Objectives This study aimed to provide an in-depth exploration of follow-up care experiences and supportive care needs in long-term colorectal cancer (CRC) survivors within multiethnic Asian communities. Methods Semi-structured in-depth interviews were conducted on a purposive sample of 30 long-term CRC survivors who had completed all treatment without recurrence ranging 2 to 17 years in Singapore. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was conducted following grounded theory approach. Results Four themes represented the experience of the Asian long-term CRC survivors: (a) living with long-term consequences, (b) dealing with unceasing adaptation demands, (c) navigating a healthcare journey with limited direction, (d) regaining mastery through adversity. CRC and its treatment had profound physical impacts on some long-term survivors and these effected their psychological well-being. A sense of abandonment and vulnerability following the cessation of a 5-year follow-up care was repeatedly expressed. Participants defined recovery from CRC as not merely surviving but also having high physical function and full independence. They often sought less conventional remedies and medicine based on cultural beliefs rather than current evidence. Participants noted pervasive social stigma associated with CRC that impeded their inclusion in the workforce. Conclusions Asian long-term CRC survivors experienced multiple challenges and needs relating to the care experience, information provision and workforce stigmatization, and several of which were unique to the Asian context. Future work will need to consider the implementation of culturally tailored cancer survivorship care plans that incorporate the specific needs of Asian CRC survivors.
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Liverpool John Moores Univ, Fac Hlth & Appl Social Sci, Liverpool L2 2ER, Merseyside, EnglandClatterbridge Canc Ctr NHS Fdn Trust, Wirral CH63 4JY, Merseyside, England
Goodlad, Sue
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Irvine, Fiona
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Poole, Helen
论文数: 0引用数: 0
h-index: 0
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Liverpool John Moores Univ, Fac Sci, Liverpool L3 3AF, Merseyside, EnglandClatterbridge Canc Ctr NHS Fdn Trust, Wirral CH63 4JY, Merseyside, England
Poole, Helen
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Wall, Christine
论文数: 0引用数: 0
h-index: 0
机构:
Liverpool John Moores Univ, Fac Hlth & Appl Social Sci, Liverpool L32ET, Merseyside, EnglandClatterbridge Canc Ctr NHS Fdn Trust, Wirral CH63 4JY, Merseyside, England
机构:
Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, FranceInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
Arnold, Melina
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Sierra, Monica S.
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h-index: 0
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Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, FranceInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
Sierra, Monica S.
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Laversanne, Mathieu
论文数: 0引用数: 0
h-index: 0
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Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, FranceInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
Laversanne, Mathieu
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Soerjomataram, Isabelle
论文数: 0引用数: 0
h-index: 0
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Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, FranceInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
Soerjomataram, Isabelle
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Jemal, Ahmedin
论文数: 0引用数: 0
h-index: 0
机构:
Amer Canc Soc, Surveillance Res Program, Atlanta, GA 30329 USAInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
Jemal, Ahmedin
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Bray, Freddie
论文数: 0引用数: 0
h-index: 0
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Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, FranceInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
机构:
Univ Malaya, Fac Med, Dept Social & Prevent Med, Ctr Populat Hlth CePH, Kuala Lumpur 50603, MalaysiaUniv Malaya, Fac Med, Dept Social & Prevent Med, Ctr Populat Hlth CePH, Kuala Lumpur 50603, Malaysia
