Supportive care needs, anxiety, depression and quality of life amongst newly diagnosed patients with localised invasive cutaneous melanoma in Queensland, Australia

Objective The aim of this paper is to determine levels of supportive care needs, anxiety, depression and symptoms amongst patients newly diagnosed with localised invasive primary melanoma and if these varied amongst patients who had a sentinel lymph node biopsy (SLNB). We also considered quality of...

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Published in:Psycho-oncology (Chichester, England) England), 2015-07, Vol.24 (7), p.763-770
Main Authors: Beesley, Vanessa L., Smithers, B. Mark, Khosrotehrani, Kiarash, Khatun, Mohsina, O'Rourke, Peter, Hughes, Maria Celia B., Malt, Maryrose K., Zonta, Mark J., Bayley, Gerard J., Barbour, Andrew P., Brown, Lee J., D'Arcy, Justin, Allan, Christopher P., Green, Adèle C.
Format: Article
Language:English
Subjects:
Aged
Anxiety
Anxiety - psychology
cancer
Depression - psychology
distress
Female
Humans
Male
Melanoma
Melanoma - pathology
Melanoma - psychology
Mental depression
Middle Aged
Needs Assessment
Neoplasm Staging
oncology
Quality of life
Quality of Life - psychology
sentinel lymph node biopsy
Sentinel Lymph Node Biopsy - psychology
Skin Neoplasms - pathology
Skin Neoplasms - psychology
Social Support
supportive care needs
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Summary:Objective The aim of this paper is to determine levels of supportive care needs, anxiety, depression and symptoms amongst patients newly diagnosed with localised invasive primary melanoma and if these varied amongst patients who had a sentinel lymph node biopsy (SLNB). We also considered quality of life compared with general population norms. Methods Patients newly diagnosed with clinical stage IB‐II invasive melanoma were ascertained through Queensland hospitals, specialist clinics and pathology laboratories. Validated surveys measured 46 need items (Supportive Care Needs Survey–Short Form + melanoma subscale), anxiety and depression (Hospital Anxiety and Depression Scale) and quality of life and symptoms (Functional Assessment of Cancer Therapy–Melanoma). Regression models compared outcomes according to whether or not participants had a SLNB. Results We surveyed 386 patients, 155 before and 231 after wide local excision, of whom 46% reported ≥1 moderate‐level or high‐level unmet need. The three highest needs were for help with fears about cancer spreading (17%), information about risk of recurrence (17%) and outcomes when spread occurred (16%). Those who had a SLNB were more likely to report a moderate or high unmet need for help with uncertainty about the future or with lymphoedema (p 
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.3718