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Screening and treatment of psychological distress in patients with metastatic colorectal cancer: study protocol of the TES trial

Overview of attention for article published in BMC Cancer, April 2015
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Title
Screening and treatment of psychological distress in patients with metastatic colorectal cancer: study protocol of the TES trial
Published in
BMC Cancer, April 2015
DOI 10.1186/s12885-015-1313-y
Pubmed ID
Authors

Claudia SEW Schuurhuizen, Annemarie MJ Braamse, Aartjan TF Beekman, Hanna Bomhof-Roordink, Judith E Bosmans, Pim Cuijpers, Adriaan W Hoogendoorn, Inge RHM Konings, Mecheline HM van der Linden, Elisabeth CW Neefjes, Henk MW Verheul, Joost Dekker

Abstract

Psychological distress occurs frequently in patients with cancer. Psychological distress includes mild and severe forms of both anxious and depressive mood states. Literature indicates that effective management of psychological distress seems to require targeted selection of patients (T), followed by enhanced care (E), and the application of evidence based interventions. Besides, it is hypothesized that delivering care according to the stepped care (S) approach results in an affordable program. The aim of the current study is to evaluate the (cost)-effectiveness of the TES program compared to usual care in reducing psychological distress in patients with metastatic colorectal cancer (mCRC). This study is designed as a cluster randomized trial with 2 treatment arms: TES program for screening and treatment of psychological distress versus usual care. Sixteen hospitals participate in this study, recruiting patients with mCRC. Outcomes are evaluated at the beginning of chemotherapy and after 3, 10, 24, and 48 weeks. Primary outcome is the difference in treatment effect over time in psychological distress, assessed with the Hospital Anxiety and Depression Scale. Secondary outcomes include quality of life, patient evaluation of care, recognition and management of psychological distress, and societal costs. We created optimal conditions for an effective screening and treatment program for psychological distress in patients with mCRC. This involves targeted selection of patients, followed by enhanced and stepped care. Our approach will be thoroughly evaluated in this study. We expect that our results will contribute to the continuing debate on the (cost-) effectiveness of screening for and treatment of psychological distress in patients with cancer. This trial is registered in the Netherlands Trial Register NTR4034.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 109 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 <1%
Unknown 108 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 20 18%
Researcher 13 12%
Student > Ph. D. Student 12 11%
Student > Bachelor 8 7%
Student > Postgraduate 6 6%
Other 21 19%
Unknown 29 27%
Readers by discipline Count As %
Psychology 26 24%
Medicine and Dentistry 24 22%
Nursing and Health Professions 10 9%
Social Sciences 2 2%
Biochemistry, Genetics and Molecular Biology 1 <1%
Other 7 6%
Unknown 39 36%