Psychosocial problems in head-and-neck cancer patients and their change with time since diagnosis

Rapoport, Yoram; Kreitler, S.; Chaitchik, Samario; Algor, R; Weissler, Kineret

doi:10.1093/oxfordjournals.annonc.a058365

Cited by 156 publications

(125 citation statements)

References 12 publications

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“…17 Delays in tumour resection may have adverse effects on outcomes [18][19][20] and create additional psychosocial stress for patients. [21][22][23][24][25] Specifically for surgical resection, the patient journey is influenced by how long it takes for symptoms to prompt testing as well as the time required to conduct appropriate testing, the time to surgical consultation, preoperative staging assessments, discussion at multidisciplinary care conferences and, finally, the wait for surgery. 4,9,17 Wait times are also influenced by the volume of other patients requiring preoperative testing, surgery, the availability of limited physical and human resources and the organization of local health care delivery.…”

Section: Discussionmentioning

confidence: 99%

A patient-centred approach toward surgical wait times for colon cancer: a population-based analysis

Gillis

Dixon

Smith

et al. 2014

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Background: Administrative wait times reflect the time from the decision to treat until surgery; however, this does not reflect the total time a patient actually waits for treatment. Several factors may prolong the wait for colon cancer surgery. We sought to analyze the time from the date of surgical consultation to the date of surgery and any events within this time frame that may extend wait times. Methods:We retrospectively reviewed the cases of all adult patients in Ontario aged 18-80 years with diagnosed colon cancer who did not receive neoadjuvant therapy and underwent resection electively between Jan. 1, 2002, and Dec. 31, 2009. Wait times were measured from the date of surgical consultation to the date of surgery. We chose a wait time of 28 days, reflecting local administrative targets, as a comparative benchmark. We performed univariate and multivariate analyses to identify variables contributing to a waits longer than 28 days. Variables were analyzed in continuous linear and logistic regression models. Results:We included 10 223 patients in our study. The median wait time from initial surgical consultation to resection was 31 (range 0-182) days. Age older than 65 years had a negative impact on wait time. Preoperative services, including computed tomography, cardiac consultation, echocardiography, multigated acquisition scan, magnetic resonance imaging, colonoscopy and cardiac catheterization also significantly increased wait times. Wait times were longer in rural hospitals. Conclusion:Preoperative services significantly increased wait times between initial surgical consultation and surgery.Contexte : Au plan administratif, les temps d'attente sont le reflet de l'intervalle entre la prise de décision de traiter et la chirurgie elle-même. Toutefois, cette mesure ne tient pas toujours compte du temps total d'attente d'un patient pour son traitement. Plusieurs facteurs peuvent prolonger l'attente dans le cas d'une chirurgie pour le cancer du côlon. Nous avons voulu mesurer le temps écoulé entre la date de la consultation en chirurgie et la date de la chirurgie, et tout événement à l'intérieur de cet intervalle susceptible de prolonger les délais.Méthodes : Nous avons passé en revue de façon rétrospective le cas de tous les patients adultes ontariens âgés de 18 à 80 ans porteurs d'un diagnostic de cancer du côlon qui n'ont pas reçu de traitement néo-adjuvant et qui ont subi une résection non urgente entre le 1er janvier 2002 et le 31 décembre 2009. Les temps d'attente ont été mesurés entre la date de la consultation en chirurgie et la date de la chirurgie elle-même. Nous avons choisi un temps d'attente de 28 jours qui reflète les objectifs administratifs locaux comme valeur comparative. Nous avons effectué des analyses univariées et multivariées pour faire ressortir les facteurs qui contribuent à des périodes d'attente de plus de 28 jours. Les variables ont été analysées selon des modèles de régression linéaire et logistique continue.Résultats : Nous avons inclus 10 223 patients dans notre étude. Le temps d...

