Impact of distress screening algorithm for psycho-oncological needs in neurosurgical patients

Oncotarget
Marion RappMichael Sabel

Abstract

Cerebral tumors are associated with high rates of anxiety, depression and reduced health related quality of life. Nevertheless psychooncological screening instruments are neither implemented nor well defined in the daily routine of neurosurgical departments. Therefore, we tried (1) to identify a suitable screening algorithm for neurosurgical patients, (2) to define clinical risk factors for increased distress and (3) to analyze the optimal screening time point. Between October 2013 and January 2015 472 elective neurosurgical in-patients (median age 55.85 years) of the neurosurgical departments of the University Hospitals Duesseldorf and Muenster were prospectively included into this study. Regarding their diagnosis 244 (51.7%) patients were identified with malignant lesions and 228 (48.3%) patients with benign lesions. Increased distress was diagnosed in 63.1% of all patients via DT, in 13.6% via HADS and 27.8% via PO-Bado. Combining the cut-off criteria with the problem list increased sensitivity (90%) and specificity (70%) of the DT assessment. Regarding risk factors pre-existing psychiatric disorders, ataractic medication and a decreased clinical performance status were associated with increased distress. Patients with diagn...Continue Reading

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Citations

Jun 24, 2021·Acta neurochirurgica·Alessandra LeyMarion Rapp
Jun 15, 2021·Frontiers in Psychology·Simone MayerMartin Teufel
Dec 2, 2020·Neurosurgical Focus·Francesco DogliettoMarco Maria Fontanella

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Software Mentioned

Bado
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SPSS Statistics
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