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Effects on patient-reported outcomes of “Screening of Distress and Referral Need” implemented in Dutch oncology practice

PURPOSE: This study investigated the effect of the “Screening for Distress and Referral Need” (SDRN) process (completing a screening instrument; patient-caregiver discussion about the patient’s responses, regardless of distress level, and possible referral to specialized care), implemented in Dutch...

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Autores principales: van Nuenen, Floor M., Donofrio, Stacey M., Tuinman, Marrit A., van de Wiel, Harry B. M., Hoekstra-Weebers, Josette E. H. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256091/
https://www.ncbi.nlm.nih.gov/pubmed/31781949
http://dx.doi.org/10.1007/s00520-019-05140-1
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author van Nuenen, Floor M.
Donofrio, Stacey M.
Tuinman, Marrit A.
van de Wiel, Harry B. M.
Hoekstra-Weebers, Josette E. H. M.
author_facet van Nuenen, Floor M.
Donofrio, Stacey M.
Tuinman, Marrit A.
van de Wiel, Harry B. M.
Hoekstra-Weebers, Josette E. H. M.
author_sort van Nuenen, Floor M.
collection PubMed
description PURPOSE: This study investigated the effect of the “Screening for Distress and Referral Need” (SDRN) process (completing a screening instrument; patient-caregiver discussion about the patient’s responses, regardless of distress level, and possible referral to specialized care), implemented in Dutch oncology practice on patient-reported outcomes (PROs). METHODS: A non-randomized time-sequential study was conducted to compare two cohorts. Cohort 1 respondents (C1) were recruited before and cohort 2 respondents (C2) after SDRN implementation in nine Dutch hospitals. Participants completed the EORTC-QLQ-C30, HADS, Patient Satisfaction Questionnaire-III, and the Distress Thermometer and Problem List (DT&PL). Descriptive analyses and univariate tests were conducted. RESULTS: C2 respondents (N = 422, response = 54%) had significantly lower mean scores on the practical (t = 2.3; p = 0.02), social (t = 2.3; p = 0.03), and emotional PL domains (t = 2.9; p = 0.004) compared with C1 (N = 518, response = 53%). No significant differences were found on quality of life, anxiety, depression, satisfaction with care, distress level, the spiritual and physical PL domains, or on referral wish. CONCLUSIONS: After implementation of SDRN, patients report significantly fewer psychosocial (practical, social, and emotional) problems on the DT/PL but responses on the other patient-reported outcomes were comparable. These results add to the mixed evidence on the beneficial effect of distress screening. More and better focused research is needed.
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spelling pubmed-72560912020-06-08 Effects on patient-reported outcomes of “Screening of Distress and Referral Need” implemented in Dutch oncology practice van Nuenen, Floor M. Donofrio, Stacey M. Tuinman, Marrit A. van de Wiel, Harry B. M. Hoekstra-Weebers, Josette E. H. M. Support Care Cancer Original Article PURPOSE: This study investigated the effect of the “Screening for Distress and Referral Need” (SDRN) process (completing a screening instrument; patient-caregiver discussion about the patient’s responses, regardless of distress level, and possible referral to specialized care), implemented in Dutch oncology practice on patient-reported outcomes (PROs). METHODS: A non-randomized time-sequential study was conducted to compare two cohorts. Cohort 1 respondents (C1) were recruited before and cohort 2 respondents (C2) after SDRN implementation in nine Dutch hospitals. Participants completed the EORTC-QLQ-C30, HADS, Patient Satisfaction Questionnaire-III, and the Distress Thermometer and Problem List (DT&PL). Descriptive analyses and univariate tests were conducted. RESULTS: C2 respondents (N = 422, response = 54%) had significantly lower mean scores on the practical (t = 2.3; p = 0.02), social (t = 2.3; p = 0.03), and emotional PL domains (t = 2.9; p = 0.004) compared with C1 (N = 518, response = 53%). No significant differences were found on quality of life, anxiety, depression, satisfaction with care, distress level, the spiritual and physical PL domains, or on referral wish. CONCLUSIONS: After implementation of SDRN, patients report significantly fewer psychosocial (practical, social, and emotional) problems on the DT/PL but responses on the other patient-reported outcomes were comparable. These results add to the mixed evidence on the beneficial effect of distress screening. More and better focused research is needed. Springer Berlin Heidelberg 2019-11-28 2020 /pmc/articles/PMC7256091/ /pubmed/31781949 http://dx.doi.org/10.1007/s00520-019-05140-1 Text en © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
van Nuenen, Floor M.
Donofrio, Stacey M.
Tuinman, Marrit A.
van de Wiel, Harry B. M.
Hoekstra-Weebers, Josette E. H. M.
Effects on patient-reported outcomes of “Screening of Distress and Referral Need” implemented in Dutch oncology practice
title Effects on patient-reported outcomes of “Screening of Distress and Referral Need” implemented in Dutch oncology practice
title_full Effects on patient-reported outcomes of “Screening of Distress and Referral Need” implemented in Dutch oncology practice
title_fullStr Effects on patient-reported outcomes of “Screening of Distress and Referral Need” implemented in Dutch oncology practice
title_full_unstemmed Effects on patient-reported outcomes of “Screening of Distress and Referral Need” implemented in Dutch oncology practice
title_short Effects on patient-reported outcomes of “Screening of Distress and Referral Need” implemented in Dutch oncology practice
title_sort effects on patient-reported outcomes of “screening of distress and referral need” implemented in dutch oncology practice
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256091/
https://www.ncbi.nlm.nih.gov/pubmed/31781949
http://dx.doi.org/10.1007/s00520-019-05140-1
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