ASSESSING PSYCHOSOCIAL DISTRESS IN BONE METASTASES TREATED WITH ENDOPROSTHESIS

Objetivo: Confrontar o nivel de angustia psicossocial (distress) entre o pre-operatorio e o pos-operatorio precoce de pacientes submetidos ao tratamento de metastase ossea com endoprotese, avaliando seu impacto na qualidade de vida. Methods: Thirteen patients undergoing endoprosthetic treatment of bone metastasis were assessed at two time points: preoperatively and 30 days postoperatively. The tool used was the Distress Thermometer, a questionnaire for psychosocial screening developed by the National Comprehensive Cancer Network. Distress is considered moderate or severe if the patient scores 4 or higher. Results: The most frequent problems in the preoperative period were "bathing and dressing". At 30 days, "fatigue" and "nervousness" prevailed. There was a significant improvement in distress when preoperative and 30-day assessments were compared. Conclusao: O tratamento cirurgico com endoprotese para metastase ossea reduz precocemente o nivel de angustia psicossocial aferido pelo termometro de Distress. Nivel de evidencia II, Estudo terapeutico, prospectivo e comparativo.