ArticleCancer2018
Symptoms of posttraumatic stress disorder among hospitalized patients with cancer.
Article in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- PTSD in Patients Who Undergo Head and Neck Cancer Treatment: A Systematic Review.Current oncology (Toronto, Ont.) · 2025Pooled it
- Personality Traits and Coping Strategies Relevant to Posttraumatic Growth in Patients with Cancer and Survivors: A Systematic Literature Review.Current oncology (Toronto, Ont.) · 2022Pooled it
- Pilot Randomized Trial of a Transdisciplinary Geriatric and Palliative Care Intervention for Older Adults With Cancer.Journal of the National Comprehensive Cancer Network : JNCCN · 2020Trial
- Post-traumatic stress disorder and social determinants of health among individuals with cancer: association with healthcare utilization and outcomes in the All of Us Research Program.Journal of cancer survivorship : research and practice · 2026Article
- Towards a better definition of nociplastic pain conditions: a psychological grounded study on fibromyalgia, chronic headache and vulvodynia.European journal of psychotraumatology · 2025Article
- Cancer as trauma: multidimensional determinants of PTSD across the disease course. A narrative integrative review.Frontiers in psychology · 2025Review
- Review
- Cancer-related Fatigue in Lung Cancer: A Research Agenda: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2023Article
- The Use of Natural Language Processing to Assess Social Support in Patients With Advanced Cancer.The oncologist · 2023Article
- Psychiatric comorbidity in emergency general surgery patients: a prospective observational study.Trauma surgery & acute care open · 2023Article
- Face Thermal Map of the Mexican Population in the Basal State.International journal of environmental research and public health · 2022Article
- End-of-Life Care for Older Adults with Aggressive Non-Hodgkin Lymphoma.Journal of palliative medicine · 2022Article
- Associations of patient-reported care satisfaction with symptom burden and healthcare use in hospitalized patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Supportive oncology care at home interventions: protocols for clinical trials to shift the paradigm of care for patients with cancer.BMC cancer · 2022Article
- Post-traumatic Stress Symptoms, Distress, and Optimism in Mexican Colorectal Cancer Patients.Psychology in Russia : state of the art · 2022Article
- Association of genetic polymorphisms with psychological symptoms in cancer: A systematic review.Asia-Pacific journal of oncology nursing · 2022Review
- Post-traumatic stress disorder symptoms in non-muscle-invasive bladder cancer survivors: A population-based study.Urologic oncology · 2021Article
- Prevalence of pain and its association with symptoms of post-traumatic stress disorder, depression, anxiety and distress in 846 cancer patients: A cross sectional study.Psycho-oncology · 2021Article
- Healthcare Utilization and End-of-Life Outcomes in Patients Receiving CAR T-Cell Therapy.Journal of the National Comprehensive Cancer Network : JNCCN · 2021Article
- Screening for post-traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress.Psycho-oncology · 2019Article
Corrections and comments
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Authors and funding
16 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPatients with cancer experience many stressors placing them at risk for posttraumatic stress disorder (PTSD) symptoms, yet little is known about factors associated with PTSD symptoms in this population. This study explored relationships among patients' PTSD symptoms, physical and psychological symptom burden, and risk for hospital readmissions.
methodsWe prospectively enrolled patients with cancer admitted for an unplanned hospitalization from August 2015-April 2017. Upon admission, we assessed patients' PTSD symptoms (Primary Care PTSD Screen), as well as physical (Edmonton Symptom Assessment System [ESAS]) and psychological (Patient Health Questionnaire 4 [PHQ-4]) symptoms. We examined associations between PTSD symptoms and patients' physical and psychological symptom burden using linear regression. We evaluated relationships between PTSD symptoms and unplanned hospital readmissions within 90-days using Cox regression.
resultsWe enrolled 954 of 1,087 (87.8%) patients approached, and 127 (13.3%) screened positive for PTSD symptoms. The 90-day hospital readmission rate was 38.9%. Younger age, female sex, greater comorbidities, and genitourinary cancer type were associated with higher PTSD scores. Patients' PTSD symptoms were associated with physical symptoms (ESAS physical: B = 3.41; P < .001), the total symptom burden (ESAS total: B = 5.97; P < .001), depression (PHQ-4 depression: B = 0.67; P < .001), and anxiety symptoms (PHQ-4 anxiety: B = 0.71; P < .001). Patients' PTSD symptoms were associated with a lower risk of hospital readmissions (hazard ratio, 0.81; P = .001).
conclusionsA high proportion of hospitalized patients with cancer experience PTSD symptoms, which are associated with a greater physical and psychological symptom burden and a lower risk of hospital readmissions. Interventions to address patients' PTSD symptoms are needed and should account for their physical and psychological symptom burden. Cancer 2018. © 2018 American Cancer Society.
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