La transition des survivants des cancers du sein et colorectaux vers les soins de suivi primaires : étude qualitative sur le type de cancer et le sexe

Lauriane Giguère, Brittany Mutsaers, Dina Babiker, Paola Garcia, Tori Langmuir, Carrie MacDonald-Liska, Justin Presseau, Gail Larocque, Cheryl Harris, Marie-Hélène Chomienne, Kednapa Thavorn, Sophie Lebel

Abstract


Depuis 2024, 64 % des survivants du cancer prolongent leur vie de 5 ans ou plus grâce à leur traitement. Cependant, les besoins de soins de suivi sont particuliers chez cette population en croissance et la transition des traitements contre le cancer vers les soins de suivi primaires est ardue. Plus d’informations sont nécessaires pour comprendre ce qui facilite ou empêche cette transition. Le sexe et le type de cancer des survivants font partie des facteurs susceptibles d’influencer leur expérience de la transition. À l’aide d’une analyse thématique secondaire et du contenu de 30 entrevues réalisées auprès de personnes ayant survécu au cancer colorectal et du sein, nous avons étudié l’impact du sexe et du type de cancer sur leur expérience de la transition. L’analyse des thèmes définis a révélé que le sexe et le type de cancer ont une incidence sur la transition des survivants, tant sur les plans multidimensionnel qu’individuel. Les survivants du cancer colorectal ont rapporté davantage d’effets secondaires tardifs et à long terme que les survivantes du cancer du sein, décrivant différemment leur qualité de vie et leurs besoins non satisfaits. Si les hommes confient davantage leurs soins de suivi à leurs épouses et sont plus distants avec leurs professionnels de la santé, les femmes s’occupent de leur propre suivi et se disent plus proches des professionnels, ce qui facilite leur transition vers les soins de suivi.

Mots-clés : survie, méthodes qualitatives, soins de suivi, caractéristiques sociodémographiques, type de cancer, sexe et analyse basée sur le sexe


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