ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2018
Predictors of outpatients' request for palliative care service at a medical oncology clinic of a German comprehensive cancer center.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 22 citations in OpenAlex.
- Primary Mental Health Competencies for Hospice and Palliative Medicine Physicians: A Delphi Study.Journal of pain and symptom management · 2025Article
- Investigation of screening questions to identify insomnia in cancer patients.Scientific reports · 2024Article
- Determining the cut-off value for the Minimal Documentation System (MIDOS2) screening tool to initiate specialized palliative care based on patient's subjective need for palliative support and symptom burden in inpatients with advanced cancer.Journal of cancer research and clinical oncology · 2024Article
- Relevance of Patient-Reported Outcome Measures in Patients with Cancer: Detection of Underrated Psychological Distress of Palliative Care Patients in an Outpatient Setting.Palliative medicine reports · 2024Article
- Psychiatry and Palliative Care: Growing the Interface Through Education.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2023Article
- Palliative care outpatients in a German comprehensive cancer center-identifying indicators for early and late referral.BMC palliative care · 2022Article
- Contribution of Synthetic Data Generation towards an Improved Patient Stratification in Palliative Care.Journal of personalized medicine · 2022Review
- Factors Influencing the Willingness of Palliative Care Utilization among the Older Population with Active Cancers: A Case Study in Mandalay, Myanmar.International journal of environmental research and public health · 2021Article
- Severe symptoms and very low quality-of-life among outpatients newly diagnosed with advanced cancer: data from a multicenter cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Systematic symptom and problem assessment at admission to the palliative care ward - perspectives and prognostic impacts.BMC palliative care · 2020Article
- Fatigue, barriers to physical activity and predictors for motivation to exercise in advanced Cancer patients.BMC palliative care · 2020Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEarly integration of palliative care (PC) is recommended. The determination of predictors for patients' request for PC may guide implementation in clinical practice. Toward this end, we analyzed the symptom burden and distress of cancer patients in outpatient care and examined their need and request for PC.
methodsBetween October 2013 and March 2016, 705 patients receiving outpatient cancer treatment took part in the survey. We used the new MInimal DOcumentation System to detect symptom clusters. Additionally, patients' request for palliative and psychosocial support was assessed. Groups of patients with PC request were compared to patients without PC request regarding their symptom clusters. Logistic regression analysis was applied to discover significant predictors for the requested inclusion of PC.
resultsA total of 159 patients (25.5%) requested additional support by PC. Moderate and severe tiredness (40.3%), weakness (37.9%), pain (25.0%), loss of appetite (22.3%), and dyspnea (19.1%) were the most frequent symptoms. The group of patients requesting PC differed significantly in terms of pain, nausea, dyspnea, constipation, weakness, loss of appetite, tiredness, depression, and anxiety from patients without request for PC (p < .01). The perceived need for PC was identified by the significant predictors "depression," "anxiety," and "weakness" with an explained variance of 22%.
conclusionCombining a standardized screening questionnaire and the assessment of patients' request for PC allows systematic monitoring for patients' need for PC in a large Medical Oncology clinic. Depression, anxiety, and weakness are predictors of requesting PC service by patients receiving outpatient cancer treatment.
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