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Computergestütztes Screening auf Palliativbedarf bei onkologischen Patienten

Projekt zur Verbesserung der Beratung und Unterstützung von Krebspatienten und ihren Angehörigen (BUKA)

Computer-assisted screening for palliative needs of cancer patients

Overview and initial experiences from a project on improvement of counseling and support of cancer patients and their relatives (BUKA)

  • Palliativmedizin
  • Published:
Wiener klinisches Magazin Aims and scope

Zusammenfassung

Hintergrund

Zur Identifizierung onkologischer Patienten mit palliativmedizinischem Versorgungsbedarf werden zunehmend auch Screenings eingesetzt. Diese sollen die relativ aufwandsarme Erfassung von Symptomen, Belastungsfaktoren sowie Informations- und Versorgungsbedürfnissen ermöglichen. Auf dieser Basis kann dann eine gezielte Zuweisung zu weitergehenden diagnostischen und therapeutischen Maßnahmen erfolgen.

Ziel und Methode

PC-gestützte Screenings finden zunehmend Anwendung, sind in Deutschland bislang jedoch noch nicht erprobt worden. Hier setzt das Projekt BUKA (Beratung und Unterstützung von Krebspatienten und ihren Angehörigen) an, in dem derzeit untersucht wird, ob der Einsatz eines tabletgestützten Screenings auf palliativmedizinischen und psychosozialen Versorgungsbedarf mit Veränderungen in klinischen Qualitätsindikatoren (EoLQ-Indikatoren) einhergeht. Es werden palliative Tumorpatienten der Entitäten Hautkrebs, Lungenkrebs, gastrointestinale Tumoren und primäre Hirntumoren einbezogen. Die Datenerhebung erfolgt zu zwei Messzeitpunkten (Screening, 8-Wochen-Katamnese). Erhoben werden unter anderem körperliche Beschwerden, psychosoziale Symptome sowie Informations- und Unterstützungsbedarf. Eine Pilotstudie lässt auf ein hohes Maß an Akzeptanz seitens der befragten Patienten schließen.

Abstract

Background

Psychosocial screenings are increasingly being used to identify palliative care needs in cancer patients. These instruments are used for the relatively time-consuming assessment of distress as well as information and care needs and serve as a basis for referral of patients for subsequent diagnostic and therapeutic measures. While computer-based screening methods are increasingly being used, they have not yet been applied in Germany.

Aim and method

The current project on counseling and support of cancer patients and their relatives (Beratung und Unterstützung von Krebspatienten und ihren Angehörigen, BUKA) aims at analyzing if the use of a tablet-based screening for palliative and psychosocial care needs is associated with changes in various clinical end of life quality (EoLQ) indicators. Palliative cancer patients with the entities skin cancer, lung cancer, gastrointestinal cancer and primary brain cancer are included in a longitudinal study with two time points, screening and 8-week follow-up. Among the variables assessed are physical symptoms and psychosocial distress as well as information and care needs. In a qualitative pilot study, patients reported high levels of acceptance of the tablet-based screening procedure.

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Authors and Affiliations

  1. Interdisziplinäres Zentrum Palliativmedizin, Klinik und Poliklinik für Strahlentherapie, Universitätsklinikum Würzburg, Josef-Schneider-Str. 2, Gebäude D 20, 97080, Würzburg, Deutschland

    Matthias Lukasczik,  Bettina Seekatz, Sandra Radina, Annalena Häckel &  Birgitt van Oorschot

  2. Abteilung für Medizinische Psychologie und Psychotherapie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg, Würzburg, Deutschland

    Matthias Lukasczik,  Bettina Seekatz &  Silke Neuderth

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Correspondence to Matthias Lukasczik.

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Interessenkonflikt

M. Lukasczik, B. Seekatz, S. Radina, A. Häckel, S. Neuderth und B. van Oorschot geben an, dass kein Interessenkonflikt besteht.

Alle im vorliegenden Manuskript beschriebenen Untersuchungen am Menschen wurden mit Zustimmung der zuständigen Ethik-Kommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patienten liegt eine Einverständniserklärung vor.

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Lukasczik, M., Seekatz, B., Radina, S. et al. Computergestütztes Screening auf Palliativbedarf bei onkologischen Patienten. Wien klin Mag 20, 98–110 (2017). https://doi.org/10.1007/s00740-016-0145-y

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