Evidence map›Paper›PMID 33926414›Full record

ArticleBMC cancer2021

Screening for distress, related problems and perceived need for psycho-oncological support in head and neck squamous cell carcinoma (HNSCC) patients: a retrospective cohort study.

V Kunz, G Wichmann, A Lehmann-Laue, A Mehnert-Theuerkauf, A Dietz, S Wiegand

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 19% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Emotion dynamics as indicators of maladaptive emotions in patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Observational
  6. Sex influences on tumor innervation.Biology of sex differences · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Cancer care coordination determinants of depression in head and neck cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  11. Article
  12. Patient-Reported Distress in Individuals With Head and Neck Cancer.JAMA otolaryngology-- head & neck surgery · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Effects ofCancers · 2022
    Article
  18. Observational
  19. Review
  20. Interventions to Reduce Psychosocial Burden in Head and Neck Cancer Patients: A Narrative Review.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Review
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

6 authors at 2 institutions in 1 country.

V KunzDepartment of Otolaryngology, Head and Neck Surgery, University Medical Center Leipzig, Leipzig, Germany. Viktor.Kunz@medizin.uni-leipzig.de.
G WichmannDepartment of Otolaryngology, Head and Neck Surgery, University Medical Center Leipzig, Leipzig, Germany.
A Lehmann-LaueDepartment of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Leipzig, Germany.
A Mehnert-TheuerkaufDepartment of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Leipzig, Germany.
A DietzDepartment of Otolaryngology, Head and Neck Surgery, University Medical Center Leipzig, Leipzig, Germany.
S WiegandDepartment of Otolaryngology, Head and Neck Surgery, University Medical Center Leipzig, Leipzig, Germany.
University Hospital Leipzig · DELeipzig University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn different cancer entities, several studies have shown the adverse effects of cancer on mental health, psychological well-being and the increased risk of high emotional distress in cancer patients. This study aims to analyze psychosocial distress levels and their relationship between sociodemographic parameters and selected items on the Distress Thermometer (DT) Problem List in head and neck squamous cell carcinoma (HNSCC) patients. PATIENTS AND

methodsWe assessed a total of 120 HNSCC patients using the Distress Thermometer (DT) Problem List. Distress scores (DTS) of 90 patients were available. A DTS of ≥ 5 on the visual analogue scale represents clinically relevant distress. Data analysis consisted of descriptive statistics, comparison of mean values for different DTS subcategories and correlation between DTS scores and parameters of tumor classification, sociodemographic variables and selected problems.

resultsDistress was present in 57.7% of the sample, with a total of 52 patients with a DTS  ≥ 5. The mean DTS was 4.7 (SD 2.4). Patients with newly diagnosed HNSCC had significantly higher DTS. Distress levels were significantly associated with sadness, general worries, anxiety, nervousness, sleeping disorders, mouth sores and fever. Out of the total sample, 6 patients and out of these 6 individuals, 5 patients with a DTS ≥ 5 requested referrals to psycho-oncological service.

conclusionHigh distress levels were common in HNSCC patients but only few patients desired psycho-oncological care. Addressing patients' supportive care needs in routine clinical practice is essential to meet unmet needs of HNSCC patients and thus improve cancer care.

Indexed as

AdultAgedAged, 80 and overAnalysis of VarianceAnxietyFemaleFeverHead and Neck NeoplasmsHumansMaleMiddle AgedOral UlcerRetrospective StudiesSadnessSleep Wake DisordersSquamous Cell Carcinoma of Head and NeckDistress thermometerHead and neck squamous cell carcinomaPsycho-oncological care

Identifiers

PMID33926414
PMCPMC8086062
OpenAlexW3157216608

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.