ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016
Screening for psychological distress in follow-up care to identify head and neck cancer patients with untreated distress.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03266276 (Assessing the Impact of Cancer Care Ontario's Psychosocial Oncology & Palliative Care Pathway in Ambulatory Head and Neck Cancer Clinics), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Assessing the Impact of Cancer Care Ontario's Psychosocial Oncology & Palliative Care Pathway in Ambulatory Head and Neck Cancer Clinics
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2019Guideline
- Quality of Life After Head and Neck Cancer Surgery and Free Flap Reconstruction: A Systematic Review.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-facialePooled it
- Longitudinal changes in cognition, sleep, and psychological distress following the MORE program in head and neck cancer patients undergoing chemoradiotherapy.Scientific reports · 2026Article
- Surgeon Perspectives on Addressing Mental Health Among Total Laryngectomy Patients.Psycho-oncology · 2025Article
- Prevalence and associated factors of psychological distress among patients with oral cancer in the selected tertiary care institutes in Sri Lanka: a combined cross-sectional and case-control study.BMJ public health · 2025Article
- Sleep Quality in Head and Neck Cancer.Current oncology (Toronto, Ont.) · 2024Observational
- Screening for depression and anxiety in lung cancer patients: A real-world study using GAD-7 and HADS.Thoracic cancer · 2024Article
- Comprehensive Geriatric Assessment and Quality of Life Aspects in Patients with Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma (HNSCC).Journal of clinical medicine · 2023Article
- Video education about side effects of chemotherapy and immunotherapy and its impact on the anxiety, depression, and distress level of cancer patients.BMC psychology · 2022Article
- A qualitative study of online information-seeking preferences among cancer survivors.Journal of cancer survivorship : research and practice · 2022Article
- Screening for Psychological Distress in Vietnamese Cancer Patients: An Evaluation of the Distress Thermometer.Cancer medicine · 2021Article
- Cancer during Corona Pandemic: Plight of cancer patients when two evils join hands.Current problems in cancer · 2021Article
- Reducing distress and depression in cancer patients during survivorship.Psycho-oncology · 2021Observational
- Article
- Keys to successful implementation of routine symptom monitoring in head and neck oncology with "Healthcare Monitor" and patients' perspectives of quality of care.Head & neck · 2020Article
- Impact of a natural disaster on access to care and biopsychosocial outcomes among Hispanic/Latino cancer survivors.Scientific reports · 2020Article
- Ethical considerations in screening head and neck cancer patients for psychosocial distress.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Monitoring and Evaluation of Late Functional Outcome in Post-treatment Follow-Up in Clinical Routine Setting.Frontiers in oncology · 2019Review
- Following patient pathways to psycho-oncological treatment: Identification of treatment needs by clinical staff and electronic screening.Psycho-oncology · 2018Article
- Reliability and Validity of the MD Anderson Dysphagia Inventory Among Japanese Patients.Dysphagia · 2018Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of the study is to investigate screening in follow-up care to identify head and neck cancer (HNC) patients with untreated psychological distress.
methodsFrom November 2009 until December 2012, we investigated the use of OncoQuest (a touch screen computer system to monitor psychological distress (Hospital Anxiety and Depression Scale (HADS)) and quality of life (HRQOL; EORTC QLQ-C30 and H&N35 module) in routine follow-up care. Patients who screened positive for psychological distress (HADS-T >14, HADS-A >7, or HADS-D >7) were asked whether they received psychological or psychiatric treatment.
resultsDuring the study period of 37 months, OncoQuest was used by 720 individual HNC patients, of whom 714 had complete HADS data. Psychological distress was present in 206 patients (29 %). Of those patients who fulfilled in- and exclusion criteria (n = 137), 25 received psychological treatment (18 %). Receipt of psychological treatment was significantly related to a higher score on the HADS total scale (19.6 vs. 16.9; p = 0.019), a lower (worse) score on the EORTC QLQ-C30 scale emotional functioning (46.0 vs. 58.6; p = 0.023), a higher (worse) score on fatigue (58.2 vs. 46.4; p = 0.032), problems with sexuality (44.1 vs. 34.4; p = 0.043), oral pain (43.8 vs. 28.8; p = 0.011) and speech problems (37.0 vs. 25.3; p = 0.042).
conclusionsScreening for psychological distress via OncoQuest is beneficial because 82 % of HNC patients identified with an increased level of distress who do not yet receive mental treatment were identified. Patients who did receive treatment reported more distress and worse quality of life, which may be explained because patients with more severe problems maybe more inclined to seek help or might be detected easier by caregivers and referred to supportive care more often.
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