Background: Supportive care needs are significantly associated with poor quality of life. 
Satisfaction with care theoretically implies fulfillment of expectations which may be affected 
by the nature, number, or seriousness of patient's health needs. Objectives:1) To assess the 
types and levels of unmet needs among breast cancer patients, QOL domains, and patient 
satisfaction with health care at Zagazig University hospitals. 2) To identify the impact of 
unmet needs on different QOL domains and patients satisfaction. Methods: This is a cross 
sectional study; 259 survivors of breast cancer attending the clinical oncology outpatient 
clinics in Zagazig University Hospital were interviewed (from June 2020 to end of the year). 
Validated edition of the Supportive Care Needs Short Form Survey (SCNS-SF34), EORTC 
QLQ-C30, cancer in-patient satisfaction questionnaire (The EORTC IN-PATSAT32), and 
EORTC QLQ –BR23 (the Arabic versions) were used to assess the quality of life of cancer 
patients. Results: 54.8% of participants reported that they have unmet needs. The highest 
unmet supportive care needs were observed in the psychological domain. The total 
satisfaction rate reached 56.4%. A significant difference was observed between patients 
having unmet and no needs and different QOL domains. High satisfaction scores were 
observed among patients with no needs. Conclusion: Psychological needs were the most 
common unmet needs. The level of perceived needs influences the level of QOL and degree 
of patients' satisfaction