Prevalence of psychosocial distress in cancer patients across 55 North American cancer centers
Prevalence of psychosocial distress in cancer patients across 55 North American cancer centers
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DOI：
10.1080/07347332.2018.1521490
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发表时间：
2019-01-02
影响因子：
2.1
通讯作者：
Zebrack, Brad
中科院分区：
文献类型：
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作者：
Carlson, Linda E.;Zelinski, Erin L.;Zebrack, Brad
自2015年以来，美国肿瘤诊所的常规痛苦筛查是强制性的。目的：这项研究是第一个评估癌症患者的痛苦在一个地理上不同的样本后，强制性的痛苦筛查实施肿瘤学社会工作者。研究方法：研究中心是通过社会工作者自行选择的，他们申请参加肿瘤社会工作协会的项目，以确保癌症护理质量，并通过他们的社交媒体和会议进行宣传。电子筛查记录收集自美国和加拿大的55个癌症治疗中心。病例需要包括癌症诊断和痛苦温度计（DT）评分。研究人员检查了不同年龄、性别、癌症类型和种族的患病率和患病率。结果：4664例患者中，46%（2157例）经历了显著的痛苦（DT评分>= 4）。年龄在40-59岁之间的女性，被诊断为胰腺癌或肺癌，与痛苦的可能性增加有关。一半的病例经历了临床上显著的痛苦，尽管这种需求在患者或癌症类型中并不均匀分布。结论：识别那些有痛苦风险的人可能有助于优化资源分配。讨论了在资源有限的情况下解决困境患者需求的方法。
Routine distress screening in United States oncology clinics has been mandatory since 2015. Objective: This study was the first to assess distress in a geographically diverse sample of cancer patients following mandated distress screening implementation by oncology social workers. Methods: Sites were self-selected via social workers who applied to participate in the Association of Oncology Social Work's Project to Assure Quality Cancer Care, advertised through their social media outlets and conference. Electronic screening records were collected from 55 cancer treatment centers in the United States and Canada. Cases required cancer diagnoses and Distress Thermometer (DT) scores to be included. Distress rates and rates by age, sex, cancer type, and ethnicity were examined. Results: Of 4664 cases, 46% (2157) experienced significant distress (DT score >= 4). Being female, age 40-59, and having diagnoses of pancreatic or lung cancer was associated with increased likelihood of distress. Half of cases experience clinically-significant distress, though this need was not evenly distributed across patient or cancer types. Conclusion: Identifying those at risk for distress may help inform optimal resource allocation. Methods to address needs of distressed patients in cases of limited resources are discussed.