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Cited by 304

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

Screening for Distress in Lung and Breast Cancer Outpatients: A Randomized Controlled Trial

Carlson, Linda E., Groff, Shannon L., Maciejewski, Olga, Bultz, Barry D.·2010·Journal of Clinical Oncology

Abstract

Purpose: Distress has been recognized as the sixth vital sign in cancer care and several guidelines recommend routine screening. Despite this, screening for distress is rarely conducted and infrequently evaluated. Methods: A program of routine online screening for distress was implemented for new patients with breast and lung cancer. Patients were randomly assigned to one of three conditions: (1) minimal screening: the distress thermometer (DT) only plus usual care; (2) full screening: DT, problem checklist, Psychological Screen for Cancer part C measuring anxiety and depression, a personalized report summarizing concerns and the report on the medical file; or (3) triage: full screening plus optional personalized phone triage with referral to resources. Patients in all conditions received an information packet and were reassessed 3 months later with the full screening battery. Results: Five hundred eighty-five patients with breast cancer and 549 patients with lung cancer were assessed at baseline (89% of all patients), and 75.5% retained for follow-up. High prevalence of baseline distress was found across patients. Twenty percent fewer patients with lung cancer in triage continued to have high distress at follow-up compared to those in the other two groups, and patients with breast cancer in the full screening and triage conditions showed lower distress at follow-up than those in minimal screening. The best predictor of decreased anxiety and depression in full screening and triage conditions was receiving a referral to psychosocial services. Conclusion: Routine online screening is feasible in a large cancer center and may help to reduce future distress levels, particularly when coupled with uptake of appropriate resources.

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Metadata

Authors
Carlson, L. E., Groff, S. L., Maciejewski, O., & Bultz, B. D.
Venue
Journal of Clinical Oncology
Published
2010-11-20
Volume
28
Issue
33
Pages
4884-4891
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2139271855
Cited by
304
References
34
FWCI
13.11
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Screening for Distress in Lung and Breast Cancer Outpatients: A Randomized Controlled Trial. https://app.cochat.ai/papers/10.1200/jco.2009.27.3698
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Carlson, L. E., Groff, S. L., Maciejewski, O., & Bultz, B. D. (2010). Screening for Distress in Lung and Breast Cancer Outpatients: A Randomized Controlled Trial. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2009.27.3698

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