Screening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients

Annemarie Klingenstein,1 Christina Samel,2 Aylin Garip-Kuebler,1 Siegfried G Priglinger,1 Paul I Foerster1 1Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany; 2Institute of Medical Statistics and Computational Biology, Faculty of Medicine, University of Cologne, Cologne, Ge...

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Autores principales:	Klingenstein A, Samel C, Garip-Kuebler A, Priglinger SG, Foerster PI
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	quality of life nccn distress thermometer uveal melanoma psycho-oncological distress cancer Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/b4c0fab8be5d4bc9890c552852b0fd3a
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spelling	oai:doaj.org-article:b4c0fab8be5d4bc9890c552852b0fd3a2021-12-02T12:46:32ZScreening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients1177-5483https://doaj.org/article/b4c0fab8be5d4bc9890c552852b0fd3a2020-11-01T00:00:00Zhttps://www.dovepress.com/screening-for-predictive-parameters-requiring-psycho-oncological-inter-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Annemarie Klingenstein,1 Christina Samel,2 Aylin Garip-Kuebler,1 Siegfried G Priglinger,1 Paul I Foerster1 1Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany; 2Institute of Medical Statistics and Computational Biology, Faculty of Medicine, University of Cologne, Cologne, GermanyCorrespondence: Annemarie KlingensteinDepartment of Ophthalmology, Ludwig-Maximilians-University, Klinikum der Universität München, Campus Innenstadt, Mathildenstraße 8, Munich D-80336, GermanyTel +49 89 44005 3811Fax +49 89 44005 5160Email Annemarie.Klingenstein@med.uni-muenchen.deAim: To assess a profile of uveal melanoma patients at risk of requiring active psycho-oncological intervention by employing the National Comprehensive Cancer Network (NCCN) distress thermometer.Methods: Multivariate correlation and multiple linear regression analysis of data collected retrospectively from 106 consecutive patients suffering from uveal melanoma.Results: Distress levels correlated with practical (p = 0.01), emotional (p = 0.003) and physical problems (p = 0.001) as well as the total number of issues reported (p < 0.001; ANOVA, respectively). Emotional issues added up to 39% of influence on distress levels. Nervousness, worry and sadness as the most important emotional issues tested correlated significantly with anatomic stage, tumor T-category, metastatic status and time after primary diagnosis and were present more frequently in patients with higher distress levels (p < 0.001, p = 0.002, p = 0.004, respectively, Fisher’s exact test). Pre-existing psycho-oncological support was more frequent in metastatic patients and patients with higher anatomic stage tumors (p = 0.008 and p = 0.003; Fisher’s exact test).Conclusion: The distress thermometer proved to be useful for rapid assessment of patients requiring active intervention. A higher number of distress items recorded correlated with elevated distress levels. Emotional issues were responsible for the majority of problems. A typical patient profile at risk of developing distress requiring close attention of caregivers includes high anatomic stage, high T-category, presence of metastases and early follow-up. Correct diagnosis and interpretation of distress-levels should help improve the quality of life of uveal melanoma survivors.Trial Registration: Not applicable.Keywords: quality of life, NCCN distress thermometer, uveal melanoma, psycho-oncological distress, cancerKlingenstein ASamel CGarip-Kuebler APriglinger SGFoerster PIDove Medical Pressarticlequality of lifenccn distress thermometeruveal melanomapsycho-oncological distresscancerOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 3813-3819 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	quality of life nccn distress thermometer uveal melanoma psycho-oncological distress cancer Ophthalmology RE1-994
spellingShingle	quality of life nccn distress thermometer uveal melanoma psycho-oncological distress cancer Ophthalmology RE1-994 Klingenstein A Samel C Garip-Kuebler A Priglinger SG Foerster PI Screening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients
description	Annemarie Klingenstein,1 Christina Samel,2 Aylin Garip-Kuebler,1 Siegfried G Priglinger,1 Paul I Foerster1 1Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany; 2Institute of Medical Statistics and Computational Biology, Faculty of Medicine, University of Cologne, Cologne, GermanyCorrespondence: Annemarie KlingensteinDepartment of Ophthalmology, Ludwig-Maximilians-University, Klinikum der Universität München, Campus Innenstadt, Mathildenstraße 8, Munich D-80336, GermanyTel +49 89 44005 3811Fax +49 89 44005 5160Email Annemarie.Klingenstein@med.uni-muenchen.deAim: To assess a profile of uveal melanoma patients at risk of requiring active psycho-oncological intervention by employing the National Comprehensive Cancer Network (NCCN) distress thermometer.Methods: Multivariate correlation and multiple linear regression analysis of data collected retrospectively from 106 consecutive patients suffering from uveal melanoma.Results: Distress levels correlated with practical (p = 0.01), emotional (p = 0.003) and physical problems (p = 0.001) as well as the total number of issues reported (p < 0.001; ANOVA, respectively). Emotional issues added up to 39% of influence on distress levels. Nervousness, worry and sadness as the most important emotional issues tested correlated significantly with anatomic stage, tumor T-category, metastatic status and time after primary diagnosis and were present more frequently in patients with higher distress levels (p < 0.001, p = 0.002, p = 0.004, respectively, Fisher’s exact test). Pre-existing psycho-oncological support was more frequent in metastatic patients and patients with higher anatomic stage tumors (p = 0.008 and p = 0.003; Fisher’s exact test).Conclusion: The distress thermometer proved to be useful for rapid assessment of patients requiring active intervention. A higher number of distress items recorded correlated with elevated distress levels. Emotional issues were responsible for the majority of problems. A typical patient profile at risk of developing distress requiring close attention of caregivers includes high anatomic stage, high T-category, presence of metastases and early follow-up. Correct diagnosis and interpretation of distress-levels should help improve the quality of life of uveal melanoma survivors.Trial Registration: Not applicable.Keywords: quality of life, NCCN distress thermometer, uveal melanoma, psycho-oncological distress, cancer
format	article
author	Klingenstein A Samel C Garip-Kuebler A Priglinger SG Foerster PI
author_facet	Klingenstein A Samel C Garip-Kuebler A Priglinger SG Foerster PI
author_sort	Klingenstein A
title	Screening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients
title_short	Screening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients
title_full	Screening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients
title_fullStr	Screening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients
title_full_unstemmed	Screening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients
title_sort	screening for predictive parameters requiring psycho-oncological intervention via the national comprehensive cancer network distress thermometer in the follow-up of uveal melanoma patients
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/b4c0fab8be5d4bc9890c552852b0fd3a
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Screening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients

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