianou; Nihal Mohamed

doi:10.1016/j.urolonc.2025.06.007

Age-related differences in unmet needs and their predictors among adults with bladder cancer

Danielle Scharp^*
, Tung Ming Leung
, Bente Thoft Jensen
, Susanne Vahr Lauridsen
, Dhruti Patel
, Randy A. Jones
, Natasha Kyprianou
, Nihal Mohamed

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin - Urinvejskirurgi

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

1 Citationer (Scopus)

Abstract

Background: Bladder cancer disproportionately affects older adults, making addressing age-specific unmet needs essential. Understanding how sociodemographic, clinical, and personal/social resource factors influence unmet needs can help clinicians deliver tailored interventions to improve outcomes. Objectives: (1) Examine differences in unmet needs for patients aged <65 and ≥65, and (2) determine sociodemographic, clinical, and personal/social resource factors associated with unmet needs for patients aged <65 and ≥65. Methods: We conducted a cross-sectional study of survey data for adults aged 18 to 85 from the Bladder Cancer Advocacy Network. Unmet needs were identified a priori (psychological, health system and information, physical/daily living, patient care/support, sexuality, logistics, communication with a spouse/partner, and communication with clinicians) and assessed using the Bladder Cancer Needs Assessment Scale-32. Univariate analyses and backward model selection were used to identify sociodemographic, clinical, and personal/social resource variables associated with unmet needs for patients <65 and ≥65. Results: Overall, 155 patients with bladder cancer were included. Patients <65 had more psychological, patient care and support, sexuality, and communication with spouse/partner unmet needs, while patients ≥65 had more health system and information unmet needs. Multivariable analyses revealed significant differences in associations between unmet needs and social support, self-efficacy, and maladaptive coping for each distinct age group. Differences in unmet needs by patient sex emerged, with women experiencing more unmet needs than men in the older group. Conclusion: Findings underscore the need for tailored supportive care strategies accounting for how age, patient sex, and personal/social resources may impact unmet needs to improve bladder cancer care and outcomes.

Originalsprog	Engelsk
Tidsskrift	Urologic Oncology: Seminars and Original Investigations
Vol/bind	43
Nummer	10
Sider (fra-til)	595.e13-595.e24
ISSN	1078-1439
DOI	https://doi.org/10.1016/j.urolonc.2025.06.007
Status	Udgivet - okt. 2025

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@article{66b984f579d847b09107dbe8b04252ff,

title = "Age-related differences in unmet needs and their predictors among adults with bladder cancer",

abstract = "Background: Bladder cancer disproportionately affects older adults, making addressing age-specific unmet needs essential. Understanding how sociodemographic, clinical, and personal/social resource factors influence unmet needs can help clinicians deliver tailored interventions to improve outcomes. Objectives: (1) Examine differences in unmet needs for patients aged <65 and ≥65, and (2) determine sociodemographic, clinical, and personal/social resource factors associated with unmet needs for patients aged <65 and ≥65. Methods: We conducted a cross-sectional study of survey data for adults aged 18 to 85 from the Bladder Cancer Advocacy Network. Unmet needs were identified a priori (psychological, health system and information, physical/daily living, patient care/support, sexuality, logistics, communication with a spouse/partner, and communication with clinicians) and assessed using the Bladder Cancer Needs Assessment Scale-32. Univariate analyses and backward model selection were used to identify sociodemographic, clinical, and personal/social resource variables associated with unmet needs for patients <65 and ≥65. Results: Overall, 155 patients with bladder cancer were included. Patients <65 had more psychological, patient care and support, sexuality, and communication with spouse/partner unmet needs, while patients ≥65 had more health system and information unmet needs. Multivariable analyses revealed significant differences in associations between unmet needs and social support, self-efficacy, and maladaptive coping for each distinct age group. Differences in unmet needs by patient sex emerged, with women experiencing more unmet needs than men in the older group. Conclusion: Findings underscore the need for tailored supportive care strategies accounting for how age, patient sex, and personal/social resources may impact unmet needs to improve bladder cancer care and outcomes.",

keywords = "Bladder cancer, Older adults, Supportive cancer care, Unmet needs",

author = "Danielle Scharp and Leung, \{Tung Ming\} and Jensen, \{Bente Thoft\} and Lauridsen, \{Susanne Vahr\} and Dhruti Patel and Jones, \{Randy A.\} and Natasha Kyprianou and Nihal Mohamed",

note = "Publisher Copyright: {\textcopyright} 2025 Elsevier Inc.",

year = "2025",

month = oct,

doi = "10.1016/j.urolonc.2025.06.007",

language = "English",

volume = "43",

pages = "595.e13--595.e24",

journal = "Urologic Oncology: Seminars and Original Investigations",

issn = "1078-1439",

publisher = "Elsevier Inc.",

number = "10",

}

Age-related differences in unmet needs and their predictors among adults with bladder cancer. / Scharp, Danielle; Leung, Tung Ming; Jensen, Bente Thoft et al.
I: Urologic Oncology: Seminars and Original Investigations, Bind 43, Nr. 10, 10.2025, s. 595.e13-595.e24.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - Age-related differences in unmet needs and their predictors among adults with bladder cancer

