| Predicting psychosocial risk in patients with breast cancer. | |
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MedLine Citation:
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PMID: 8501990 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Breast cancer is the most common neoplasm in North American women. The psychosocial impact of breast cancer has been extensively studied, and a number of investigators have attempted to characterize women who are at high risk for increased psychosocial morbidity. Although a detailed interview performed by a professional is the clinical standard for psychosocial assessment, such interviews are usually time-consuming and expensive, and thus are rarely performed. This study was designed to develop a strategy for the rapid identification of newly-diagnosed breast cancer patients at risk for psychosocial morbidity. A sample of 227 newly diagnosed breast cancer patients were interviewed systematically by a clinical social worker and were subsequently classified for risk of psychosocial distress in the year after diagnosis. In addition, these women completed a battery of standardized instruments designed to assess quality of life, rehabilitation needs and psychological distress. A logistic regression procedure was used to examine a wide range of variables for their ability to correctly classify the risk of psychosocial distress in this sample. The final model included the Cancer Rehabilitation Evaluation System (CARES) Psychosocial Summary Scale, the Karnofsky Performance Status score and age as the best predictors of psychosocial risk. Subsequently these three variables were used to construct a clinically usable risk prediction model. Additional research should be performed to validate this predictive model. |
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Authors:
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P A Ganz; K Hirji; M S Sim; C A Schag; C Fred; M L Polinsky |
Publication Detail:
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Type: Clinical Trial; Controlled Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Medical care Volume: 31 ISSN: 0025-7079 ISO Abbreviation: Med Care Publication Date: 1993 May |
Date Detail:
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Created Date: 1993-07-01 Completed Date: 1993-07-01 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0230027 Medline TA: Med Care Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 419-31 Citation Subset: IM |
Affiliation:
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Department of Medicine, UCLA School of Medicine. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adaptation, Psychological Adult Age Factors Aged Breast Neoplasms / psychology* Female Health Services Needs and Demand* Humans Mental Disorders / epidemiology* Middle Aged Models, Psychological* Psychiatric Status Rating Scales Quality of Life Retrospective Studies Risk Factors United States |
| Grant Support | |
ID/Acronym/Agency:
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CA 43461/CA/NCI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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