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Lung cancer distress: screening thermometer meta-analysis
Lemeng Zhang1, Xiaohong Liu2, Fei Tong3
1Department of Thoracic Medicine, Hunan Cancer Hospital/ The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan, China.
BMJ Supportive & Palliative Care
|February 17, 2022
Summary
Nearly half of lung cancer patients experience distress, as measured by the Distress Thermometer (DT). Distress rates varied significantly by gender and geographic region, highlighting the need for routine screening.
Area of Science:
- Oncology
- Psychosocial Oncology
- Clinical Screening
Background:
- Distress significantly impacts the quality of life and prognosis for lung cancer patients.
- The Distress Thermometer (DT) is a recommended tool for screening distress in clinical settings.
Approach:
- A systematic literature search was conducted across PubMed, Embase, PsyclNFO, and Cochrane Library for studies published before December 31, 2021.
- Eligible studies evaluated distress levels using the DT in lung cancer patients.
- Ten studies, encompassing 2111 patients, were included in the meta-analysis.
Key Points:
- The pooled prevalence of distress among lung cancer patients was 49.04%.
- Significant differences in distress rates were observed across North America (53.33%), Europe (43.81%), and China (38.57%).
- Distress prevalence also differed significantly between men and women, but not by tumor stage, histology, or prior treatment.
Conclusions:
- A high proportion of lung cancer patients experience distress, necessitating routine screening.
- DT screening is recommended for clinical practice to identify patients needing support.
- Targeted distress management strategies are crucial, considering variations by gender and region.
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