Format

Send to

Choose Destination
Ann Oncol. 2011 Apr;22(4):931-8. doi: 10.1093/annonc/mdq455. Epub 2010 Oct 6.

Evaluation of psychosocial distress in patients treated in a community-based oncology group practice in Germany.

Author information

1
Institute for Health Care Research In Oncology, Mammography Screening Unit Mittelrhein, Koblenz, Germany.

Abstract

BACKGROUND:

Systematic evaluation of psychosocial distress in oncology outpatients is an important issue. We assessed feasibility and benefit of standardized routine screening using the Distress Thermometer (DT) and Problem List (PL) in all patients of our community-based hematooncology group practice.

PATIENTS AND METHODS:

One thousand four hundred forty-six patients were screened between July 2008 and September 2008. Five hundred randomly selected patients were sent a feedback form.

RESULTS:

The average distress level was 4.7, with 37% indicating a distress level >5. Patients with nonmalignant diseases (81% autoimmune diseases or hereditary hemochromatosis) showed the highest distress level of 5.2. Most distressed were patients who just learned about relapse or metastases (6.4), patients receiving best supportive care (5.4) and patients receiving adjuvant antihormonal therapy (5.4). Ninety-seven percent of patients appreciated to speak to their doctor about their distress. Fifty-six percent felt better than usual after this consultation.

CONCLUSION:

DT and PL are feasible instruments to measure distress in hematooncology outpatients receiving routine care. DT and PL are able to improve doctor-patient communication and thus should be implemented in routine patient care. The study shows that distress is distributed differently between individuals, disease groups and treatment phases.

PMID:
20926545
PMCID:
PMC3065878
DOI:
10.1093/annonc/mdq455
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Silverchair Information Systems Icon for PubMed Central
Loading ...
Support Center