Skip to main content
Top
Published in: BMC Cancer 1/2017

Open Access 01-12-2017 | Study protocol

Psychological distress, chronic conditions and quality of life in elderly hematologic cancer patients: study protocol of a prospective study

Authors: Norbert Köhler, Anja Mehnert, Heide Götze

Published in: BMC Cancer | Issue 1/2017

Login to get access

Abstract

Background

Similar to most solid tumors, the incidence of hematologic malignancies has been rising. Although the median age at diagnosis is about 70 years, little is known about psychosocial aspects and comorbid conditions in elderly patients with hematologic cancers. The main objectives of our study are to assess the prevalence of psychological distress, chronic conditions, functional disabilities, and quality of life in both elderly hematologic cancer patients aged ≥70 years and an age-matched comparison sample of the general population.

Methods

We conduct a prospective study with three measuring points (t_1: ≥5 years after first time hematologic cancer diagnosis / relapse; t_2 and t_3 six months and 1 year after t_1). In addition, we use a cross sectional study design to recruit a comparison sample of the general population matched by age and sex. Both samples, patients and the comparison group complete validated questionnaires measuring psychological distress, chronic conditions, functional disabilities, and quality of life as well as health care needs and health care utilization.

Discussion

Our study will provide both a data set offering detailed information about elderly hematologic cancer patients’ physical, psychological and demographic characteristics, and reference data of the elderly general population. Furthermore, the study will provide important information for the development and implementation of psychooncological support offers and survivorship care plans.
Literature
2.
go back to reference World Health Organization. International statistical classification of diseases and related health problems. 10th ed. Geneva: World Health Organization; 2011. World Health Organization. International statistical classification of diseases and related health problems. 10th ed. Geneva: World Health Organization; 2011.
3.
go back to reference Sant M, Allemani C, Tereanu C, Angelis RD, Capocaccia R, Visser O, et al. Incidence of hematologic malignancies in Europe by morphologic subtype: results of the HAEMACARE project. Blood. 2010;116:3724–34.CrossRefPubMed Sant M, Allemani C, Tereanu C, Angelis RD, Capocaccia R, Visser O, et al. Incidence of hematologic malignancies in Europe by morphologic subtype: results of the HAEMACARE project. Blood. 2010;116:3724–34.CrossRefPubMed
4.
go back to reference Joshi M, Sheikh H, Abbi K, Long S, Sharma K, Tulchinsky M, et al. Marginal zone lymphoma: old, new, targeted, and epigenetic therapies. Ther Adv Hematol. 2012;3:275–90.CrossRefPubMedPubMedCentral Joshi M, Sheikh H, Abbi K, Long S, Sharma K, Tulchinsky M, et al. Marginal zone lymphoma: old, new, targeted, and epigenetic therapies. Ther Adv Hematol. 2012;3:275–90.CrossRefPubMedPubMedCentral
6.
go back to reference Müller LP, Müller-Tidow C. The indications for allogeneic stem cell transplantation in myeloid malignancies. Dtsch Arztebl Int. 2015;112:262.PubMedPubMedCentral Müller LP, Müller-Tidow C. The indications for allogeneic stem cell transplantation in myeloid malignancies. Dtsch Arztebl Int. 2015;112:262.PubMedPubMedCentral
7.
go back to reference Wiesel TRW, Nelson CJ, Tew WP, Hardt M, Mohile SG, Owusu C, et al. The relationship between age, anxiety, and depression in older adults with cancer. Psychooncology. 2014;24:712–7.CrossRef Wiesel TRW, Nelson CJ, Tew WP, Hardt M, Mohile SG, Owusu C, et al. The relationship between age, anxiety, and depression in older adults with cancer. Psychooncology. 2014;24:712–7.CrossRef
