A quantitative approach to the distress caused by symptoms in patients treated with radical radiotherapy

Munro, Alastair J.; Potter, S

doi:10.1038/bjc.1996.414

Cited by 63 publications

(49 citation statements)

References 26 publications

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“…In particular, cancer patients suffer from significant distress, tension, anxiety and feelings of helplessness especially before and at the beginning of radiotherapy (Munro and Potter, 1996;DeVries et al, 1998).…”

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confidence: 99%

How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counselling?

et al. 2001

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Summary 20-40% of cancer patients show emotional distress. Psychosocial support should be offered to severely distressed patients. However, little is known about the selection of patients to whom such support should be offered. This study investigated oncologists' ability to identify such patients. In a consecutive series of 298 cancer patients undergoing radiotherapy, distress, perceived social support and desire for supportive counselling were assessed using screening instruments. Simultaneously, 8 oncologists estimated patient distress and need for psychosocial support. A complete set of data was obtained in 80.2% of cases. Concordance of the oncologists' estimation of patient distress and perceived social support with the results of the screening instruments was weak (κ = 0.10 and κ = 0.05). Oncologists recognized the presence of severe distress only in 11 of the 30 severely distressed patients. Correct perception of distress was lower in patients with head and neck cancer and lung cancer and in lower class patients. Oncologists' recommendations for supportive counselling did not correlate with patient distress or the amount of perceived support but rather with progressive disease and less denial behaviour. Our results underline the need for educating oncologists in order to improve their ability to identify patient distress.

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confidence: 99%

How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counselling?

et al. 2001

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“…Studies show that pain is one of the most frequently identified problems for people with lung cancer 189 or prostate cancer. 188 There is emerging evidence that pain arising from head and neck cancer can be severe and chronic, persisting beyond completion of treatment.…”

Section: Painmentioning

confidence: 99%

“…186 These include nausea and vomiting, 187 acute and chronic pain, [188][189][190] fatigue, 191,192 lymphoedema, [193][194][195][196][197] disfigurement, 109,111,198 odour, 199,200 incontinence, 201 cognitive problems, [202][203][204] difficulties in communication, 205 swallowing difficulties, 205 respiratory symptoms, 203,206 loss of appetite and nutritional deficiencies, 207,208 and fertility problems, [209][210][211] as well as a decline in general health.…”

Section: 3 P H Y S I C a L I S S U E Smentioning

confidence: 99%

Broken doctor–patient relationships: why won't they listen?

Jefford

Zalcberg

2014

Medical Journal of Australia

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Every user of this rescinded publication acknowledges that the information contained in it may not be accurate, complete or of relevance to the user's purposes. The user undertakes the responsibility for assessing the accuracy, completeness and relevance of the contents of this rescinded publication, including seeking independent verification of information sought to be relied upon for the user's purposes.Every user of this rescinded publication is responsible for ensuring that each printed version contains this disclaimer notice, including the date of recision and the date of downloading the archived Internet version. This work is copyright.Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior written permission from National Breast Cancer Centre. Requests and enquiries concerning reproduction and rights should be addressed to the Copyright Office, National Breast Cancer Centre, Locked Bag 16, Camperdown NSW 1450, Australia.Website:www.nbcc.org.au Email: directorate@nbcc.org.au These guidelines were approved by the National Health and Medical Research Council at its 147th Session on 10 April 2003, under section 14A of the National Health and Medical Research Council Act 1992.Approval for the guidelines by NHMRC is granted for a period not exceeding five years, at which date the approval expires.The NHMRC expects that all guidelines will be reviewed no less than once every five years. Readers should check with the National Breast Cancer Centre for any reviews or updates of these guidelines. RESCINDEDThe strategic intent of the NHMRC is to provide leadership and work with other relevant organisations to improve the health of all Australians by:• fostering and supporting a high quality and internationally recognised research base; • providing evidence based advice; • applying research evidence to health issues thus translating research into better health practice and outcomes; and • promoting informed debate on health and medical research, health ethics and related issues.This document is a general guide to appropriate practice, to be followed subject to the clinician's judgement and the patient's preference in each individual case.The guidelines are designed to provide information to assist decision-making and are based on the best evidence available at the time of publication. C O N T E N T S L I S T O F TA B L E S L I S T O F F I G U R E S F O R E W O R DOptimal care of the patient with cancer incorporates effective physical and psychological care.There are currently several clinical practice guidelines available documenting evidence-based information and treatment recommendations for the physical care of people with cancer, many of which are also available in consumer versions. Some of these treatment guidelines include chapters devoted to psychosocial care.People with cancer suffer significant emotional morbidity. In addition to the distress, fear and grief consequent upon diagnosis, up to 30% experience clinically significant anxiety disorde...

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“…Patients ranked sleep problems as the 5 th highest out of 14 distressing symptoms before their cancer treatment, and 4 th highest after cancer treatment [5]. In between 23% and 44% of cancer patients, sleep problems persist several years after the initiation of adjuvant therapy for cancer, suggesting that insomnia develops a chronic course in substantial numbers of cancer patients [6].…”

Section: Introductionmentioning

confidence: 99%

A feasibility study of auricular therapy and self-administered acupressure for insomnia following cancer treatment

Hughes

Towler

Storey

et al. 2015

European Journal of Integrative Medicine

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Introduction: Many cancer patients experience sleeping difficulties which can persist several years after the completion of cancer treatment. Previous research suggests that acupuncture, and variants of acupuncture (acupressure, auricular therapy) may be effective treatment options for sleep disturbance. However, current evidence is limited for cancer patients. Methods: Feasibility study with 3 arms. Seven cancer patients with insomnia randomised to receive either auricular therapy (attaching semen vaccariae seeds to ear acupoints) (n=4), selfacupressure (n=1) or no treatment (n=2). Participants assigned to receive auricular therapy or selfacupressure stimulated the acupoints each night an hour before retiring to bed. The duration of participant involvement was 5 weeks. Subjective sleep quality was measured at baseline and posttreatment using the Pittsburgh Sleep Quality Index (PSQI). The impact of treatment on concerns of importance to the participants themselves was measured using the Measure Yourself Concerns and Wellbeing (MYCaW). Each participant also completed a treatment log book.

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A quantitative approach to the distress caused by symptoms in patients treated with radical radiotherapy

Cited by 63 publications

References 26 publications

How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counselling?

How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counselling?

Broken doctor–patient relationships: why won't they listen?

A feasibility study of auricular therapy and self-administered acupressure for insomnia following cancer treatment

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