Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer
Open accessAbstract
Levels of symptom distress are most often measured in a clinical trial context rather than in general ambulatory populations. The purpose of this paper is to report levels of symptom distress in such a population, and to describe the factors associated with this distress. Over a 6-month period, a consecutive sample of 434 newly diagnosed patients, including 82 patients with lung cancer, were tested with the symptom distress scale at two tertiary oncology clinics serving the population of one Canadian prairie province. While levels of symptom distress in this population were generally low, the most problematic symptoms for patients were fatigue and insomnia, with 40% and 30% having moderate or high scores on these symptoms, respectively. Patients with advanced disease reported more distress than those with early stage disease; women reported more distress than men; older patients had less distress than younger patients; distress was highest in lung cancer patients and lowest in men with genitourinary cancers. Consistent with the findings of four previous studies, the single measure of symptom distress was a significant predictor of survival in lung cancer patients, with the exception of three patients who had substantial post-thoracotomy symptoms.
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Caregivers of patients with LC report significant emotional distress.
“Caregivers of patients with LC report feeling unprepared, lacking caregiving resources,11,12 having low self-efficacy for managing patient symptoms, experiencing significant emotional distress,13, 14, 15 and receiving minimal psychosocial care.6,16,17”
From Multisite Randomized Controlled Trial of CareSTEPS: A Supportive Care Intervention for the Family Caregivers of Patients With Advanced Lung Cancer (2024) · cites this paper as [14]
The patient-results passage (indexed as Abstract; page unavailable) reports symptom distress among cancer patients, including those with lung cancer, not emotional distress among their caregivers. A later discussion passage mentions family issues but does not report caregivers’ distress. Searches for caregiver emotional distress and family-member distress found no passage addressing the claim. (LLM, conf=0.76)
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- Authors
- Degner, L. F., & Sloan, J. A.
- Affiliations
- University of Manitoba (CA)
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 1995-08
- Volume
- 10
- Issue
- 6
- Pages
- 423-431
- ISSN
- 0885-3924 (ISSN-L)
- OpenAlex
- W2097149048
- Cited by
- 322
- References
- 18
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 3 · 2019: 3 · 2018: 10 · 2017: 7 · 2016: 11 · 2015: 11 · 2014: 16 · 2013: 15 · 2012: 11
- FWCI
- 1.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Keywords
- symptom distress, newly diagnosed cancer, ambulatory cancer patients, lung cancer, survival prediction, fatigue, insomnia, advanced disease, sex differences, age differences, genitourinary cancer, Symptom Distress Scale
- MeSH terms
- Adult, Aged, Aged, 80 and over, Ambulatory Care, Cancer Care Facilities, Female, Humans, Lung Neoplasms, Male, Middle Aged, Prognosis, Quality of Life
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