Background Screening for distress and referral for the provision of psychosocial care is currently the preferred approach to the management of distress in patients with cancer. To date, this approach has shown a limited effect on the reduction of distress. Recent commentaries have argued that the implementation of distress screening should be improved. On the other hand, the underlying assumption that a referral for psychosocial care is required for distressed patients can be questioned. This has led to the development of an alternative approach, called emotional support and case finding. Purpose In the context of finding innovative solutions to tomorrow’s health challenges, we explore ways to optimize distress management in patients with cancer. Methods and Results We discuss three different approaches: (i) optimization of screening and referral, (ii) provision of emotional support and case finding, and (iii) a hybrid approach with multiple assessments, using mobile technology. Conclusions We suggest continued research on the screening and referral approach, to broaden the evidence-base on improving emotional support and case finding, and to evaluate the utility of multiple assessments of distress with new interactive mobile tools. Lessons learned from these efforts can be applied to other disease areas, such as cardiovascular disease or diabetes.

中文翻译：

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癌症患者的痛苦管理——我们在做正确的事吗？

背景 对痛苦进行筛查和转诊以提供社会心理护理是目前治疗癌症患者痛苦的首选方法。迄今为止，这种方法对减轻痛苦的效果有限。最近的评论认为，应该改进遇险筛查的实施。另一方面，对痛苦的患者需要转诊进行心理社会护理的基本假设可能会受到质疑。这导致了另一种方法的发展，称为情感支持和案例发现。目的 在为明天的健康挑战寻找创新解决方案的背景下，我们探索优化癌症患者痛苦管理的方法。方法和结果 我们讨论了三种不同的方法：(i) 优化筛选和转诊，(ii) 提供情感支持和案例发现，以及 (iii) 使用移动技术进行多重评估的混合方法。结论 我们建议继续研究筛查和转诊方法，以扩大改善情感支持和病例发现的证据基础，并评估使用新的交互式移动工具对痛苦进行多重评估的效用。从这些努力中吸取的教训可以应用于其他疾病领域，例如心血管疾病或糖尿病。并使用新的交互式移动工具评估多种遇险评估的效用。从这些努力中吸取的教训可以应用于其他疾病领域，例如心血管疾病或糖尿病。并使用新的交互式移动工具评估多种遇险评估的效用。从这些努力中吸取的教训可以应用于其他疾病领域，例如心血管疾病或糖尿病。