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- Title
Effects on patient-reported outcomes of "Screening of Distress and Referral Need" implemented in Dutch oncology practice.
- Authors
van Nuenen, Floor M.; Donofrio, Stacey M.; Tuinman, Marrit A.; van de Wiel, Harry B. M.; Hoekstra-Weebers, Josette E. H. M.
- Abstract
<bold>Purpose: </bold>This study investigated the effect of the "Screening for Distress and Referral Need" (SDRN) process (completing a screening instrument; patient-caregiver discussion about the patient's responses, regardless of distress level, and possible referral to specialized care), implemented in Dutch oncology practice on patient-reported outcomes (PROs).<bold>Methods: </bold>A non-randomized time-sequential study was conducted to compare two cohorts. Cohort 1 respondents (C1) were recruited before and cohort 2 respondents (C2) after SDRN implementation in nine Dutch hospitals. Participants completed the EORTC-QLQ-C30, HADS, Patient Satisfaction Questionnaire-III, and the Distress Thermometer and Problem List (DT&PL). Descriptive analyses and univariate tests were conducted.<bold>Results: </bold>C2 respondents (N = 422, response = 54%) had significantly lower mean scores on the practical (t = 2.3; p = 0.02), social (t = 2.3; p = 0.03), and emotional PL domains (t = 2.9; p = 0.004) compared with C1 (N = 518, response = 53%). No significant differences were found on quality of life, anxiety, depression, satisfaction with care, distress level, the spiritual and physical PL domains, or on referral wish.<bold>Conclusions: </bold>After implementation of SDRN, patients report significantly fewer psychosocial (practical, social, and emotional) problems on the DT/PL but responses on the other patient-reported outcomes were comparable. These results add to the mixed evidence on the beneficial effect of distress screening. More and better focused research is needed.
- Subjects
SWEDEN; PATIENT satisfaction; ONCOLOGY; PSYCHO-oncology; UNIVARIATE analysis; SATISFACTION; QUALITY of life; MENTAL health; MEDICAL screening; MEDICAL referrals; RESEARCH funding; PSYCHOLOGICAL stress; LONGITUDINAL method; PSYCHOLOGICAL factors
- Publication
Supportive Care in Cancer, 2020, Vol 28, Issue 7, p3391
- ISSN
0941-4355
- Publication type
journal article
- DOI
10.1007/s00520-019-05140-1