Scanxiety in survivors of pancreatic cancer

J Psychosoc Oncol. 2024 Oct 2:1-18. doi: 10.1080/07347332.2024.2408552. Online ahead of print.

Abstract

Purpose: To understand the scanxiety experience in pancreatic cancer (PC) survivors following curative surgical resection.

Design: A qualitative study with a hermeneutic phenomenological approach was used.

Methods: Eighteen PC survivors participated. Data from in-depth, semi-structured interviews were analyzed and themes emerged from systematic line-by-line coding of the interview transcripts.

Findings: Two key themes emerged: 'the recurring cycle of scanxiety' and 'hope for lifelong remission'. Participants experienced similar patterns of scanxiety that impacted everyday life. Hope was an essential stabilizing component of the cancer-scan experience, and enabled participants to conceptualize a cure, despite the high likelihood of recurrent, incurable disease. A conceptual framework was developed to provide further insight.

Implications: Everyday life is significantly affected during times of PC surveillance scans. This study enhances our understanding of the cancer-scan experience and provides a framework to guide care.

Keywords: Fear of cancer recurrence; pancreatic cancer; scan anxiety; scanxiety.