Patients with mental illness experience cancer disparities, such as increased cancer mortality rates, more advanced cancer at time of diagnosis, and more comorbidities. For the NCCN Guidelines for Distress Management update, the panel separated management recommendations for adjustment disorder, and PTSD and acute stress disorder.
All patients experience some level of distress associated with a cancer diagnosis and the effects of the disease and its treatment regardless of the stage of disease. Clinically significant levels of distress occur in a subset of patients, and identification and treatment of distress are of utmost importance. These NCCN Guidelines Insights describe updates to the NCCN Distress Thermometer and Problem List, and to the treatment algorithms for patients with trauma- and stressor-related disorders.

Many health care professionals have had limited education on supportive care topics and have learned on the job. The guidelines and literature continue to advance supportive oncology care.

Many health care professionals have had limited education on supportive care topics and have learned on the job. The guidelines and literature continue to advance supportive oncology care.

Many health care professionals have had limited education on supportive care topics and have learned on the job. The guidelines and literature continue to advance supportive oncology care.

Many health care professionals have had limited education on supportive care topics and have learned on the job. The guidelines and literature continue to advance supportive oncology care.

Unfortunately, many cancer survivors report unmet psychosocial needs; therefore, it is critical to educate clinicians who work with cancer survivors on the prevalence of, risk factors for, and optimal management of anxiety, depression, trauma, and distress.

Distress is a risk factor for non‑adherence to treatment, such as with oral medications. Early evaluation and screening for distress leads to early and timely management of psychological distress, which in turn improves medical management.

The 2016 NCCN Case Manager and Medical Director Program Live Webinar Series will consist of six webinars on the topics of colorectal cancer, prostate cancer, distress management, CML, ovarian cancer, and multiple myeloma.

The 2016 NCCN Case Manager and Medical Director Program Live Webinar Series will consist of six webinars on the topics of colorectal cancer, prostate cancer, distress management, CML, ovarian cancer, and multiple myeloma.

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