TY - JOUR
T1 - Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients
T2 - a cluster preference randomized controlled trial
AU - Rogers, Simon N.
AU - Lowe, Derek
AU - Lowies, Cher
AU - Yeo, Seow Tien
AU - Allmark, Christine
AU - Mcavery, Dominic
AU - Humphris, Gerald M.
AU - Flavel, Robert
AU - Semple, Cherith
AU - Thomas, Steven J.
AU - Kanatas, Anastasios
PY - 2018/4/18
Y1 - 2018/4/18
N2 - Background: The consequences of treatment for Head and Neck cancer (HNC) patients has profound detrimental impacts such as impaired QOL, emotional distress, delayed recovery and frequent use of healthcare. The aim of this trial is to determine if the routine use of the Patients Concerns Inventory (PCI) package in review clinics during the first year following treatment can improve overall quality of life, reduce the social-emotional impact of cancer and reduce levels of distress. Furthermore, we aim to describe the economic costs and benefits of using the PCI. Methods: This will be a cluster preference randomised control trial with consultants either 'using' or 'not using' the PCI package at clinic. It will involve two centres Leeds and Liverpool. 416 eligible patients from at least 10 consultant clusters are required to show a clinically meaningful difference in the primary outcome. The primary outcome is the percentage of participants with less than good overall quality of life at the final one-year clinic as measured by the University of Washington QOL questionnaire version 4 (UWQOLv4). Secondary outcomes at one-year are the mean social-emotional subscale (UWQOLv4) score, Distress Thermometer (DT) score ≥ 4, and key health economic measures (QALY-EQ-5D-5 L; CSRI). Discussion: This trial will provide knowledge on the effectiveness of a consultation intervention package based around the PCI used at routine follow-up clinics following treatment of head and neck cancer with curative intent. If this intervention is (cost) effective for patients, the next step will be to promote wider use of this approach as standard care in clinical practice.
AB - Background: The consequences of treatment for Head and Neck cancer (HNC) patients has profound detrimental impacts such as impaired QOL, emotional distress, delayed recovery and frequent use of healthcare. The aim of this trial is to determine if the routine use of the Patients Concerns Inventory (PCI) package in review clinics during the first year following treatment can improve overall quality of life, reduce the social-emotional impact of cancer and reduce levels of distress. Furthermore, we aim to describe the economic costs and benefits of using the PCI. Methods: This will be a cluster preference randomised control trial with consultants either 'using' or 'not using' the PCI package at clinic. It will involve two centres Leeds and Liverpool. 416 eligible patients from at least 10 consultant clusters are required to show a clinically meaningful difference in the primary outcome. The primary outcome is the percentage of participants with less than good overall quality of life at the final one-year clinic as measured by the University of Washington QOL questionnaire version 4 (UWQOLv4). Secondary outcomes at one-year are the mean social-emotional subscale (UWQOLv4) score, Distress Thermometer (DT) score ≥ 4, and key health economic measures (QALY-EQ-5D-5 L; CSRI). Discussion: This trial will provide knowledge on the effectiveness of a consultation intervention package based around the PCI used at routine follow-up clinics following treatment of head and neck cancer with curative intent. If this intervention is (cost) effective for patients, the next step will be to promote wider use of this approach as standard care in clinical practice.
KW - Head and neck Cancer
KW - Intervention
KW - Patient concerns inventory
KW - Patient reported outcomes
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=85045584117&partnerID=8YFLogxK
U2 - 10.1186/s12885-018-4355-0
DO - 10.1186/s12885-018-4355-0
M3 - Article (Academic Journal)
C2 - 29669529
AN - SCOPUS:85045584117
SN - 1471-2407
VL - 18
JO - BMC Cancer
JF - BMC Cancer
M1 - 444
ER -