Girgis Afaf, Stojanovski Elizabeth, Boyes Allison, King Madeleine, Lecathelinais Christophe
Centre for Health Research & Psycho-oncology (CHeRP), Cancer Council NSW, University of Newcastle, Hunter Medical Research Institute & Priority Research Centre for Health Behaviour, NSW, Australia.
Psychooncology. 2012 Aug;21(8):827-35. doi: 10.1002/pon.1973. Epub 2011 Apr 12.
The short form of the Supportive Care Needs Survey (SCNS-SF34) is a 34-item instrument for assessing the perceived needs of people diagnosed with cancer. This research is aimed at developing a brief screening tool for administration to patients in the clinical setting, by identifying the minimum number and optimal combination of item(s) to measure each of the SCNS-SF34 domains with high sensitivity and specificity.
Secondary analyses were undertaken on data from 1458 patients at 12 major public cancer treatment centres in Australia; with a random sample of 67% (n = 977) of the patient records selected as the developmental sample for developing the screening tool, while the remaining 33% (n = 481) constituted the validation sample on which analyses were repeated. Five criteria were applied to identify the optimum subset of items for the screening tool. Where statistical results were very similar across candidate item/s, items deemed more clinically important were chosen.
Nine items were identified, which can be efficiently and reliably used as a brief screening tool (SCNS-ST9). An overall comparison of the results on the SCNS-ST9 with the original SCNS-SF34 indicates that only 11% of people reporting at least one moderate/high need on any SCNS-SF34 domain were missed as having a moderate/high need on the SCNS-ST9.
Our very brief screening tool can be implemented in a clinical setting to reliably screen for unmet needs among cancer patients, with considerable savings in time and expense, increasing its potential for wide-scale adoption in clinical settings.
支持性护理需求调查简表（SCNS - SF34）是一种用于评估癌症确诊患者感知需求的34项工具。本研究旨在开发一种简短的筛查工具，以便在临床环境中对患者进行应用，通过确定能以高灵敏度和特异性测量SCNS - SF34各领域的最少项目数量和最佳项目组合。
对来自澳大利亚12个主要公立癌症治疗中心的1458名患者的数据进行二次分析；随机抽取67%（n = 977）的患者记录作为开发筛查工具的发展样本，其余33%（n = 481）构成验证样本，并在该样本上重复进行分析。应用五条标准来确定筛查工具的最佳项目子集。当各候选项目的统计结果非常相似时，选择在临床上被认为更重要的项目。
确定了九个项目，它们可有效且可靠地用作简短筛查工具（SCNS - ST9）。将SCNS - ST9的结果与原始SCNS - SF34的结果进行总体比较表明，在SCNS - SF34的任何领域报告至少有一项中度/高度需求的人群中，只有11%在SCNS - ST9上被漏判为有中度/高度需求。
我们的超简短筛查工具可在临床环境中实施，以可靠地筛查癌症患者中未满足的需求，在时间和费用上可大幅节省，增加了其在临床环境中广泛采用的可能性。
