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Depression assessment by oncologists and palliative care physicians

Published online by Cambridge University Press:  15 May 2012

Wadih Rhondali ,
Elise Perceau ,
Pierre Saltel ,
Veronique Trillet-Lenoir ,
Jean-Yves Blay ,
Cecile Fournel-Federico ,
Jean-Pierre Coulon ,
Olivier Tredan ,
Jean-Louis Terra  and
Yves Matillon
...Show all authors
Wadih Rhondali*
Affiliation:
Department of Palliative Care and Rehabilitation Medicine, The University of Texas M.D. Anderson Cancer Center, Houston, Texas Centre Hospitalier de Lyon-Sud, Hospices Civils de Lyon, Lyon, France Laboratoire de l'EA 4129, Santé-Individu-Société, Université Lyon 1, Lyon, France
Elise Perceau
Affiliation:
Centre Hospitalier de Lyon-Sud, Hospices Civils de Lyon, Lyon, France
Pierre Saltel
Affiliation:
Centre Léon Bérard, Lyon, France
Veronique Trillet-Lenoir
Affiliation:
Centre Hospitalier de Lyon-Sud, Hospices Civils de Lyon, Lyon, France
Jean-Yves Blay
Affiliation:
Centre Léon Bérard, Lyon, France
Cecile Fournel-Federico
Affiliation:
Centre Hospitalier de Lyon-Sud, Hospices Civils de Lyon, Lyon, France
Jean-Pierre Coulon
Affiliation:
Clinique Francois Chenieux, Limoges, France
Olivier Tredan
Affiliation:
Centre Léon Bérard, Lyon, France
Jean-Louis Terra
Affiliation:
Laboratoire de l'EA 4129, Santé-Individu-Société, Université Lyon 1, Lyon, France
Yves Matillon
Affiliation:
Laboratoire de l'EA 4129, Santé-Individu-Société, Université Lyon 1, Lyon, France
Eduardo Bruera
Affiliation:
Department of Palliative Care and Rehabilitation Medicine, The University of Texas M.D. Anderson Cancer Center, Houston, Texas
Marilene Filbet
Affiliation:
Centre Hospitalier de Lyon-Sud, Hospices Civils de Lyon, Lyon, France
*
Address correspondence and reprint requests to: Wadih Rhondali, Department of Palliative Care and Rehabilitation Medicine, Unit 1414, The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030. E-mail: [email protected]
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Abstract

Objective:

Depression is a frequent problem in cancer patients, which is known to reduce quality of life; however, many cancer patients with depression are not treated because of the difficulties in assessing depression in this population. Our aim was to evaluate and improve the depression assessment strategies of palliative care (PC) physicians and oncologists.

Method:

We invited all medical oncologists and PC physicians from three cancer centers to participate in this multicenter prospective study. They were asked to classify 22 symptoms (related and specific to depression in cancer patients, related but not specific, and unrelated) as “very important,” “important,” “less important,” or “not important” for the diagnosis of depression in cancer patients, at three different time points (at baseline, after a video education program, and after 4 weeks). They were also asked to complete a questionnaire exploring physicians' perceptions of depression and of their role in its systematic screening.

Results:

All 34 eligible physicians participated. Baseline performance was good, with >70% of participants correctly classifying at least seven of nine related and specific symptoms. We found no significant improvement in scores in the immediate and 4-week follow-up tests. Additionally, 24 (83%) and 23 (79%) participants expressed support for systematic depression screening and a role for oncologists in screening, respectively.

Significance of results:

Oncologists had good baseline knowledge about depression's main symptoms in cancer patients and a positive attitude toward being involved in screening. Underdiagnosis of depression is probably related to problems associated with the oncology working environment rather than the physicians' knowledge.

Keywords

DepressionDepression assessmentDepression screeningCancerOutpatients
Type
Original Articles
Information
Palliative & Supportive Care , Volume 10 , Issue 4 , December 2012 , pp. 255 - 263
Copyright
Copyright © Cambridge University Press 2012

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