Evidence map›Paper›PMID 30566662›Full record

ArticleTranslational behavioral medicine2019

Screening for psychosocial distress among patients with cancer: implications for clinical practice, healthcare policy, and dissemination to enhance cancer survivorship.

Shawna L Ehlers, Kimberly Davis, Shirley M Bluethmann, Lisa M Quintiliani, Jeffrey Kendall, Raj M Ratwani, Michael A Diefenbach, Kristi D Graves

Registry-linked trialAbstract read
In one paragraph

Article in Translational behavioral medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06980103 (Use of a Decision Aid to Resolve Uncertainty About Radioactive Iodine Treatment in Patients With Intermediate Risk Thyroid Cancer), which is not on this map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT06980103 narecruitingnot on this mapstarted 2025, after this paper: background citation

Use of a Decision Aid to Resolve Uncertainty About Radioactive Iodine Treatment in Patients With Intermediate Risk Thyroid Cancer: The Radiance Trial

TypeinterventionalSponsorGeorgetown UniversityRan2025 to 2029Enrolled408ConditionsThyroid CancerArmsDecision Aid, Usual Care
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2019
    Guideline
  3. Pooled it
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  16. Predictors of distress among individuals with cancer reporting physical problems.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Shawna L EhlersDepartment of Psychiatry and Psychology, Mayo College of Medicine and Science, Rochester, MN, USA.
Kimberly DavisDepartments of Oncology and Psychiatry, Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA.
Shirley M BluethmannDepartment of Public Health Sciences, College of Medicine, The Pennsylvania State University, Hershey, PA, USA.
Lisa M QuintilianiSection of General Internal Medicine, School of Medicine, Boston University, MA, USA.
Jeffrey KendallOncology Service Line, University of Minnesota Cancer Care, Minneapolis, MN, USA.
Raj M RatwaniNational Center for Human Factors in Healthcare, MedStar Health, Washington, DC, USA.
Michael A DiefenbachFeinstein Institute for Medical Research, Center for Health Innovation and Outcomes Research, Manhasset, NY, USA.
Kristi D GravesDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA.

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI Louis M Weiner · 1990 to 2026
$71.5M
NCI NIH HHS P30 CA051008
6 · The paper itself

Abstract

Accreditation standards are at the forefront of evolving healthcare systems, setting metrics for high-quality care. Healthcare outcomes (health, experience, cost, provider satisfaction/burn out) are becoming mutual goals of the patient, provider, payer, and healthcare system. Achieving high-quality outcomes in cancer care necessitates collaboration among interdisciplinary teams of clinical providers, administrators, patient advocates, caregivers, and researchers. Dissemination and implementation science provides necessary frameworks to organize the efforts of these implementation teams, inclusive of identifying facilitators and barriers to implementation of accreditation standards. Since 2015, cancer distress screening has been mandated for continued cancer center accreditation by the American College of Surgeon's Commission on Cancer. Cancer centers have thus become real world implementation laboratories. We present the current context of distress screening, highlighting prior research and key areas of future research. We consider multiple levels of cancer care delivery and the use of interdisciplinary teams to help cancer center teams adopt, implement, and maintain efficient distress screening programs. Finally, we present a case study to identify methods for successful implementation of distress screening at one cancer center and then describe efficiencies that can be introduced using elements from human factors engineering, e- and m-health screening platforms, and community partnerships.

Indexed as

Health PolicyCancer SurvivorsHumansMental Health ServicesNeoplasmsStress, PsychologicalSurvivorshipCancerCommission on CancerDistress screeningPolicySurvivorship

Identifiers

PMID30566662
PMCPMC6610173

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.