Top

Gepubliceerd in:

20-08-2024

Interdisciplinary provider visits attenuate relationship between patient concerns and distress in older adults with cancer

Auteurs: Kelly M. McConnell, Alexandra K. Zaleta, Rebecca Saracino, Melissa Miller

Gepubliceerd in: Quality of Life Research | Uitgave 11/2024

Abstract

Purpose

This study examined the relationship between multidimensional patient concerns and anxiety and depression in a national sample of older adults with cancer (OACs ≥ 65 years) and the buffering effect of visiting providers across disciplines (e.g., oncology, allied health, primary care, mental health) on these relationships.

Methods

Participants completed a cross-sectional survey through the Cancer Support Community’s Cancer Experience Registry (CER), an online community-based research initiative. Eligible participants were 65 years and older and diagnosed with cancer in the past five years. Participants completed self-report measures of (1) the severity of their concerns across multiple domains, (2) anxiety and depression, and (3) whether they received care for “symptoms and side effects” from various providers.

Results

The sample consisted of 277 OACs; 45% endorsed elevated anxiety and 31% endorsed elevated depression. The most severe concerns were in the domains of body image and healthy lifestyle and symptom burden and impact. More severe concerns were associated with higher levels of anxiety and depression. The relationship between concern severity and distress was weaker in OACs who saw a palliative care, mental health, physical or occupational therapy provider, pharmacist, or primary care provider relative to OACs who did not. A visit with an oncology provider did not moderate most relationships between concerns and distress.

Conclusions

The relationship between OACs’ concerns and distress was attenuated by treatment with a specialty provider. Interdisciplinary team care may be a vital component of comprehensive patient-centered care for OACs.

vorige artikel Effect of present state bias on minimal important change estimates: a simulation study

volgende artikel Using a measurement type-independent metric to compare patterns of determinants between patient-reported versus performance-based physical function in hemodialysis patients

Alleen toegankelijk voor geautoriseerde gebruikers

Smith, B. D., Smith, G. L., Hurria, A., Hortobagyi, G. N., & Buchholz, T. A. (2009). Future of cancer incidence in the United States: Burdens upon an aging, changing nation. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 27(17), 2758–2765. https://doi.org/10.1200/JCO.2008.20.8983CrossRefPubMed

National Cancer Institute. (2024) SEER cancer statistics review. Retrieved April 4, 2024, from http://seer.cancer.gov/statfacts/html/all.html.

Lima, M. P., Longatto-Filho, A., & Osório, F. L. (2016). Predictor variables and screening protocol for depressive and anxiety disorders in cancer outpatients. PLoS ONE, 11(3), e0149421. https://doi.org/10.1371/journal.pone.0149421CrossRefPubMedPubMedCentral

Linden, W., Vodermaier, A., Mackenzie, R., & Greig, D. (2012). Anxiety and depression after cancer diagnosis: Prevalence rates by cancer type, gender, and age. Journal of Affective Disorders, 141(2–3), 343–351. https://doi.org/10.1016/j.jad.2012.03.025CrossRefPubMed

Brown, L. F., & Kroenke, K. (2009). Cancer-related fatigue and its associations with depression and anxiety: A systematic review. Psychosomatics, 50(5), 440–447. https://doi.org/10.1176/appi.psy.50.5.440CrossRefPubMedPubMedCentral

Reddy, S. K., Parsons, H. A., Elsayem, A., Palmer, J. L., & Bruera, E. (2009). Characteristics and correlates of dyspnea in patients with advanced cancer. Journal of Palliative Medicine, 12(1), 29–36. https://doi.org/10.1089/jpm.2008.0158CrossRefPubMed

Fujii, M., Ohno, Y., Tokumaru, Y., Imanishi, Y., Kanke, M., Tomita, T., & Kanzaki, J. (2001). Manifest anxiety scale for evaluation of effects of granisetron in chemotherapy with CDDP and 5FU for head and neck cancer. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 9(5), 366–371. https://doi.org/10.1007/s005200000221CrossRefPubMed

Pedersen, A. E., Sawatzky, J. A., & Hack, T. F. (2010). The sequelae of anxiety in breast cancer: A human response to illness model. Oncology Nursing Forum, 37(4), 469–475. https://doi.org/10.1188/10.ONF.469-475CrossRefPubMed

Mausbach, B. T., & Irwin, S. A. (2017). Depression and healthcare service utilization in patients with cancer. Psycho-Oncology, 26(8), 1133–1139. https://doi.org/10.1002/pon.4133CrossRefPubMed

10.

