Distress screening in head and neck cancer patients planned for cancer-directed radiotherapy

Salins, Naveen Sulakshan and Lewis, Shirley and Agarwal, Jai Prakash (2021) Distress screening in head and neck cancer patients planned for cancer-directed radiotherapy. Laryngoscope, 131 (9). pp. 2023-2029. ISSN 0023-852X

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Abstract

Objective/Hypothesis: To estimate the prevalence of baseline clinically significant distress (distress score ≥ 4) in head and neck cancer patients planned and treated with radical intent radiotherapy using the National Comprehensive Cancer Network Distress Thermometer (DT) and assess factors predictive of distress. Study Design: Cross-sectional study. Methods: This was a cross-sectional study evaluating distress in 600 head and neck cancer patients undergoing radiation therapy. The DT was used to screen patients for distress at baseline before radiotherapy. Results: The median distress score of the entire cohort was 4 interquartile range (IQR) (IQR: 3–5), and 340 patients (56.7%) had clinically significant distress. On univariate analysis, the causal factors predictive of distress were low socioeconomic status (P = .04), presence of proliferative growth at presentation (P = .008), site of the tumor (oral cavity, P = .02), comorbidity (P = .04), and presence of Ryle’s tube or tracheostomy tube at baseline (P = .01). Low socioeconomic status was significant (P = .04) on multivariate analysis for high levels of distress. Conclusions: Among head and neck cancer patients, 56% of patients had clinically significant baseline distress, and patients with low socioeconomic status had high distress. There is a need for interventions to mitigate distress.

Item Type: Article
Uncontrolled Keywords: Distress; distress thermometer; Head and neck cancer; radiotherapy; chemotherapy; surgery.
Subjects: Medicine > KMC Manipal > Palliative Medicine and Supportive Care
Medicine > KMC Manipal > Radiotherapy and Oncology
Depositing User: KMC Library
Date Deposited: 27 Nov 2021 05:59
Last Modified: 28 Jan 2022 08:45
URI: http://eprints.manipal.edu/id/eprint/157772

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