Surveillance CT scans are a source of anxiety and fear of recurrence in long-term lymphoma survivors. Academic Article uri icon

Overview

MeSH

  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Physician-Patient Relations
  • Prognosis
  • Survival Rate
  • Young Adult

MeSH Major

  • Anxiety
  • Fear
  • Lymphoma
  • Neoplasm Recurrence, Local
  • Survivors
  • Tomography, X-Ray Computed

abstract

  • We aimed to assess anxiety and the psychological impact of routine surveillance scans in long-term survivors of adult aggressive lymphoma. In this cross-sectional observational study of 70 survivors of curable adult aggressive lymphoma, we measured anxiety and the doctor-patient relationship and performed a qualitative interview (n = 30) focused on patient perception of routine follow-up imaging studies. Participants were diagnosed with aggressive lymphoma a median of 4.9 years (2.4-38.0 years) before enrollment. Thirty-seven percent of patients were found to meet criteria for clinically significant anxiety, which was not associated with years since diagnosis. In multivariate analysis, history of relapse and a worse doctor-patient relationship were independently associated with higher anxiety levels. Despite representing a largely cured population, in qualitative interviews patients reported fear of recurrence as a major concern and considerable anxiety around the time of a follow-up imaging scan. Routine surveillance scans exacerbate underlying anxiety symptoms and fear of recurrence in survivors of aggressive lymphoma. Strategies to minimize follow-up imaging and to improve doctor-patient communication should be prospectively evaluated to address these clinically significant issues.

publication date

  • November 2010

has subject area

  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety
  • Cross-Sectional Studies
  • Fear
  • Female
  • Follow-Up Studies
  • Humans
  • Lymphoma
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Neoplasm Staging
  • Physician-Patient Relations
  • Prognosis
  • Survival Rate
  • Survivors
  • Tomography, X-Ray Computed
  • Young Adult

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC2962258

Digital Object Identifier (DOI)

  • 10.1093/annonc/mdq215

PubMed ID

  • 20423914

Additional Document Info

start page

  • 2262

end page

  • 2266

volume

  • 21

number

  • 11