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Alex Mitchell
                Hon. Senior Lecturer in Psycho-oncology,
                       Leicester Royal Infirmary



alex.mitchell@leicspart.nhs.uk
alex.mitchell@leicspart.nhs.uk                      IPOS Workshop (Sept 2007)
                                                     IPOS Workshop (Sept 2007)
0. Basics
  Types of screening


1. Mood Screening Methods

   How do they compare?


2. Distress Thermometer

   Evidence?


3. Implementing Screening
   Ultra-screening in secondary care
0. Basics
Definition

Screening:
  Short; Easy; some false +ve (low SpS PPV), few false –ve (High
    Sens, NPV)


Diagnosis (case-finding)
  Accurate, Few false +ve or –ve


Rating
  Simple, patient rated, correl. With QoL and other outcomes




                                                        => options
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]

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IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]

  • 1. Alex Mitchell Hon. Senior Lecturer in Psycho-oncology, Leicester Royal Infirmary alex.mitchell@leicspart.nhs.uk alex.mitchell@leicspart.nhs.uk IPOS Workshop (Sept 2007) IPOS Workshop (Sept 2007)
  • 2. 0. Basics Types of screening 1. Mood Screening Methods How do they compare? 2. Distress Thermometer Evidence? 3. Implementing Screening Ultra-screening in secondary care
  • 4. Definition Screening: Short; Easy; some false +ve (low SpS PPV), few false –ve (High Sens, NPV) Diagnosis (case-finding) Accurate, Few false +ve or –ve Rating Simple, patient rated, correl. With QoL and other outcomes => options