NDLI: Factors associated with cancer worries in individuals participating in annual pancreatic cancer surveillance

Content Provider	Springer Nature Link
Author	Konings, Ingrid C.A.W. Harinck, Femme Kuenen, Marianne A. Sidharta, Grace N. Kieffer, Jacobien M. Aalfs, Cora M. Poley, Jan Werner Smets, Ellen M.A. Wagner, Anja Rens, Anja Vleggaar, Frank P. Ausems, Margreet G.E.M. Fockens, Paul Hooft, Jeanin E. Bru, Marco J. Bleiker, Eveline M.A.
Copyright Year	2016
Abstract	It is important to adequately and timely identify individuals with cancer worries amongst participants in a pancreatic ductal adenocarcinoma (PDAC) surveillance program, because they could benefit from psychosocial support to decrease distress. Therefore, the aim of this study was to assess both psychosocial and clinical factors associated with cancer worries. High-risk individuals participating in PDAC-surveillance were invited to annually complete a cancer worry scale (CWS) questionnaire which was sent after counseling by the clinical geneticist (T0), after intake for participation in PDAC-surveillance (T1), and then annually after every MRI and endoscopic ultrasonography (EUS) (T2 and further). Analyses were performed to identify factors associated with cancer worries in the second year of surveillance (T3). We found a significant intra-individual decrease in cancer worries (β = −0.84, P < 0.001), nevertheless, 33 % of individuals had a CWS-score ≥14 at T3. We found one factor significantly associated with cancer worries at T3: having a family member affected by PDAC <50 years of age (β = 0.22, P = 0.03). The detection of a cystic lesion, a shortened surveillance interval, or undergoing pancreatic surgery did not lead to more cancer worries (P = 0.163, P = 0.33, and P = 0.53, respectively). In conclusion, this study identified ‘a family history of PDAC <50 years of age’ as the only predictor of cancer worries experienced after 2 years of surveillance in individuals at high risk of developing PDAC. This knowledge could help clinicians to timely identify individuals ‘at risk’ for high levels of cancer worries who would likely benefit from psychosocial support.
Starting Page	143
Ending Page	151
Page Count	9
File Format	PDF
ISSN	13899600
Journal	Familial Cancer
Volume Number	16
Issue Number	1
e-ISSN	15737292
Language	English
Publisher	Springer Netherlands
Publisher Date	2016-09-14
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Cancer worries Pancreatic cancer Surveillance High-risk individuals Psychosocial burden Predictive factors Cancer Research Human Genetics Epidemiology Biomedicine
Content Type	Text
Resource Type	Article
Subject	Genetics Cancer Research Genetics (clinical) Oncology

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