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01.05.2004 | Original Article

Cancer supportive care, improving the quality of life for cancer patients. A program evaluation report

verfasst von: Ernest Rosenbaum, Holly Gautier, Pat Fobair, Eric Neri, Bernadette Festa, Margaret Hawn, Alexandra Andrews, Nama Hirshberger, Sabrina Selim, David Spiegel

Erschienen in: Supportive Care in Cancer | Ausgabe 5/2004

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Abstract

Goals of work

As medical care for cancer has become more specialized in diagnosis, treatment has become more technical and fragmented. In order to help cancer patients and their families, we developed a coordinated program called the Stanford Cancer Supportive Care Program (SCSCP) at the Center for Integrative Medicine at Stanford Hospital and Clinics. The Stanford Cancer Supportive Care Program was initiated in 1999 to provide support for cancer patients, addressing the need for improved physical and emotional well-being and quality of life. This paper is a program evaluation report.

Patients and methods

The number of patient visits grew from 421 in 1999 to 6319 in 2002. This paper describes the utilization of the SCSCP program as assessed by 398 patient visit evaluations during a 9-week period, January 2002 to March 2002. During this time we collected attendance records with demographic data and anonymous questionnaires evaluating each program. Patients were asked to evaluate how the program helped them regarding increase of energy, reduction in stress, restful sleep, pain reduction, sense of hopefulness, and empowerment.

Main results

Over 90% of the patients using the SCSCP felt there was benefit to the program. Programs were chosen based on a needs assessment by oncologists, nurse managers, social workers, and patients. Massage, yoga, and qigong classes had the highest number of participants. Qualitative data showed benefit for each program offered.

Conclusions

This evaluation of a free cancer supportive care program initiated in a hospital outpatient setting provides initial evidence of patient satisfaction and improvement in quality of life.

Andrykowski MA, Curran SL, Studts JL, Cunningham L, Carpenter JS, McGrath PC, Sloan DA, Kenady DE (1996) Psychosocial adjustment and quality of life in women with breast cancer and benign breast problems: a controlled comparison. J Clin Epidemiol 49:827–834CrossRefPubMed

ASCO (1998) Cancer care during the last phase of life. J Clin Oncol 16:1986–1996PubMed

Bleiker EM, van der Ploeg HM, Hendriks JH, Ader HJ (1996) Personality factors and breast cancer development: a prospective longitudinal study. J Natl Cancer Inst 88:1478–1482

Borghede G, Sullivan M (1996) Measurement of quality of life in localized prostatic cancer patients treated with radiotherapy. Development of a prostate cancer-specific module supplementing the EORTC QLQ-C30. Qual Life Res 5:212–222PubMed

Classen C, Butler LD, Koopman C, Miller E, DiMiceli S, Giese-Davis J, Fobair P, Carlson RW, Kraemer HC, Spiegel D (2001) Supportive-expressive group therapy and distress in patients with metastatic breast cancer: a randomized clinical intervention trial. Arch Gen Psychiatry 58:494–501CrossRefPubMed

Coates AS, Hurny C, Peterson HF, Bernhard J, Castiglione-Gertsch M, Gelber RD, Goldhirsch A (2000) Quality-of-life scores predict outcome in metastatic but not early breast cancer. International Breast Cancer Study Group. J Clin Oncol 18:3768–3774PubMed

Cunningham AJ, Edmonds CV, Jenkins GP, Pollack H, Lockwood GA, Warr D (1998) A randomized controlled trial of the effects of group psychological therapy on survival in women with metastatic breast cancer. Psychooncology 7:508–517PubMed

Dorval M, Maunsell E, Deschenes L, Brisson J, Masse B (1998) Long-term quality of life after breast cancer: comparison of 8-year survivors with population controls. J Clin Oncol 16:487–494PubMed

Edelman S, Lemon J, Bell DR, Kidman AD (1999) Effects of group CBT on the survival time of patients with metastatic breast cancer. Psychooncology 8:474–481CrossRefPubMed

10.

Everson SA, Goldberg DE, Kaplan GA, Cohen RD, Pukkala E, Tuomilehto J, Salonen JT (1996) Hopelessness and risk of mortality and incidence of myocardial infarction and cancer. Psychosom Med 58:113–121PubMed

11.

Fawzy FI, Cousins N, Fawzy NW, Kemeny ME, Elashoff R, Morton D (1990) A structured psychiatric intervention for cancer patients. I. Changes over time in methods of coping and affective disturbance. Arch Gen Psychiatry 47:720–725PubMed

12.

