Distress Management

Holland, Jimmie C.; Andersen, Barbara L.; Breitbart, William; Compas, Bruce E.; Dudley, Moreen M.; Fleishman, Stewart B.; Fulcher, Caryl D.; Greenberg, Donna; Greiner, Carl B.; Handzo, George; Hoofring, Laura; Jacobsen, Paul B.; Knight, Sara J.; Learson, Kate; Lévy, Michaël; Loscalzo, Matthew; Manne, Sharon L.; McAllister-Black, Randi; Riba, Michelle; Röper, Kristin; Valentine, Alan D.; Wagner, Lynne I.; Zevon, Michael A.

doi:10.6004/jnccn.2010.0034

Cited by 268 publications

(294 citation statements)

References 68 publications

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“…20 Besides physical performance parameters, we also assessed patientrelated outcomes (PROs) as follows: fatigue was assessed with the MFI-20, 21 quality of life with the EORTC QLQ-30, 22 and Distress with the NCCN Distress Thermometer. 23 All questionnaires are widely used in cancer populations.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of exercise training in SCT patients-who benefits most?

Wiskemann

Kuehl

Dreger

et al. 2013

Bone Marrow Transplant

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Patients undergoing allo-HCT often experience a substantial loss in physical performance. We have recently published the general effectiveness of an exercise intervention in 105 allo-HCT patients on physical performance and psychosocial well-being. However, predictor variables for differentiated treatment response remained unclear. To determine the impact of basic physical performance on treatment response, we assessed muscle strength and endurance performance at four assessment points before and after allo-HCT. The exercise group started training 2 weeks before admission and ended 6-8 weeks after discharge. Comparing initially fit with unfit classified patients, the fit patients lost 31% of the strength of the knee-extensors, whereas the unfit patients lost only 1% (Po0.05). For endurance capacity, fit patients lost 4% of their walking capability, whereas unfit patients gained 13% (Po0.05). The individual percent change was statistically different at the 0.05 level in all measures of physical performance. Individual training response in allo-HCT patients strongly depends on the initial physical performance level. Unfit patients can be trained safely and may benefit more from this exercise intervention than fit patients. This result is of major clinical relevance and should encourage hematologists to promote exercise even more in impaired/unfit allo-HCT patients.

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Section: Discussionmentioning

confidence: 99%

Efficacy of exercise training in SCT patients-who benefits most?

Wiskemann

Kuehl

Dreger

et al. 2013

Bone Marrow Transplant

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“…In Germany cancer rehabilitation has in recent decades been a fully integrated part of the social security system, with all patients being offered a specialized, three-week, across-the-board rehabilitation program during hospitalization on the basis of an assessment of functional ability and rehabilitation needs [3,7]. Despite initiatives within cancer rehabilitation across Europe, there is not yet a consensus on optimum clinical guidelines for assessing cancer patients' rehabilitation needs during treatment programs [22,23].…”

Section: Lack Of Consensus On the Procedures For Assessing Rehabilitatmentioning

confidence: 99%

Assessment of rehabilitation needs in colorectal cancer treatment: Results from a mixed audit and qualitative study in Denmark

et al. 2016

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Background Systematic assessments of cancer patients' rehabilitation needs are a prerequisite for devising appropriate survivorship programs. Little is known about the fit between needs assessment outlined in national rehabilitation policies and clinical practice. This study aimed to explore clinical practices related to identification and documentation of rehabilitation needs among patients with colorectal cancer at Danish hospitals. Material and methods A retrospective clinical audit was conducted utilizing data from patient files randomly selected at surgical and oncology hospital departments treating colorectal cancer patients. Forty patients were included, 10 from each department. Semi-structured interviews were carried out among clinical nurse specialists. Audit data was analyzed using descriptive statistics, qualitative data using thematic analysis. Results Documentation of physical, psychological and social rehabilitation needs initially and at end of treatment was evident in 10% (n ¼ 2) of surgical patient trajectories and 35% (n ¼ 7) of oncology trajectories. Physical rehabilitation needs were documented among 90% (n ¼ 36) of all patients. Referral to municipal rehabilitation services was documented among 5% (n ¼ 2) of all patients. Assessments at surgical departments were shaped by the inherent continuous assessment of rehabilitation needs within standardized fast-track colorectal cancer surgery. In contrast, the implementation of locally developed assessment tools inspired by the distress thermometer (DT) in oncology departments was challenged by a lack of competencies and funding, impeding integration of data into patient files. Conclusion Consensus must be reached on how to ensure more systematic, comprehensive assessments of rehabilitation needs throughout clinical cancer care. Fast-track surgery ensures systematic documentation of physical needs, but the lack of inclusion of data collected by the DT in oncological departments questions the efficacy of assessment tools and points to a need for distinguishing between surgical and oncological settings in national rehabilitation policies.

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“…Thus, the need for early assessment and evaluation of psychological morbidity has become an essential component of optimal cancer care. The concept of emotional distress as the sixth vital sign [7,8], the development of the National Comprehensive Cancer Network (NCCN) Distress Management guidelines [9] and the implementation of health policy of screening for distress in oncology in some countries, such as Canada [10], are examples of this need. The NCCN screening tool, the Distress Thermometer (DT) and the Problem Checklist (PL) have also been translated, adapted, used and validated in many different languages [11,12].…”

Section: Introductionmentioning

confidence: 99%

Educational intervention in cancer outpatient clinics on routine screening for emotional distress: an observational study

Grassi

Rossi²,

Caruso

et al. 2011

Psycho-Oncology

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Purpose: To examine the possible effect of an educational model on distress screening in newly diagnosed cancer patients referred to Psycho-oncology service (POS).Methods: We examined the differences in distress and problems among newly diagnosed cancer patients referred to POS by cancer care professionals' according to their clinical judgement (2-year period; Study-1) and after an educational intervention on the Distress Thermometer (DT) and Problem List (PL), with referral to those reporting cut-off scores indicative of 'caseness' (DT44) (1-year period; Study-2).Results: In Study-1, 153 (6.7%) of 2268 new patients were referred and seen by the POS, which submitted each patient to the DT/PL. About one-third of the patients (31%) were not DT-cases (scores o 4) and showed lower levels of emotional and relational problems than those who resulted DT-cases. In Study-2, of all newly diagnosed cancer patients (n 5 1107), 583 (52.6%) were administered to the DT/PL by nurses. Two-hundred and eighty-four (52.2%) resulting DT-cases were referred to POS and, of these, 133 (12% of all new patients; 22.81% of those screened; 46.8% of cases) were seen by the POS. There were significant differences in problems between not referred (DT-non-cases) and referred patients (DT-cases).Conclusions: Because of the observational nature of the study, the conclusions should be drawn with caution. The implementation of the routine use of DT/PL seemed to determine a higher (79% increase) and more accurate referral of patients but the rate of acceptance was not high, confirming that more effort is necessary in implementing optimal psychosocial care in oncology.

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Distress Management

Cited by 268 publications

References 68 publications

Efficacy of exercise training in SCT patients-who benefits most?

Efficacy of exercise training in SCT patients-who benefits most?

Assessment of rehabilitation needs in colorectal cancer treatment: Results from a mixed audit and qualitative study in Denmark

Educational intervention in cancer outpatient clinics on routine screening for emotional distress: an observational study

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