Jayadevappa, R., Malkowicz, S. B., Chhatre, S., Johnson, J. C., & Gallo, J. J. (2012). The burden of depression in prostate cancer. Psycho-Oncology, 21(12), 1338–1345. https://doi.org/10.1002/pon.2032CrossRefPubMed

11.

Lidgren, M., Wilking, N., Jönsson, B., & Rehnberg, C. (2007). Health related quality of life in different states of breast cancer. Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 16(6), 1073–1081. https://doi.org/10.1007/s11136-007-9202-8CrossRefPubMed

12.

Chow, S., Wan, B. A., Pidduck, W., Zhang, L., DeAngelis, C., Chan, S., Yee, C., Drost, L., Leung, E., Sousa, P., Lewis, D., Lam, H., Chow, R., Lock, M., & Chow, E. (2019). Symptoms predictive of overall quality of life using the edmonton Symptom assessment scale in breast cancer patients receiving radiotherapy. Clinical Breast Cancer, 19(6), 405–410. https://doi.org/10.1016/j.clbc.2019.05.007CrossRefPubMed

13.

Chan, C. M., Wan Ahmad, W. A., Yusof, M. M., Ho, G. F., & Krupat, E. (2015). Effects of depression and anxiety on mortality in a mixed cancer group: A longitudinal approach using standardised diagnostic interviews. Psycho-Oncology, 24(6), 718–725. https://doi.org/10.1002/pon.3714CrossRefPubMed

14.

Lazenby, M. (2014). The international endorsement of US distress screening and psychosocial guidelines in oncology: A model for dissemination. Journal of the National Comprehensive Cancer Network : JNCCN, 12(2), 221–227. https://doi.org/10.6004/jnccn.2014.0023CrossRefPubMed

15.

Bultz, B. D., Groff, S. L., Fitch, M., Blais, M. C., Howes, J., Levy, K., & Mayer, C. (2011). Implementing screening for distress, the 6th vital sign: A Canadian strategy for changing practice. Psycho-Oncology, 20(5), 463–469. https://doi.org/10.1002/pon.1932CrossRefPubMed

16.

American College of Surgeons Commission on Cancer. (2016) Cancer program standards: ensuring patient-centered care. Retrieved April 4, 2024, from https://www.facs.org/media/t5spw4jo/2016-coc-standards-manual_interactive-pdf.pdf

17.

Carlson, L. E., Waller, A., Groff, S. L., & Bultz, B. D. (2013). Screening for distress, the sixth vital sign, in lung cancer patients: Effects on pain, fatigue, and common problems–secondary outcomes of a randomized controlled trial. Psycho-Oncology, 22(8), 1880–1888. https://doi.org/10.1002/pon.3223CrossRefPubMed

18.

Carlson, L. E. (2013). Screening alone is not enough: The importance of appropriate triage, referral, and evidence-based treatment of distress and common problems. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 31(29), 3616–3617. https://doi.org/10.1200/JCO.2013.51.4315CrossRefPubMed

19.

National Comprehensive Cancer Network. (2024) Distress management, version 2.2024. Retrieved April 4, 2024, from https://www.nccn.org/professionals/physician_gls/pdf/distress.pdf

20.

Andersen, B. L., DeRubeis, R. J., Berman, B. S., Gruman, J., Champion, V. L., Massie, M. J., Holland, J. C., Partridge, A. H., Bak, K., Somerfield, M. R., Rowland, J. H., American Society of Clinical Oncology. (2014). Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: An American society of clinical oncology guideline adaptation. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 32(15), 1605–1619. https://doi.org/10.1200/JCO.2013.52.4611CrossRefPubMed

21.

Zaleta, A. K., McManus, S., Fortune, E. E., DeRosa, B. W., Buzaglo, J. S., Olson, J. S., Goldberger, S., & Miller, M. F. (2021). CancerSupportSource®-15+: Development and evaluation of a short form of a distress screening program for cancer patients and survivors. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 29(8), 4413–4421. https://doi.org/10.1007/s00520-021-05988-2CrossRefPubMed

22.

