DOI: 10.1200/jco.2026.44.19_suppl.214 ISSN: 0732-183X

Survivorship care planning and psychosocial outcomes in cervical cancer caregivers.

Priyadharshini Mari, Deepak Saini, Abhishek Shankar

214

Background: Survival in Cervical Cancer has improved substantially, increasing reliance on informal caregivers throughout the survivorship trajectory. Caregivers experience multidimensional burdens, yet quantitative data evaluating their psychosocial distress, access to support services, and awareness of survivorship resources remain limited. This study assessed caregiver experiences using structured statistical analysis. Methods: A cross-sectional study was conducted among 57 caregivers of cervical cancer patients using a structured survivorship questionnaire. Univariate analysis (chi-square/Fisher’s exact test) evaluated associations between caregiver distress and selected variables. Odds ratios (OR) with 95% confidence intervals (CI) were calculated. Results: Mean caregiver age was 42.6 ± 11.3 years; 39/57 (68.4%) were female. Survivorship beginning at diagnosis was agreed upon by 43/57 (75.4%). Survivorship care plans were reported in 18/57 (31.6%). Psychological distress was reported by 41/57 (71.9%) for fear of recurrence, 38/57 (66.7%) for anxiety/depression, 36/57 (63.2%) for stress, and 29/57 (50.9%) for isolation. Income reduction occurred in 32/57 (56.1%). Support services were offered to 22/57 (38.6%). Lack of support was associated with higher distress (85.7% vs. 54.5%; OR 4.96, 95% CI 1.38–17.76; p = 0.01). Income reduction correlated with increased stress (81.3% vs. 48.0%; OR 4.61, 95% CI 1.29–16.39; p = 0.02). Absence of a survivorship care plan was associated with greater fear/uncertainty (83.8% vs. 55.6%; OR 4.02, 95% CI 1.12–14.39; p = 0.03). Clinical trial participation was 11/57 (19.3%); non-offer rate 37/57 (64.9%). Conclusions: Caregiver distress was significantly associated with lack of structured support, income reduction, and absence of survivorship care planning.

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