Support and care needs among Mexican women with metastatic breast cancer

Abstract

Background: Women with metastatic breast cancer (MBC) face unique challenges throughout their disease journey. Unfortunately, there is limited research on the specific needs of patients with MBC in low- and middle-income countries such as Mexico. Understanding the priorities of this population is crucial for improving their care.

Methods: Women aged ≥ 18 years with a diagnosis of MBC receiving systemic therapy or best supportive care at a cancer referral center in Mexico City were invited to participate in semi-structured interviews focused on identifying their support and care needs.

Results: A total of 13 participants were interviewed (median age 50 years, range of 26-63), of which 77% (n = 10) were receiving active oncological therapy and 23% (n = 3) were on best supportive care. Key needs emerged in three domains: (A) information: participants found medical explanations overly technical and desired clearer communication about prognosis while also limiting distressing details; (B) access to care and emotional support: patients reported limited medication access, insufficient psychological support at diagnosis of metastatic disease, and a need for peer interactions; (C) financial and social burdens: financial aid for treatment, transportation, and household assistance were highlighted as major concerns.

Conclusions: This study is the first qualitative exploration of support needs among Mexican women with MBC. Our findings show that patients face multifaceted needs that can negatively impact their quality of life. Targeted interventions aimed at addressing gaps in clinical communication, emotional support, financial assistance, and supportive care access are urgently needed to alleviate distress in this vulnerable population.

Keywords: Interview; Metastatic breast cancer; Mexico; Needs; Qualitative.