Golant, M., Zaleta, A. K., Ash-Lee, S., Buzaglo, J. S., Stein, K., Saxton, M. C., Donziger, M., Thiboldeaux, K., & Bohannon, L. (2021). The engaged patient: The cancer support community’s comprehensive model of psychosocial programs services and research’. In W. Breitbart (Ed.), Psycho-oncology (pp. 393–399). Oxford: Oxford Academic. https://doi.org/10.1093/med/9780190097653.003.0050CrossRef

23.

Get Started with Medicare. (n.d.). Retrieved July 26, 2024, from https://www.medicare.gov/basics/get-started-with-medicare

24.

Medicare and Medicaid Act (1965). (2022, February 8). Retrieved July 26, 2024, from https://www.archives.gov/milestone-documents/medicare-and-medicaid-act

25.

Buzaglo, J. S., Zaleta, A. K., McManus, S., Golant, M., & Miller, M. F. (2020). CancerSupportSource®: Validation of a revised multi-dimensional distress screening program for cancer patients and survivors. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 28(1), 55–64. https://doi.org/10.1007/s00520-019-04753-wCrossRefPubMed

26.

Hays, R. D., Spritzer, K. L., Schalet, B. D., & Cella, D. (2018). PROMIS®-29 v2.0 profile physical and mental health summary scores. Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 27(7), 1885–1891. https://doi.org/10.1007/s11136-018-1842-3CrossRefPubMed

27.

Score Cut Points. (n.d.). Retrieved July 26, 2024, from https://www.healthmeasures.net/score-and-interpret/interpret-scores/promis/promis-score-cut-points

28.

Jensen, R. E., Potosky, A. L., Moinpour, C. M., Lobo, T., Cella, D., Hahn, E. A., Thissen, D., Smith, A. W., Ahn, J., Luta, G., & Reeve, B. B. (2017). United States population-based estimates of patient-reported outcomes measurement information system symptom and functional status reference values for individuals with cancer. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 35(17), 1913–1920. https://doi.org/10.1200/JCO.2016.71.4410CrossRefPubMed

29.

Meaningful Change. (n.d.). Retrieved July 26, 2024, from https://www.healthmeasures.net/score-and-interpret/interpret-scores/promis/meaningful-change

30.

Terwee, C. B., Peipert, J. D., Chapman, R., Lai, J. S., Terluin, B., Cella, D., Griffiths, P., & Mokkink, L. B. (2021). Minimal important change (MIC): A conceptual clarification and systematic review of MIC estimates of PROMIS measures. Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 30(10), 2729–2754. https://doi.org/10.1007/s11136-021-02925-yCrossRefPubMed

31.

Sangha, O., Stucki, G., Liang, M. H., Fossel, A. H., & Katz, J. N. (2003). The Self-Administered comorbidity questionnaire: A new method to assess comorbidity for clinical and health services research. Arthritis and Rheumatism, 49(2), 156–163. https://doi.org/10.1002/art.10993CrossRefPubMed

32.

Lee, A. R. Y. B., Leong, I., Lau, G., Tan, A. W., Ho, R. C. M., Ho, C. S. H., & Chen, M. Z. (2023). Depression and anxiety in older adults with cancer: Systematic review and meta-summary of risk, protective and exacerbating factors. General Hospital Psychiatry, 81, 32–42. https://doi.org/10.1016/j.genhosppsych.2023.01.008CrossRefPubMed

33.

White, I. R., Royston, P., & Wood, A. M. (2011). Multiple imputation using chained equations: Issues and guidance for practice. Statistics in Medicine, 30(4), 377–399. https://doi.org/10.1002/sim.4067CrossRefPubMed

34.

Fitch, M. I., Nicoll, I., Lockwood, G., Loiselle, C. G., Longo, C. J., Newton, L., & Strohschein, F. J. (2022). Exploring the relationships between income and emotional/practical concerns and help-seeking by older adult cancer survivors: A secondary analysis. Journal of Geriatric Oncology, 13(3), 337–345. https://doi.org/10.1016/j.jgo.2021.11.007CrossRefPubMed

35.

Obispo-Portero, B., Cruz-Castellanos, P., Jiménez-Fonseca, P., Rogado, J., Hernandez, R., Castillo-Trujillo, O. A., Asensio-Martínez, E., González-Moya, M., Carmona-Bayonas, A., & Calderon, C. (2022). Anxiety and depression in patients with advanced cancer during the COVID-19 pandemic. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 30(4), 3363–3370. https://doi.org/10.1007/s00520-021-06789-3CrossRefPubMed

36.

