Nccn clinical practice guidelines in oncology nccn. The nccn clinical practice guidelines in oncology nccn guidelines are a statement of evidence and consensus of the authors regarding their views of. New nccn distress guidelines and tools encourage patients. The distress ther mometer was adapted and tested using english and spanish. May 23, 2018 the most frequently used instrument is the national comprehensive cancer network distress thermometer dt, a 0 to 10 point visual analog scale that is coupled with a problem checklist of 35 sources of distress. The nccn clinical practice guidelines nccn guidelines are a statement of evidence and consensus of the authors regarding their views of currently accepted approaches to treatment. Ebscohost serves thousands of libraries with premium essays, articles and other content including the distress thermometer in spanish cancer patients. Nccn distress thermometer and problem list disa psychosocial distress patient characteristics disb. The nccn adaptations account for metabolic differences in populations, accessibility of technology, and regulatory status of health care technologies used in cancer management in the specified country. Nccn authorizes selected groups to adapt the nccn clinical practice guidelines in. Distress thermometer assesses psychosocial distress. The cancer center offers a number of resources for their cancer. The nccn recommends screening patients at the initial visit soon after diagnosis and at each visit, although the screening schedule may be revised as clinically indicated.
In the present study, the distress definition of the nccn. Here, we use distress to describe unpleasant feelings that may cause problems as you cope with cancer and its treatment. Patients are comfortable using the distress thermometer and problem list and physicians see these tools as useful checklists to prompt and guide questions about physical and psychological symptoms. Individuals are instructed to indicate on a visual analog 11point scale from 0 no distress to 10 extreme distress how distressed they felt in the previous week. The distress thermometer dt was developed as a simple tool to. Distress is a term that has been adopted by the national comprehensive cancer network nccn to encompass the psychosocial impact of cancer. Implementation of nccn distress management guidelines by. Early evaluation and screening for distress leads to early and timely management of psychological distress, which in turn improves medical management. The nccn distress management guideline is a useful tool to screen for and manage distress. Distress management clinical practice guidelines in. Fields, racial differences in responses to the nccn distress thermometer and problem list. The distress thermometer was adapted and tested using english and spanish.
Download the nccn distress thermometer 296kb pdf from. Nccn is dedicated to improving and facilitating quality, effective, efficient, and accessible cancer care so patients can live better lives. The national comprehensive cancer network nccn is a notforprofit alliance of 30 leading cancer centers devoted to patient care, research, and education. Important time points may include changes in disease activity. The nccn distress thermometer dt is a oneitem, 11point likert scale represented on a visual graphic of a thermometer that ranges from 0 no distress to 10 extreme distress, with which patients indicate their level of distress over the course of. Evidence from a radiation oncology clinic, psychooncology, 27, 10, 252516, 2018. Improving the diagnostic accuracy of the distress thermometer. Jacobsen, phd, a and sean ransom, phd, b tampa, florida, and laie, hawaii it causes, heightened distress has been shown to be associated with poorer adherence to treatment recommendations, 4 poorer satisfaction with care, 5 and poorer quality. Purpose this study aims to translate the distress thermometer dt into indonesian, test its validity in indonesian women with breast cancer and determine norm scores of the indonesian dt for clinically relevant distress. Nccn distress screening tool association of community cancer. The distress thermometer dt was developed as a simple tool to effectively screen for symptoms of distress. The dt is reportedly a brief, noninvasive, valid and acceptable alternative to longer psychometric instruments 15. In 2003, the nccn distress management panel published more fully.