8.
go back to reference Pashos CL, Flowers CR, Kay NE, Weiss M, Lamanna N, Farber C, et al. Association of health-related quality of life with gender in patients with B-cell chronic lymphocytic leukemia. Support Care Cancer. 2013;21:2853–60.CrossRefPubMed Pashos CL, Flowers CR, Kay NE, Weiss M, Lamanna N, Farber C, et al. Association of health-related quality of life with gender in patients with B-cell chronic lymphocytic leukemia. Support Care Cancer. 2013;21:2853–60.CrossRefPubMed
10.
go back to reference Given BA, Given CW. The Older Patient. In: Holland JC, Breitbart WS, Jacobsen PB, Lederberg MS, Loscalzo MJ, McCorkle R, editors. Psycho-Oncology. Oxford: Oxford University Press; 2010. p. 491–6. Given BA, Given CW. The Older Patient. In: Holland JC, Breitbart WS, Jacobsen PB, Lederberg MS, Loscalzo MJ, McCorkle R, editors. Psycho-Oncology. Oxford: Oxford University Press; 2010. p. 491–6.
11.
go back to reference Cohen M. Depression, anxiety, and somatic symptoms in older cancer patients: a comparison across age groups. Psychooncology. 2013;23:151–7.CrossRefPubMed Cohen M. Depression, anxiety, and somatic symptoms in older cancer patients: a comparison across age groups. Psychooncology. 2013;23:151–7.CrossRefPubMed
12.
go back to reference Holtzer-Goor KM, Schaafsma MR, Joosten P, Posthuma EFM, Wittebol S, Huijgens PC, et al. Quality of life of patients with chronic lymphocytic leukaemia in the Netherlands: results of a longitudinal multicentre study. Qual Life Res. 2015;24:2895–906.CrossRefPubMedPubMedCentral Holtzer-Goor KM, Schaafsma MR, Joosten P, Posthuma EFM, Wittebol S, Huijgens PC, et al. Quality of life of patients with chronic lymphocytic leukaemia in the Netherlands: results of a longitudinal multicentre study. Qual Life Res. 2015;24:2895–906.CrossRefPubMedPubMedCentral
13.
go back to reference Efficace F, Novik A, Vignetti M, Mandelli F, Cleeland CS. Health-related quality of life and symptom assessment in clinical research of patients with hematologic malignancies: where are we now and where do we go from here? Haematologica. 2007;92:1596–8.CrossRefPubMed Efficace F, Novik A, Vignetti M, Mandelli F, Cleeland CS. Health-related quality of life and symptom assessment in clinical research of patients with hematologic malignancies: where are we now and where do we go from here? Haematologica. 2007;92:1596–8.CrossRefPubMed
14.
go back to reference Efficace F, Cardoni A, Cottone F, Vignetti M, Mandelli F. Tyrosine-kinase inhibitors and patient-reported outcomes in chronic myeloid leukemia: A systematic review. Leuk Res. 2013;37:206–13.CrossRefPubMed Efficace F, Cardoni A, Cottone F, Vignetti M, Mandelli F. Tyrosine-kinase inhibitors and patient-reported outcomes in chronic myeloid leukemia: A systematic review. Leuk Res. 2013;37:206–13.CrossRefPubMed
16.
17.
18.
go back to reference Trask PC, Blank TO, Jacobsen PB. Future perspectives on the treatment issues associated with cancer and aging. Cancer. 2008;113:3512–8.CrossRefPubMed Trask PC, Blank TO, Jacobsen PB. Future perspectives on the treatment issues associated with cancer and aging. Cancer. 2008;113:3512–8.CrossRefPubMed
19.
go back to reference Rowe J, Patel S, Mazo-Canola M, Parra A, Goros M, Michalek J, et al. An evaluation of elderly patients (>=70years old) enrolled in Phase I clinical trials at University of Texas Health Science Center at San Antonio-Cancer Therapy Research Center from 2009 to 2011. J Geriatr Oncol. 2014;5:65–70.CrossRefPubMed Rowe J, Patel S, Mazo-Canola M, Parra A, Goros M, Michalek J, et al. An evaluation of elderly patients (>=70years old) enrolled in Phase I clinical trials at University of Texas Health Science Center at San Antonio-Cancer Therapy Research Center from 2009 to 2011. J Geriatr Oncol. 2014;5:65–70.CrossRefPubMed
