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Comparison of patient-reported need of psycho-oncologic support and the doctor's perspective: how do they relate to disease severity in melanoma patients?

Nolte, Sandra, van der Mei, Sicco H., Strehl-Schwarz, Kerstin, Köster, Johanna, Bender, Armin, Rose, Matthias, Kruse, Johannes and Peters, Eva M.J. 2016, Comparison of patient-reported need of psycho-oncologic support and the doctor's perspective: how do they relate to disease severity in melanoma patients?, Psycho-oncology, vol. 25, no. 11, pp. 1271-1277, doi: 10.1002/pon.4050.

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Title Comparison of patient-reported need of psycho-oncologic support and the doctor's perspective: how do they relate to disease severity in melanoma patients?
Author(s) Nolte, Sandra
van der Mei, Sicco H.
Strehl-Schwarz, Kerstin
Köster, Johanna
Bender, Armin
Rose, Matthias
Kruse, Johannes
Peters, Eva M.J.
Journal name Psycho-oncology
Volume number 25
Issue number 11
Start page 1271
End page 1277
Total pages 7
Publisher Wiley
Place of publication London, Eng.
Publication date 2016-11
ISSN 1057-9249
Keyword(s) skin cancer
screening
physco-oncology
self-report
patient-reported outcomes
proxy report
Summary Objective: Psycho-neuro-immune research suggests an association between cancer outcomes and psychosocial distress. Objective criteria to determine patients’ levels of distress are important to establish potential links to disease outcomes. Methods: We compared three patient-reported with one doctor-reported measures of psychooncologic distress frequently used in routine cancer care and investigated associations with standard disease severity parameters in melanoma patients. We enrolled n = 361 patients, successively seen at two outpatient university clinics in Germany. In the naturalistic study, n = 222 patients had been diagnosed <180 days and were seen for the first time (Group I); n = 139 had been diagnosed >180 days and were in after-care (Group II). Results: Across groups, only moderate associations were seen between patient- reported and doctorreported measures. Regarding clinical variables, disease severity and perceived need of psychooncologic support reported by patients or doctors showed hardly any association. After subgroup stratification, in patients of Group II, patient-reported and doctor-reported instruments showed some small associations with disease parameters commonly linked to more rapid cancer progression in patients who are in cancer after-care. Conclusions: Overall, the few and low associations suggest that need of psycho-oncologic support and clinical variables were largely independent of each other and doctors’ perception may not reflect the patient’s view. Therefore, the assessment of the patient perspective is indispensable to ensure that melanoma patients receive appropriate support, as such need cannot be derived from other disease parameters or proxy report. More research is needed applying psychometrically robust instruments that are ideally combined with sensitive biomarkers to disentangle psycho-neuro-immune implications in melanoma patients.
Language eng
DOI 10.1002/pon.4050
Field of Research 1112 Oncology And Carcinogenesis
1701 Psychology
1103 Clinical Sciences
Socio Economic Objective 920102 Cancer and Related Disorders
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081314

Document type: Journal Article
Collections: School of Health and Social Development
Population Health
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Created: Thu, 11 Feb 2016, 10:49:07 EST

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