The current features of this study are congruent with those reported at the international literatura of the psychooncology field. The national comprehensive cancer network nccn defines distress as an unpleasant emotional experience of a psychological cognitive, behavioral, emotional, social, andor spiritual nature that may interfere with the ability to cope effectively with cancer, its physical symptoms and its treatment. Please indicate if any of the following has been a problem for you in the past week including today. The spanish version of the distress thermometer is an adapated and validated instrument with solid clinimewtric pa. Pdf use of the distress thermometer in clinical practice. The nccn 20 recommends screening for distress using a tool such as the distress thermometer, a singleitem tool asking people to score how distressed they have been over the past week on a picture of a thermometer using a scale from 0 no distress to 10 extreme distress located at the top see figure 1. Second, distress in the families within these studies can be conceptualised using a tiered approach, moving from individual noninteractive depictions of distress through gradations of interaction to convey a systemic account of distress within the family system. In 1999, the national comprehensive cancer network nccn, recommended. Distress management in cancer patients in puerto rico. The distress thermometer please circle or pick a number 010 from the drop down box that best describes how much distress you have been experiencing in the past week including today. Nccn distress thermometer for patients ucsf radiation oncology. Translations were also recently posted of the distress thermometer screening tool from the nccn guidelines for distress management in bahasa indonesia, chinese, korean, and spanish. In 1999, the national comprehensive cancer network nccn, recommended routine screening for distress in all cancer patients. Translating research on the distress thermometer into.
New nccn distress guidelines and tools encourage patients to. The nccn has advocated for the dt to be used to assess distress in cancer patients. Translations of select nccn guidelines and related content are now available in bahasa indonesia, portuguese, chinese, japanese, spanish, korean, and turkish. National comprehensive cancer network distress thermometer and problem checklist in preparing for the pilot, a distress screening tool had to be selected.
Prevalence of emotional symptoms in chilean oncology patients before the start of chemotherapy. Several tools were considered in terms of ease of patient and nurse use, cost, and length of tool. The nccn guidelines and the illustrations herein may not be reproduced in any form without the express written permission of nccn. Analysis of the distress thermometers psychometric properties and applicability to subgroups by lora l. Mar 01, 2019 in 1999, the national comprehensive cancer network nccn, recommended routine screening for distress in all cancer patients. The distress thermometer is a pen and paper tool for patients to report how distressed they are about their psychosocial and physical problems. Conceptualising psychological distress in families in. International organizations such as national comprehensive cancer network and nice recommend implementation of routine screening programs for detecting and managing psychosocial distress among cancer patients. Use of the distress thermometer in clinical practice ncbi. The instrument is a selfreported tool using a 0to10 rating scale. Distress is a risk factor for nonadherence to cancer treatment. Third, nccn recommends using the distress thermometer for patient initial distress screening. Jorge calderon 1, cristobal campla 1, nicole daguzan 1, soledad barraza 2, oslando padilla 3, cesar sanchez 2, silvia palma 2 and matias gonzalez 1. Nccn distress thermometer and problem list for patients version 2.
Nccn distress thermometer and problem list for patients. The organization has published the first nccn guidelines for patients and nccn quick guide for distress. The present study examines the emotional symptomatology captured by the distress. The nccn currently recommends using a distress thermometer and problem list survey to serve as a means to quantify patients distress and communicate specific concerns to providers. Pdf article details distress is defined in the nccn guidelines for distress management as a multifactorial, unpleasant experience of a psychologic ie, cognitive, behavioral, emotional, social, spiritual, andor physical nature that may interfere with the ability to cope effectively with cancer, its physical symptoms, and its treatment. Distress management clinical practice guidelines in oncology. Nccn guidelines index distress management toc discussion nccn guidelines version 2. Prevalence of emotional symptoms in chilean oncology patients.
Methods first, the original version of the dt was translated using a forward and backward translation procedure according to the guidelines. Accuracy of the distress thermometer for home care. Use of the distress thermometer in clinical practice. It can include feelings of unease, sadness, worry, anger, helplessness, guilt, and so forth.
Nccn clinical practice guidelines in oncology nccn guidelines. The present study used the spanish version of the dt, which has shown good diagnostic accuracy. The consumer resource, cancer how are you travelling. If you have lung cancer or mesothelioma, please call either johanna lynch or lucy pike on. A positive score is considered 5 and above 010 scale.
