ECOG-PS 2 versus 0: OR=3.27, p=0.001), active cancer treatment status (OR=1.71, p=0.022), and referral willingness (OR=7.14, p<0.001). The association between the actual referral and the severity of depression symptoms (;;severe” versus ;;minimal to moderate”: OR=2.67, p<0.001), shown in univariate analyses, became insignificant. Non-referred cases (n=714) were mostly (87.1%) due to postponed decisions.Conclusions: The system may self-select a population highly prevalent of significant depression symptoms. Participants’ willingness was the strongest predictor of their referral trajectory. Participants’ having a job, better performance, not being actively treated may lower their chance of being referred, independent to their depression symptom severity.
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Correlates of Oncologist-issued Referrals forthe Psycho-oncology Service: Findings from a Voluntary DepressionScreening System for Cancer Patients