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The study was approved by the Bioethics Committee, and all patients provided written informed consent. The mean ± SD age was 69.6±9.05 (range 47-9 years. The average distress level was 4.09±1.95. A significant relationship was established between the CAT score and the results of the Distress Thermometer Scale (p0.001); patients with higher CAT scores showed the highest level of distress. CAT was shown to be a simple, fast and clear measurement of disease-specific quality of life and was correlated with levels of distress in patien