Imperial College London
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DrAlexKing

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3312 1658alex.king Website

 
 
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Location

 

Department of Clinical Health PsychologyClarence WingSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Marcus:2021:10.1002/pon.5697,
author = {Marcus, D and King, A and Yazbek, J and Hughes, C and Ghaem-Maghami, S},
doi = {10.1002/pon.5697},
journal = {Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer},
pages = {1939--1400},
title = {Anxiety and stress in women with suspected endometrial cancer: Survey and paired observational study},
url = {http://dx.doi.org/10.1002/pon.5697},
volume = {30},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - ObjectiveTo determine the anxiety and stress levels of women with suspected endometrial cancer and factors affecting this.MethodsProspective survey and paired observational study of consecutive women with suspected endometrial cancer in a rapid access gynaecology clinic. Structured questionnaire including a GAD-7 anxiety test and a modified stress thermometer were used. Patients ranked their perception of a cancer diagnosis on 0-5 Likert scale (0 = confident not cancer and 5 = cancer). Patients requiring an endometrial tissue biopsy were asked to rank their pain on a visual analogue scale (VAS), this was paired with the survey results.Results250 patients completed the study and 23 of which underwent an endometrial tissue biopsy. The median age was 50-59 years old and 59% of women spoke English as their first language. 32% of patients had significant levels of anxiety with GAD-7 score ≥10. The median stress score was three out of five on Likert scale. GAD-7 anxiety scores were higher in women who perceived that they received insufficient information prior to clinic (sufficient information 5 vs. insufficient information 9.5, P = 0.00036) or had a disability (disability 9 vs. no disability 5.5, P = 0.00374). The median VAS score from the biopsies was seven out of 10 (range 1-10). Patients with higher anxiety levels (GAD-7 scores) were more likely to believe they had cancer P <0.00001.ConclusionsThese findings confirm high levels of anxiety and stress in women with suspected endometrial cancer. Adequate pre-clinic information is essential, particularly for minority groups.
AU  - Marcus,D
AU  - King,A
AU  - Yazbek,J
AU  - Hughes,C
AU  - Ghaem-Maghami,S
DO  - 10.1002/pon.5697
EP  - 1400
PY  - 2021///
SN  - 1057-9249
SP  - 1939
TI  - Anxiety and stress in women with suspected endometrial cancer: Survey and paired observational study
T2  - Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer
UR  - http://dx.doi.org/10.1002/pon.5697
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000647225900001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://onlinelibrary.wiley.com/doi/10.1002/pon.5697
UR  - http://hdl.handle.net/10044/1/89783
VL  - 30
ER  -
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