Fawzy FI, Fawzy NW, Hyun CS, Elashoff R, Guthrie D, Fahey JL, Morton DL (1993) Malignant melanoma. Effects of an early structured psychiatric intervention, coping, and affective state on recurrence and survival 6 years later. Arch Gen Psychiatry 50:681–689PubMed

13.

Fawzy FI, Canada AL, Fawzy NW (2003) Malignant melanoma: effects of a brief, structured psychiatric intervention on survival and recurrence at 10-year follow-up. Arch Gen Psychiatry 60:100–103PubMed

14.

Ferrell BR, Dow KH, Leigh S, Ly J, Gulasekaram P (1995) Quality of life in long-term cancer survivors. Oncol Nurs Forum 22:915–922PubMed

15.

Ganz PA (1994) Quality of life and the patient with cancer. Individual and policy implications. Cancer 74:1445–1452PubMed

16.

Ganz PA (1994) Quality of life measures in cancer chemotherapy: methodology and implications. Pharmacoeconomics 5:376–388PubMed

17.

Ganz PA (1995) Impact of quality of life outcomes on clinical practice. Oncology (Huntingt) 9:61–65

18.

Ganz PA, Coscarelli A, Fred C, Kahn B, Polinsky ML, Petersen L (1996) Breast cancer survivors: psychosocial concerns and quality of life. Breast Cancer Res Treat 38:183–199PubMed

19.

Goodwin PJ, Leszcz M, Ennis M, Koopmans J, Vincent L, Guther H, Drysdale E, Hundleby M, Chochinov HM, Navarro M, Speca M, Hunter J (2001) The effect of group psychosocial support on survival in metastatic breast cancer. N Engl J Med 345:1719–1726CrossRefPubMed

20.

Ilnyckyj A, Farber J, Cheang MC, Weinerman BH (1994) A randomized controlled trial of psychotherapeutic intervention in cancer patients. Ann R Coll Physicians Surgeons Canada 27:93–96

21.

Kaplan GA, Reynolds P (1988) Depression and cancer mortality and morbidity: prospective evidence from the Alameda County study. J Behav Med 11:1–13PubMed

22.

Kissane DW, Clarke DM, Ikin J, Bloch S, Smith GC, Vitetta L, McKenzie DP (1998) Psychological morbidity and quality of life in Australian women with early-stage breast cancer: a cross-sectional survey. Med J Aust 169:192–196PubMed

23.

Kuchler T, Henne-Bruns D, Rappat S, Graul J, Holst K, Williams JI, Wood-Dauphinee S (1999) Impact of psychotherapeutic support on gastrointestinal cancer patients undergoing surgery: survival results of a trial. Hepatogastroenterology 46:322–335

24.

Lifton JL (1979) The broken connection. A Touchstone book. Simon and Schuster, New York, p.21

25.

Linn MW, Linn BS, Harris R (1982) Effects of counseling for late stage cancer patients. Cancer 49:1048–1055PubMed

26.

McCorkle R, Strumpf NE, Nuamah IF, Adler DC, Cooley ME, Jepson C, Lusk EJ, Torosian M (2000) A specialized home care intervention improves survival among older post-surgical cancer patients. J Am Geriatr Soc 48:1707–1713

27.

Penninx BW, Guralnik JM, Pahor M, Ferrucci L, Cerhan JR, Wallace RB, Havlik RJ (1998) Chronically depressed mood and cancer risk in older persons. J Natl Cancer Inst 90:1888–1893PubMed

28.

Ratcliffe MA, Dawson AA, Walker LG (1995) Eysenck personality inventory L-scores in patients with Hodgkin’s disease and non-Hodgkin’s lymphoma. Psychooncology 4:39–45

29.

Richardson JL, Shelton DR, Krailo M, Levine AM (1990) The effect of compliance with treatment on survival among patients with hematologic malignancies. J Clin Oncol 8:356–364PubMed

30.

Rosenbaum EH, Rosenbaum I (1977) Improved communication technique for consultative interviews. Proc Am Assoc Cancer Res/Am Soc Clin Oncol 18:316 (C-197)

31.

Rosenbaum EH, Rosenbaum IR (1980) Principles of home care for the patient with advanced cancer. JAMA 244:1484–1487CrossRefPubMed

32.

