Psychosocial distress among oncology patients in the safety net

AbstractObjectivePsychosocial distress among cancer patients leads to poor health outcomes and lower satisfaction. However, little is known about psychosocial distress among disadvantaged populations. We examined the prevalence, predictors, and follow‐up experience of psychosocial distress among cancer patients within a diverse, urban, and multi‐lingual safety‐net setting.MethodsWe conducted a retrospective cohort study of cancer patients undergoing psychosocial distress screening at initial medical oncology visits from 2014‐2016. The primary outcome was self‐reported moderate to severe psychosocial distress, defined by the NCCN as a Distress Thermometer score ≥ 4. Predictors of distress were assessed using logistic regression. Patients reporting distress were contacted by telephone 1‐12 months later to reassess distress and assess completion of supportive service referrals.ResultsAmong 200 screened patients, 61% had moderate to severe psychosocial distress. African‐American race, psychiatric illness, greater number of emotional problems, and reported problems with housing, money, worry, sleep, memory or homelessness were associated with psychosocial distress. Among 39 patients wit