Use of follow-up psycho-oncology consultations in urological cancer after transition from inpatient to outpatient care.

IF 2 4区医学 Q3 ONCOLOGY

Oncology Research and Treatment Pub Date : 2024-11-07 DOI:10.1159/000542458

Dominik Fugmann, Steffen Holsteg, Ralf Schäfer, Lars Kreuznacht, Daniela Speer, Günter Niegisch, Ulrike Dinger, André Karger

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引用次数: 0

Abstract

Background: In urological oncology, the physical and psychological effects of cancer and its treatment post-discharge highlight the importance of follow-up psycho-oncology consultations. This study examines their utilisation and identifies predictors in urological cancer patients after inpatient care.

Methods: A prospective, single-centre clinical observational study was conducted. Inpatients with urological cancer and ≥ 5 points on the Distress Thermometer and/or request for psycho-oncological support were recruited, offered an initial psycho-oncology consultation, and up to five online or on-site appointments within three months of discharge. The following variables were collected: socio-demographics, psycho-oncological baseline documentation (PO-BADO), psychosocial distress (Distress Thermometer with problem list), anxiety and depressive symptoms (GAD-2 & PHQ-2), and performance status (ECOG).

Results: A total of 501 patients were screened, 139 were included, and 108 were analysed. 25 patients used psycho-oncological follow-up care (n = 16 online). The final hierarchical model predicting the use of follow-up psycho-oncological support included the two predictors: age (OR 0.93, 95% CI 0.90-0.96) and anxiety (OR 1.60, 95% CI 1.11-2.44).

Discussion: Nearly one in four urological cancer patients use follow-up psycho-oncology consultations, mostly online. Predictors for this usage are younger age and higher levels of anxiety. To improve care: 1) online services reduce barriers; 2) older patients require support with these services; and 3) screening specifically for depression is crucial to ensure that follow-up appointments are scheduled as a mandatory part of hospitalisation.

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泌尿系统癌症患者从住院治疗转为门诊治疗后，肿瘤心理咨询随访的使用情况。

背景：在泌尿肿瘤学领域，癌症及其出院后治疗对患者的身心影响凸显了肿瘤心理咨询随访的重要性。本研究探讨了泌尿系统肿瘤患者在住院治疗后对心理肿瘤咨询的利用情况，并确定了预测因素：方法：进行了一项前瞻性、单中心临床观察研究。研究招募了罹患泌尿系统癌症且压力温度计得分≥ 5 分和/或请求肿瘤心理支持的住院患者，为其提供了首次肿瘤心理咨询，并在出院后三个月内提供了多达五次在线或现场预约。该研究收集了以下变量：社会人口统计学、肿瘤心理基线文件（PO-BADO）、社会心理困扰（带有问题清单的困扰温度计）、焦虑和抑郁症状（GAD-2 & PHQ-2）以及表现状态（ECOG）：共筛查了 501 名患者，纳入 139 名，分析 108 名。25名患者使用了肿瘤心理随访护理（n = 16在线）。预测使用后续肿瘤心理支持的最终层次模型包括两个预测因子：年龄（OR 0.93，95% CI 0.90-0.96）和焦虑（OR 1.60，95% CI 1.11-2.44）：讨论：近四分之一的泌尿系统癌症患者使用肿瘤心理咨询随访，其中大部分是在线咨询。年龄较轻和焦虑程度较高是使用这种服务的预测因素。为了改善护理：1）在线服务减少了障碍；2）老年患者需要这些服务的支持；3）专门针对抑郁症的筛查至关重要，以确保将随访预约作为住院治疗的必备部分。

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来源期刊

Oncology Research and Treatment ONCOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

期刊介绍： With the first issue in 2014, the journal ''Onkologie'' has changed its title to ''Oncology Research and Treatment''. By this change, publisher and editor set the scene for the further development of this interdisciplinary journal. The English title makes it clear that the articles are published in English – a logical step for the journal, which is listed in all relevant international databases. For excellent manuscripts, a ''Fast Track'' was introduced: The review is carried out within 2 weeks; after acceptance the papers are published online within 14 days and immediately released as ''Editor’s Choice'' to provide the authors with maximum visibility of their results. Interesting case reports are published in the section ''Novel Insights from Clinical Practice'' which clearly highlights the scientific advances which the report presents.