Evidence map›Paper›PMID 33103298›Full record

ArticlePsycho-oncology2021

Threshold score for the self-report Pediatric Distress Thermometer Rating Scale in childhood cancer patients.

Sunita K Patel, Seong-Hyeon Kim, Christopher Johansen, Wendy Mullins, Anne Nolty, Nathaniel Fernandez, Nicole Delgado, Jeanelle Folbrecht, Noya Dekel, Adrienne Meier

Abstract read
In one paragraph

Article in Psycho-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Feasibility of a VR Intervention to Decrease Anxiety in Children with Tumors Undergoing CVC Dressing.International journal of environmental research and public health · 2022
    Article
  4. Article
  5. Article
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.

Sunita K PatelDepartment of Population Sciences, City of Hope Medical Center, Duarte, California, USA.ORCID 0000-0002-9023-8391
Seong-Hyeon KimDepartment of Clinical Psychology, Fuller Theological Seminary, Pasadena, California, USA.
Christopher JohansenDepartment of Population Sciences, City of Hope Medical Center, Duarte, California, USA.ORCID 0000-0002-7501-0970
Wendy MullinsDepartment of Population Sciences, City of Hope Medical Center, Duarte, California, USA.
Anne NoltyDepartment of Supportive Care Medicine, City of Hope Medical Center, Duarte, California, USA.ORCID 0000-0002-2807-4656
Nathaniel FernandezDepartment of Population Sciences, City of Hope Medical Center, Duarte, California, USA.
Nicole DelgadoDepartment of Population Sciences, City of Hope Medical Center, Duarte, California, USA.
Jeanelle FolbrechtDepartment of Supportive Care Medicine, City of Hope Medical Center, Duarte, California, USA.
Noya DekelDepartment of Population Sciences, City of Hope Medical Center, Duarte, California, USA.
Adrienne MeierDepartment of Population Sciences, City of Hope Medical Center, Duarte, California, USA.

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI XIWEI WU · 1985 to 2026
$86.3M
UCLA CANCER EPIDEMIOLOGY TRAINING PROGRAMT32CA009142 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ZHANG, ZUO-FENG · 1986 to 2024
$6.3M
NCI NIH HHS P30 CA033572NCI NIH HHS P30CA033572NCI NIH HHS T32 CA009142
6 · The paper itself

Abstract

objectiveAlthough there is enthusiasm for identifying and treating psychosocial problems in childhood cancer patients, there are few validated instruments to help providers identify at-risk children for further assessment. The study objective was to evaluate the sensitivity and specificity of the self-report pediatric Distress Thermometer Rating Scale (Peds DTRS) in childhood cancer survivors and identify a threshold score to help providers classify pediatric patients.

methodsWe evaluated 54 children 7-17 years old using 178 Peds DTRS longitudinal data points from the cohort that was used for the original pediatric adaptation of the DTRS. We compared Peds DTRS scores against two established standardized measures using a generalized linear mixed model to deal with the dependency in the longitudinal data to estimate ROC curves and related statistics.

resultsResults indicate that a score of 3 is a reasonable cutoff to identify distress with children 7-17 years old. This cutoff yielded high sensitivity (87.0%) and specificity (79.7%) using the PedsQL Emotional Domain score as the standard. Similar results were obtained using the CDI as the standard, but we are cautious as very few CDI scores reached the cutoff criterion. Exploratory analysis highlighted clinical factors that correlate with increased distress measured using the Peds DTRS.

conclusionsThe Peds DTRS is a very brief, convenient, and rapid screening tool for global distress in children. Further investigation of the Peds DTRS and other tools can improve the ability of providers to prevent and treat the negative emotional consequences of cancer and improve the quality of survivorship.

Indexed as

AdolescentAdultCancer SurvivorsChildCohort StudiesDepressionHumansMaleMass ScreeningMiddle AgedNeoplasmsParentsProxyPsychometricsQuality of LifeROC Curvechilddepressionneoplasmspediatricspsycho-oncologyquality of lifeROC curveself-reportsensitivity and specificitysurvivors of childhood cancer

Identifiers

PMID33103298
PMCPMC7965248

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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.