Distress in cancer survivors attending a multidisciplinary survivorship clinic.

Sanft, Tara; Epstein, Lianne; Capozza, Scott; Harrigan, Maura; Jauk, Mae Anne; Khairallah, Angela; Jorge, Jéssica Garcia; Sokoloff, Lara; Chen, Sophia; Chagpar, Anees B.; Irwin, Melinda L.

doi:10.1200/jco.2015.33.15_suppl.9575

Cited by 1 publication

(4 citation statements)

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“…First, this was not a randomized controlled trial (RCT) and any determination of direct causality of the intervention on reductions in distress and depression is limited and would require a controlled study. However, these results follow a similar form to prior research 18 and identify a potential effect for cancer survivorship services, with true RCTs for a service standard of care unlikely due to ethical considerations. Second, while post‐hoc analyses revealed that the majority of patients returned for a second visit, many did not have data (DT + PL and PHQ‐9 scores) for this visit and were not included in the original analysis.…”

Section: Discussionsupporting

confidence: 75%

“…However, the current study is unable to answer the question of whether similar patient benefit could be obtained through contact with any empathic provider. Other research has demonstrated similar distress reductions after one to two visits in a Survivorship Clinic that did not incorporate psycho‐oncology specific care 18,19 . Additional research is needed to understand the critical components required to reduce distress and depression among cancer patients.…”

Section: Discussionmentioning

confidence: 97%

“…Scores of 4 or above on the DT are indicative of clinically significant levels of distress and require referral to “either mental health, social work, or pastoral services” per NCCN guidelines 2 . Several studies have also utilized the DT to monitor changes in distress after delivery of clinical services, suggesting its clinical suitability for repeated use to monitor changes in distress throughout the course of treatment 18,19,24 . Distress is screened for at this institution at the patient's first visit, followed by screening every 6 months in tandem with the PHQ‐9.…”

Section: Methodsmentioning

confidence: 99%

“…There is limited data regarding the effectiveness of these more commonly utilized services. Studies have demonstrated significant reductions in distress in patients attending a multidisciplinary survivorship clinic after one 18 or two 19 outpatient visits. These studies were limited by a relatively homogenous population (female breast cancer survivors enrolled in a single center), which may limit the generalizability of these findings.…”

Section: Introductionmentioning

confidence: 99%

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Reducing distress and depression in cancer patients during survivorship

et al. 2021

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Objective Distress and depression are prevalent in cancer patients throughout survivorship and are associated with adverse outcomes. This study examines the association between outpatient psycho‐oncology treatment and distress and depression in cancer patients. Methods This is a prospective observational study of adult patients with a primary diagnosis of cancer referred for psycho‐oncology services. Patients were seen for two psycho‐oncology visits in a single clinical setting with various qualified providers. Patients completed the distress thermometer and problem checklist (DT + PL) and the Patient Health Questionnaire (PHQ‐9) at the beginning of their first and second visits and repeated the DT at the end of these visits. Results The analysis included 174 patients seen once and 69 patients seen twice. Patients were seen on average 2.5 years after diagnosis. Both visits were associated with significant reductions in distress (5.56 before and 3.85 after for visit 1, p < 0.001; 4.92 before and 3.43 after for visit 2, p < 0.001). There was a significant reduction in distress from baseline to after visit 2 (p < 0.001). Depression scores significantly decreased from the first to second visits (8.79–7.57; p = 0.002). Conclusions Psycho‐oncology services were associated with significant reductions in distress and depression, with scores after services no longer meeting criteria for clinically significant distress (DT scores ≥ 4) and depression (PHQ‐9 scores ≥ 8) as they did at baseline. Reductions in distress and depression were not significantly associated with provider type, intervention or timing of diagnosis. These findings support the use of psycho‐oncology services in cancer patients throughout survivorship.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 97%