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Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care

4606 - Cognitive functions, coping strategies and psychological distress in patients with resected non-advanced cancer receiving chemotherapy: NEOcoping study data.

Date

22 Oct 2018

Session

Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care

Topics

Psychosocial Aspects of Cancer

Tumour Site

Presenters

Oliver Higuera Gomez

Citation

Annals of Oncology (2018) 29 (suppl_8): viii557-viii561. 10.1093/annonc/mdy296

Authors

O. Higuera Gomez1, C. Calderón2, I. Ghanem1, A. Carmona-Bayonas3, C. Jara4, R. Hernández5, B. Castelo1, M.M. Muñoz6, C. Beato7, S. García8, E. Martínez9, M. Mut10, A. Ramchandani Vaswani11, M. Mangas12, O. Donnay13, M.T. García-García14, M.C. Soriano6, R. Carrión15, C. Iglesias Gomez16, P. Jimenez Fonseca16

Author affiliations

  • 1 Medical Oncology, Hospital Universitario La Paz, 28046 - Madrid/ES
  • 2 Clinical Psychology And Psychobiology, University of Barcelona, Barcelona/ES
  • 3 Medical Oncology, Hospital Universitario Morales Meseguer, Murcia/ES
  • 4 Medical Oncology, Hospital Universitario Fundación Alcorcón, Madrid/ES
  • 5 Medical Oncology, Hospital Universitario de Canarias, Tenerife/ES
  • 6 Medical Oncology, Hospital Virgen de La Luz, Cuenca/ES
  • 7 Medical Oncology, . Hospital Universitario Virgen de la Macarena, Sevilla/ES
  • 8 Medical Oncology, Hospital Universitario de la Santa Cruz i Sant Pablo, Barcelona/ES
  • 9 Medical Oncology, Hospital Universitario Marqués de Valdecilla, Santander/ES
  • 10 Medical Oncology, Hospital Universitario Son Espases, Mallorca/ES
  • 11 Medical Oncology, Hospital Universitario Insular de Gran Canaria, 35016 - Las Palmas/ES
  • 12 Medical Oncology, Hospital Galdakao-Usansolo, Galdakao-Usansolo/ES
  • 13 Medical Oncology, Hospital Universitario de La Princesa, 28006 - Madrid/ES
  • 14 Medical Oncology, Hospital Universitario Santa Lucia, 30202 - Cartagena/ES
  • 15 Medical Oncology, Hospital Universitario del Sureste, Madrid/ES
  • 16 Medical Oncology, Hospital Universitario Central de Asturias, 33006 - Oviedo/ES
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Resources

Abstract 4606

Background

The loss of cognitive functions is a symptom that impairs the quality of life .The aim of this study is to analyze cognitive functioning in cancer patients who initiate chemotherapy and to study the relationship between coping strategies and psychological distress.

Methods

NEOcoping is a national, multicenter, cross-sectional, prospective study of the Continuous Care Group of the Spanish Society of Medical Oncology conducted between January 2016 and January 2018 in 14 Medical Oncology departments in Spain. The population consisted of patients with histologically confirmed, non-advanced cancer treated with surgery for which international clinical guidelines considered that adjuvant treatment could be an option.The information was collected and updated by medical oncologists through a web-based platform (www.neocoping.es). Questionnaires for doctors and patients were filled out before starting adjuvant chemotherapy and at the end of the treatment. The applied tests were: Mini-Mental Adjustment to Cancer (Mini-MAC), EORTC core quality of life questionnaire (EORTC QLQ-C30, cognitive function scale), and Brief Symptom Inventory (BSI-18).

Results

Seven hundred and ninety-five patients were recruited. The median age was 58 years and 60% were women. Most were married or partnered (77%) and had a primary level of education (56%). The most common employment status was retired (59%). The primary tumor localization was mainly colorectal (41%) and breast (34%) and the stage was I-II (56%) or III (44%).The results indicate that patients who perceived their physical condition or chemotherapy interfered with their cognitive functions had more anxious coping strategies characterized by constant preoccupation with the type of health, fear of cancer recurrence and this led to a search for frequent reaffirmation (p = 0.008). The cognitive function problems were negatively related with somatization (p < 0.001), depression (p < 0.001) and anxiety (p < 0.001).

Conclusions

The perception of impaired cognitive abilities and uncertainty about the prognosis of cancer can make it difficult for patients to adapt to their situation, deteriorate quality of life and increase emotional distress.

Clinical trial identification

Legal entity responsible for the study

Continuous Care Group of the Spanish Society of Medical Oncology (SEOM).

Funding

Sociedad Española de Oncología Médica (SEOM).

Editorial Acknowledgement

Disclosure

All authors have declared no conflicts of interest.

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