SYMPTOM DISTRESS IN NEWLY-DIAGNOSED AMBULATORY CANCER-PATIENTS AND ASA PREDICTOR OF SURVIVAL IN LUNG-CANCER

Levels of symptom distress are most often measured in a clinical trial context rather than in general ambulatory populations. The purpose of this paper is to report levels of symptom distress in such a populati on, and to describe the factors associated with this distress. Over a 6-month period a consecutive sample of 434 newly diagnosed patients, i ncluding 82 patients with lung cancer were tested with the symptom dis tress scab at two tertiary oncology clinics serving the population of one Canadian prairie province. While levels of symptom distress in thi s population were generally low, the most problematic symptoms for pat ients were fatigue and insomnia, with 40% and 30% having moderate or h igh scores on these symptoms, respectively. Patients with advanced dis ease reported more distress than those with early stage disease; women reported more distress than men; older patients had less distress tha n younger patients; distress was highest in lung cancer patients and l owest in men with genitourinary cancers. Consistent with the findings of four previous studies, the single measure of symptom distress was a significant predictor of survival in lung cancer patients, with the e xception of three patients who had substantial post-thoracotomy sympto ms.