[Outpatient psychosocial screening in a skin cancer center: acceptance, psychosocial distress and utilization of support : A post hoc analysis in a quality management program].

Wünsch, Alexander; Jeske, Niklas; Röderer, Natalie; Meiss, Frank (2024). [Outpatient psychosocial screening in a skin cancer center: acceptance, psychosocial distress and utilization of support : A post hoc analysis in a quality management program]. Die Dermatologie, 75(8), pp. 629-639. Springer 10.1007/s00105-024-05347-2

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BACKGROUND

Psychosocial care of cancer patients is an important aspect throughout the entire course of oncological treatment. Since 2015, psychosocial screening has been implemented in the outpatient clinics of the Skin Cancer Center in Freiburg. We present here a post hoc analysis in the context of a quality management program.

QUESTION

Acceptance, psychosocial distress and desire for counseling were evaluated. Exploratively, we investigated which patient and disease characteristics are related to increased subjective distress.

MATERIALS AND METHODS

In a full survey from 06/2015 to 12/2015, we evaluated acceptance, psychosocial distress by distress thermometer (DT), and desire for counseling.

RESULTS

Of 753 patients, 345 (45.8%) participated in psychosocial screening and data from 310 (174 men, 136 women; 89.7% melanoma patients, mean time since initial diagnosis 4.7 ± 3.9 years) could be analyzed. The mean burden on the DT was 2.97 ± 2.83 (median 2, range 0-10). High distress (DT ≥ 5) was reported by 84 patients (28.8%). Thirty-four patients (11%) indicated a desire for counseling, and 23 patients took up the counseling offer. The patient group with high distress was younger, more often under ongoing or recently completed systemic therapy, and had more often a desire for counseling.

CONCLUSION

In addition to assessing psychosocial distress with validated screening instruments, the survey of the subjective desire for care represents an important parameter for the identification of patients in need of care. Young patients and patients with ongoing systemic therapy should be the focus of attention.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Medical Oncology

UniBE Contributor:

Wünsch, Alexander

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2731-7013

Publisher:

Springer

Language:

German

Submitter:

Pubmed Import

Date Deposited:

10 May 2024 14:52

Last Modified:

06 Aug 2024 00:13

Publisher DOI:

10.1007/s00105-024-05347-2

PubMed ID:

38720135

Uncontrolled Keywords:

Cancer counseling centers Melanoma Psychosocial distress Screening instruments Subjective desire for care

BORIS DOI:

10.48350/196646

URI:

https://boris.unibe.ch/id/eprint/196646

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