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Elisabeth Kenne Sarenmalm, Salmir Nasic, Cecilia Håkanson, Joakim Öhlén, Eva Carlsson, Monica E. Pettersson, and Richard Sawatzky

recommends that all patients be routinely screened for distress at appropriate intervals during the cancer trajectory, 6 and the Distress Thermometer (DT) has been shown to be an effective screening tool in identifying distress in patients with cancer. 6 , 7

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Michele Dabrowski, Kenneth Boucher, John H. Ward, Margaret M. Lovell, Angela Sandre, Janet Bloch, Lynne Carlquist, Monica Porter, Larry Norman, and Saundra S. Buys

A study was conducted to describe our group's experience using the NCCN Distress Thermometer in an outpatient breast cancer clinic. The NCCN Distress Thermometer was administered to patients attending the breast cancer clinic at Huntsman Cancer Institute during a 4-month period. Effects of disease, treatment, and demographic variables on distress level were analyzed. Patients reporting high distress were contacted by a social worker to determine the cause of the distress. Two hundred and eighty-six (286) subjects completed 403 questionnaires, with 96 patients (34%) reporting high levels of distress (5 or greater on a 10-point scale). No relationship was seen between high distress and stage of disease, type of current treatment, time since diagnosis, age, or other demographic factors. Underlying mental health disorders were associated with a higher level of distress. The Distress Thermometer was a useful method to screen, triage, and prioritize patient interventions. In our experience, the tool promoted communication between the patient and the health care team, which enhanced treating psychosocial and physical symptoms. Methods to optimize the use of this screen are proposed.

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Daniel C. McFarland, Kelly M. Shaffer, Heather Polizzi, John Mascarenhas, Marina Kremyanskaya, Jimmie Holland, and Ronald Hoffman

severity, little research has been performed to identify which physical problems are most commonly reported among patients with MPNs using the Distress Thermometer and Problem List (DT&PL). The DT&PL is endorsed by NCCN for the identification of distress in

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Sylvie D. Lambert, Brian Kelly, Allison Boyes, Alexander Cameron, Catherine Adams, Anthony Proietto, and Afaf Girgis

gynecologic oncology clinic who scored 4 or more on the Distress Thermometer (DT) 2 and received a referral to see the psychologist for additional assessment and intervention were invited to participate in this study. In addition to scoring at least 4 on the

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Jesse D. Troy, Carlos M. de Castro, Mary Ruth Pupa, Greg P. Samsa, Amy P. Abernethy, and Thomas W. LeBlanc

MDS. The NCCN Distress Thermometer (DT) and accompanying Problem List (PL) have been used to measure distress in several tumor types but has not yet been applied to MDS. Although MDS cases were included in studies describing distress in patients

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Pam Baker DeGuzman, Veronica Bernacchi, C. Allen Cupp, B. J. Ferrebee Ghamandi, Ivora D. Hinton, Mark J. Jameson, Debra Lynn Lewandowski, and Christi Sheffield

. Over a HIPAA-secure videoconference call, a cancer practice-based registered nurse assessed the patient using the NCCN Distress Thermometer (DT), amended for the HNC population to include issues such as jaw swelling and speech difficulties. The nurse

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Natalie Riblet, Karen Skalla, Auden McClure, Karen Homa, Alison Luciano, and Thomas H. Davis

.org ). 1 For example, NCCN recommends using the validated Distress Thermometer (NCCN-DT), a visual analogue scale that allows patients to rate their perceived level of distress in the last 7 days on a scale of 0 (“no distress”) to 10 (“extreme distress

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Alex J. Mitchell

examined a VAS from “worst possible mood” to “best possible mood.” However, the best known example and most adequately studied is the Distress Thermometer (DT), 21 which was developed by a panel of 23 health professionals along with a patient

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Caitlin R. Meeker, Yu-Ning Wong, Brian L. Egleston, Michael J. Hall, Elizabeth R. Plimack, Lainie P. Martin, Margaret von Mehren, Bianca R. Lewis, and Daniel M. Geynisman

distress. 13 Second, the NCCN Distress Thermometer (DT) was used, which asks patients to identify their overall psychosocial distress in the last week on a thermometer with scores ranging from 0 to 10, with 0 indicating no distress and 10 indicating the

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Claudia S.E.W. Schuurhuizen, Annemarie M.J. Braamse, Aartjan T.F. Beekman, Pim Cuijpers, Mecheline H.M. van der Linden, Adriaan W. Hoogendoorn, Hans Berkhof, Dirkje W. Sommeijer, Vera Lustig, Suzan Vrijaldenhoven, Haiko J. Bloemendal, Cees J. van Groeningen, Annette A. van Zweeden, Maurice J.D.L. van der Vorst, Ron Rietbroek, Cathrien S. Tromp-van Driel, Machteld N.W. Wymenga, Peter W. van der Linden, Aart Beeker, Marco B. Polee, Erdogan Batman, Maartje Los, Aart van Bochove, Jan A.C. Brakenhoff, Inge R.H.M. Konings, Henk M.W. Verheul, and Joost Dekker

and 18 weeks thereafter. Screening was performed using the Hospital Anxiety and Depression Scale (HADS) 15 and Distress Thermometer/Problem List (DT/PL). 16 , 17 Scores of ≥13 on the HADS 15 or ≥5 on the DT 16 were seen as indicators of elevated