ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Life beyond remission: physical, emotional, and social reintegration of cancer survivors in Tunisia-a cross-sectional study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo explore the post-remission physical, emotional, and social experiences of cancer survivors in Tunisia, assess their evolving perception, and identify predictive factors for poor post-remission quality of life.
methodsCancer survivors with different ages, genders, and cancer types took part in a questionnaire-based survey. This survey explored key dimensions of their lives, exploring their functional abilities, social interactions, and emotional well-being.
resultsThe study included 110 patients. Median age was 58 years [37-81] with 75% being women. Median follow-up was 45 months [24-101]. Breast (44%) and colorectal (32.7%) cancers were the most common. Chronic pain affected 40% of survivors and was more frequent in rural residents (OR = 2.9). Lack of analgesic treatment was associated with persistent moderate to severe pain (OR = 3.6). Sleep disturbances affected 37.3% of patients and were independently associated with fear of cancer recurrence (FCR) (OR = 3.77) and chronic pain (OR = 2.56). Seventy percent of our patients felt their lives had gained deeper meaning. Positive lifestyle changes were noted in 38.9% of cases, including healthier dietary habits (40.9%), increased religious practices (31%), and engagement in physical activities (20%). Anxiety was reported by 58.1% of participants and was more common among women, younger patients, and those recently treated. FCR was reported by 40% of patients and was associated with more severe depression (OR = 2.35) and anxiety (OR = 3.12) symptoms. Sixty-one percent resumed work, with 15.7% transitioning to new job roles.
conclusionsYears after remission, cancer survivors face persistent physical, emotional, and social challenges. Culturally adapted survivorship care models are needed to improve symptom control, psychosocial support, and vocational reintegration.
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