Marie-Claude Blais1, Alexandre St-Hilaire2, Lise Fillion3, Marie De Serres4, Annie Tremblay4. 1. Department of Psychology, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada. 2. School of Psychology, Laval University, QC, Canada. 3. Nursing Faculty, Laval University, QC, Canada. 4. Centre Hospitalier Universitaire de Québec (CHUQ), Hôtel-Dieu de Québec, QC, Canada.
Abstract
OBJECTIVE: Implementation of routine Screening for Distress constitutes a major change in cancer care, with the aim of achieving person-centered care. METHOD: Using a cross-sectional descriptive design within a University Tertiary Care Hospital setting, 911 patients from all cancer sites were screened at the time of their first meeting with a nurse navigator who administered a paper questionnaire that included: the Distress Thermometer (DT), the Canadian Problem Checklist (CPC), and the Edmonton Symptom Assessment System (ESAS). RESULTS: Results showed a mean score of 3.9 on the DT. Fears/worries, coping with the disease, and sleep were the most common problems reported on the CPC. Tiredness was the most prevalent symptom on the ESAS. A final regression model that included anxiety, the total number of problems on the CPC, well-being, and tiredness accounted for almost 50% of the variance of distress. A cutoff score of 5 on the DT together with a cutoff of 5 on the ESAS items represents the best combination of specificity and sensitivity to orient patients on the basis of their reported distress. SIGNIFICANCE OF RESULTS: These descriptive data will provide valuable feedback to answer practical questions for the purpose of effectively implementing and managing routine screening in cancer care.
OBJECTIVE: Implementation of routine Screening for Distress constitutes a major change in cancer care, with the aim of achieving person-centered care. METHOD: Using a cross-sectional descriptive design within a University Tertiary Care Hospital setting, 911 patients from all cancer sites were screened at the time of their first meeting with a nurse navigator who administered a paper questionnaire that included: the Distress Thermometer (DT), the Canadian Problem Checklist (CPC), and the Edmonton Symptom Assessment System (ESAS). RESULTS: Results showed a mean score of 3.9 on the DT. Fears/worries, coping with the disease, and sleep were the most common problems reported on the CPC. Tiredness was the most prevalent symptom on the ESAS. A final regression model that included anxiety, the total number of problems on the CPC, well-being, and tiredness accounted for almost 50% of the variance of distress. A cutoff score of 5 on the DT together with a cutoff of 5 on the ESAS items represents the best combination of specificity and sensitivity to orient patients on the basis of their reported distress. SIGNIFICANCE OF RESULTS: These descriptive data will provide valuable feedback to answer practical questions for the purpose of effectively implementing and managing routine screening in cancer care.
Authors: Bettina Seekatz; Matthias Lukasczik; Mario Löhr; Katja Ehrmann; Michael Schuler; Almuth F Keßler; Silke Neuderth; Ralf-Ingo Ernestus; Birgitt van Oorschot Journal: Support Care Cancer Date: 2017-03-29 Impact factor: 3.603
Authors: K Brooke Russell; Michaela Patton; Courtney Tromburg; Hailey Zwicker; Gregory M T Guilcher; Barry D Bultz; Fiona Schulte Journal: Support Care Cancer Date: 2021-10-31 Impact factor: 3.603
Authors: F M van Nuenen; S M Donofrio; M A Tuinman; H B M van de Wiel; J E H M Hoekstra-Weebers Journal: Support Care Cancer Date: 2016-08-26 Impact factor: 3.603