Rosenbaum E, Rosenbaum I (1986) Achieving open communication with cancer patients through audio and videotapes. J Psychosoc Oncol 4:91–105

33.

Rosenbaum EH, Rosenbaum I (2001) Supportive cancer. Sourcebooks, Naperville, IL

34.

Rosenbaum EH, Manuel F, Bray J, Rosenbaum ER, Cerf A (1978) A physical therapy rehabilitation program for cancer patients. Proc Am Assoc Cancer Res/Am Soc Clin Oncol 19:369 (C-249)

35.

Rosenbaum E, Rosenbaum I, Degan S (1981) “Going Home”. A home care training program. Proc Am Assoc Cancer Res/Am Soc Clin Oncol 22:395 (C-247)

36.

Rosenbaum EH, Rosenbaum IR, Sweet A, Mohr A (1981) Audio aids in improving communication with patients. Proceedings of the American Cancer Society Third National Conference on Human Values and Cancer: Psychological, Social, and Ethical Issues, April 23–25, pp 51–57

37.

Rosenbaum E, Gautier H, Fobair P, Andrews A, Hawn M, Kurshner R, Festa B, Kramer P, Manuel F, Hirschberger N, Selim S, Spiegel D (2003) Developing a free supportive care program for cancer patients within an integrative medicine clinic. Support Care Cancer 11:263–269PubMed

38.

Sarna L, Padilla G, Holmes C, Tashkin D, Brecht ML, Evangelista L (2002) Quality of life of long-term survivors of non-small-cell lung cancer. J Clin Oncol 20:2920–2929CrossRefPubMed

39.

Shekelle RB, Raynor WJ Jr, Ostfeld AM, Garron DC, Bieliauskas LA, Liu SC, Maliza C, Paul O (1981) Psychological depression and 17-year risk of death from cancer. Psychosom Med 43:117–125PubMed

40.

Spiegel D (2001) Mind matters—group therapy and survival in breast cancer. N Engl J Med 345:1767–1768CrossRefPubMed

41.

Spiegel D, Bloom JR (1983) Group therapy and hypnosis reduce metastatic breast carcinoma pain. Psychosom Med 45:333–339PubMed

42.

Spiegel D, Classen C (2000) Group therapy for cancer patients: a research-based handbook of psychosocial care. Basic Books, New York

43.

Spiegel D, Bloom JR, Yalom I (1981) Group support for patients with metastatic cancer. A randomized outcome study. Arch Gen Psychiatry 38:527–533PubMed

44.

Spiegel D, Bloom JR, Kraemer HC, Gottheil E (1989) Effect of psychosocial treatment on survival of patients with metastatic breast cancer. Lancet 2:888–891PubMed

45.

Stommel M, Given BA, Given CW (2002) Depression and functional status as predictors of death among cancer patients. Cancer 94:2719–2727CrossRefPubMed

46.

Tassinari D, Panzini I, Ravaioli A, Maltoni M, Sartori S (2002) Quality of life at the end of life: how is the solution far away? J Clin Oncol 20:1704–1705PubMed

47.

Tross S, Herndon J 2nd, Korzun A, Kornblith AB, Cella DF, Holland JF, Raich P, Johnson A, Kiang DT, Perloff M, Norton L, Wood W, Holland JC (1996) Psychological symptoms and disease-free and overall survival in women with stage II breast cancer. Cancer and Leukemia Group B. J Natl Cancer Inst 88:661–667PubMed

48.

Watson M, Haviland JS, Greer S, Davidson J, Bliss JM (1999) Influence of psychological response on survival in breast cancer: a population-based cohort study. Lancet 354:1331–1336CrossRefPubMed

49.

Zonderman AB, Costa PT Jr, McCrae RR (1989) Depression as a risk for cancer morbidity and mortality in a nationally representative sample. JAMA 262:1191–1195CrossRefPubMed

Titel: Cancer supportive care, improving the quality of life for cancer patients. A program evaluation report
verfasst von: Ernest Rosenbaum
Holly Gautier
Pat Fobair
Eric Neri
Bernadette Festa
Margaret Hawn
Alexandra Andrews
Nama Hirshberger
Sabrina Selim
David Spiegel
Publikationsdatum: 01.05.2004
Verlag: Springer-Verlag
Erschienen in: Supportive Care in Cancer / Ausgabe 5/2004
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-004-0599-0

Springer Medizin

Cancer supportive care, improving the quality of life for cancer patients. A program evaluation report