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Section: Discussionmentioning

confidence: 99%

A patient-centred approach toward surgical wait times for colon cancer: a population-based analysis

Gillis

Dixon

Smith

et al. 2014

cjs

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“…Different studies suggest that the rates of depression among this population are not constant across studies, varying from 18-53% (de Boer et al, 1995;de Boer et al, 1999;De Leeuw et al, 2000;Hammerlid et al, 2001;Morton et al, 1984;Rapoport et al, 1993;Zabora et al, 2001). Hammerlid et al conducted a prospective multicentre study in which anxiety and depression were accessed 6 times during the first year after cancer diagnosis.…”

Section: Psychiatrie Morbiditymentioning

confidence: 91%

“…Although the authors found an improvement in the medical condition of most of the patients; the same was not observed in relation to psychological conditions. That is, the levels of depression and anxiety among those patients were seen to increase with time (Rapoport et al, 1993). This exacerbation of psychological symptoms may be due to chronic stress caused by the threatening presence of the disease and the distress caused by trying to maintain a normal and healthy appearance (de Boer et al, 1995).…”

Section: Cancer Treatment and Side-effectsmentioning

confidence: 99%

“…Such situations often lead to the increase of psychosocial distress, anxiety and depression. AIso, the fear of death and disease recurrence is quite constant, which leads the disease adjustment towards a long and burdensome process Rapoport et al, 1993).…”

Section: Head and Neck Cancermentioning

confidence: 99%

“…The majority of the head and neck cancer patients report higher levels of depression, anxiety and higher rates of suicide (Dropkin M.I., 1986;Faberow, 1997;Godding et al, 1995;Rapoport et al, 1993) compared to other cancer populations. Feelings of worry and loss (Rathmell et al, 1991), mood disorders (Breitbart, 1995;Bronheim et al, 1991a;Bronheim et al, 1991b;Rathmell et al, 1991), distress and stress (Langius et al, 1993), and anger (Gamba et al, 1992) has also been observed.…”

Section: Psychiatrie Morbiditymentioning

confidence: 99%

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Comparison of Psychosocial Outcomes in Head and Neck Cancer Patients Receiving a Coping Strategies Intervention and Control Subjects Receiving No Intervention

Vilela

Nicolau²,

Mahmud³

et al. 2006

J Otolaryngol

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Clinical Predictors of Quality of Life in Patients With Head and Neck Cancer

Terrell

Ronis²,

Fowler³

et al. 2004

Arch Otolaryngol Head Neck Surg

404

345

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To identify clinical predictors of quality of life (QoL) in a head and neck cancer patient population.Design, Patients, and Setting: A convenience sample of 570 patients with upper aerodigestive tract cancers were surveyed at a tertiary care oncology clinic and Veterans Affairs otolaryngology clinic.Interventions: A self-administered health survey was constructed to collect demographic, health, smoking, alcohol, depression symptom, and QoL information. Tumor site and tumor stage, clinical, and treatment data were abstracted from the patient medical records.Main Outcome Measures: Quality of life was assessed using the Medical Outcomes Study Short-Form 36-Item Health Survey (SF-36) and the Head and Neck QoL (HNQoL) instrument.Results: Of the 570 eligible respondents, the presence of a feeding tube had the most negative impact on QoL, with significant decrements in 6 of the 8 SF-36 scales and all 4 HNQoL scales (PϽ.01). In descending order of severity, medical comorbid conditions, presence of a tracheotomy tube, chemotherapy, and neck dissection were also associated with significant (PϽ.05) decrements in QoL domains. Patients who took the survey more than 1 year after diagnosis had improved QoL in 7 of 12 domains. Hospital site, age, education level, sex, race, and marital status were also significant predictors of QoL. Conclusion:There are at least 13 demographic and clinical characteristics that are significant predictors of QoL in patients with head and neck cancer, which should be considered when treating patients and conducting QoL studies in the future.

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Psychosocial problems in head-and-neck cancer patients and their change with time since diagnosis

Abstract: Head-and-neck cancer patients suffer from a broad range of psychosocial problems that become exacerbated with time. The deterioration in quality of life may reflect 'patient burnout' which could be decreased by acquiring adequate coping skills.

Cited by 156 publications

References 12 publications

A patient-centred approach toward surgical wait times for colon cancer: a population-based analysis

A patient-centred approach toward surgical wait times for colon cancer: a population-based analysis

Comparison of Psychosocial Outcomes in Head and Neck Cancer Patients Receiving a Coping Strategies Intervention and Control Subjects Receiving No Intervention

Clinical Predictors of Quality of Life in Patients With Head and Neck Cancer

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