Pattern and predictors of needs of older patients with cancer undergoing chemotherapy: A qualitative study

Both cancer and aging lead to unique and complex needs. This qualitative study aimed to investigate the pattern and predictors of these needs from the perspectives of older patients undergoing outpatient chemotherapy. Using semi-structured face-to-face interviews, data were gathered and analyzed through thematic analysis, which was aided by the Maxqda software and collected data from 16 participants. Two themes emerged from the data: "Collectivistic culture," which encompassed sub-themes of role reversal/paternalism, bystander in decisions and self-expression; and "Navigating existential and emotional complexities," which included being preoccupied with death/dying, self-blame, being grateful/optimistic, and altruism. The findings reveal the determinants of need for older patients with cancer that the cultural, unique and adopted distinctive coping systems landscape. Cultural influences were evident in decision-making processes and perceptions of illness. This study demonstrates the critical importance of adopting patient-centered approaches that prioritize the voices and unique needs of older patients with cancer.