دورية أكاديمية
Implementation of the Edmonton Symptom Assessment System for Symptom Distress Screening at a Community Cancer Center: A Pilot Program.
| العنوان: | Implementation of the Edmonton Symptom Assessment System for Symptom Distress Screening at a Community Cancer Center: A Pilot Program. |
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| المؤلفون: | Hui D; Department of Palliative Care, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA dhui@mdanderson.org.; Department of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Titus A; Harris Health System, Houston, Texas, USA., Curtis T; Harris Health System, Houston, Texas, USA., Ho-Nguyen VT; Harris Health System, Houston, Texas, USA., Frederickson D; Harris Health System, Houston, Texas, USA., Wray C; Department of Surgery, University of Texas Medical School at Houston, Houston, Texas, USA., Granville T; Harris Health System, Houston, Texas, USA., Bruera E; Department of Palliative Care, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., McKee DK; Harris Health System, Houston, Texas, USA., Rieber A; Department of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. |
| المصدر: | The oncologist [Oncologist] 2017 Aug; Vol. 22 (8), pp. 995-1001. Date of Electronic Publication: 2017 May 05. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9607837 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1549-490X (Electronic) Linking ISSN: 10837159 NLM ISO Abbreviation: Oncologist Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : Oxford : Oxford University Press Original Publication: Dayton, Ohio : AlphaMed Press, c1996- |
| مواضيع طبية MeSH: | Medical Oncology/*trends , Neoplasms/*psychology , Stress, Psychological/*physiopathology , Symptom Assessment/*trends, Health Plan Implementation ; Humans ; Mass Screening ; Neoplasms/diagnosis ; Neoplasms/physiopathology ; Palliative Care ; Stress, Psychological/diagnosis ; Stress, Psychological/epidemiology ; Surveys and Questionnaires |
| مستخلص: | Background: Distress screening is mandated by the American College of Surgeons Commission on Cancer; however, there is limited literature on its impact in actual practice. We examined the impact of a pilot distress screening program on access to psychosocial care. Methods: Edmonton Symptom Assessment System (ESAS) screening was routinely conducted at our community-based medical oncology program. Patients who screened positive for severe distress were sent to a social worker for triage and referred to the appropriate services if indicated. We compared the proportion of patients who had ESAS completed, the proportion of patients who screened positive, and the number of patients who had social work assessment and palliative care consultation over the preimplementation (September 2015), training (October/November 2015), and postimplementation (December 2015) periods. Results: A total of 379, 328, and 465 cancer patients were included in the preimplementation, training, and postimplementation periods, respectively. The proportion of patients who completed ESAS increased over time (83% vs. 91% vs. 96%). Among the patients who had completed ESAS, between 11% and 13% were positive for severe distress, which remained stable over the three periods. We observed a significant increase in social work referrals for psychosocial assessment (21% vs. 71% vs. 79%). There was also a trend towards an increased number of palliative care referrals (12% vs. 20% vs. 28%). Conclusion: Our community-based cancer center implemented distress screening rapidly in a resource-limited setting, with a notable increase in symptom documentation and psychosocial referral. Implications for Practice: The American College of Surgeons Commission on Cancer mandates distress screening; however, there is limited literature on how this process should be implemented and its impact on clinical practice. We used the Edmonton Symptom Assessment System for routine symptom distress screening in a community-based medical oncology program that provides care for an underserved population. Comparing before and after program implementation, we found an increase in the number of documentations of symptom burden and an increase in psychosocial referrals. Findings from this study may inform the implementation of routine symptom distress screening in cancer patients. Competing Interests: Disclosures of potential conflicts of interest may be found at the end of this article. (© AlphaMed Press 2017.) |
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| معلومات مُعتمدة: | R21 CA186000 United States CA NCI NIH HHS |
| فهرسة مساهمة: | Keywords: Health plan implementation; Mass screening; Neoplasms; Palliative care; Psychological stress; Symptom assessment |
| تواريخ الأحداث: | Date Created: 20170507 Date Completed: 20180424 Latest Revision: 20181113 |
| رمز التحديث: | 20240513 |
| مُعرف محوري في PubMed: | PMC5553963 |
| DOI: | 10.1634/theoncologist.2016-0500 |
| PMID: | 28476945 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1549-490X |
|---|---|
| DOI: | 10.1634/theoncologist.2016-0500 |