153. Fast track multidisciplinary diagnosis and treatment for gastro-intestinal tumors, does it work?

Klinkenbijl, Jean H. G.; Greuter, H.; Heukels, S.; Fockens, Paul; Gouma, Dirk J.; Tytgat, Kristien M. A. J.

doi:10.1016/j.ejso.2012.06.152

Cited by 2 publications

(4 citation statements)

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“…Fast-track programs in cancer diagnosis and treatment planning are a good solution to reduce waiting times [19] and it is impossible to imagine modern health care without such approaches. However, it remains important to be aware of the possible implications for patients such as elevated anxiety and poor information recall.…”

Section: Discussionmentioning

confidence: 99%

“…The rising popularity of fast-track programs for diagnostics and treatment planning makes it especially important to study the anxiety-recall relationship in a clinical setting. These 'one-day' or 'one-stop' programs are increasingly implemented in cancer care to improve and fasten diagnostic work-up, and shorten the waiting time between staging and start of treatment [19]. Patients and providers have expressed high satisfaction with such programs [19][20][21], but it might also negatively impact patients' information recall, as they receive a lot of information in a short time, often from multiple providers.…”

Section: Introductionmentioning

confidence: 99%

“…These 'one-day' or 'one-stop' programs are increasingly implemented in cancer care to improve and fasten diagnostic work-up, and shorten the waiting time between staging and start of treatment [19]. Patients and providers have expressed high satisfaction with such programs [19][20][21], but it might also negatively impact patients' information recall, as they receive a lot of information in a short time, often from multiple providers. Relatedly, fast-track approaches may lead to elevated anxiety levels post-diagnosis as patients have little time to process their diagnosis [20], possibly having a negative impact on information recall.…”

Section: Introductionmentioning

confidence: 99%

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Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

et al. 2018

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Introduction: One-day fast track programs for cancer diagnostics and treatment planning are increasingly being implemented in health care. Fast-track programs are highly effective at reducing waiting times, and thus well received by patients and healthcare providers. However, these programs may also burden patients, as patients generally receive a lot of information from multiple healthcare providers within a short time span. This might increase anxiety and negatively impact recall of medical information in newly diagnosed patients. This study examines whether anxiety influences information recall at the moment of diagnosis, and whether this relation differs for younger and older patients. Methods: Data were collected from 78 colorectal cancer patients visiting a one-day fast-track multidisciplinary outpatient clinic. All consultations that took place were recorded on a video. Anxiety was measured at baseline (T1) and immediately after consultations (T2) with the STAI-6. Information recall was assessed by telephone within 36-48 hours after patients' visit (T3) using open questions. Results: After consultations (T2), 32% of patients experienced clinical anxiety levels. Patients recalled $60% of medical information (T3). Information recall was negatively impacted by anxiety (b ¼-.28, p ¼ .011), and negatively related to higher age (b ¼-.23, p ¼ .031), and lower education level (b ¼ .27, p ¼ .013). Although older patients (M ¼ 53.99) recalled 11% less information than younger patients (M ¼ 64.84), age was not related to anxiety and did not moderate the anxiety-recall relationship. Conclusion: High levels of anxiety after receiving a cancer diagnosis negatively influence how much information patients remember after visiting a one-day fast-track clinic. This calls for interventions that may reduce patients' anxiety as much as reasonably possible and support patients' information recall. Researchers, practitioners, and hospitals are encouraged to continue exploring ways to optimize information provision to cancer patients in current modern healthcare.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

et al. 2018

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“…Streamlining cancer interventional policies that can reduce cancer anxiety may help reduce CW. For instance, speeding up cancer screening, diagnosis, and treatment programs can result in reducing the waiting times of participating individuals or patients from being overwhelmed [ 46 ], which may reduce CW, hence reducing the possibility of developing depressive symptoms. Additionally, providing an interventional program that limits cancer anxiety [ 47 ] through tailored education and providing easily accessible educational materials on cancer and its screening may help reduce CW leading to depression.…”

Section: Discussionmentioning

confidence: 99%

Cancer worry and its impact on self-reported depressive symptoms among adult males and females in the US: a nationwide sample study

Mamudu,

Li,

McEligot

et al. 2024

BMC Psychiatry

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Objective With cancer the second deadliest disease in the world, worry about cancer can have mental health or psychiatric implications. This study examines the prevalence, differences, and influence of cancer worry (CW), its interaction effect with age, and other confounders on self-reported depressive symptoms (SRDS) among adult males and females in the US. Methods We utilized a nationally representative sample data of 2,950 individuals (males = 1,276; females = 1,674) from Cycle 4 of the Health Information National Trends Survey 5 (HINTS 5) 2020. Using frequencies, bivariate chi-square test, and multivariate logistic regression, we examined the prevalence, difference, and association of CW with SRDS, adjusting for confounders. Results The prevalence rate of SRDS was found to be 32% among females and 23.5% among males. Among individuals with CW, females had a higher prevalence of SRDS compared to males (40.5% vs. 35.1%). However, there was a significant difference in the likelihood of experiencing SRDS between males and females with CW, with males having 84% increased risk compared to females. Across all age groups, the multivariate analysis of the relationship between CW and SRDS revealed that both males and females showed a significantly decreased likelihood of SRDS compared to those aged 18–34 years. However, males aged 35 years or older exhibited an even more pronounced decrease in likelihood compared to females in the same age group. Nonetheless, when examining the interaction of age and CW, we observed a significantly increased likelihood of SRDS across all age groups. Males, in particular, had a higher increased likelihood of SRDS compared to females across all ages, except for those aged 75 years and older. Conclusion The findings of this study highlight the significant influence of CW on individuals’ SRDS and the modifying effect of age, particularly among males. These results are important for a better understanding of the risk of CW on mental health, which can be a preventive strategy or control mechanism.

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153. Fast track multidisciplinary diagnosis and treatment for gastro-intestinal tumors, does it work?

Cited by 2 publications

References 0 publications

Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

Cancer worry and its impact on self-reported depressive symptoms among adult males and females in the US: a nationwide sample study

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