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Factors influencing distress in Indian cancer patients
Authors:Pandey Manoj  Thomas Bejoy Cherian  Ramdas Kunnambath  Nandamohan Vasudevanpillai
Affiliation:Department of Surgical Oncology, Regional Cancer Centre, Trivandrum, India. manojpandey@vsnl.com
Abstract:BACKGROUND: The current study set out to identify distress in cancer patients undergoing curative treatment within India. PATIENTS AND METHODS: This study was carried out to measure distress and contributory factors in 103 cancer patients undergoing treatment with curative intent. The patients were interviewed using the Distress Inventory for Cancer (DI-C). The data on social, demographic, clinical, treatment, and follow-up details was collected from case records. RESULTS AND CONCLUSION: The distress score for individual respondents ranged from 34 to 90 (mean 62.3). Patients with lower income, those who were single/widowed, or divorced, those living between 150 and 350 km (3-6 h commuting distance) from the cancer centre, presence of pain and patients with advanced tumours at presentation showed higher distress. A higher distress score correlated significantly with patients being lost to follow-up.
Keywords:distress  cancer  neoplasm  stress  distress inventory  breast  head and neck  reliability  quality of life  oncology
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