Evidence map›Paper›PMID 39141666›Full record

Trial reportCancer2024

Assessing the utility of the PC-PTSD-5 as a screening tool among a cancer survivor sample.

Sophia K Smith, Cole Manschot, Eric Kuhn, Eric Laber, Tamara J Somers, Karen L Syrjala, Allison J Applebaum

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04058795 (Using a SMART Design to Optimize PTSD Symptom Management Strategies Among Cancer Survivors), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT04058795 nacompletednot on this map

Using a SMART Design to Optimize PTSD Symptom Management Strategies Among Cancer Survivors

TypeinterventionalSponsorDuke UniversityRan2021 to 2025Enrolled524ConditionsPosttraumatic Stress Disorder, CancerArmsCancer Distress Coach (CaDC) App, CaDC + mCoaching, mCBT
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Sophia K SmithSchool of Nursing, Duke University, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-7809-0339
Cole ManschotNorth Carolina State University, Raleigh, North Carolina, USA.
Eric KuhnDissemination and Training Division, National Center for PTSD, Palo Alto, California, USA.
Eric LaberDepartment of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA.
Tamara J SomersDuke Cancer Institute, Duke University Medical Center, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-8809-2979
Karen L SyrjalaClinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington, USA.
Allison J ApplebaumDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Using a SMART Design to Optimize PTSD Symptom Management Strategies Among Cancer SurvivorsR01CA244172 · NCI · DUKE UNIVERSITY · PI SMITH, SOPHIA K. · 2020 to 2024
$3.2M
Next-generation SMARTs for Discovery and Evaluation of Sequential Cancer Therapeutic StrategiesR01CA280970 · NCI · DUKE UNIVERSITY · PI Eric Benjamin Laber · 2024 to 2026
$1.1M
NCI NIH HHS CA244172NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA244172NCI NIH HHS R01 CA280970
6 · The paper itself

Abstract

introductionHematopoietic stem cell transplantation (HCT) is an intensive and invasive procedure used in cancer treatment that can lead to posttraumatic stress disorder (PTSD) symptoms. These symptoms are frequently overlooked in oncology and general health care settings. The suitability and utility of the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) within the cancer population remains uncertain. This study aims to evaluate its performance as a brief (five-item) case-finding screening alternative to the longer (20-item) PTSD Checklist for DSM-5 (PCL-5) in survivors who received an HCT 1 to 5 years ago.

methodsA total of 817 cancer survivors completed the PC-PTSD-5 and PCL-5 during recruitment for a randomized clinical trial. Optimal cut scores for identifying probable PTSD and item performance were determined using indices correcting for chance and item response theory analyses.

resultsOf the HCT sample, 10.4% screened as positive for probable DSM-5 PTSD using the PCL-5. The PC-PTSD-5 exhibited strong internal consistency and significant associations with PCL-5 scores (total, r = .82; items, rs = .56-.61). A cutoff score of 2 provided optimal sensitivity for screening (κ[Se] = .95), whereas a cut score of 4 demonstrated the highest efficiency for detecting a probable DSM-5 PTSD diagnosis on the PCL-5 (κ[Eff] = .39). Item response theory analyses indicated that item 4 (numbing) of the PC-PTSD-5 yielded the most informative data, with other items potentially lacking incremental utility.

conclusionAlthough not an instrument validation study, these findings offer efficient evidence for using the PC-PTSD-5 as a succinct screening tool among cancer survivors in a clinical context. TRIALS REGISTRATION: ClinicalTrials.gov, NCT04058795, registered 8/16/2019.

Indexed as

Cancer SurvivorsStress Disorders, Post-TraumaticAdultAgedChecklistFemaleHematopoietic Stem Cell TransplantationHumansMaleMass ScreeningMiddle AgedNeoplasmscancer survivorHCTPCL‐5PC‐PTSD‐5posttraumatic stressPTSDscreening

Identifiers

PMID39141666
PMCPMC11560558

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.