The impact of automated screening with Edmonton Symptom Assessment System (ESAS) on health-related quality of life, supportive care needs, and patient satisfaction with care in 268 ambulatory cancer patients

Diplock, Benjamin D; McGarragle, Kaitlin M.; Mueller, Willem A; Haddad, Sana; Ehrlich, Rachel; Yoon, Dong-Hyun A; Cao, Xingshan; Al-Allaq, Yaseen; Karanicolas, Paul J.; Fitch, Margaret I.; Myers, Jeff; Mitchell, Alex J.; Ellis, Janet

doi:10.1007/s00520-018-4304-0

Cited by 25 publications

(30 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous research investigating the association between needs assessment and improved outcomes has predominantly focused on measuring impact through a range of measurable outcomes such as distress, anxiety, depression and pain using specific tools such as the Distress Thermometer (DT) [26][27][28]. Qualitative evidence on the use of HNA has shown that it can improve communication between patients and clinicians, providing an opportunity to discuss non-clinical concerns and signpost patients to a variety of different services [29,30].…”

Section: Discussionmentioning

confidence: 99%

Meeting psychosocial needs to improve health: a prospective cohort study

2020

View full text Add to dashboard Cite

Background: Cancer impacts on patients and their families across a range of different domains. For that reason, optimal cancer care has moved away from a disease-centric focus to a more holistic approach in order to proactively support people with their individual needs and concerns. While international policy clearly advocates this agenda, implementation into routine care is limited. Therefore, relevant interventions that measurably improve patient outcomes are essential to understand if this ideal is to become routine multidisciplinary practice. The aim of this study was to analyse the impact of a proactive, holistic, community-based intervention on health-related quality of life in a cohort of people diagnosed with cancer. Secondary aim was to explore the relationship between changes in health status and: cancer type, cancer stage, number of concerns expressed and change in severity of concerns pre and post intervention. Method: Prospective observational cohort study. A convenience sample of 437 individuals were referred to the service 'Improving the Cancer Journey (ICJ) in the UK. Each completed the Euroqol EQ-5D-3 L and visual analogue scale (VAS) and a Holistic Needs Assessment (HNA) during initial visit to the service and again at follow-up review, median 84 days later. Change between scores was tested with paired t-tests and relationships between variables with multiple regression models with heteroscedasticity-consistent standard errors. Results: Participants were White British with median age between 50 and 64 years. Cancer type and stage were varied. EQ-5D utility scores improved at follow-up by 0.121 [0.0891-0.153], p < .001, and VAS scores improved by 7.81 [5.88-9.74], p < .001. The strongest predictor of change was a decrease in severity of concerns. Cancer stage 'palliative care' contributed to a reduction in health status. Conclusion: This study is the first to show that a holistic community intervention dedicated to supporting the individual concerns of participants had both a statistically significant and clinically meaningful impact on participants' health-related quality of life. The mean change in EQ-5D scores was more than the 'minimally important clinical difference' described in the literature. This is important because while quality of life has multiple determinants, this study has shown for the first time that it is possible to capture a clinically meaningful improvement as a function of reducing someone's personally identified concerns.

show abstract

Section: Discussionmentioning

confidence: 99%

Meeting psychosocial needs to improve health: a prospective cohort study

2020

View full text Add to dashboard Cite

show abstract

“…Previous research investigating the association between needs assessment and improved outcomes has predominantly focused on measuring impact through a range of measurable outcomes such as distress, anxiety, depression and pain using speci c tools such as the Distress Thermometer (DT) [26][27][28]. Qualitative evidence on the use of HNA has shown that it can improve communication between patients and clinicians, providing an opportunity to discuss non-clinical concerns and signpost patients to a variety of different services [29,30].…”

