title: What do 1281 distress screeners tell us about cancer patients in a community cancer center?
abstract: OBJECTIVE
  The 2008 Institute of Medicine's Report, Cancer Care for the Whole Patient (IOM, 2008), recommends screening cancer patients for distress. Cancer programs throughout the United States are struggling to achieve this standard. The IOM report indicates that only 14% of 1000 randomly selected American Society of Clinical Oncology (ASCO) members and eight of 15 National Comprehensive Cancer Network (NCCN) centers reported screening for distress in at least some of their patients [J Natl Compr Cancer Netw 2007;5:99-103]. Without adequate screening, distress often goes unnoticed by cancer professionals and there is little information about the prevalence of distress. The main objective of this article is to present data from 1281 distress screenings completed by patients treated within a community cancer center. Specifically, this article reports the intensity of distress, frequency of problem endorsement, and requests for specific psychosocial providers by cancer patients.
  
  
  METHODS
  Medical and radiation oncology patients completed a distress screener before their first physician appointment. The screening instrument included the Distress Thermometer, a symptom checklist, and a list of psychosocial providers that the patient could request to meet.
  
  
  RESULTS
  Thirty-two percent of this sample rated distress above the threshold level. Worry was the most common problem endorsed followed by financial issues. Emotional concerns were endorsed by 59% of the sample. The cancer dietitian was the psychosocial professional most frequently requested by patients.
  
  
  CONCLUSIONS
  Distress screening can be accomplished within a community cancer center but the provision of psychosocial services is difficult given the high volume of need.
authors.affiliation: UT Southwestern Simmons Comprehensive Cancer Center, Dallas, TX 75390-8590, USA. jeffrey.kendall@utsouthwestern.edu
authors.forename: Jeff
authors.initials: J
authors.lastname: Kendall
authors.forename: Kelly
authors.initials: K
authors.lastname: Glaze
authors.forename: Shari
authors.initials: S
authors.lastname: Oakland
authors.forename: Jeanice
authors.initials: J
authors.lastname: Hansen
authors.forename: Carla
authors.initials: C
authors.lastname: Parry
mesh_terms: D000275:Adjustment Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002173:Cancer Care Facilities / Q000706:statistics & numerical data*; D003120:Colorado; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D013315:Stress, Psychological / Q000150:complications