Pilleron, S., Sarfati, D., Janssen-Heijnen, M., Vignat, J., Ferlay, J., Bray, F., & Soerjomataram, I. (2019). Global cancer incidence in older adults, 2012 and 2035: A population-based study. International Journal of Cancer, 144(1), 49–58. https://doi.org/10.1002/ijc.31664CrossRefPubMed

37.

Fitch, M. I., Nicoll, I., Newton, L., & Strohschein, F. J. (2022). Challenges of survivorship for older adults diagnosed with cancer. Current Oncology Reports, 24(6), 763–773. https://doi.org/10.1007/s11912-022-01255-7CrossRefPubMedPubMedCentral

38.

Wedding, U., Pientka, L., & Höffken, K. (2007). Quality-of-life in elderly patients with cancer: A short review. European Journal of Cancer, 43(15), 2203–2210. https://doi.org/10.1016/j.ejca.2007.06.001CrossRefPubMed

39.

Miller, M. F., Zaleta, A. K., Allen, M. L., Nichols, H. M., & Robinson, D. C. (2022). Impact of distress screening and referral on health care utilization and cost among breast cancer patients: A retrospective cohort study. Journal of Psychosocial Oncology Research and Proactice, 4(2), e070. https://doi.org/10.1097/OR9.0000000000000070CrossRef

40.

Basch, E., Deal, A. M., Kris, M. G., Scher, H. I., Hudis, C. A., Sabbatini, P., Rogak, L., Bennett, A. V., Dueck, A. C., Atkinson, T. M., & Chou, J. F. (2016). Symptom monitoring with patient-reported outcomes during routine cancer treatment: A randomized controlled trial. Journal of Clinical Oncology, 34(6), 557–565. https://doi.org/10.1200/JCO.2015.63.0830CrossRefPubMed

41.

Mohile, S. G., Hurria, A., Cohen, H. J., Rowland, J. H., Leach, C. R., Arora, N. K., Canin, B., Muss, H. B., Magnuson, A., Flannery, M., Lowenstein, L., Allore, H. G., Mustian, K. M., Demark-Wahnefried, W., Extermann, M., Ferrell, B., Inouye, S. K., Studenski, S. A., & Dale, W. (2016). Improving the quality of survivorship for older adults with cancer. Cancer, 122(16), 2459–2568. https://doi.org/10.1002/cncr.30053CrossRefPubMed

42.

Walke, L. M., Rosenthal, R. A., Trentalange, M., Perkal, M. F., Maiaroto, M., Jeffery, S. M., & Marottoli, R. A. (2014). Restructuring care for older adults undergoing surgery: Preliminary data from the co-management of older operative patients en route across treatment environments (CO-OPERATE) model of care. Journal of the American Geriatrics Society, 62(11), 2185–2190. https://doi.org/10.1111/jgs.13098CrossRefPubMed

43.

Lu, W., Liu, C., He, J., Wang, R., Gao, D., & Cheng, R. (2023). Surgical and medical co-management optimizes surgical outcomes in older patients with chronic diseases undergoing robot-assisted laparoscopic radical prostatectomy. The Aging Male : The Official Journal of the International Society for the Study of the Aging Male, 26(1), 2159368. https://doi.org/10.1080/13685538.2022.2159368CrossRefPubMed

44.

Shahrokni, A., Tin, A. L., Sarraf, S., Alexander, K., Sun, S., Kim, S. J., McMillan, S., Yulico, H., Amirnia, F., Downey, R. J., Vickers, A. J., & Korc-Grodzicki, B. (2020). Association of geriatric comanagement and 90-day postoperative Mortality among patients aged 75 years and older with cancer. JAMA Network Open, 3(8), e209265. https://doi.org/10.1001/jamanetworkopen.2020.9265CrossRefPubMedPubMedCentral

45.

Nipp, R. D., Ruddy, M., Fuh, C. X., Zangardi, M. L., Chio, C., Kim, E. B., Li, B. K. M., Long, Y., Blouin, G. C., Lage, D., Ryan, D. P., Greer, J. A., El-Jawahri, A., & Temel, J. S. (2019). Pilot randomized trial of a pharmacy intervention for older adults with cancer. The oncologist, 24(2), 211–218. https://doi.org/10.1634/theoncologist.2018-0408CrossRefPubMed

46.

