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Brain cancer patients' levels of distress and supportive care needs over time
PURPOSE: This study aimed to describe patient self‐reported distress over time and how this was associated with wellbeing, and supportive care needs over a 6‐month period from commencing chemoradiotherapy for high grade glioma (HGG). METHODS: In this prospective cohort study, participants completed...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10087040/ https://www.ncbi.nlm.nih.gov/pubmed/36086830 http://dx.doi.org/10.1002/pon.6028 |
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author | Halkett, Georgia K. B. Lobb, Elizabeth Spilsbury, Katrina Dhillon, Haryana Nowak, Anna K. |
author_facet | Halkett, Georgia K. B. Lobb, Elizabeth Spilsbury, Katrina Dhillon, Haryana Nowak, Anna K. |
author_sort | Halkett, Georgia K. B. |
collection | PubMed |
description | PURPOSE: This study aimed to describe patient self‐reported distress over time and how this was associated with wellbeing, and supportive care needs over a 6‐month period from commencing chemoradiotherapy for high grade glioma (HGG). METHODS: In this prospective cohort study, participants completed surveys at three time points: before chemoradiotherapy, at 3 and 6 months. These included Distress Thermometer, Functional Assessment of Cancer/Brain Cancer Treatment‐general (Fact‐G/FACT‐BR), Supportive Care Needs Scale (SF‐34) and Brain Tumour Specific subscale. Patient survival time was also collected. Group‐based trajectory modelling was performed. Multinominal logistic regression assessed variables associated with different distress trajectory groups. RESULTS: One hundred and sixteen participants completed assessments at baseline, 89 participants at 3 and 64 at 6 months. Four distress trajectory groups were identified; consistent low distress (18%), low to high distress (38%), high‐to low distress (24%) and consistent high distress (19%). Younger participants tended to report decreased distress over time, whereas older participants reported consistently high distress. High distress trajectory participants had less education, lower physical wellbeing, more unmet needs, but higher functional wellbeing compared to the low to high distress trajectory. The number of unmet needs paralleled the patterns of distress over time. The highest unmet needs in people with HGG and high distress were disease specific changes in mental ability and physical side effects. CONCLUSION: This study demonstrates people with HGG experience ongoing distress and highlights a need for continuous distress and unmet needs screening and referrals. |
format | Online Article Text |
id | pubmed-10087040 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100870402023-04-12 Brain cancer patients' levels of distress and supportive care needs over time Halkett, Georgia K. B. Lobb, Elizabeth Spilsbury, Katrina Dhillon, Haryana Nowak, Anna K. Psychooncology Original Articles PURPOSE: This study aimed to describe patient self‐reported distress over time and how this was associated with wellbeing, and supportive care needs over a 6‐month period from commencing chemoradiotherapy for high grade glioma (HGG). METHODS: In this prospective cohort study, participants completed surveys at three time points: before chemoradiotherapy, at 3 and 6 months. These included Distress Thermometer, Functional Assessment of Cancer/Brain Cancer Treatment‐general (Fact‐G/FACT‐BR), Supportive Care Needs Scale (SF‐34) and Brain Tumour Specific subscale. Patient survival time was also collected. Group‐based trajectory modelling was performed. Multinominal logistic regression assessed variables associated with different distress trajectory groups. RESULTS: One hundred and sixteen participants completed assessments at baseline, 89 participants at 3 and 64 at 6 months. Four distress trajectory groups were identified; consistent low distress (18%), low to high distress (38%), high‐to low distress (24%) and consistent high distress (19%). Younger participants tended to report decreased distress over time, whereas older participants reported consistently high distress. High distress trajectory participants had less education, lower physical wellbeing, more unmet needs, but higher functional wellbeing compared to the low to high distress trajectory. The number of unmet needs paralleled the patterns of distress over time. The highest unmet needs in people with HGG and high distress were disease specific changes in mental ability and physical side effects. CONCLUSION: This study demonstrates people with HGG experience ongoing distress and highlights a need for continuous distress and unmet needs screening and referrals. John Wiley and Sons Inc. 2022-09-27 2022-12 /pmc/articles/PMC10087040/ /pubmed/36086830 http://dx.doi.org/10.1002/pon.6028 Text en © 2022 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Halkett, Georgia K. B. Lobb, Elizabeth Spilsbury, Katrina Dhillon, Haryana Nowak, Anna K. Brain cancer patients' levels of distress and supportive care needs over time |
title | Brain cancer patients' levels of distress and supportive care needs over time |
title_full | Brain cancer patients' levels of distress and supportive care needs over time |
title_fullStr | Brain cancer patients' levels of distress and supportive care needs over time |
title_full_unstemmed | Brain cancer patients' levels of distress and supportive care needs over time |
title_short | Brain cancer patients' levels of distress and supportive care needs over time |
title_sort | brain cancer patients' levels of distress and supportive care needs over time |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10087040/ https://www.ncbi.nlm.nih.gov/pubmed/36086830 http://dx.doi.org/10.1002/pon.6028 |
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