title: [Depression and advanced cancer: agreement between different screening strategies].
abstract: Depression is a frequent problem in advanced cancer patients. However, there is no systematic screening for depression in the majority of cancer center resulting in underdiagnosed depression among cancer patients. The main objective of this study was to assess the level of agreement between self-reported depression by the patient and the physician and nurse assessment using the same tools. One of the secondary objectives was to estimate the possibility of a systematic and repeated (at one month) assessment. We used two scales for depression screening: the Brief Edinburg Depression Scale (BEDS) and the depression item of the Edmonton Symptom Assessment System (ESAS). Twenty-nine patients were included and eight of them (28%) had a BEDS score >6 and benefited from the initiation or modification of their antidepressant treatment. At visit 2, 15 patients were seen again and BEDS score was found ≤6 for all of them. A moderate concordance was found between assessment using the BEDS by patient and physician's (κ=0.519) and low agreement was found between physician and nurse regardless of the tool used (κ from 0.071 to 0.313). Researches with larger cohorts are now needed to confirm the benefits of depression's screening in this frail population and also to assess available strategies.
authors.affiliation: Hospices Civils de Lyon, centre hospitalier de Lyon-Sud, Pavillon 1K, département de soins palliatifs, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite Cedex, France, University of Texas MD Anderson Cancer Center, department of palliative care and rehabilitation medicine, Houston, TX 77030, États-Unis, Université de Lyon 2, laboratoire santé, individu, société (EAM-SIS-HCL 4129), 69500 Bron, France.
authors.forename: Wadih
authors.initials: W
authors.lastname: Rhondali
authors.affiliation: Hospices Civils de Lyon, centre hospitalier de Lyon-Sud, Pavillon 1K, département de soins palliatifs, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite Cedex, France, Université de Lyon 2, Institut de psychologie, 69500 Bron, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Chirac
authors.affiliation: Centre hospitalier d'Orange, avenue de Lavoisier, 84100 Orange, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Celles
authors.affiliation: Hospices Civils de Lyon, centre hospitalier de Lyon-Sud, Pavillon 1K, département de soins palliatifs, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite Cedex, France.
authors.forename: Marilène
authors.initials: M
authors.lastname: Filbet
mesh_terms: D000328:Adult; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000473:pathology / Q000523:psychology*; D011446:Prospective Studies; D057566:Self Report; D012959:Socioeconomic Factors
keywords: advanced cancer; depression; screening
vernacular_title: Dépression et cancer en phase avancée : concordance entre différentes stratégies de dépistage.