Gajra, A., Bapat, B., Jeune-Smith, Y., Nabhan, C., Klink, A. J., Liassou, D., & Feinberg, B. (2020). Frequency and causes of burnout in US community oncologists in the era of electronic health records. JCO Oncology Practice, 16(4), e357–e365. https://doi.org/10.1200/jop.19.00542CrossRefPubMed

47.

Parker, P. A., Alici, Y., Nelson, C., Banerjee, S. C., Coyle, N., Roth, A. J., Manna, R., Alexander, K., Gonzalez, J., Ewert, R., Schofield, E., Li, Y., & Korc-Grodzicki, B. (2023). Geriatric oncology cognition and communication (Geri-Onc CC): An interactive training for healthcare professionals. Journal of Geriatric Oncology, 14(3), 101484. https://doi.org/10.1016/j.jgo.2023.101484CrossRefPubMedPubMedCentral

48.

Kastrinos, A., Schofield, E. A., Moreno, A., Korc-Grodzicki, B., Nelson, C., Alexander, K., Parker, P. A., Manna, R., Alici, Y., & Banerjee, S. C. (2024). Geriatric communication skills training program for oncology healthcare providers: A Secondary analysis of patient and caregiver outcomes. Journal of Cancer Education : The Official Journal of the American Association for Cancer Education, 39(1), 12–17. https://doi.org/10.1007/s13187-023-02367-9CrossRefPubMed

49.

Bergerot, C. D., Razavi, M., Clark, K. L., Philip, E. J., Pal, S. K., Loscalzo, M., & Dale, W. (2021). Emotional problem-related distress screening and its prevalence by cancer type: Assessment by patients’ characteristics and level of assistance requested. Psycho-Oncology, 30(8), 1332–1338. https://doi.org/10.1002/pon.5685CrossRefPubMed

50.

Joshy, G., Thandrayen, J., Koczwara, B., Butow, P., Laidsaar-Powell, R., Rankin, N., Canfell, K., Stubbs, J., Grogan, P., Bailey, L., Yazidjoglou, A., & Banks, E. (2020). Disability, psychological distress and quality of life in relation to cancer diagnosis and cancer type: Population-based Australian study of 22,505 cancer survivors and 244,000 people without cancer. BMC Medicine, 18(1), 372. https://doi.org/10.1186/s12916-020-01830-4CrossRefPubMedPubMedCentral

51.

Halpern, M. T., Urato, M. P., Lines, L. M., Cohen, J. B., Arora, N. K., & Kent, E. E. (2018). Healthcare experience among older cancer survivors: Analysis of the SEER-CAHPS dataset. Journal of Geriatric Oncology, 9(3), 194–203. https://doi.org/10.1016/j.jgo.2017.11.005CrossRefPubMed

52.

Miller, K. D., Nogueira, L., Mariotto, A. B., Rowland, J. H., Yabroff, K. R., Alfano, C. M., & Siegel, R. L. (2019). Cancer treatment and survivorship statistics, 2019. CA a Cancer Journal for Clinicians, 69(5), 363–385. https://doi.org/10.3322/caac.21565CrossRefPubMed

53.

Hollingworth, W., Metcalfe, C., Mancero, S., Harris, S., Campbell, R., Biddle, L., McKell-Redwood, D., & Brennan, J. (2013). Are needs assessments cost effective in reducing distress among patients with cancer? A randomized controlled trial using the distress thermometer and problem list. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 31(29), 3631–3638. https://doi.org/10.1200/JCO.2012.48.3040CrossRefPubMed

Titel: Interdisciplinary provider visits attenuate relationship between patient concerns and distress in older adults with cancer
Auteurs: Kelly M. McConnell
Alexandra K. Zaleta
Rebecca Saracino
Melissa Miller
Publicatiedatum: 20-08-2024
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 11/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-024-03760-7

Andere artikelen Uitgave 11/2024

A short scale to measure health-related quality of life after traumatic brain injury in children and adolescents (QOLIBRI-OS-KID/ADO): psychometric properties and German reference values

Open Access

Measurement invariance of the PROMIS emotional distress and subjective well-being domains among autistic and General Population adolescents

Open Access

Life's Essential 8 and its association with osteoarthritis and disability: a cross-sectional study based on the NHANES 2005–2018 database

Patient-reported outcome and experience domains for diagnostic excellence: a scoping review to inform future measure development

Open Access

A systematic review of quality of life (QoL) studies using the CASP scale in older adults

Review

The impact of demographic change on value set validity and obsolescence

Open Access