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- W2767338878 abstract "Background: Routine screening for distress is today recognized as a standard of care in oncology practice, given the high incidence and the high negative impact on quality of life. It is demonstrated that a quickly identification of distress may led to prompt treatment and consequently to a better adherence to the oncologic plan. Methods: Our principal aims were identify factors associated with distress and propose a simple and acceptable method to measure distress and unmet needs of oncologic patients. At the first visit, a brief interview with a psychologist and the Distress Thermometer were given to all new patients submitted to our Unit. A score of 5 or more was considered for a risk of distress and patients were than referred to the psychologist for taking charge. After six months, the Distress Thermometer was proposed again to search a variation in its score. Results: From January to May 2016 we screened for distress 106 new oncologic patients. At the baseline evaluation, a score of 5 or more was discovered in 54 patients. Of these, after the psychological support six month later, the score was equal or increased in 9% of patients, respectively; in the remaining patients, the reduction of score was of 5 or more point in a 34% of cases. Taken the whole population, at the second evaluation, the score appeared equal in a 13.2% of cases while it was increased in 24.5% of patients. The main reason for this evidence, was the poor acceptance of the disease. In every case, we did not find a correlation between the score and other factors such as sex, age, schooling, and social and work situation. Conclusions: Using a brief interview and a simple instrument such as the Distress Thermometer, our psychologists were able to individuate distress very quickly. This allowed us to perform fast intervention thus improving the quality of life and adherence to the oncologic treatment. Moreover, repeating the test after six month we were able to identify another subgroup of patients at risk for distress at the end of the oncologic journey." @default.
- W2767338878 created "2017-11-17" @default.
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- W2767338878 date "2017-10-01" @default.
- W2767338878 modified "2023-09-30" @default.
- W2767338878 title "The thermometer of distress in oncology" @default.
- W2767338878 doi "https://doi.org/10.1093/annonc/mdx434.009" @default.
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