Implementing a Tailored Psychosocial Distress Screening Protocol in a Head and Neck Cancer Program

2021 ◽  
Author(s):  
Eden R. Brauer ◽  
Stephanie Lazaro ◽  
Charlene L. Williams ◽  
David A. Rapkin ◽  
Amy B. Madnick ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Psychosocial Distress ◽  
Distress Screening ◽  
Cancer Program ◽  
Screening Protocol

Distress Screening and Follow-Up Among Patients Within a Multidisciplinary Head and Neck Cancer Program

2020 ◽  
Vol 106 (5) ◽  
pp. 1118
Author(s):  
S. Lazaro ◽  
E.R. Brauer ◽  
C.L. Williams ◽  
D.A. Rapkin ◽  
A.B. Madnick ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Distress Screening ◽  
Cancer Program

Distress Screening in Head and Neck Cancer Patients Planned for Cancer‐Directed Radiotherapy

2021 ◽  
Author(s):  
Shirley Lewis ◽  
Saket Pandey ◽  
Naveen Salins ◽  
Jayita Deodhar ◽  
Vijay Patil ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Distress Screening

Ethical considerations in screening head and neck cancer patients for psychosocial distress

2019 ◽  
Vol 28 (2) ◽  
pp. 617-624 ◽  
Author(s):  
Julie M. Deleemans ◽  
Kerry Mothersill ◽  
Barry D. Bultz ◽  
Fiona Schulte
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Psychosocial Distress ◽  
Ethical Considerations

Effect of psychosocial distress on outcome for head and neck cancer patients undergoing radiation

2017 ◽  
Vol 128 (3) ◽  
pp. 641-645 ◽  
Author(s):  
Allen M. Chen ◽  
Sophia Hsu ◽  
Care Felix ◽  
Jordan Garst ◽  
Taeko Yoshizaki
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Psychosocial Distress

Measuring concordance with head and neck cancer survivorship algorithms.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e21602-e21602
Author(s):  
Maria Alma Rodriguez ◽  
Guadalupe R. Palos ◽  
Katherine Ramsey Gilmore ◽  
Patricia Chapman ◽  
Paula A. Lewis-Patterson
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Best Practice ◽  
Professional Communication ◽  
Distress Screening ◽  
Management Tools ◽  
Clinical Action ◽  
Chest X Ray ◽  
Data Elements

e21602 Background: We developed institutional algorithms for cancer survivors that are site specific. However, little data exists regarding concordance with these clinical management tools. Our aim was to evaluate concordance rates with our Head and Neck (H/N) survivorship algorithms. Methods: We reviewed electronic health records (EHR) of patients seen in the H/N Survivorship Clinic between 9/01/2011 and 8/31/2014. Eligibility included: diagnosis of primary head and neck cancer, ≥ 18 years of age, no active disease, and alive at time of abstraction. Data were collected at baseline (V1) and visits 9-15 months after prior visits (V2 and V3). Data were obtained from tumor registry, a departmental database and the EHR. Twelve data elements were grouped as: 1) lab/diagnostic tests, 2) physical and psychological late effects, and 3) history and physical exams. Concordance rate (%) for each element was defined as a clinical action or recommendation aligned to the standards outlined in the H/N algorithms. Descriptive statistics were used to summarize clinical, demographic, and concordance rates. Results: Included in this analysis were patients with primary H/N malignancies of oropharynx, oral cavity, larynx, and hypopharynx, and who had completed 3 visits (V1-3). 53 patients were evaluable for concordance analyses. Compliance ranged from 55% to 100%, with lowest rates for: CT scans (55.6%), distress screening (75.5%), T4/TSH level (78.4%) and laryngoscopy (79.2%). Highest rates were noted for full physical exam (100%), chest x-ray (97.5%), dental exam (95.9%), and dysphagia evaluation (95.1%). Assessments for lymphedema and xerostomia were similar (91.8%). Conclusions: High compliance ( > 90%) occurred when elements of the algorithm relied on the clinician’s assessment, whereas lower levels of compliance were seen with elements that required orders (CTs and labs), or reliance on others’ actions (i.e. distress screening by nursing). Concordance can be improved using best practice advisories in the EHR to remind providers of orders, and by fostering strong inter-professional communication on the elements of care.

Prospective Study of Psychosocial Distress Among Patients Undergoing Radiotherapy for Head and Neck Cancer

2009 ◽  
Vol 73 (1) ◽  
pp. 187-193 ◽  
Author(s):  
Allen M. Chen ◽  
Richard L.S. Jennelle ◽  
Victoria Grady ◽  
Adrienne Tovar ◽  
Kris Bowen ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Prospective Study ◽  
Head And Neck ◽  
Neck Cancer ◽  
Psychosocial Distress

scholarly journals Distress Management in Patients With Head and Neck Cancer Before Start of Palliative Chemotherapy: A Practical Approach

2018 ◽  
pp. 1-10 ◽  
Author(s):  
Vijay Patil ◽  
Vanita Noronha ◽  
Amit Joshi ◽  
Jayita Deodhar ◽  
Savita Goswami ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Palliative Chemotherapy ◽  
Clinical Psychologist ◽  
Distress Screening ◽  
Exact Test ◽  
Number Of Patients ◽  
High Distress ◽  
High Level

Purpose This study reports the incidence of distress, the factors associated with distress, and a practical strategy to resolve distress in patients with head and neck cancer who are starting palliative chemotherapy. Methods Adult patients with head and neck cancer planned for palliative chemotherapy underwent distress screening before the start of treatment as part of this single-arm prospective study. Patients who had a distress score > 3 on the National Comprehensive Cancer Network (NCCN) distress thermometer were counseled initially by the clinician. Those who continued to have high distress after the clinician-led counseling were referred to a clinical psychologist and were started on palliative chemotherapy. After counseling, distress was measured again. The relation between baseline distress and compliance was tested using Fisher's exact test. Results Two hundred patients were enrolled, and the number of patients with high distress was 89 (44.5% [95% CI, 37.8% to 51.4%]). The number of patients who had a decrease in distress after clinician-led counseling (n = 88) was 52 (59.1% [95% CI, 48.6% to 68.8%]) and after psychologist-led counseling (n = 32) was 24 (75.0% [95% CI, 57.6% to 72.2%]; P = .136). Compliance rates did not differ between the patients with or without a high level of distress at baseline (74.2% v 77.4%, P = .620). Conclusion The incidence of baseline distress is high in patients awaiting the start of palliative chemotherapy. It can be resolved in a substantial number of patients using the strategy of clinician-led counseling, with additional referral to a clinical psychologist as required. Patients with a greater number of emotional problems usually require psychologist-led counseling.

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