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Supportive Care in Cancer

, 17:1425 | Cite as

Routine assessment of social difficulties in cancer patients: are we opening Pandora’s box?

  • Emma J. Podmore
  • Laura C. Bingham
  • Kathryn M. Roberts
  • Peter J. Selby
  • Penny Wright
  • Galina Velikova
Short Communication

Abstract

Goals of work

Living with cancer impacts on the social aspects of the lives of the patient and their families, causing problems that can remain undetected. The Social Difficulties Inventory (SDI) has been shown as an effective screening tool, but concerns exist that detecting more problems may increase the workload for clinic staff and related services. The aim of this analysis is to assess the level of unmet need for social difficulties and to identify any potential increase in required interventions that may occur as a result of detailed assessment.

Patients and methods

A previous cross-sectional interview study was conducted to establish the clinical utility of the SDI. Adult patients were recruited from oncology, haematology and chest medicine clinics. They completed the SDI and a semi-structured interview by a social worker, who was blind to the SDI results. With participant agreement, interventions were made for the detected problems. This paper reports on a secondary descriptive analysis of intervention data, which was performed to examine the details of the interventions and referral patterns.

Main results

No intervention was necessary for 108 (59%) of patients, 42 (23%) received information, 33 (15%) were referred to another service and five (3%) received both information and a referral. Most information was provided about holiday insurance. The majority of referrals were made to Social Work (55% of all referrals) with the main reason being related to benefits or finances.

Conclusions

Increased referral rate was observed following a social work interview, when comparing with local audit data. However, the majority of needs could be met by increasing accessibility of information.

Keywords

Cancer Social difficulties Patient-centred assessment Psychosocial Referral rates 

Notes

Acknowledgements

We acknowledge the contribution of patients who participated in the study. This work was funded by the Cancer Research UK and the Yorkshire Cancer Research Network.

Disclosures

None.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Emma J. Podmore
    • 1
  • Laura C. Bingham
    • 1
  • Kathryn M. Roberts
    • 2
  • Peter J. Selby
    • 1
  • Penny Wright
    • 1
  • Galina Velikova
    • 1
  1. 1.Psychosocial and Clinical Practice Research Group, Cancer Research UKSt James’s Institute of OncologyLeedsUK
  2. 2.Leeds City Council Social Services Department, Rehabilitation UnitSt James’s Institute of OncologyLeedsUK

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