SESSION TITLE: Lung Cancer Posters II
SESSION TYPE: Original Investigation Poster
PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM
PURPOSE: The United States Preventive Services Task Force recently recommended lung cancer screening for high risk patients. The purpose of this investigation was to quantify the degree of distress experienced by patients before and after lung cancer screening.
METHODS: Stony Brook Cancer Center (SBCC) has recently established a Lung Cancer Screening Center which has now evaluated its first 100 patients. The program provides low dose chest CAT scan, clinical evaluation, tobacco cessation counseling and psychosocial support for SBCC patients. Data collected for this investigation included age, gender, distress scores before and after screening using the NCCN Distress Thermometer. This instrument is based on an ordinal rating scale from 0 (no distress) to 10 (extreme distress). A distress score of 4 or greater is considered clinically significant. The Wilcoxon Signed Rank and Sum Rank tests were used to evaluate differences in distress scores before and after screening, and between groups, respectively.
RESULTS: The average (standard deviation) age of the screening patients was 60.3 (7.0) years and 52% were male. Before screening, 47% of patients had a distress score ≥4. The most significant contributing factors associated with distress were guilt associated with tobacco use and fear of cancer diagnosis. Distress scores were significantly reduced after screening (p<0.001) and women were significantly more distressed than men, both before (p=0.02) and after (p<0.001) screening.
CONCLUSIONS: Routine screening for lung cancer is in its infancy. This study provides important new data regarding distress and indicates that high levels (≥4) are reported by nearly half of patients being screened. Additionally, our findings suggest a significant decrease in distress upon completion of initial lung cancer screening likely due to un-alarming clinical findings along with the psychosocial support provided by our center.
CLINICAL IMPLICATIONS: Lung cancer screening is associated with elevated levels of distress which may represent a barrier to care. Our data suggests that addressing pre-screening distress and providing subsequent support mechanisms should be considerations in the development of lung cancer screening programs.
DISCLOSURE: The following authors have nothing to disclose: April Plank, Barbara Nemesure, Thomas Bilfinger, Sunday Campolo-Athans, Sajive Aleyas
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