AU - Scharp, Danielle

AU - Leung, Tung Ming

AU - Jensen, Bente Thoft

AU - Lauridsen, Susanne Vahr

AU - Patel, Dhruti

AU - Jones, Randy A.

AU - Kyprianou, Natasha

AU - Mohamed, Nihal

PY - 2025/10

Y1 - 2025/10

N2 - Background: Bladder cancer disproportionately affects older adults, making addressing age-specific unmet needs essential. Understanding how sociodemographic, clinical, and personal/social resource factors influence unmet needs can help clinicians deliver tailored interventions to improve outcomes. Objectives: (1) Examine differences in unmet needs for patients aged <65 and ≥65, and (2) determine sociodemographic, clinical, and personal/social resource factors associated with unmet needs for patients aged <65 and ≥65. Methods: We conducted a cross-sectional study of survey data for adults aged 18 to 85 from the Bladder Cancer Advocacy Network. Unmet needs were identified a priori (psychological, health system and information, physical/daily living, patient care/support, sexuality, logistics, communication with a spouse/partner, and communication with clinicians) and assessed using the Bladder Cancer Needs Assessment Scale-32. Univariate analyses and backward model selection were used to identify sociodemographic, clinical, and personal/social resource variables associated with unmet needs for patients <65 and ≥65. Results: Overall, 155 patients with bladder cancer were included. Patients <65 had more psychological, patient care and support, sexuality, and communication with spouse/partner unmet needs, while patients ≥65 had more health system and information unmet needs. Multivariable analyses revealed significant differences in associations between unmet needs and social support, self-efficacy, and maladaptive coping for each distinct age group. Differences in unmet needs by patient sex emerged, with women experiencing more unmet needs than men in the older group. Conclusion: Findings underscore the need for tailored supportive care strategies accounting for how age, patient sex, and personal/social resources may impact unmet needs to improve bladder cancer care and outcomes.

AB - Background: Bladder cancer disproportionately affects older adults, making addressing age-specific unmet needs essential. Understanding how sociodemographic, clinical, and personal/social resource factors influence unmet needs can help clinicians deliver tailored interventions to improve outcomes. Objectives: (1) Examine differences in unmet needs for patients aged <65 and ≥65, and (2) determine sociodemographic, clinical, and personal/social resource factors associated with unmet needs for patients aged <65 and ≥65. Methods: We conducted a cross-sectional study of survey data for adults aged 18 to 85 from the Bladder Cancer Advocacy Network. Unmet needs were identified a priori (psychological, health system and information, physical/daily living, patient care/support, sexuality, logistics, communication with a spouse/partner, and communication with clinicians) and assessed using the Bladder Cancer Needs Assessment Scale-32. Univariate analyses and backward model selection were used to identify sociodemographic, clinical, and personal/social resource variables associated with unmet needs for patients <65 and ≥65. Results: Overall, 155 patients with bladder cancer were included. Patients <65 had more psychological, patient care and support, sexuality, and communication with spouse/partner unmet needs, while patients ≥65 had more health system and information unmet needs. Multivariable analyses revealed significant differences in associations between unmet needs and social support, self-efficacy, and maladaptive coping for each distinct age group. Differences in unmet needs by patient sex emerged, with women experiencing more unmet needs than men in the older group. Conclusion: Findings underscore the need for tailored supportive care strategies accounting for how age, patient sex, and personal/social resources may impact unmet needs to improve bladder cancer care and outcomes.

KW - Bladder cancer

KW - Older adults

KW - Supportive cancer care

KW - Unmet needs

UR - https://www.scopus.com/pages/publications/105009919729

U2 - 10.1016/j.urolonc.2025.06.007

DO - 10.1016/j.urolonc.2025.06.007

M3 - Journal article

C2 - 40615324

AN - SCOPUS:105009919729

SN - 1078-1439

VL - 43

SP - 595.e13-595.e24

JO - Urologic Oncology: Seminars and Original Investigations

JF - Urologic Oncology: Seminars and Original Investigations

IS - 10

ER -

Age-related differences in unmet needs and their predictors among adults with bladder cancer

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