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A strong hand catt ford6/5/2023 These rates are higher than those experienced by patients with other types of cancer and can interfere with treatment compliance and Quality of Life (QoL). A study showed anxiety prevalent in 30% of patients and 40% of carers respectively, and a depression incidence of 17 and 10% respectively, on the Hospital Anxiety and Depression Scale ( Janda et al., 2007). Studies report a high rate of depression and anxiety among brain tumor patients and their caregivers ( Janda et al., 2008). The psychosocial factors though important, are often overlooked during clinical practice. Since most primary brain tumors follow a devastating clinical course, one where the patient progressively deteriorates and eventually dies, improving quality of life and minimizing distress are essential goals of treatment ( Kvale et al., 2009).Ĭonventionally, the focus of oncologic care has been on achieving the medical endpoints of survival, local control, and preventing recurrence. In Pakistan, the mortality rate among brain tumor patients ranges from 60 to 80% with ~150,000 new cases diagnosed each year ( Yusuf, 2013). Globally brain tumor has an annual incidence of 3.5 cases and an annual mortality of 2.8 cases, per population of 100,000 ( All Cancers, 2020 Brain, Central Nervous System, 2020), indicating high mortality among those diagnosed.
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