Screening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients

Clinical Ophthalmology
Annemarie KlingensteinPaul I Foerster

Abstract

To assess a profile of uveal melanoma patients at risk of requiring active psycho-oncological intervention by employing the National Comprehensive Cancer Network (NCCN) distress thermometer. Multivariate correlation and multiple linear regression analysis of data collected retrospectively from 106 consecutive patients suffering from uveal melanoma. Distress levels correlated with practical (p = 0.01), emotional (p = 0.003) and physical problems (p = 0.001) as well as the total number of issues reported (p < 0.001; ANOVA, respectively). Emotional issues added up to 39% of influence on distress levels. Nervousness, worry and sadness as the most important emotional issues tested correlated significantly with anatomic stage, tumor T-category, metastatic status and time after primary diagnosis and were present more frequently in patients with higher distress levels (p < 0.001, p = 0.002, p = 0.004, respectively, Fisher's exact test). Pre-existing psycho-oncological support was more frequent in metastatic patients and patients with higher anatomic stage tumors (p = 0.008 and p = 0.003; Fisher's exact test). The distress thermometer proved to be useful for rapid assessment of patients requiring active intervention. A higher number of ...Continue Reading

References

Jan 1, 1995·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Y BrandbergP O Sjödén
May 1, 1997·Psychosomatic Medicine·A van't SpijkerH J Duivenvoorden
Mar 24, 2000·The British Journal of Ophthalmology·A J FossJ Hungerford
Sep 21, 2013·Melanoma Research·Annemarie KlingensteinKirsten H Eibl
Nov 18, 2015·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·A KlingensteinK H Eibl
Jan 26, 2018·Acta Ophthalmologica·Shahar FrenkelJacob Pe'er
Oct 16, 2018·Ocular Oncology and Pathology·Armin R AfsharBertil E Damato

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