BACKGROUND patients with palliative needs often experience high symptom burden which causes suffering to themselves and their families. Depression and psychological distress should not be considered a "normal event" in advanced disease patients and should be screened, diagnosed, acted on and followed-up. Psychological distress has been associated with greater physical symptom severity, suffering, and mortality in cancer patients. A holistic, but short measure should be used for physical and non-physical needs assessment. The Integrated Palliative care Outcome Scale is one such measure. This work aims to determine palliative needs of patients and explore screening accuracy of two items pertaining to psychological needs. METHODS multi-centred observational study using convenience sampling. Data were collected in 9 Portuguese centres. INCLUSION CRITERIA ≥18 years, mentally fit to give consent, diagnosed with an incurable, potentially life-threatening illness. EXCLUSION CRITERIA patient in distress ("unable to converse for a period of time"), cognitively impaired. Descriptive statistics used for demographics. Receiving Operator Characteristics curves and Area Under the Curve for anxiety and depression discriminant properties against the Hospital Anxiety and Depression Scale. RESULTS 1703 individuals were screened between July 1st, 2015 and February 2016. A total of 135 (7.9%) were included. Main reason for exclusion was being healthy (75.2%). The primary care centre screened most individuals, as they have the highest rates of daily patients and the majority are healthy. Mean age is 66.8 years (SD 12.7), 58 (43%) are female. Most patients had a cancer diagnosis 109 (80.7%). Items scoring highest (=4) were: family or friends anxious or worried (36.3%); feeling anxious or worried about illness (13.3%); feeling depressed (9.6%). Using a cut-off score of 2/3, Area Under the Curve for depression and anxiety items were above 70%. CONCLUSIONS main palliative needs were psychological, family related and spiritual. This suggests that clinical teams may better manage physical issues and there is room for improvement regarding non-physical needs. Using the Integrated Palliative care Outcome Scale systematically could aid clinical teams screening patients for distressing needs and track their progress in assisting patients and families with those issues.

中文翻译：

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确定姑息治疗的患病率并探索综合姑息治疗结果量表中抑郁症和焦虑症的筛查准确性-多中心研究。

背景技术具有姑息需要的患者经常经历高的症状负担，这给他们自己和家人造成痛苦。在晚期疾病患者中，抑郁和心理困扰不应被视为“正常事件”，而应进行筛查，诊断，采取行动并进行随访。心理困扰与癌症患者更大的身体症状严重程度，痛苦和死亡率有关。应使用整体但简短的措施来评估身体和非身体的需求。综合姑息治疗结果量表就是其中一种。这项工作旨在确定患者的姑息需求，并探讨与心理需求有关的两项的筛查准确性。方法采用便利抽样的多中心观察性研究。在葡萄牙的9个中心收集了数据。入选标准≥18岁，精神上同意接受，被诊断为无法治愈的，可能危及生命的疾病。排除标准处于困境中的患者（“无法在一段时间内交谈”），认知受损。用于人口统计的描述性统计信息。相对于医院焦虑和抑郁量表，接收操作员特征曲线和曲线下面积以区分焦虑和抑郁。结果在2015年7月1日至2016年2月之间筛选了1703人，其中包括135人（7.9％）。排斥的主要原因是健康（75.2％）。初级保健中心对大多数人进行了筛查，因为他们的日常患者发病率最高，而且大多数人都健康。平均年龄为66.8岁（SD 12.7），其中女性为58岁（43％）。大多数患者的癌症诊断为109（80.7％）。得分最高（= 4）的项目是：家人或朋友感到焦虑或担忧（36.3％）；感到焦虑或担心疾病（13.3％）；感到沮丧（9.6％）。使用2/3的截止分数，抑郁和焦虑项目的曲线下面积高于70％。结论姑息治疗的主要需求是心理，家庭相关和精神方面的需求。这表明临床团队可以更好地管理身体问题，并且在非身体需求方面还有改进的空间。系统地使用综合姑息治疗结果量表可以帮助临床团队筛查患者的痛苦需求，并跟踪他们在协助患者和家庭解决这些问题方面的进展。感到焦虑或担心疾病（13.3％）；感到沮丧（9.6％）。使用2/3的截止分数，抑郁和焦虑项目的曲线下面积高于70％。结论姑息治疗的主要需求是心理，家庭相关和精神方面的需求。这表明临床团队可以更好地管理身体问题，并且在非身体需求方面还有改进的空间。系统地使用综合姑息治疗结果量表可以帮助临床团队筛查患者的痛苦需求，并跟踪他们在协助患者和家庭解决这些问题方面的进展。感到焦虑或担心疾病（13.3％）；感到沮丧（9.6％）。使用2/3的截止分数，抑郁和焦虑项目的曲线下面积高于70％。结论姑息治疗的主要需求是心理，家庭相关和精神方面的需求。这表明临床团队可以更好地管理身体问题，并且在非身体需求方面还有改进的空间。系统地使用综合姑息治疗结果量表可以帮助临床团队筛查患者的痛苦需求，并跟踪他们在协助患者和家庭解决这些问题方面的进展。这表明临床团队可以更好地管理身体问题，并且在非身体需求方面还有改进的空间。系统地使用综合姑息治疗结果量表可以帮助临床团队筛查患者的痛苦需求，并跟踪他们在协助患者和家庭解决这些问题方面的进展。这表明临床团队可以更好地管理身体问题，并且在非身体需求方面还有改进的空间。系统地使用综合姑息治疗结果量表可以帮助临床团队筛查患者的痛苦需求，并跟踪他们在协助患者和家庭解决这些问题方面的进展。