Distress Scores During a Course of Radiotherapy: A Pilot Study

被引:9
作者
Delikanli, Cansu [1 ]
Janssen, Stefan [1 ,2 ]
Keil, Dirk [3 ]
Tvilsted, Soren [3 ]
Schild, Steven E. [4 ]
Rades, Dirk [1 ,5 ]
机构
[1] Univ Lubeck, Dept Radiat Oncol, Lubeck, Germany
[2] Med Practice Radiotherapy & Radiat Oncol, Hannover, Germany
[3] Zealand Univ Hosp, Res Dept, Koge, Denmark
[4] Mayo Clin, Dept Radiat Oncol, Scottsdale, AZ USA
[5] Univ Lubeck, Dept Radiat Oncol, Ratzeburger Allee 160, D-23562 Lubeck, Germany
关键词
Cancer treatment; radiotherapy; distress levels; elderly patients; pilot study; PSYCHOLOGICAL DISTRESS; BREAST-CANCER; SLEEP DISTURBANCES; RISK-FACTORS; DISORDERS; WOMEN; PREDICTORS; THERAPY;
D O I
10.21873/anticanres.16062
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background/Aim: Many cancer patients receive radiotherapy, which may cause distress. This pilot study evaluated distress levels before and after radiotherapy to contribute to the design of a prospective trial. Patients and Methods: Two-hundred patients completed distress thermometers before and after radiotherapy. Distress levels ranged from 0 (no distress) to 10 (maximum distress). Five characteristics were retrospectively analyzed regarding changes of distress including age, sex, performance score, tumor type, previous radiotherapy, and treatment intention. Additional analyses were performed for elderly (>65 years) and non-elderly (<= 65 years) patients. Results: In all patients and both age groups, median pre-radiotherapy and post-radiotherapy distress levels were 5 (0-10) vs. 4 (0-10) points. Mean changes of distress levels were -0.5 (+/- 2.6) points in all, -0.4 (+/- 2.5) in elderly, and -0.7 (+/- 2.8) in non-elderly patients. Changes were significantly associated with tumor type in all (p=0.049) and elderly (p=0.025) patients. Conclusion: Future studies investigating distress levels in patients receiving radiotherapy should consider age and tumor type.
引用
收藏
页码:5561 / 5566
页数:6
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