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- Title
Distress Scores in Elderly Cancer Patients During Radiotherapy.
- Authors
RADES, DIRK; DELIKANLI, CANSU; YU, NATHAN Y.; JANSSEN, STEFAN
- Abstract
Background/Aim: When assigned to radiotherapy (RT), elderly patients may experience distress. We investigated distress during RT and potential risk factors in these patients. Patients and Methods: Six-hundred-andnineteen patients completed pre-RT and post-RT distress thermometers. Seven characteristics were investigated including age, sex, Karnofsky performance score (KPS), grouped KPS, tumor type, intent of RT, and previous RT. Additional analyses were performed in 358 patients with pre- RT scores =5. Results: Mean change of distress was -0.5 (±2.7) points and associated with KPS (p=0.005) and grouped KPS (p<0.001). Male sex (p=0.035), KPS 90-100 (p=0.001), and curative intent (p=0.037) were associated with increased distress on univariable analyses, and KPS 90- 100 (odds ratio=1.92, p=0.004) on multivariable analysis. In patients with baseline scores =5, mean change was +0.5 (±2.5) points and associated with KPS (p=0.040) and grouped KPS (p=0.025). Conclusion: Psychological assistance should be considered for all patients including those with baseline scores =5 and KPS 90-100. Patients with risk factors for increased distress would especially benefit.
- Subjects
PSYCHOLOGICAL distress; CANCER radiotherapy; OLDER patients; MEDICAL statistics; THERMOMETERS
- Publication
In Vivo, 2024, Vol 38, Issue 1, p313
- ISSN
0258-851X
- Publication type
Article
- DOI
10.21873/invivo.13441