20.
go back to reference Hamilton BK, Rybicki L, Dabney J, McLellan L, Haddad H, Foster L, et al. Quality of life and outcomes in patients >=60 years of age after allogeneic hematopoietic cell transplantation. Bone Marrow Transplant. 2014;49:1426–31.CrossRefPubMed Hamilton BK, Rybicki L, Dabney J, McLellan L, Haddad H, Foster L, et al. Quality of life and outcomes in patients >=60 years of age after allogeneic hematopoietic cell transplantation. Bone Marrow Transplant. 2014;49:1426–31.CrossRefPubMed
21.
go back to reference Cannella L, Caocci G, Jacobs M, Vignetti M, Mandelli F, Efficace F. Health-related quality of life and symptom assessment in randomized controlled trials of patients with leukemia and myelodysplastic syndromes: What have we learned? Crit Rev Oncol Hematol. 2015;96:542–54.CrossRefPubMed Cannella L, Caocci G, Jacobs M, Vignetti M, Mandelli F, Efficace F. Health-related quality of life and symptom assessment in randomized controlled trials of patients with leukemia and myelodysplastic syndromes: What have we learned? Crit Rev Oncol Hematol. 2015;96:542–54.CrossRefPubMed
22.
go back to reference Deschler B, de Witte T, Mertelsmann R, Lübbert M. Treatment decision-making for older patients with high-risk myelodysplastic syndrome or acute myeloid leukemia: problems and approaches. Haematologica. 2006;91:1513–22.PubMed Deschler B, de Witte T, Mertelsmann R, Lübbert M. Treatment decision-making for older patients with high-risk myelodysplastic syndrome or acute myeloid leukemia: problems and approaches. Haematologica. 2006;91:1513–22.PubMed
24.
go back to reference Korc-Grodzicki B, Boparai MK, Lichtman SM. Prescribing for older patients with cancer. Clin Adv Hematol Oncol. 2014;12:309–18.PubMed Korc-Grodzicki B, Boparai MK, Lichtman SM. Prescribing for older patients with cancer. Clin Adv Hematol Oncol. 2014;12:309–18.PubMed
25.
go back to reference Gheihman G, Zimmermann C, Deckert A, Fitzgerald P, Mischitelle A, Rydall A, et al. Depression and hopelessness in patients with acute leukemia: the psychological impact of an acute and life-threatening disorder. Psychooncology. 2016:979–89. Gheihman G, Zimmermann C, Deckert A, Fitzgerald P, Mischitelle A, Rydall A, et al. Depression and hopelessness in patients with acute leukemia: the psychological impact of an acute and life-threatening disorder. Psychooncology. 2016:979–89.
26.
go back to reference Tzelepis F, Sanson-Fisher RW, Hall AE, Carey ML, Paul CL, Clinton-McHarg T. The quality of patient-centred care: haematological cancer survivors’ perceptions. Psychooncology. 2014;24:796–803.CrossRefPubMed Tzelepis F, Sanson-Fisher RW, Hall AE, Carey ML, Paul CL, Clinton-McHarg T. The quality of patient-centred care: haematological cancer survivors’ perceptions. Psychooncology. 2014;24:796–803.CrossRefPubMed
27.
go back to reference Bayliss EA, Ellis JL, Steiner JF. Subjective assessments of comorbidity correlate with quality of life health outcomes: Initial validation of a comorbidity assessment instrument. Health Qual Life Outcomes. 2005;3:51.CrossRefPubMedPubMedCentral Bayliss EA, Ellis JL, Steiner JF. Subjective assessments of comorbidity correlate with quality of life health outcomes: Initial validation of a comorbidity assessment instrument. Health Qual Life Outcomes. 2005;3:51.CrossRefPubMedPubMedCentral
28.
go back to reference Bayliss EA, Ellis JL, Steiner JF. Seniors’ self-reported multimorbidity captured biopsychosocial factors not incorporated into two other data-based morbidity measures. J Clin Epidemiol. 2009;62:550–7.CrossRefPubMed Bayliss EA, Ellis JL, Steiner JF. Seniors’ self-reported multimorbidity captured biopsychosocial factors not incorporated into two other data-based morbidity measures. J Clin Epidemiol. 2009;62:550–7.CrossRefPubMed
