Analysis of psychosocial stress factors in patients with renal cancer

Draeger, Desiree Louise; Sievert, Karl‐Dietrich; Hakenberg, Oliver W.

doi:10.1177/1756287218754766

Cited by 23 publications

(25 citation statements)

References 43 publications

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“…German study on bladder cancer revealed a signi cantly higher distress level and expressed need for psychosocial support in patients with progressive disease compared to those at rst diagnosis [20].…”

Section: Discussionmentioning

confidence: 97%

Psychosocial distress among cancer patients: A single institution experience at the state of Qatar.

Hassan

Eziada

Bashir

et al. 2018

JCO

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Introduction The prevalence of psychosocial distress is up to 45% among cancer patients. It is crucial to identify and treat distress. The aim of the study is to report on the prevalence of distress among cancer patients, analyze the variable causes of distress and to study the effect of the disease stage using the Distress Thermometer.Methods We studied distress among 3 groups, each consisting of 100 patients: those initially diagnosed, patients undergoing treatment, and patients who were referred to the palliative team. Different variables such as time of screening, sex, age, nationality, and tumor type were analyzed.Results There was an overall distress incidence of 62% (level ≥ 4) and out of that 17% of the patients had severe distress (level >7). Similarly, there was 75% of distress among patients who were referred to palliative care, compared to 56% of patients at initial diagnosis and 54% for those undergoing cancer treatments. In addition, women (69%) had more distress (53%). Expatriates had high distress, compared to Qataris (64.3% versus 51%). Breast (69%) and lung (70%) cancer patients had the highest level of distress. Physical causes of distress were the most common followed by emotional causes. Conclusion There is a substantially higher overall incidence of distress among cancer patients in Qatar.Distress should be assessed in patients at cancer diagnosis and at the time of disease progression.Screening alone isn't enough, the different causes of distress should be identi ed and addressed by the appropriate interventions.

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Section: Discussionmentioning

confidence: 97%

Psychosocial distress among cancer patients: A single institution experience at the state of Qatar.

Hassan

Eziada

Bashir

et al. 2018

JCO

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“…Bladder cancer patients were also found to have an increased risk of suicide compared to prostate and kidney cancer [ 20 ]. In addition, a recent study showed that for kidney cancer, there is a significant number of patients with increased psychological distress and a consecutive need for psychosocial care [ 21 ]. A similar finding has been shown for patients with testicular or penile cancer [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

The need for supportive mental wellbeing interventions in bladder cancer patients: A systematic review of the literature

et al. 2021

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Objectives There is an increased awareness of the effect of a bladder cancer diagnosis and its treatments on the mental wellbeing of patients. However, few studies have evaluated the efficacy, feasibility and acceptability of interventions to improve this mental wellbeing. This systematic review is the first phase of the Medical Research Council Framework for developing complex interventions and provides an overview of the published mental wellbeing interventions that could be used to design an intervention specific for BC patients. Methods This review was conducted in accordance with the PRISMA guidelines in January 2019 and studies were identified by conducting searches for Medline, the Cochrane Central Register of Controlled Trials and Ovid Gateway. All included studies met the following criteria: mental wellbeing interventions of adults with medically confirmed diagnosis of any type of urological cancer, reported outcomes for specific HRQoL domains including psychological factors. The quality of evidence was assessed according to Down and Black 27-item checklist. Results A total of 15,094 records were collected from the literature search and 10 studies matched the inclusion and exclusion criteria. Of these, nine interventions were for patients with prostate cancer and one for patients with kidney cancer. No studies were found for other urological cancers. Depression was the most commonly reported endpoint measured. Of the included studies with positive efficacy, three were group interventions and two were couple interventions. In the group interventions, all showed a reduction in depressive symptoms and in the couple interventions, there was a reduction in depressive symptoms and a favourable relationship cohesion. The couple interventions were the most feasible and acceptable, but further research was required for most of the studies. Conclusion While awareness of the importance of mental wellbeing in bladder cancer patients is growing, this systematic literature review highlights the gap of feasible and acceptable interventions for this patient population.

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“…This can subsequently cause psychological stress stemming not only from concern about survival, but also from uncertainty and changes in identity. In a recent study, 27% of patients undergoing treatment for kidney cancer were found to require psychosocial care [3]. Even patients with early-stage kidney cancer described anxiety, pain, sadness, and difficulty in sleeping [3].…”

Section: Harms Of Overdiagnosismentioning

confidence: 99%

“…In a recent study, 27% of patients undergoing treatment for kidney cancer were found to require psychosocial care [3]. Even patients with early-stage kidney cancer described anxiety, pain, sadness, and difficulty in sleeping [3]. Furthermore, a cancer diagnosis often leads patients to seek additional medical care, may adversely alter patients' financial and social planning, and can increase the odds of suicide [3].…”

Section: Harms Of Overdiagnosismentioning

confidence: 99%

“…Even patients with early-stage kidney cancer described anxiety, pain, sadness, and difficulty in sleeping [3]. Furthermore, a cancer diagnosis often leads patients to seek additional medical care, may adversely alter patients' financial and social planning, and can increase the odds of suicide [3]. The understanding of the impact of a cancer diagnosis and its potential to lead to unnecessary testing has increased calls to restrain the use of unnecessary imaging studies [4].…”

Section: Harms Of Overdiagnosismentioning

confidence: 99%

See 1 more Smart Citation

The Harms of Overdiagnosis and Overtreatment in Patients with Small Renal Masses: A Mini-review

Sohlberg

Metzner

Leppert

2019

European Urology Focus

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Analysis of psychosocial stress factors in patients with renal cancer

Cited by 23 publications

References 43 publications

Psychosocial distress among cancer patients: A single institution experience at the state of Qatar.

Psychosocial distress among cancer patients: A single institution experience at the state of Qatar.

The need for supportive mental wellbeing interventions in bladder cancer patients: A systematic review of the literature

The Harms of Overdiagnosis and Overtreatment in Patients with Small Renal Masses: A Mini-review

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