Evidence map›Paper›PMID 30762273›Full record

Observational studyPsycho-oncology2019

Reasons for low uptake of a psychological intervention offered to cancer survivors with elevated depressive symptoms.

Loek J van der Donk, K Annika Tovote, Thera P Links, Jan L N Roodenburg, Johanna C Kluin-Nelemans, Henriette J G Arts, Veronique E M Mul, Robert J van Ginkel, Peter C Baas, Christiaan Hoff and 3 more

Erratum issuedOpen access · hybridAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Psycho-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
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  6. Review
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  9. Erratum.Psycho-oncology · 2019
    Article
  10. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Loek J van der DonkDepartment of Health Psychology University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.ORCID 0000-0003-1929-8196
K Annika TovoteDepartment of Health Psychology University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.ORCID 0000-0003-1753-0377
Thera P LinksDepartment of Endocrinology and Metabolic Diseases University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.ORCID 0000-0001-5327-1718
Jan L N RoodenburgDepartment of Oral and Maxillofacial Surgery, Section of Oncology University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Johanna C Kluin-NelemansDepartment of Haematology, University of Groningen, University Medical Center Groningen Groningen, Groningen, the Netherlands.ORCID 0000-0003-2617-9427
Henriette J G ArtsDepartment of Obstetrics and Gynecology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Veronique E M MulDepartment of Radiation Oncology, University of Groningen, University Medical Center Groningen, the Netherlands.ORCID 0000-0002-7227-492X
Robert J van GinkelDepartment of Surgery, Laboratory for Translational Surgical Oncology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Peter C BaasDepartment of Surgery, Martini Hospital, Groningen, the Netherlands.
Christiaan HoffDepartment of Surgery, Medical Center Leeuwarden, Leeuwarden, the Netherlands.
Robbert SandermanDepartment of Health Psychology University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.ORCID 0000-0002-0823-1159
Joke FleerDepartment of Health Psychology University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Maya J SchroeversDepartment of Health Psychology University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.ORCID 0000-0001-8518-9153
University Medical Center Groningen · NLMartini Ziekenhuis · NLMedisch Centrum Leeuwarden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn line with screening guidelines, cancer survivors were consecutively screened on depressive symptoms (as part of standard care), with those reporting elevated levels of symptoms offered psychological care as part of a trial. Because of the low uptake, no conclusions could be drawn about the interventions' efficacy. Given the trial set-up (following screening guidelines and strict methodological quality criteria), we believe that this observational study reporting the flow of participation, reasons for and characteristics associated with nonparticipation, adds to the debate about the feasibility and efficiency of screening guidelines.

methodsTwo thousand six hundred eight medium- to long-term cancer survivors were consecutively screened on depressive symptoms using the Patient Health Questionnaire-9 (PHQ-9). Those with moderate depressive symptoms (PHQ-9 ≥ 10) were contacted and informed about the trial. Patient flow and reasons for nonparticipation were carefully monitored.

resultsOne thousand thirty seven survivors (74.3%) returned the questionnaire, with 147 (7.6%) reporting moderate depressive symptoms. Of this group, 49 survivors (33.3%) were ineligible, including 26 survivors (17.7%) already receiving treatment and another 44 survivors (30.0%) reporting no need for treatment. Only 25 survivors (1.0%) participated in the trial.

conclusionOf the approached survivors for screening, only 1% was eligible and interested in receiving psychological care as part of our trial. Four reasons for nonparticipation were: nonresponse to screening, low levels of depressive symptoms, no need, or already receiving care. Our findings question whether to spend the limited resources in psycho-oncological care on following screening guidelines and the efficiency of using consecutive screening for trial recruitment in cancer survivors.

Indexed as

AdultCancer SurvivorsCognitive Behavioral TherapyDepressionFemaleHumansMiddle AgedPatient Acceptance of Health CareSeverity of Illness IndexSurveys and Questionnairescancercancer survivorsconsecutive screeningCONSORTdepressiononcologyrandomized controlled trialrecruitmentscreeningscreening guidelines

Identifiers

PMID30762273
PMCPMC6593801
OpenAlexW2913718290

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.