29.
go back to reference Lachs MSA. Simple Procedure for General Screening for Functional Disability in Elderly Patients. Ann Intern Med. 1990;112:699.CrossRefPubMed Lachs MSA. Simple Procedure for General Screening for Functional Disability in Elderly Patients. Ann Intern Med. 1990;112:699.CrossRefPubMed
30.
go back to reference Spitzer RL. Validation and Utility of a Self-report Version of PRIME-MD. The PHQ Primary Care Study. JAMA. 1999;282:1737.CrossRefPubMed Spitzer RL. Validation and Utility of a Self-report Version of PRIME-MD. The PHQ Primary Care Study. JAMA. 1999;282:1737.CrossRefPubMed
32.
go back to reference Löwe B, Kroenke K, Herzog W, Gräfe K. Measuring depression outcome with a brief self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9). J Affect Disord. 2004;81:61–6.CrossRefPubMed Löwe B, Kroenke K, Herzog W, Gräfe K. Measuring depression outcome with a brief self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9). J Affect Disord. 2004;81:61–6.CrossRefPubMed
33.
go back to reference Spitzer RL, Kroenke K, Williams JBW, Löwe BA. Brief Measure for Assessing Generalized Anxiety Disorder. Arch Intern Med. 2006;166:1092.CrossRefPubMed Spitzer RL, Kroenke K, Williams JBW, Löwe BA. Brief Measure for Assessing Generalized Anxiety Disorder. Arch Intern Med. 2006;166:1092.CrossRefPubMed
34.
go back to reference Roth AJ, Kornblith AB, Batel-Copel L, Peabody E, Scher HI, Holland JC. Rapid screening for psychologic distress in men with prostate carcinoma. Cancer. 1998;82:1904–8.CrossRefPubMed Roth AJ, Kornblith AB, Batel-Copel L, Peabody E, Scher HI, Holland JC. Rapid screening for psychologic distress in men with prostate carcinoma. Cancer. 1998;82:1904–8.CrossRefPubMed
35.
go back to reference Mehnert A, Müller D, Lehmann C, Koch U. Die deutsche Version des NCCN Distress-Thermometers. ZPPP. 2006;54:213–23. Mehnert A, Müller D, Lehmann C, Koch U. Die deutsche Version des NCCN Distress-Thermometers. ZPPP. 2006;54:213–23.
36.
go back to reference Almeida OP, Almeida SA. Short versions of the geriatric depression scale: a study of their validity for the diagnosis of a major depressive episode according to ICD-10 and DSM-IV. Int J Geriat Psychiatry. 1999;14:858–65.CrossRef Almeida OP, Almeida SA. Short versions of the geriatric depression scale: a study of their validity for the diagnosis of a major depressive episode according to ICD-10 and DSM-IV. Int J Geriat Psychiatry. 1999;14:858–65.CrossRef
37.
go back to reference Yesavage JA, Sheikh JI. Geriatric Depression Scale (GDS). Clin Gerontol. 1986;5:165–73.CrossRef Yesavage JA, Sheikh JI. Geriatric Depression Scale (GDS). Clin Gerontol. 1986;5:165–73.CrossRef
38.
go back to reference Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: A Quality-of-Life Instrument for Use in International Clinical Trials in Oncology. J Natl Cancer Inst. 1993;85:365–76.CrossRefPubMed Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: A Quality-of-Life Instrument for Use in International Clinical Trials in Oncology. J Natl Cancer Inst. 1993;85:365–76.CrossRefPubMed
39.
go back to reference Schumacher J, Klaiberg A, Braehler E. Diagnostische Verfahren zu Lebensqualität und Wohlbefinden. Goettingen: Hogrefe; 2003. Schumacher J, Klaiberg A, Braehler E. Diagnostische Verfahren zu Lebensqualität und Wohlbefinden. Goettingen: Hogrefe; 2003.
40.
go back to reference Kaufmann A, Schmidt H, Ostheimer C, Ullrich J, Landenberger M, Vordermark D. Quality of life in very elderly radiotherapy patients: a prospective pilot study using the EORTC QLQ-ELD14 module. Support Care Cancer. 2014;23:1883–92.CrossRefPubMed Kaufmann A, Schmidt H, Ostheimer C, Ullrich J, Landenberger M, Vordermark D. Quality of life in very elderly radiotherapy patients: a prospective pilot study using the EORTC QLQ-ELD14 module. Support Care Cancer. 2014;23:1883–92.CrossRefPubMed