Orlando, flin recognition of the distress associated with the diagnosis and treatment of cancer, the national comprehensive cancer network nccn has produced several resources to help patients report their distress and cope with it. The nccn distress thermometer dt is a oneitem, 11point likert scale represented on a visual graphic of a thermometer that ranges from 0 no distress to 10 extreme distress, with which patients indicate their level of distress over the course of the week prior to assessment. Implementation of nccn distress management guidelines by member institutions paul b. The nccn clinical practice guidelines nccn guidelines are a statement of evidence and consensus of the authors regarding. One of the most commonly used tools is the distress thermometer dt. National comprehensive cancer network the national comprehensive cancer network nccn, a notforprofit alliance of 21 of the worlds leading cancer centers, is dedicated to improving the quality and effectiveness of care provided to patients with cancer. The nccn distress management guidelines include input providing from all the disciplines involved in supportive psychosocial services and counseling to assist oncology.
Distress is common in people with cancer and in their family members and loved ones. Important time points may include changes in disease activity such as remission, recurrence, or. The most frequently used instrument is the national comprehensive cancer network distress thermometer dt, a 0 to 10 point visual analog scale that is coupled with a problem checklist of 35 sources of distress. The nccn defines distress as a multifactorial, unpleasant, emotional experience of a psychological, social, andor spiritual. The nccn uidelines and the illustrations herein may not be reproduced in any form without the express written permission of nccn. Article translating research on the distress thermometer. The numeric scale is followed by a section in which patients identify areas of practical, familiar, emotional. Distress thermometer screening tool figure instructions spanish. Local editions are developed by the host countrys oncology thought leaders in conjunction with nccn guidelines panel members.
The distress thermometer in spanish cancer patients. The distress thermometer dt is a oneitem distress screening recommended by the national comprehensive cancer network nccn for screening cancer patients during their treatment. The dt has been translated into 26 languages, including spanish, and. No distress 10 9 8 7 6 5 4 3 2 1 0 10 9 8 7 6 5 4 3 2 1 0 nccn distress thermometer for patients help for distress distress is an unpleasant emotional state that may affect how you feel, think, and act. Although surveys have found that between 20% and 40% of patients show a significant level of distress, fewer than 10% of patients are actually referred for psychosocial help. The selection of an adequate screening tool is crucial to the effectiveness of these programs. Validation of the distress thermometer for use among adolescents and young adults with cancer in australia. Nccn global programs international adaptations and. Accuracy of the distress thermometer for home care patients with palliative care needs in germany volume 15 issue 3 johannes wuller, stefanie kuttner, ann christina foldenauer, roman rolke, tania pastrana. The distress thermometer has been found to have reasonable sensitivity and specificity for general distress, depression and anxiety mitchell, 2007 and to be comparable, as a screening tool, with longer measures of psychological symptoms mitchell, 2010. Many translated example sentences containing distress thermometer spanishenglish dictionary and search engine for spanish translations.
Prevalence of emotional symptoms in chilean oncology. Accuracy of the distress thermometer for home care patients. Distress associated with missed appointments and hospital. The nccn introduced the dt as a screening tool to identify sources of distress. It can make it harder to deal with the changes that come with a cancer diagnosis. In addition, a search was conducted using web of science to identify all published studies that cited the first publication of the dt 9 or the validation study published in 2005 10. The nccn distress management guideline is a useful tool to screen for and. Full text validation of the distress thermometer for use. Bennett cancer center uses the nccn distress thermometer and problem list to conduct distress screening. Distress thermometer the dtis a singleitem selfreported measure of psychological distress 12. The screening tool has been primarily studied in the context of mental health and the mobilization of support to assist patients and their families.
Thank you for your interest in the nccn distress thermometer and problem list, figure disa, from the nccn clinical practice guidelines in oncology nccn guidelines for distress management permission is not required for the use, translation, or adaptation of the content within the nccn distress. In addition to english, the screening tool is available in four languagesspanish, french creole, polish, and russian. The search terms used were cancer and distress thermometer. Request pdf the distress thermometer in spanish cancer patients. Distress thermometer and problem list information nccn. Validation of the distress thermometer with bone marrow. Nccn global programs international adaptations and translations. In an effort to address barriers to distress screening, the national comprehensive cancer network nccn recommends the distress thermometer dt, a singleitem selfreport measure of distress. Devine ec, westlake sk 1995 the effect of psychoeducational care provided to adults with cancer.
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