Exploring the clinical utility of a brief screening measure of unmet supportive care needs in people with high-grade glioma

被引：5

作者：

Campbell, Rachel ^{[1
,17
]}

Faris, Mona ^{[1
]}

Shaw, Joanne ^{[1
]}

Halkett, Georgia K. B. ^{[2
]}

Legge, Dianne ^{[2
,3
]}

Koh, Eng-Siew ^{[4
,5
,6
,7
]}

Nowak, Anna K. ^{[8
]}

Agar, Meera R. ^{[9
,10
]}

Ownsworth, Tamara ^{[11
,12
]}

Pike, Kerryn E. ^{[11
,12
,13
,14
]}

Chan, Raymond J. ^{[15
]}

Dhillon, Haryana M. ^{[1
,16
]}

机构：

[1] Univ Sydney, Fac Sci, Sch Psychol, Psychooncol Cooperat Res Grp PoCoG, Sydney, NSW, Australia

[2] Curtin Univ, Curtin Hlth Innovat Res Inst, Fac Hlth Sci, Curtin Sch Nursing, Bentley, WA, Australia

[3] Austin Hosp, Oliva Newton John Canc & Wellness Ctr, Heidelberg, Vic, Australia

[4] Univ New South Wales, South West Sydney Clin Sch, UNSW Med, Liverpool, NSW, Australia

[5] Liverpool & Macarthur Canc Therapy Ctr, Liverpool, NSW, Australia

[6] Ingham Inst Appl Med Res, Liverpool, NSW, Australia

[7] Sir Charles Gairdner Hosp, Dept Med Oncol, Nedlands, WA, Australia

[8] Univ Western Australia, Med Sch, Nedlands, WA, Australia

[9] Univ Technol Sydney, Ctr Improving Palliat, Aged & Chron Care Clin Res & Translat IMPACCT, Sydney, NSW, Australia

[10] Univ Technol Sydney, Canc Symptom Trials Grp, Sydney, NSW, Australia

[11] Menzies Hlth Inst Queensland, Sch Appl Psychol, Southport, Australia

[12] Menzies Hlth Inst Queensland, Southport, Australia

[13] Griffith Univ, Griffith Ctr Mental Hlth, Nathan, Qld, Australia

[14] La Trobe Univ, John Richards Ctr Rural Ageing Res, Sch Psychol & Publ Hlth, Melbourne, Vic, Australia

[15] Flinders Univ S Australia, Caring Futures Inst, Coll Nursing & Hlth Sci, Adelaide, SA, Australia

[16] Univ Sydney, Fac Sci, Ctr Med Psychol & Evidence Decis making, Sch Psychol, Camperdown, NSW, Australia

[17] Univ Sydney, Room 325,Brennan MacCallum Bldg, Camperdown, NSW 2006, Australia

来源：

NEURO-ONCOLOGY PRACTICE | 2023年 / 10卷 / 05期

关键词：

brain cancer; high-grade glioma; screening; supportive care; unmet needs; QUALITY-OF-LIFE; CANCER-PATIENTS; PSYCHOLOGICAL MORBIDITY; BRAIN-TUMOR; DISTRESS; TIME; VALIDATION; TOOL;

D O I：

10.1093/nop/npad035

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background People living with high-grade glioma (HGG) have diverse and complex needs. Screening aims to detect patients with some level of unmet need requiring triaging and further assessment. However, most existing measures of unmet need are not suitable for screening in this population due to their length. We aimed to explore the clinical utility of a brief screening tool (SCNS-ST9) in people with HGG in detecting unmet needs. Methods Secondary analysis of data collected in a prospective cohort study of 116 people with HGG who completed the Supportive Care Needs Survey (SCNS-SF34) and a brain cancer-specific needs survey (BrTSCNS) during chemoradiation (T1) and 6 months later (T2). The SCNS-ST9 contains a subset of 9 items from the SCNS-SF34. Data analysis determined the number of individuals with unmet needs on the SCNS-SF34 and the BrTSCNS, not identified as having some level of need by the SCNS-ST9. Results Overall, 3 individuals (T1: 2.6% [3/116]; T2: 4.8% [3/63]) at each time point reported other unmet needs on the SCNS-SF34 that were missed by the SCNS-ST9. Domain-specific screening items missed a higher proportion of individuals (3.2%-26%), particularly in the psychological and health systems domains. Only 1 individual with brain cancer-specific needs was missed by SCNS-ST9 overall. Conclusion Findings demonstrate the sensitivity and clinical utility of a brief screening tool (SCNS-ST9) of unmet needs in people with HGG. Routine use of this screening tool, supported by clinical pathways, may improve access to support services, potentially reducing the burden of disease for these patients.

引用

页码：454 / 461

页数：8

共 33 条

[1] Exploring the Support Needs of Family Caregivers of Patients with Brain Cancer Using the CSNAT: A Comparative Study with Other Cancer Groups [J].