Evidence map›Paper›PMID 32237002›Full record

ArticlePsycho-oncology2020

Psychological distress and quality of life following positive fecal occult blood testing in colorectal cancer screening.

Nina C A Vermeer, Maxime J M van der Valk, Heleen S Snijders, Hans F A Vasen, Arthur Gerritsen van der Hoop, Onno R Guicherit, Gerrit-Jan Liefers, Cornelis J H van de Velde, Anne M Stiggelbout, Koen C M J Peeters

Open access · hybridAbstract read
In one paragraph

Article in Psycho-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  7. Adaptation and Validation of the Psychological Consequences of Screening Questionnaire (PCQ) for Cognitive Screening in Primary Care.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Nina C A VermeerDepartment of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0002-6903-1599
Maxime J M van der ValkDepartment of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
Heleen S SnijdersDepartment of Surgery, Groene Hart ziekenhuis, Gouda, The Netherlands.
Hans F A VasenDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, The Netherlands.
Arthur Gerritsen van der HoopKeizer Kliniek, Leiden University Medical Centre, Den Haag, The Netherlands.
Onno R GuicheritDepartment of Surgery, Haaglanden Medical Centre, Leidschendam, The Netherlands.
Gerrit-Jan LiefersDepartment of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
Cornelis J H van de VeldeDepartment of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
Anne M StiggelboutMedical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Centre, Leiden, The Netherlands.
Koen C M J PeetersDepartment of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
Leiden University · NLGroene Hart Ziekenhuis · NLLeiden University Medical Center · NLMedisch Centrum Haaglanden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to assess psychological functioning, quality of life, and regret about screening after a positive fecal immunochemical test (FIT) and subsequent colonoscopy, and to evaluate changes over time.

methodsThis is a prospective cohort study. Individuals aged 55 to 75 with a positive FIT that were referred for colonoscopy between July 2017 and November 2018, were invited to complete questionnaires related to psychological distress and health-related quality of life at three predefined time points: before colonoscopy, after histopathology result notification, and after 6 months. Four questionnaires were used: the Psychological Consequences Questionnaire (PCQ), the six-item Cancer Worry Scale (CWS), the Decision Regret Scale (DRS), and the 36-item Short-Form (SF-36).

resultsA total of 1066 participants out of 2151 eligible individuals were included. Patients with cancer showed a significant increase in psychological dysfunction (P = .01) and cancer worry (P = .008) after colonoscopy result notification, and a decline to pre-colonoscopy measurements after 6 months. In the no-cancer groups, psychological dysfunction and cancer worry significantly decreased over time (P < .05) but there was no ongoing decline. After 6 months, 17% of participants with no cancer experienced high level of cancer worry (CWS ≥ 10). Yet, only 5% reported high level of regret about screening participation (DRS > 25). A good global quality of life was reported in participants with no cancer.

conclusionSome psychological distress remains up to 6 months after colonoscopy in participants who tested false-positive in the Dutch bowel cancer screening program.

Indexed as

AdultAgedColonoscopyColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMass ScreeningMiddle AgedOccult BloodProspective StudiesQuality of LifeStress, PsychologicalSurveys and Questionnairescancercolorectal neoplasmsearly detection of cancermass screeningoncologypsychological dysfunctionworry

Identifiers

PMID32237002
PMCPMC7317528
OpenAlexW3014599408

What OpenQuestion holds

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LicenceCC BY-NC
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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.