41.
go back to reference Radbruch L, Sabatowski R, Elsner F, Everts J, Mendoza T, Cleeland C. Validation of the German Version of the Brief Fatigue Inventory. J Pain Symptom Manag. 2003;25:449–58.CrossRef Radbruch L, Sabatowski R, Elsner F, Everts J, Mendoza T, Cleeland C. Validation of the German Version of the Brief Fatigue Inventory. J Pain Symptom Manag. 2003;25:449–58.CrossRef
42.
go back to reference Henrich G, Herschbach P. Questions on Life Satisfaction (FLZM) - A Short Questionnaire for Assessing Subjective Quality of Life. Eur J Psychol Assess. 2000;16:150–9.CrossRef Henrich G, Herschbach P. Questions on Life Satisfaction (FLZM) - A Short Questionnaire for Assessing Subjective Quality of Life. Eur J Psychol Assess. 2000;16:150–9.CrossRef
43.
go back to reference Arraras JI, Villafranca E, Vega FA de la, Romero P, Rico M, Vila M, et al. The EORTC Quality of Life Questionnaire for patients with prostate cancer: EORTC QLQ-PR25. Validation study for Spanish patients. Clin Transl Oncol 2009;11:160–164. Arraras JI, Villafranca E, Vega FA de la, Romero P, Rico M, Vila M, et al. The EORTC Quality of Life Questionnaire for patients with prostate cancer: EORTC QLQ-PR25. Validation study for Spanish patients. Clin Transl Oncol 2009;11:160–164.
44.
go back to reference Lubben J, Blozik E, Gillmann G, Iliffe S, Kruse W v R, Beck JC, et al. Performance of an Abbreviated Version of the Lubben Social Network Scale Among Three European Community-Dwelling Older Adult Populations. Gerontologist. 2006;46:503–13.CrossRefPubMed Lubben J, Blozik E, Gillmann G, Iliffe S, Kruse W v R, Beck JC, et al. Performance of an Abbreviated Version of the Lubben Social Network Scale Among Three European Community-Dwelling Older Adult Populations. Gerontologist. 2006;46:503–13.CrossRefPubMed
45.
go back to reference Revenson T, Schiaffino K. Development of a contextual social support measure for use with arthritis populations. Conv Arthritis Health Professionals’ Association. 1990; Revenson T, Schiaffino K. Development of a contextual social support measure for use with arthritis populations. Conv Arthritis Health Professionals’ Association. 1990;
46.
go back to reference Ullrich A, Mehnert A. Psychometrische Evaluation and Validierung einer 8-Item Kurzversion der Skalen zur Sozialen Unterstützung bei Krankheit (SSUK) bei Krebspatienten. Klinische Diagnostik und Evaluation. 2010;3:359–81. Ullrich A, Mehnert A. Psychometrische Evaluation and Validierung einer 8-Item Kurzversion der Skalen zur Sozialen Unterstützung bei Krankheit (SSUK) bei Krebspatienten. Klinische Diagnostik und Evaluation. 2010;3:359–81.
47.
go back to reference Kliem S, Job A-K, Kröger C, Bodenmann G, Stöbel-Richter Y, Hahlweg K, et al. Entwicklung und Normierung einer Kurzform des Partnerschaftsfragebogens (PFB-K) an einer repräsentativen deutschen Stichprobe. Z Klin Psychol Psychother. 2012;41:81–9.CrossRef Kliem S, Job A-K, Kröger C, Bodenmann G, Stöbel-Richter Y, Hahlweg K, et al. Entwicklung und Normierung einer Kurzform des Partnerschaftsfragebogens (PFB-K) an einer repräsentativen deutschen Stichprobe. Z Klin Psychol Psychother. 2012;41:81–9.CrossRef
Metadata
Title
Psychological distress, chronic conditions and quality of life in elderly hematologic cancer patients: study protocol of a prospective study
Authors
Norbert Köhler
Anja Mehnert
Heide Götze
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2017
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/s12885-017-3662-1

Other articles of this Issue 1/2017

BMC Cancer 1/2017 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine