Source:http://linkedlifedata.com/resource/pubmed/id/19362038
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
10
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| pubmed:dateCreated |
2009-9-23
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| pubmed:abstractText |
To investigate prospectively the prevalence of high levels of emotional distress and referral rate to psychosocial care in head and neck cancer (HNSCC) patients. Fifty-five consecutive newly diagnosed HNSCC patients were asked to complete the hospital anxiety and depression scale (HADS) and the EORTC QLQ-C30 and H&N35 quality of life questionnaires on a touch screen computer-assisted data collection system on their first visit and during follow-up visit. Sociodemographic, clinical, and quality of life parameters were compared to a high level of distress (HADS score >15). Number of patients with a high level of distress were compared to referral rates to psychosocial care as retrieved from patient hospital files. At time of diagnosis, 18% (10/55) of the patients had a high level of distress (related to tumor stage and site, and global quality of life and social eating) versus 25% (14/55) at follow-up (related to a variety of quality of life parameters). Low levels of distress at baseline or follow-up was noted in 64%; 18% had normal scores at baseline and developed distress at follow-up; 11% had high levels at baseline and returned to normal scores at follow-up, and 7% had persistent distress from baseline to follow-up. No patients were referred to psychosocial care at time of diagnosis. At follow-up visit 21% (3/14) were referred, all patients who developed a high level of distress after initial diagnosis. High level of emotional distress is common and few patients are referred to psychosocial care. Development of a stepped care model (including careful monitoring by using a touch screen computer system) may meet the potentially unmet needs of HNC patients and contribute improving cancer care.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Oct
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| pubmed:issn |
1368-8375
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
45
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
e129-33
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| pubmed:meshHeading |
pubmed-meshheading:19362038-Adult,
pubmed-meshheading:19362038-Aged,
pubmed-meshheading:19362038-Aged, 80 and over,
pubmed-meshheading:19362038-Anxiety Disorders,
pubmed-meshheading:19362038-Data Collection,
pubmed-meshheading:19362038-Depressive Disorder,
pubmed-meshheading:19362038-Female,
pubmed-meshheading:19362038-Head and Neck Neoplasms,
pubmed-meshheading:19362038-Humans,
pubmed-meshheading:19362038-Male,
pubmed-meshheading:19362038-Middle Aged,
pubmed-meshheading:19362038-Prevalence,
pubmed-meshheading:19362038-Prospective Studies,
pubmed-meshheading:19362038-Quality of Life,
pubmed-meshheading:19362038-Questionnaires,
pubmed-meshheading:19362038-Referral and Consultation,
pubmed-meshheading:19362038-Risk Factors,
pubmed-meshheading:19362038-Social Support,
pubmed-meshheading:19362038-Stress, Psychological
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| pubmed:year |
2009
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| pubmed:articleTitle |
Computerized prospective screening for high levels of emotional distress in head and neck cancer patients and referral rate to psychosocial care.
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| pubmed:affiliation |
Department of Otolaryngology/Head and Neck Surgery, VU University Medical Center, P.O. Box 7057, Amsterdam 1007 MB, The Netherlands. im.verdonck@vumc.nl
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| pubmed:publicationType |
Journal Article
|