Azzani, Meram
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Roslani, April Camilla
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Su, Tin Tin
论文数: 0引用数: 0
h-index: 0
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Univ Malaya, Fac Med, Dept Social & Prevent Med, Ctr Populat Hlth CePH, Kuala Lumpur 50603, MalaysiaUniv Malaya, Fac Med, Dept Social & Prevent Med, Ctr Populat Hlth CePH, Kuala Lumpur 50603, Malaysia
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Univ Sheffield, No Gen Hosp, Acad Unit Primary Med Care, Sheffield S5 7AU, S Yorkshire, EnglandUniv Sheffield, No Gen Hosp, Acad Unit Primary Med Care, Sheffield S5 7AU, S Yorkshire, England
Brown, Sarah
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Greenfield, Diana
论文数: 0引用数: 0
h-index: 0
机构:
Weston Pk Hosp, Sheffield Teaching Hosp NHS FT, Specialised Canc Serv, Sheffield S10 2SJ, S Yorkshire, EnglandUniv Sheffield, No Gen Hosp, Acad Unit Primary Med Care, Sheffield S5 7AU, S Yorkshire, England
Greenfield, Diana
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Thompson, Joanne
论文数: 0引用数: 0
h-index: 0
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Univ Sheffield, No Gen Hosp, Acad Unit Primary Med Care, Sheffield S5 7AU, S Yorkshire, EnglandUniv Sheffield, No Gen Hosp, Acad Unit Primary Med Care, Sheffield S5 7AU, S Yorkshire, England
机构:
Liverpool John Moores Univ, Fac Hlth & Appl Social Sci, Liverpool L2 2ER, Merseyside, EnglandClatterbridge Canc Ctr NHS Fdn Trust, Wirral CH63 4JY, Merseyside, England
Goodlad, Sue
;
论文数: 引用数:
h-index:
机构:
Irvine, Fiona
;
Poole, Helen
论文数: 0引用数: 0
h-index: 0
机构:
Liverpool John Moores Univ, Fac Sci, Liverpool L3 3AF, Merseyside, EnglandClatterbridge Canc Ctr NHS Fdn Trust, Wirral CH63 4JY, Merseyside, England
Poole, Helen
;
Wall, Christine
论文数: 0引用数: 0
h-index: 0
机构:
Liverpool John Moores Univ, Fac Hlth & Appl Social Sci, Liverpool L32ET, Merseyside, EnglandClatterbridge Canc Ctr NHS Fdn Trust, Wirral CH63 4JY, Merseyside, England
机构:
Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, FranceInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
Arnold, Melina
;
Sierra, Monica S.
论文数: 0引用数: 0
h-index: 0
机构:
Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, FranceInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
Sierra, Monica S.
;
Laversanne, Mathieu
论文数: 0引用数: 0
h-index: 0
机构:
Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, FranceInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
Laversanne, Mathieu
;
Soerjomataram, Isabelle
论文数: 0引用数: 0
h-index: 0
机构:
Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, FranceInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
Soerjomataram, Isabelle
;
Jemal, Ahmedin
论文数: 0引用数: 0
h-index: 0
机构:
Amer Canc Soc, Surveillance Res Program, Atlanta, GA 30329 USAInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
Jemal, Ahmedin
;
Bray, Freddie
论文数: 0引用数: 0
h-index: 0
机构:
Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, FranceInt Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69008 Lyon, France
机构:
Univ Malaya, Fac Med, Dept Social & Prevent Med, Ctr Populat Hlth CePH, Kuala Lumpur 50603, MalaysiaUniv Malaya, Fac Med, Dept Social & Prevent Med, Ctr Populat Hlth CePH, Kuala Lumpur 50603, Malaysia
Azzani, Meram
;
论文数: 引用数:
h-index:
机构:
Roslani, April Camilla
;
Su, Tin Tin
论文数: 0引用数: 0
h-index: 0
机构:
Univ Malaya, Fac Med, Dept Social & Prevent Med, Ctr Populat Hlth CePH, Kuala Lumpur 50603, MalaysiaUniv Malaya, Fac Med, Dept Social & Prevent Med, Ctr Populat Hlth CePH, Kuala Lumpur 50603, Malaysia
机构:
Univ Sheffield, No Gen Hosp, Acad Unit Primary Med Care, Sheffield S5 7AU, S Yorkshire, EnglandUniv Sheffield, No Gen Hosp, Acad Unit Primary Med Care, Sheffield S5 7AU, S Yorkshire, England
Brown, Sarah
;
Greenfield, Diana
论文数: 0引用数: 0
h-index: 0
机构:
Weston Pk Hosp, Sheffield Teaching Hosp NHS FT, Specialised Canc Serv, Sheffield S10 2SJ, S Yorkshire, EnglandUniv Sheffield, No Gen Hosp, Acad Unit Primary Med Care, Sheffield S5 7AU, S Yorkshire, England
Greenfield, Diana
;
Thompson, Joanne
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sheffield, No Gen Hosp, Acad Unit Primary Med Care, Sheffield S5 7AU, S Yorkshire, EnglandUniv Sheffield, No Gen Hosp, Acad Unit Primary Med Care, Sheffield S5 7AU, S Yorkshire, England