Section: Discussionmentioning

confidence: 99%

Meeting Psychosocial Needs to Improve Health: A Prospective Cohort Study

Snowden

Young

Savinc

2020

Preprint

View full text Add to dashboard Cite

Background: Cancer impacts on patients and their families across a range of different domains. For that reason, optimal cancer care has moved away from a disease-centric focus to a more holistic approach in order to proactively support people with their individual needs and concerns. While international policy clearly advocates this agenda, implementation into routine care is limited. Therefore, relevant interventions that measurably improve patient outcomes are essential to understand if this ideal is to become routine multidisciplinary practice. The aim of this study was to analyse the impact of a proactive, holistic, community-based intervention on health-related quality of life in a cohort of people diagnosed with cancer. Secondary aim was to explore the relationship between changes in health status and: cancer type, cancer stage, number of concerns expressed and change in severity of concerns pre and post intervention.Method: Prospective observational cohort study. A convenience sample of 437 individuals were referred to the service ‘Improving the Cancer Journey (ICJ) in the UK. Each completed the Euroqol EQ-5D-3L and visual analogue scale (VAS) and a Holistic Needs Assessment (HNA) during initial visit to the service and again at follow-up review, median 84 days later. Change between scores was tested with paired t-tests and relationships between variables with multiple regression models with heteroscedasticity-consistent standard errors. Results: Participants were White British with median age between 50-64 years. Cancer type and stage were varied. EQ-5D utility scores improved at follow-up by 0.121 [0.0891-0.153], p<.001, and VAS scores improved by 7.81 [5.88-9.74], p<.001. The strongest predictor of change was a decrease in severity of concerns. Cancer stage ‘palliative care’ contributed to a reduction in health status. Conclusion: This study is the first to show that a holistic community intervention dedicated to supporting the individual concerns of participants had both a statistically significant and clinically meaningful impact on participants’ health-related quality of life. The mean change in EQ-5D scores was more than the ‘minimally important clinical difference’ described in the literature. This is important because while quality of life has multiple determinants, this study has shown for the first time that it is possible to capture a clinically meaningful improvement as a function of reducing someone’s personally identified concerns.

show abstract

“…Previous research investigating the association between needs assessment and improved outcomes has predominantly focused on measuring impact through a range of measurable outcomes such as distress, anxiety, depression and pain using specific tools such as the Distress Thermometer (DT) (21)(22)(23). Qualitative evidence on the use of HNA has shown that it can improve communication between patients and clinicians, providing an opportunity to discuss non-clinical concerns and signpost patients to a variety of different services (24,25).…”

Section: Discussionmentioning

confidence: 99%

Meeting Psychosocial Needs to Improve Health: A Prospective Cohort Study

Snowden

Young

Savinc

2019

Preprint

View full text Add to dashboard Cite

Background Cancer impacts on patients and their families across a range of different domains. For that reason, optimal cancer care has moved away from a disease-centric focus to a more holistic approach in order to proactively support people with their individual needs and concerns. While international policy clearly advocates this agenda, implementation into routine care is limited. Therefore, relevant interventions that measurably improve patient outcomes are essential to understand if this ideal is to become routine multidisciplinary practice. The aim of this study was to analyse the impact of a proactive, holistic, community-based intervention on health-related quality of life in a cohort of people diagnosed with cancer. Secondary aim was to explore the relationship between changes in health status and: cancer type, cancer stage, number of concerns expressed and change in severity of concerns pre and post intervention. Method Prospective observational cohort study. A convenience sample of 437 individuals were referred to the service ‘Improving the Cancer Journey (ICJ) in the UK. Each completed the Euroqol EQ-5D-3L and visual analogue scale (VAS) and a Holistic Needs Assessment (HNA) during initial visit to the service and again at follow-up review, approximately 4 months later. Change between scores was tested with paired t-tests and relationships between variables with multiple regression models. Results Participants were White British with median age between 50-64 years. Cancer type and stage were varied. There was a statistically significant improvement in EQ-5D scores over time (t(330)=7.48, p<.001). The strongest predictor of change was a decrease in severity of concerns. Cancer stage ‘palliative care’ contributed to a reduction in health status. Conclusion This study is the first to show that a holistic community intervention dedicated to supporting the individual concerns of participants has a statistically and meaningful impact on participants’ health-related quality of life. The mean change in EQ-5D scores was more than the ‘minimally important clinical difference’ described in the literature. This is important because while quality of life has multiple determinants this study has reported that it is possible to capture a meaningful improvement as a function of reducing someone’s personally identified concerns.

show abstract

The impact of automated screening with Edmonton Symptom Assessment System (ESAS) on health-related quality of life, supportive care needs, and patient satisfaction with care in 268 ambulatory cancer patients

Cited by 25 publications

References 41 publications

Meeting psychosocial needs to improve health: a prospective cohort study

Meeting psychosocial needs to improve health: a prospective cohort study

Meeting Psychosocial Needs to Improve Health: A Prospective Cohort Study

Meeting Psychosocial Needs to Improve Health: A Prospective Cohort Study

Contact Info

Product

Resources

About