Predictors for use of psychosocial services in patients with metastatic colorectal cancer receiving first line systemic treatment

Autor: Joost Dekker, Annemarie M. J. Braamse, Inge R. H. M. Konings, Henk M.W. Verheul, Claudia S. E. W. Schuurhuizen
Přispěvatelé: APH - Mental Health, Psychiatry, CCA - Cancer Treatment and quality of life, Medical oncology, Rehabilitation medicine, APH - Aging & Later Life, APH - Health Behaviors & Chronic Diseases, Medical Psychology, CCA - Cancer Treatment and Quality of Life
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
Mental Health Services
0301 basic medicine
Cancer Research
medicine.medical_specialty
Colorectal cancer
Palliative treatment
Logistic regression
lcsh:RC254-282
Young Adult
03 medical and health sciences
Cancer development and immune defence Radboud Institute for Health Sciences [Radboudumc 2]
0302 clinical medicine
Quality of life
Surveys and Questionnaires
Internal medicine
Genetics
medicine
Psychosocial services
Humans
Longitudinal Studies
Prospective Studies
Survivors
Cluster randomised controlled trial
Adverse effect
Aged
Netherlands
Aged
80 and over
business.industry
Metastatic colorectal cancer
Predictors
Social Support
Cancer Pain
Middle Aged
medicine.disease
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Distress
030104 developmental biology
Socioeconomic Factors
Oncology
030220 oncology & carcinogenesis
Disease Progression
Female
Colorectal Neoplasms
business
Psychosocial
Progressive disease
Research Article
Zdroj: BMC Cancer, 19(1):115. BioMed Central
Schuurhuizen, C S E W, Braamse, A M J, Konings, I R H M, Verheul, H M W & Dekker, J 2019, ' Predictors for use of psychosocial services in patients with metastatic colorectal cancer receiving first line systemic treatment ', BMC Cancer, vol. 19, no. 1, 115 . https://doi.org/10.1186/s12885-019-5318-9
BMC Cancer, Vol 19, Iss 1, Pp 1-10 (2019)
BMC Cancer, 19
BMC Cancer
BMC cancer, 19(1):115. BioMed Central
ISSN: 1471-2407
DOI: 10.1186/s12885-019-5318-9
Popis: Contains fulltext : 207398.pdf (Publisher’s version ) (Open Access) BACKGROUND: Patients with advanced disease experience high levels of psychological distress, yet there is low uptake of psychosocial services offered to patients who screened positive for distress. In this study we aimed to identify predictors for use of psychosocial services in patients with metastatic colorectal cancer (mCRC) receiving first line chemotherapy enrolled in a prospective cluster randomized trial (CRT). METHODS: Patients completed measures on psychological distress, physical distress, and quality of life at baseline. Demographics, clinical characteristics at baseline and clinical events during treatment (e.g. severe adverse events, clinical benefit) were extracted from patient records. Patients reported psychosocial service utilization in- and outside the hospital after 10, 24 and 48 weeks of treatment. Multivariable logistic regression models were used to identify predictors for the use of psychosocial services. RESULTS: Out of 349 patients, seventy patients (20.0%) used psychosocial support services during the follow-up period. Use of psychosocial services was associated with younger age, a higher educational level, presence of more pain (at baseline), and the expressed need to talk to a professional (at baseline). In addition, patients without progressive disease within the first ten weeks of treatment were more likely to use psychosocial services . CONCLUSIONS: One in five patients with mCRC receiving first line palliative treatment used psychosocial services during this prospective longitudinal CRT. Sociodemographic factors (age, education), clinical factors (pain and no progressive disease) and the expressed need to talk to a professional predicted use of psychosocial services. Identification of these predictors may contribute to the understanding of factors that determine the need for psychosocial services. TRIAL REGISTRATION: Netherlands Trial Register NTR4034 .
Databáze: OpenAIRE
Externí odkaz: