Universität zu Köln

Klingenstein, Annemarie, Samel, Christina, Garip-Kuebler, Aylin, Priglinger, Siegfried G. and Foerster, Paul I. (2020). Screening for Predictive Parameters Requiring Psycho-Oncological Intervention via the National Comprehensive Cancer Network Distress Thermometer in the Follow-Up of Uveal Melanoma Patients. Clin. Ophthalmol., 14. S. 3813 - 3820. ALBANY: DOVE MEDICAL PRESS LTD. ISSN 1177-5483

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Abstract

Aim: To assess a profile of uveal melanoma patients at risk of requiring active psychooncological intervention by employing the National Comprehensive Cancer Network (NCCN) distress thermometer. Methods: Multivariate correlation and multiple linear regression analysis of data collected retrospectively from 106 consecutive patients suffering from uveal melanoma. Results: Distress levels correlated with practical (p = 0.01), emotional (p = 0.003) and physical problems (p = 0.001) as well as the total number of issues reported (p < 0.001; ANOVA, respectively). Emotional issues added up to 39% of influence on distress levels. Nervousness, worry and sadness as the most important emotional issues tested correlated significantly with anatomic stage, tumor T-category, metastatic status and time after primary diagnosis and were present more frequently in patients with higher distress levels (p < 0.001, p = 0.002, p = 0.004, respectively, Fisher's exact test). Pre-existing psycho-oncological support was more frequent in metastatic patients and patients with higher anatomic stage tumors (p = 0.008 and p = 0.003; Fisher's exact test). Conclusion: The distress thermometer proved to be useful for rapid assessment of patients requiring active intervention. A higher number of distress items recorded correlated with elevated distress levels. Emotional issues were responsible for the majority of problems. A typical patient profile at risk of developing distress requiring close attention of caregivers includes high anatomic stage, high T-category, presence of metastases and early follow-up. Correct diagnosis and interpretation of distress-levels should help improve the quality of life of uveal melanoma survivors. Trial Registration: Not applicable.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Klingenstein, Annemarie UNSPECIFIED UNSPECIFIED UNSPECIFIED Samel, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED Garip-Kuebler, Aylin UNSPECIFIED UNSPECIFIED UNSPECIFIED Priglinger, Siegfried G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Foerster, Paul I. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-349569
DOI:	10.2147/OPTH.S276848
Journal or Publication Title:	Clin. Ophthalmol.
Volume:	14
Page Range:	S. 3813 - 3820
Date:	2020
Publisher:	DOVE MEDICAL PRESS LTD
Place of Publication:	ALBANY
ISSN:	1177-5483
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; PSYCHOLOGICAL REACTIONS; QUESTIONNAIRE; ENUCLEATION; VALIDATION Multiple languages Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34956