Clinical pathway for the screening, assessment and management of anxiety and depression in adult cancer patients: Australian guidelines

Butow, Phyllis, Price, Melanie A., Shaw, Joanne M., Turner, Jane, Clayton, Josephine M., Grimison, Peter, Rankin, Nicole and Kirsten, Laura (2015) Clinical pathway for the screening, assessment and management of anxiety and depression in adult cancer patients: Australian guidelines. Psycho-Oncology, 24 9: 987-1001. doi:10.1002/pon.3920


Author Butow, Phyllis
Price, Melanie A.
Shaw, Joanne M.
Turner, Jane
Clayton, Josephine M.
Grimison, Peter
Rankin, Nicole
Kirsten, Laura
Title Clinical pathway for the screening, assessment and management of anxiety and depression in adult cancer patients: Australian guidelines
Journal name Psycho-Oncology   Check publisher's open access policy
ISSN 1099-1611
1057-9249
Publication date 2015
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/pon.3920
Open Access Status Not Open Access
Volume 24
Issue 9
Start page 987
End page 1001
Total pages 15
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley and Sons
Collection year 2016
Language eng
Formatted abstract
Purpose: A clinical pathway for anxiety and depression in adult cancer patients was developed to guide best practice in Australia.

Methods: The pathway was based on a rapid review of existing guidelines, systematic reviews and meta-analyses, stakeholder interviews, a Delphi process with 87 multidisciplinary stakeholders and input from a multidisciplinary advisory panel.

Results: The pathway recommends formalized routine screening for anxiety and depression in patients with cancer at key points in the patient's journey. The Edmonton Symptom Assessment System or distress thermometer with problem checklist is recommended as brief screening tools, combined with a more detailed tool, such as the Hospital Anxiety and Depression Scale, to identify possible cases. A structured clinical interview will be required to confirm diagnosis.

When anxiety or depression is identified, it is recommended that one person in a treating team takes responsibility for coordinating appropriate assessment, referral and follow-up (not necessarily carrying these out themselves).

A stepped care model of intervention is proposed, beginning with the least intensive available that is still likely to provide significant health gain. The exact intervention, treatment length and follow-up timelines, as well as professionals involved, are provided as a guide only. Each service should identify their own referral network based on local resources and current service structure, as well as patient preference.

Discussion: This clinical pathway will assist cancer services to design their own systems to detect and manage anxiety and depression in their patients, to improve the quality of care.
Keyword Clinical pathway
Anxiety and depression
Cancer
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Faculty of Medicine
Official 2016 Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
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