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Implementing a Tailored Psychosocial Distress Screening Protocol in a Head and Neck Cancer Program.

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • Publisher Information:
      eScholarship, University of California 2022-08-01
    • نبذة مختصرة :
      Objectives/hypothesisPsychosocial distress is common among patients with head and neck cancer (HNC) and is associated with poorer quality of life and clinical outcomes. Despite these risks, distress screening is not widely implemented in HNC care. In this study, we investigated the prevalence of psychosocial distress and its related factors in routine care of patients with HNC.MethodsData from medical records between September 2017 and March 2020 were analyzed. Psychosocial distress was measured by the National Comprehensive Cancer Network's Distress Thermometer (DT), and a modified HNC-specific problem list; depression and anxiety were assessed using the Patient Health Questionnaire-4. Descriptive statistics and logistic regression were conducted to report prevalence of distress, depression and anxiety, and factors associated with clinical distress. Implementation outcomes, including rates of referrals and follow-up for distressed patients, are also reported.ResultsTwo hundred and eighty seven HNC patients completed the questionnaire (age 64.3 ± 14.9 years), with a mean distress score of 4.51 ± 3.35. Of those, 57% (n = 163) reported clinical distress (DT ≥ 4). Pain (odds ratio [OR] = 3.31, 95% CI = 1.75-6.26), fatigue (OR = 2.43, 95% CI = 1.1.7-5.05), anxiety (OR = 1.63, 95% CI = 1.30-2.05), and depression (OR = 1.51, 95% CI = 1.04-2.18) were significantly associated with clinical distress (P < .05). Of patients identified as distressed, 79% received same-day psychosocial evaluation.ConclusionsClinical distress was identified in 57% of patients who completed the questionnaire, suggesting that an ultra-brief psychosocial screening protocol can be implemented in routine ambulatory oncology care, and identifies patients whose distress might otherwise go unrecognized.Level of evidence4 Laryngoscope, 132:1600-1608, 2022.
    • الموضوع:
      Humans; Neoplasms; Head and Neck Neoplasms; Mass Screening; Depression; Stress; Psychological; Anxiety; Quality of Life; Aged; Middle Aged; Early Detection of Cancer; Distress screening; depression; head and neck cancer; Clinical Research; Mental Health; Health Services; Rare Diseases; Cancer; Prevention; Dental/Oral and Craniofacial Disease; Behavioral and Social Science; Good Health and Well Being; Clinical Sciences; Otorhinolaryngology; article
    • Note:
      application/pdf
      The Laryngoscope vol 132, iss 8, 1600-1608 0023-852X
    • Other Numbers:
      CDLER oai:escholarship.org:ark:/13030/qt3ts6r3hh
      qt3ts6r3hh
      https://escholarship.org/uc/item/3ts6r3hh
      https://escholarship.org/
      1391591088
    • Contributing Source:
      UC MASS DIGITIZATION
      From OAIster®, provided by the OCLC Cooperative.
    • الرقم المعرف:
      edsoai.on1391591088
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