ArticleJournal of cancer research and clinical oncology2023
Psychosocial distress in cancer patients undergoing radiotherapy: a prospective national cohort of 1042 patients in Germany.
Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07698782 (Advanced Cancer Stage and Healthcare Coverage Predict Longitudinal Psychological Distress and Clinical Outcomes in Patients Undergoing Radiotherapy), which is not on this map. Cited by 20 papers.
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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.
Advanced Cancer Stage and Healthcare Coverage Predict Longitudinal Psychological Distress and Clinical Outcomes in Patients Undergoing Radiotherapy
Who cites it
20 citing papers in PubMed.
- Multidisciplinary mHealth Rehabilitation for Patients With Abdominal Cancer Who Are Receiving Chemoradiotherapy: Randomized Phase II Trial.Journal of medical Internet research · 2026Trial
- Factors associated with distress over time in women with breast cancer undergoing radiotherapy: insights from a pilot study assessing a digital information tool.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Trial
- Depressive symptoms and perceived stress in patients with head and neck cancer undergoing intensity-modulated radiation therapy: A longitudinal study.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2026Article
- The Association Between Social Support and Psychosomatic Status in Cancer Patients During Mid-Course Radiotherapy: The Chain Mediating Roles of Psychological Capital and Coping Styles.Healthcare (Basel, Switzerland) · 2026Article
- Quality of life in cancer patients at the end of radiotherapy compared to a general population sample in Germany.International journal of cancer · 2026Article
- Tenth anniversary of the Young DEGRO Team Trial-reflecting on the past, shaping the future.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026Article
- Psychological distress and its associated factors among cancer patients in Nepal: A cross-sectional study.PLOS mental health · 2026Article
- Review
- "The Idea of Being Without It is Frightening". Uncertainty and Psychological Dependency for Patients Using Immuno-, Biological, or Precision Therapies: A Qualitative Study.Psycho-oncology · 2025Article
- Decision regret in patients with head-and-neck cancer undergoing radiotherapy.Clinical and translational radiation oncology · 2025Article
- A Mixed Scoping and Narrative Review of Immersive Technologies Applied to Patients for Pain, Anxiety, and Distress in Radiology and Radiotherapy.Diagnostics (Basel, Switzerland) · 2025Review
- Early Cancer Survivorship Distress Trajectories Associated With Socioeconomic Status and Age: Findings From a Multicenter Prospective Study.Cancer medicine · 2025Article
- Associations between optimism and mental health in postradiotherapy cancer survivors: a cross-sectional survey study.BMJ open · 2025Article
- Survey of radiation therapists' current practices and perceptions of psychosocial and supportive care in Canada and Norway.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- New highlights in cancer and depression multimorbidity: a scoping systematic review.Frontiers in oncology · 2025Review
- [Psycho-oncology-psychosocial distress and supportive care needs].Urologie (Heidelberg, Germany) · 2024Article
- Satisfaction with radiotherapy care among cancer patients treated in Germany-secondary analysis of a large multicenter study.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024Article
- A survey of cancer patients' interest in undertaking exercise to promote relaxation during radiotherapy for breast cancer and metastatic cancer.Radiation oncology (London, England) · 2024Article
- Patient-Relevant Costs for Organ Preservation versus Radical Resection in Locally Advanced Rectal Cancer.Cancers · 2024Article
- Effectiveness of Laughter Yoga on Stress in Patients with Cancer in a Selected Hospital.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePsychosocial distress is common among cancer patients in general, but those undergoing radiotherapy may face specific challenges. Therefore, we investigated the prevalence and risk factors for distress in a large national cohort.
methodsWe performed a secondary analysis of a multicenter prospective cross-sectional study which surveyed cancer patients at the end of a course of radiotherapy using a patient-reported questionnaire. Distress was measured with the distress thermometer (DT), using a cut-off of ≥ 5 points for clinically significant distress. Univariate analyses and multivariate multiple regression were used to assess associations of distress with patient characteristics. A two-sided p-value < 0.05 was considered statistically significant.
resultsOut of 2341 potentially eligible patients, 1075 participated in the study, of which 1042 completed the DT. The median age was 65 years and 49% (511/1042) of patients were female. The mean DT score was 5.2 (SD = 2.6). Clinically significant distress was reported by 63% (766/1042) of patients. Of the patient characteristics that were significantly associated with distress in the univariate analysis, a lower level of education, a higher degree of income loss, lower global quality of life, and a longer duration of radiotherapy in days remained significantly associated with higher distress in the multivariate analysis. Yet effect sizes of these associations were small.
conclusionNearly two in three cancer patients undergoing radiotherapy reported clinically significant distress in a large multicenter cohort. While screening and interventions to reduce distress should be maintained and promoted, the identified risk factors may help to raise awareness in clinical practice. TRIAL REGISTRY IDENTIFIER: DRKS: German Clinical Trial Registry identifier: DRKS00028784.
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