Background/Objectives: The Korean Survey for Cancer Survivorship (KSCS) aims to comprehensively assess cancer survivors’ health behaviors, quality of life (QoL), and socioeconomic challenges. This study evaluated the feasibility of the KSCS protocol and identified key factors influencing psychological health and QoL among cancer survivors.Methods: The nationwide survey targeted survivors diagnosed with breast, colorectal, liver, lung, stomach, prostate, and gynecological cancers who had completed active treatment within 1 to 10 years. The respondents were given the option to participate in the survey either online or in-person. The questionnaire has 229 questions, including internationally validated tools such as the EQ-5D-3L, PHQ-9, and GAD-7.Results: A total of 983 cancer survivors completed the survey (92.7% online, 8.3% in-person) and were categorized by post-diagnosis duration. Survivors diagnosed within 1–3 years reported higher rates of moderate-severe depression (11.4% vs. 8.3%), moderate-severe anxiety (5.9% vs. 5.1%), and poorest QoL (63.0% vs. 50.9%) compared to those diagnosed more than 5 years ago. Employment changes, such as loss of job, change of workplace, or work leave, were significantly associated with worse health outcomes, including higher rates of moderate-severe depression (OR = 4.39; 95% CI 2.43–7.96), moderate-severe anxiety (OR = 3.63; 95% CI 1.68–0.88), and having extreme QoL problems (OR = 6.37; 95% CI 2.03–20.00).Conclusions: The KSCS protocol is feasible for nationwide implementation and provides comprehensive data on health, psychological, and socioeconomic challenges among cancer survivors. Preliminary findings highlight employment’s critical role in cancer survivors’ well-being and the need for survivorship care that integrates socioeconomic and clinical factors.
背景/目的：韩国癌症生存者调查（KSCS）旨在全面评估癌症生存者的健康行为、生活质量及社会经济挑战。本研究评估了KSCS方案的可行性，并确定了影响癌症生存者心理健康与生活质量的关键因素。方法：这项全国性调查对象为确诊乳腺癌、结直肠癌、肝癌、肺癌、胃癌、前列腺癌和妇科癌症，且在1至10年内已完成积极治疗的生存者。受访者可根据意愿选择在线或线下参与问卷。问卷共包含229个问题，涵盖EQ-5D-3L、PHQ-9、GAD-7等国际标准化评估工具。结果：共983名癌症生存者完成调查（92.7%在线参与，8.3%线下参与），按确诊后时间分组分析。与确诊超过5年的生存者相比，确诊1-3年的生存者中重度抑郁（11.4% vs. 8.3%）、中重度焦虑（5.9% vs. 5.1%）及最差生活质量（63.0% vs. 50.9%）的发生率更高。就业状况变化（如失业、岗位变动或休假）与健康结局恶化显著相关，包括更高的中重度抑郁风险（OR=4.39；95%CI 2.43-7.96）、中重度焦虑风险（OR=3.63；95%CI 1.68-7.88）及极端生活质量问题风险（OR=6.37；95%CI 2.03-20.00）。结论：KSCS方案具备全国推广的可行性，能为癌症生存者的健康、心理及社会经济挑战提供全面数据。初步结果凸显就业状况对癌症生存者福祉的关键影响，表明生存期照护需整合社会经济与临床因素。
肿瘤(癌症)患者之家