Screening for Distress and Health Outcomes in Head and Neck Cancer.
Head and neck cancers (HNC) have higher rates of emotional distress than other cancer types and the general population. This paper compares the prevalence of emotional distress in HNC across various distress screening measures and examines whether significant distress or distress screening are assoc...
| Publicado en: | Current Oncology Vol. 29; no. 6; pp. 3793 - 3807 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
MDPI
Jun2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157715861&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157715861 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11980052 5EKK jtl: Current Oncology issn: 11980052 maglogo: N pubinfo: dt: Jun2022 vid: 29 iid: 6 pid: 97109 pub: MDPI artinfo: ui: 157715861 10.3390/curroncol29060304 157715861 ppf: 3793 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Screening for Distress and Health Outcomes in Head and Neck Cancer. aug: au: Gascon, Bryan Panjwani, Aliza A. Mazzurco, Olivia Li, Madeline affil: Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada sug: ab: Head and neck cancers (HNC) have higher rates of emotional distress than other cancer types and the general population. This paper compares the prevalence of emotional distress in HNC across various distress screening measures and examines whether significant distress or distress screening are associated with cancer-related survival. A retrospective observational cohort design was employed, with data collected from the Distress Assessment and Response Tool (DART) and linkages to administrative databases from 2010 to 2016. Descriptive and prevalence data were reported using multiple concurrently administered distress tools, including the Patient Health Questionaire-9 (PHQ-9), Generalized Anxiety Disorders-7 (GAD-7), Edmonton Symptom Assessment Scale-revised (ESAS-r), and MD Anderson Symptom Index-Head and Neck module (MDASI-HN). Across measures, 7.8 to 28.1% of the sample reported clinically significant emotional distress, with PHQ-9 and GAD-7 identifying lowest prevalence of moderate/severe distress, and the ultrashort distress screens within ESAS-r and MDASI-HN performing equivalently. Cox hazards models were used in univariate and multivariate survival analyses. ESAS depression (≥4), but not anxiety, was associated with increased risk of cancer-related mortality and patient completion of DART was associated with greater cancer-related survival. The findings underscore the importance of implementing routine distress screening for HNC populations and the utility of ultra-brief screening measures. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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